Trial Outcomes & Findings for Performance Evaluation of the Lucira COVID-19 & Flu Test (NCT NCT06141824)

NCT ID: NCT06141824

Last Updated: 2024-03-15

Results Overview

The sensitivity and specificity endpoint are Percent Positive Agreement (PPA) ≥80%/Negative Positive Assessment (NPA) ≥98% for COVID-19 and PPA ≥90%/NPA ≥95% for Flu A\&B as compared to FDA emergency use authorized SARS-CoV-2 and FDA cleared Influenza A+B Assays. Two (2) swabs were collected for this study: One (1) anterior nasal swab (NS) for the Lucira COVID-19 and Flu Test and one (1) NS for reference testing. Reference testing characterized specimens as negative or positive for SARS-CoV-2 and Influenza A and B. Therefore, PPA and NPA of the Lucira COVID-19 and Flu Test were calculated by comparison with the respective reference methods. The data were analyzed via comparison to the comparator method in this protocol in a standard 2x2 table, with PPA and NPA calculated against the comparator. The percentage of the expected result was computed individually along with the associated 95% Wilson Score Confidence Interval \[1\] for each panel.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

1361 participants

Primary outcome timeframe

Day 1

Results posted on

2024-03-15

Participant Flow

A total of 1366 research participants were consented to participate in the study, 5 participants were withdrawn from the study. 1361 participants were enrolled and participated in the study.

Participant milestones

Participant milestones
Measure
Lucira COVID-19 & Flu Test
The Lucira COVID-19 (Coronavirus 2019) and Flu Test is a rapid, single-use, molecular test for the qualitative detection and discrimination of SARS-CoV-2, Influenza A, and Influenza B viral RNA in nasal swab samples. Participants self-collected an anterior nasal swab sample.
Overall Study
STARTED
1361
Overall Study
Evaluable COVID-19 Results
1229
Overall Study
Evaluable Flu A Results
1333
Overall Study
Evaluable Flu B Results
1332
Overall Study
COMPLETED
1361
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

"Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Lucira COVID-19 & Flu Test
n=1361 Participants
The Lucira COVID-19 \& Flu Test is a rapid, single-use, molecular test for the qualitative detection and discrimination of SARS-CoV-2, Influenza A, and Influenza B viral RNA in nasal swab samples.
Age, Customized
COVID-19 · 2-5 years
48 Participants
n=1229 Participants • "Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.
Age, Customized
COVID-19 · 6-21 years
342 Participants
n=1229 Participants • "Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.
Age, Customized
COVID-19 · 22-59 years
708 Participants
n=1229 Participants • "Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.
Age, Customized
COVID-19 · >=60 years
131 Participants
n=1229 Participants • "Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.
Age, Customized
Flu A · 2-5 years
52 Participants
n=1333 Participants • "Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.
Age, Customized
Flu A · 6-21 years
377 Participants
n=1333 Participants • "Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.
Age, Customized
Flu A · 22-59 years
763 Participants
n=1333 Participants • "Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.
Age, Customized
Flu A · >=60 years
141 Participants
n=1333 Participants • "Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.
Age, Customized
Flu B · 2-5 years
52 Participants
n=1332 Participants • "Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.
Age, Customized
Flu B · 6-21 years
376 Participants
n=1332 Participants • "Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.
Age, Customized
Flu B · 22-59 years
763 Participants
n=1332 Participants • "Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.
Age, Customized
Flu B · >=60 years
141 Participants
n=1332 Participants • "Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.
Sex/Gender, Customized
COVID-19 · Female
763 Participants
n=1229 Participants • "Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.
Sex/Gender, Customized
COVID-19 · Male
465 Participants
n=1229 Participants • "Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.
Sex/Gender, Customized
COVID-19 · Other
1 Participants
n=1229 Participants • "Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.
Sex/Gender, Customized
Flu A · Female
834 Participants
n=1333 Participants • "Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.
Sex/Gender, Customized
Flu A · Male
498 Participants
n=1333 Participants • "Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.
Sex/Gender, Customized
Flu A · Other
1 Participants
n=1333 Participants • "Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.
Sex/Gender, Customized
Flu B · Female
834 Participants
n=1332 Participants • "Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.
Sex/Gender, Customized
Flu B · Male
497 Participants
n=1332 Participants • "Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.
Sex/Gender, Customized
Flu B · Other
1 Participants
n=1332 Participants • "Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.
Ethnicity (NIH/OMB)
COVID-19 · Hispanic or Latino
262 Participants
n=1229 Participants • "Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.
Ethnicity (NIH/OMB)
COVID-19 · Not Hispanic or Latino
955 Participants
n=1229 Participants • "Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.
Ethnicity (NIH/OMB)
COVID-19 · Unknown or Not Reported
12 Participants
n=1229 Participants • "Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.
Ethnicity (NIH/OMB)
Flu A · Hispanic or Latino
271 Participants
n=1333 Participants • "Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.
Ethnicity (NIH/OMB)
Flu A · Not Hispanic or Latino
1044 Participants
n=1333 Participants • "Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.
Ethnicity (NIH/OMB)
Flu A · Unknown or Not Reported
18 Participants
n=1333 Participants • "Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.
Ethnicity (NIH/OMB)
Flu B · Hispanic or Latino
271 Participants
n=1332 Participants • "Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.
Ethnicity (NIH/OMB)
Flu B · Not Hispanic or Latino
1043 Participants
n=1332 Participants • "Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.
Ethnicity (NIH/OMB)
Flu B · Unknown or Not Reported
18 Participants
n=1332 Participants • "Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.
Race/Ethnicity, Customized
COVID-19 · American Indian or Alaska Native
2 Participants
n=1229 Participants • Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.
Race/Ethnicity, Customized
COVID-19 · Asian
16 Participants
n=1229 Participants • Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.
Race/Ethnicity, Customized
COVID-19 · Native Hawaiian or Other Pacific Islander
2 Participants
n=1229 Participants • Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.
Race/Ethnicity, Customized
COVID-19 · Black or African American
57 Participants
n=1229 Participants • Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.
Race/Ethnicity, Customized
COVID-19 · White
1112 Participants
n=1229 Participants • Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.
Race/Ethnicity, Customized
COVID-19 · Other
25 Participants
n=1229 Participants • Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.
Race/Ethnicity, Customized
COVID-19 · Unknown or Not Reported
15 Participants
n=1229 Participants • Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.
Race/Ethnicity, Customized
Flu A · American Indian or Alaska Native
2 Participants
n=1333 Participants • Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.
Race/Ethnicity, Customized
Flu A · Asian
18 Participants
n=1333 Participants • Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.
Race/Ethnicity, Customized
Flu A · Native Hawaiian or Other Pacific Islander
2 Participants
n=1333 Participants • Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.
Race/Ethnicity, Customized
Flu A · Black or African American
62 Participants
n=1333 Participants • Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.
Race/Ethnicity, Customized
Flu A · White
1206 Participants
n=1333 Participants • Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.
Race/Ethnicity, Customized
Flu A · Other
28 Participants
n=1333 Participants • Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.
Race/Ethnicity, Customized
Flu A · Unknown or Not Reported
15 Participants
n=1333 Participants • Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.
Race/Ethnicity, Customized
Flu B · American Indian or Alaska Native
2 Participants
n=1332 Participants • Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.
Race/Ethnicity, Customized
Flu B · Asian
18 Participants
n=1332 Participants • Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.
Race/Ethnicity, Customized
Flu B · Native Hawaiian or Other Pacific Islander
2 Participants
n=1332 Participants • Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.
Race/Ethnicity, Customized
Flu B · Black or African American
62 Participants
n=1332 Participants • Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.
Race/Ethnicity, Customized
Flu B · White
1205 Participants
n=1332 Participants • Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.
Race/Ethnicity, Customized
Flu B · Other
28 Participants
n=1332 Participants • Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.
Race/Ethnicity, Customized
Flu B · Unknown or Not Reported
15 Participants
n=1332 Participants • Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.

