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Evaluation of Dried Blood Spot for HCV RNA Testing

Not Applicable
Completed
Conditions
Hepatitis C, Chronic
Registration Number
NCT03896087
Lead Sponsor
Foundation for Innovative New Diagnostics, Switzerland
Brief Summary

FIND is preparing a study to evaluate the performance, as measured by sensitivity and specificity, of four centralized assays for the detection of HCV RNA using capillary blood collected on dried blood spots (DBS) and plasma separation card (PSC).

Detailed Description

Available data on the performance of HCV RNA assays from DBS samples are insufficient to introduce their use in clinical practice. Only a few studies have been performed on DBS stored at ambient temperature, while the majority had DBS samples refrigerated or frozen right after collection, which does not mimic real-life settings. Additionally, due to the lack of standardized procedures, DBS collection and elution protocols varied across different studies. A large multicentre diagnostic accuracy study using standardized DBS collection and elution protocols validated by test manufacturers is needed to inform national hepatitis programmes and international guideline development groups. Test manufacturers need clinical evaluation data to update their regulatory claims and include DBS as an alternative sample type.

FIND is preparing a trial to evaluate the performance, as measured by sensitivity and specificity, of four laboratory-based assays for detection of HCV RNA assays using capillary blood collected on DBS/PSC. This will be provisional on the manufacturers agreeing to participate, as well as committing to applying to stringent regulatory approval for DBS/PSC.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
942
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Primary Outcome Measures
NameTimeMethod
Evaluation of the correlation of HCV viral load level determined by each assay performed from DBS and/or PSC specimens with the HCV viral load level in plasma determined by Abbott RealTime HCV VL assay performed at the clinical siteday 1 - day 30

Evaluation of the correlation of HCV viral load level determined by each assay performed

Point estimates (with 95% confidence intervals) of sensitivity and specificity for each assay for HCV RNA detection from DBS and/or PSC specimens measured against Abbott RealTime HCV VL assay performed at the clinical siteday 1 - day 30

Point estimates (with 95% confidence intervals) of sensitivity and specificity for each assay for HCV RNA detection from DBS and/or PSC specimens measured against Abbott RealTime HCV VL assay performed at the clinical site

Secondary Outcome Measures
NameTimeMethod
WHO technician's appraisal sheet completed by all operators performing investigational testthrough study completion, an average of 1 year

WHO technician's appraisal sheet completed by all operators performing investigational test

evaluation of the correlation of HCV RNA levels in plasma determined by each assay with HCV RNA levels in plasma determined by Roche cobas® 6800 HCV VL assayday 7 - day 30

For Central Laboratory only

Point estimates (with 95% confidence intervals) of sensitivity and specificity for each assay for HCV RNA detection from DBS and/or PSC specimens measured against the performance of the same assay in plasmaday 1 - day 30

Point estimates (with 95% confidence intervals) of sensitivity and specificity for each assay for HCV RNA detection from DBS and/or PSC specimens measured against the performance of the same assay in plasma

Evaluation of the correlation of HCV viral load level determined by each assay performed from DBS and/or PSC specimens with the HCV RNA level in plasma determined by the same assayday 1 - day 30

Evaluation of the correlation of HCV viral load level determined by each assay performed from DBS and/or PSC specimens with the HCV RNA level in plasma determined by the same assay

point estimates (with 95% confidence intervals) of sensitivity and specificity for each assay for HCV RNA detection in plasma measured against the performance of Roche cobas® 6800 HCV VL assayday 7 - day 30

For Central Laboratory only

Trial Locations

Locations (5)

St Vincent's Institute of Medical Research National Serology Reference Laboratory

🇦🇺

Victoria Park, Fitzroy, Australia

Centre Pasteur du Cameroun

🇨🇲

Yaoundé, Yaounde, Cameroon

National Centre for Disease Control

🇬🇪

Tbilisi, Georgia

Hellenic Scientific Society for the Study of AIDS and Sexually Transmitted Diseases

🇬🇷

Athens, Greece

Rwanda Military Hospital

🇷🇼

Kigali, Kanombe, Rwanda

St Vincent's Institute of Medical Research National Serology Reference Laboratory
🇦🇺Victoria Park, Fitzroy, Australia

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