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Serologic Assays for the Diagnosis of Herpes Simplex Virus Type 2

Completed
Conditions
Genital Herpes
Registration Number
NCT01112956
Lead Sponsor
Centers for Disease Control and Prevention
Brief Summary

The purposes of this study are:

* To determine the accuracy of commercially available serologic assays in diagnosing patients with herpes simplex virus type 2 (HSV-2);

* To assess the sensitivity and specificity of the commerical assays using HSV-2 western blot as the "gold standard" in a diverse patient population;

* To develop testing strategies and recommendations for screening asymptomatic populations for HSV-2.

Detailed Description

The purposes of this study are:

* To determine the accuracy of commercially available serologic assays in diagnosing patients with herpes simplex virus type 2 (HSV-2);

* To assess the sensitivity and specificity of the commerical assays using HSV-2 western blot as the "gold standard" in a diverse patient population;

* To develop testing strategies and recommendations for screening asymptomatic populations for HSV-2.

We will evaluate the assays in diverse populations:

1. STD clinic population

2. Men who have sex with men, with high prevalence of HIV infection

3. Pregnant women

The study will inform the development of testing strategies:

1. Combine commercial tests to optimize positive predict value (PPV) and negative predict value (NPV)

2. Increase cutoff values to increase PPV

3. Understand factors associated with false positive results that may include HSV-1 infection, pregnancy status, HIV infection, and age/race etc.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
2500
Inclusion Criteria
  • Men and women 16-55 years of age
Exclusion Criteria
  • Those who refuse to get tested for HIV

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Sensitivity and Specificity using Western Blot as the Gold Standard testUp to 4 months after initial testing
Secondary Outcome Measures
NameTimeMethod
In population with relative low prevalence of HSV-2 infection (e.g. persons <=25 years), whether a combination of tests (i.e. testing algorithm(s)) can increase the positive predictive value to the level of >= 95%Up to 4 months after initial testing

Trial Locations

Locations (3)

John Hopkins University

🇺🇸

Baltimore, Maryland, United States

New York University School of Medicine

🇺🇸

New York, New York, United States

Massachusetts General Hospital

🇺🇸

Boston, Massachusetts, United States

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