PRIMARY outcome

Timeframe: Day 1

Population: "Overall Number of Participants" signifies participants evaluable for COVID-19, Flu A and Flu B results respectively. "Number Analyzed" signifies number of participants evaluable for specified rows.

The sensitivity and specificity endpoint are Percent Positive Agreement (PPA) ≥80%/Negative Positive Assessment (NPA) ≥98% for COVID-19 and PPA ≥90%/NPA ≥95% for Flu A\&B as compared to FDA emergency use authorized SARS-CoV-2 and FDA cleared Influenza A+B Assays. Two (2) swabs were collected for this study: One (1) anterior nasal swab (NS) for the Lucira COVID-19 and Flu Test and one (1) NS for reference testing. Reference testing characterized specimens as negative or positive for SARS-CoV-2 and Influenza A and B. Therefore, PPA and NPA of the Lucira COVID-19 and Flu Test were calculated by comparison with the respective reference methods. The data were analyzed via comparison to the comparator method in this protocol in a standard 2x2 table, with PPA and NPA calculated against the comparator. The percentage of the expected result was computed individually along with the associated 95% Wilson Score Confidence Interval \[1\] for each panel.

Outcome measures

Outcome measures
Measure
COVID-19
n=1229 Participants
Participants who were evaluable for COVID-19 results.
Flu A
n=1333 Participants
Participants who were evaluable for Flu A results.
Flu B
n=1332 Participants
Participants who were evaluable for Flu B results.
Confirmation That the Lucira COVID-19 & Flu Test Provides Similar Performance to a High Complexity Lab Molecular Diagnostic RT-PCR Assay(s) With Known High Sensitivity
Percent Positive Agreement (PPA)
88.7 percentage of results matching PCR
Interval 82.4 to 92.9
90.2 percentage of results matching PCR
Interval 83.7 to 94.3
Confirmation That the Lucira COVID-19 & Flu Test Provides Similar Performance to a High Complexity Lab Molecular Diagnostic RT-PCR Assay(s) With Known High Sensitivity
Negative Positive Agreement (PPA)
99.7 percentage of results matching PCR
Interval 99.2 to 99.9
99.4 percentage of results matching PCR
Interval 98.8 to 99.7
99.9 percentage of results matching PCR
Interval 99.6 to 100.0

Adverse Events

Lucira COVID-19 & Flu Test

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Pfizer ClinicalTrials.gov Call Center

Pfizer

Phone: 1-800-718-1021

Results disclosure agreements

  • Principal investigator is a sponsor employee Pfizer has the right to review disclosures, requesting a delay of less than 60 days. Investigator will postpone single center publications until after disclosure of pooled data (all sites), less than 12 months from study completion/termination at all participating sites. Investigator may not disclose previously undisclosed confidential information other than study results.
  • Publication restrictions are in place

Restriction type: OTHER