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临床试验/NCT06815536
NCT06815536已完成不适用

Master Protocol for Evaluating Multiple Infection Diagnostics for Ciprofloxacin-Resistant Neisseria Gonorrhoeae

Duke University16 个研究点 分布在 1 个国家目标入组 2,627 人开始时间: 2025年4月16日最近更新:
干预措施

试验速览

阶段
不适用
状态
已完成
入组人数
2,627
试验地点
16
主要终点
Number of participants with gyrA 91F identified by Investigational Reflex Test 1 relative to the sequenced results in urine

研究概览

简要总结

The goal of this study is to learn if a few investigational tests can correctly find the gene mutation (mutant allele gyrA 91F) that predicts ciprofloxacin resistance in clinical specimens that harbor Neisseria gonorrhoeae. The main question the study aims to answer:

Can the investigational reflex test find the correct gene mutation (Neisseria gonorrhoeae gyrA 91F or gyrA 91S) as compared to the sequenced result?

Specimens that are collected for routine clinical care and harbor Neisseria gonorrhoeae will be evaluated in this study.

详细描述

This is a prospective, multi-center, cross-sectional study using consecutive clinical specimens that are collected for routine clinical care and test positive for N. gonorrhoeae using an FDA-cleared molecular assay. The study evaluates the diagnostic accuracy of multiple investigational reflex tests to detect the mutant allele gyrA 91F that predicts ciprofloxacin resistance in N. gonorrhoeae, as compared to a reference standard of Sanger sequencing of the gyrA codon 91. Specimens will be tested via a reference standard of Sanger sequencing and one investigational reflex test. The target sample size is 311 urine specimens, 496 vaginal swab specimens, and 469 pharyngeal specimens, for each investigational reflex test.

研究设计

研究类型
Observational
观察模型
Other
时间视角
Prospective

入排标准

性别
All
接受健康志愿者

入选标准

  • Be N. gonorrhoeae-positive on an FDA-cleared molecular assay
  • Have sufficient N. gonorrhoeae-positive specimen volume for testing using the corresponding investigational reflex test and genetic sequencing
  • Undergo proper handling and storage conditions

排除标准

  • The N. gonorrhoeae-positive specimen media is not compatible with the investigational reflex test(s) at the laboratory site
  • The N. gonorrhoeae-positive specimen is not clearly labeled by the laboratory to link to basic epidemiologic data (age, sex) and source

研究组 & 干预措施

Vaginal Swab

Investigational Reflex Test performed to detect the mutant gyrA 91F allele or the wildtype gyrA 91S allele using vaginal swabs.

干预措施: Investigational Reflex Test 1 (Diagnostic Test)

Urine

Investigational Reflex Test performed to detect the mutant gyrA 91F allele or the wildtype gyrA 91S allele using urine samples.

干预措施: Investigational Reflex Test 1 (Diagnostic Test)

Urine

Investigational Reflex Test performed to detect the mutant gyrA 91F allele or the wildtype gyrA 91S allele using urine samples.

干预措施: Investigational Reflex Test 2 (Diagnostic Test)

Urine

Investigational Reflex Test performed to detect the mutant gyrA 91F allele or the wildtype gyrA 91S allele using urine samples.

干预措施: Investigational Reflex Test 3 (Diagnostic Test)

Vaginal Swab

Investigational Reflex Test performed to detect the mutant gyrA 91F allele or the wildtype gyrA 91S allele using vaginal swabs.

干预措施: Investigational Reflex Test 3 (Diagnostic Test)

Pharyngeal Swabs

Investigational Reflex Test performed to detect the mutant gyrA 91F allele or the wildtype gyrA 91S allele using pharyngeal swabs.

干预措施: Investigational Reflex Test 1 (Diagnostic Test)

Pharyngeal Swabs

Investigational Reflex Test performed to detect the mutant gyrA 91F allele or the wildtype gyrA 91S allele using pharyngeal swabs.

干预措施: Investigational Reflex Test 3 (Diagnostic Test)

Vaginal Swab

Investigational Reflex Test performed to detect the mutant gyrA 91F allele or the wildtype gyrA 91S allele using vaginal swabs.

