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Abbott i-STAT High Sensitivity Troponin I Study

Completed
Conditions
Myocardial Infarction
Interventions
Diagnostic Test: i-STAT hs-TnI Cartridge Testing on i-STAT 1 and i-STAT Alinity
Registration Number
NCT05629572
Lead Sponsor
Abbott Point of Care
Brief Summary

The goal of this observational multi-center study is to evaluate the clinical performance of the i-STAT hs-TnI test (i-STAT High Sensitivity Troponin I) using the investigational i-STAT hs-TnI cartridge for the proposed intended use as an aid in the diagnosis and treatment of myocardial infarction (MI). The cartridge measures cardiac troponin I (cTnI) in whole blood or plasma samples using the i-STAT 1 Analyzer or i-STAT Alinity Instrument. Subjects presenting to the emergency department (ED) with chest discomfort or equivalent ischemic symptoms suggestive of Acute Coronary Syndrome (ACS) who are enrolled in this study will be asked to provide blood samples for testing.

Detailed Description

The i-STAT High Sensitivity Troponin I (i-STAT hs-TnI) test is an in vitro diagnostic test for the quantitative measurement of cardiac troponin I (cTnI) in whole blood or plasma samples using the i-STAT 1 Analyzer or i-STAT Alinity Instrument in point of care or clinical laboratory settings. The hs-TnI test is intended to be used as an aid in the diagnosis of myocardial infarction (MI).

The objective of this study is to evaluate the clinical performance of the i-STAT hs-TnI test using the investigational i-STAT hs-TnI Cartridge with the i-STAT 1 Analyzer and i-STAT Alinity Instrument for subjects presenting to the emergency department (ED) with chest discomfort or equivalent ischemic symptoms suggestive of acute coronary syndrome (ACS).

The clinical evaluation will use prospectively collected whole blood specimens from subjects presenting to the ED with chest discomfort or equivalent ischemic symptoms suggestive of ACS.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
3697
Inclusion Criteria
  • Subject is 18 years of age or older
  • Presenting to the Emergency Department (ED) with signs and symptoms suggestive of Acute Coronary Syndrome (ACS): Acute chest, epigastric, neck, jaw or arm pain or discomfort or pressure without apparent non-cardiac source; Shortness of breath, nausea, vomiting, fatigue/malaise; Other equivalent discomfort suggestive of a myocardial infarction (MI) in accordance with the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines.
  • Electrocardiogram (ECG) ordered as part of the standard of care
Exclusion Criteria
  • Previously enrolled in the study
  • Enrolled in any interventional clinical trial (within the last 30 days)

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Prospective subjects in Emergency Department (ED) with symptoms of acute coronary syndrome (ACS).i-STAT hs-TnI Cartridge Testing on i-STAT 1 and i-STAT AlinityProspectively collected whole blood specimens from subjects presenting to the emergency department (ED) with chest discomfort or equivalent ischemic symptoms suggestive of acute coronary syndrome (ACS). For this study's MI adjudication, a minimum of 2 samples are to be tested on the site's standard of care (SOC) instrument, one at baseline and one at another time point (T1, T2, T3). For each of the SOC test results, a corresponding research draw for testing on the i-STAT hs-TnI cartridge should be attempted, if feasible. For research, a minimum of 2 samples are to be tested on i-STAT instruments, one at baseline and one at an additional timepoint. Enrollment will be monitored throughout the clinical study.
Primary Outcome Measures
NameTimeMethod
Performance of i-STAT hs-TnI cartridgeUp to 9 hours

Performance metrics calculated using adjudicated outcomes with the hs-TnI test results.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (28)

University of Texas Southwestern Medical Center

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Dallas, Texas, United States

Baylor College of Medicine

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Houston, Texas, United States

University of Cincinnati Medical Center

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Cincinnati, Ohio, United States

University of California at San Francisco

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San Francisco, California, United States

Henry Ford Health System

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Detroit, Michigan, United States

Mayo Clinic

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Rochester, Minnesota, United States

Tampa General Hospital

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Tampa, Florida, United States

University of New Mexico

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Albuquerque, New Mexico, United States

Kentucky Clinical Trials Labatory

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Louisville, Kentucky, United States

Wake Forest Baptist Health

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Winston-Salem, North Carolina, United States

University Medical Center of Southern Nevada

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Las Vegas, Nevada, United States

Stanford Medical Center

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Stanford, California, United States

Mercy Gilbert Medical Center

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Chandler, Arizona, United States

Geroge Washington University

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Washington, District of Columbia, United States

Thomas Jefferson University Hospital

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Philadelphia, Pennsylvania, United States

Ohio State University Medical Center

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Columbus, Ohio, United States

Penn State University Hershey Medical Center

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Hershey, Pennsylvania, United States

Indiana University

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Indianapolis, Indiana, United States

Florence Medical Centre (MUSC Health)

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Florence, South Carolina, United States

Stony Brook University

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Stony Brook, New York, United States

Washington University

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Saint Louis, Missouri, United States

Hennepin Healthcare (Research Institute/Minneapolis Medical Research Foundation)

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Minneapolis, Minnesota, United States

Cooper University Hospital

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Camden, New Jersey, United States

University of Virginia

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Charlottesville, Virginia, United States

Baylor Scott and White Healthcare

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Temple, Texas, United States

Eastside Research Associates

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Redmond, Washington, United States

Medical University of South Carolina

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Charleston, South Carolina, United States

University of Kansas Medical Center

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Kansas City, Kansas, United States

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