干预措施: Investigational Reflex Test 2 (Diagnostic Test)

Pharyngeal Swabs

Investigational Reflex Test performed to detect the mutant gyrA 91F allele or the wildtype gyrA 91S allele using pharyngeal swabs.

干预措施: Investigational Reflex Test 2 (Diagnostic Test)

结局指标

主要结局

Number of participants with gyrA 91F identified by Investigational Reflex Test 1 relative to the sequenced results in urine

时间窗: One day

Investigational Reflex Test 1 results include gyrA 91F, gyrA 91S, invalid, and missing. Sanger Sequencing reference results include gyrA 91F, gyrA 91S, invalid, and missing.

Number of participants with gyrA 91F identified by Investigational Reflex Test 1 relative to the sequenced results in vaginal swabs

时间窗: One day

Investigational Reflex Test 1 results include gyrA 91F, gyrA 91S, invalid, and missing. Sanger Sequencing reference results include gyrA 91F, gyrA 91S, invalid, and missing.

Number of participants with gyrA 91F identified by Investigational Reflex Test 1 relative to the sequenced results in pharyngeal swabs

时间窗: One day

Investigational Reflex Test 1 results include gyrA 91F, gyrA 91S, invalid, and missing. Sanger Sequencing reference results include gyrA 91F, gyrA 91S, invalid, and missing.

Number of participants with gyrA 91F identified by Investigational Reflex Test 2 relative to the sequenced results in urine

时间窗: One day

Investigational Reflex Test 2 results include gyrA 91F, gyrA 91S, invalid, and missing. Sanger Sequencing reference results include gyrA 91F, gyrA 91S, invalid, and missing.

Number of participants with gyrA 91F identified by Investigational Reflex Test 2 relative to the sequenced results in vaginal swabs

时间窗: One day

Investigational Reflex Test 2 results include gyrA 91F, gyrA 91S, invalid, and missing. Sanger Sequencing reference results include gyrA 91F, gyrA 91S, invalid, and missing.

Number of participants with gyrA 91F identified by Investigational Reflex Test 2 relative to the sequenced results in pharyngeal swabs

时间窗: One day

Investigational Reflex Test 2 results include gyrA 91F, gyrA 91S, invalid, and missing. Sanger Sequencing reference results include gyrA 91F, gyrA 91S, invalid, and missing.

Number of participants with gyrA 91F identified by Investigational Reflex Test 3 relative to the sequenced results in urine

时间窗: One day

Investigational Reflex Test 3 results include gyrA 91F, gyrA 91S, invalid, and missing. Sanger Sequencing reference results include gyrA 91F, gyrA 91S, invalid, and missing.

Number of participants with gyrA 91F identified by Investigational Reflex Test 3 relative to the sequenced results in vaginal swabs

时间窗: One day

Investigational Reflex Test 3 results include gyrA 91F, gyrA 91S, invalid, and missing. Sanger Sequencing reference results include gyrA 91F, gyrA 91S, invalid, and missing.

Number of participants with gyrA 91F identified by Investigational Reflex Test 3 relative to the sequenced results in pharyngeal swabs

时间窗: One day

Investigational Reflex Test 3 results include gyrA 91F, gyrA 91S, invalid, and missing. Sanger Sequencing reference results include gyrA 91F, gyrA 91S, invalid, and missing.

次要结局

  • Number of invalid results for Investigational Reflex Test 1 in urine(One day)
  • Number of invalid results for Investigational Reflex Test 1 in vaginal swabs(One day)
  • Number of invalid results for Investigational Reflex Test 1 in pharyngeal swabs(One day)
  • Number of invalid results for Investigational Reflex Test 2 in urine(One day)
  • Number of invalid results for Investigational Reflex Test 2 in vaginal swabs(One day)
  • Number of invalid results for Investigational Reflex Test 2 in pharyngeal swabs(One day)
  • Number of invalid results for Investigational Reflex Test 3 in urine(One day)
  • Number of invalid results for Investigational Reflex Test 3 in vaginal swabs(One day)
  • Number of invalid results for Investigational Reflex Test 3 in pharyngeal swabs(One day)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (16)

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