NCT04847804

Brief Summary

Infectious diseases pose a threat to the life of individuals worldwide. The pandemic has highlighted the need to develop an innovative and cost- effective large population-based screening methodology. The investigators propose a two-fold improvement barcode-labeled testing strategy specifically for pooled samples. This platform combines isothermal amplification and real-time electrochemical detection; electroactive modified loop probes will be used in the amplification step for barcode readout. This method enables four samples pooled detection at the same time. This platform will be integrated into a disposable microfluidic chip that allows minimal human intervention during the process to realize a massively parallel screening platform for infectious disease pathogens. Objectives

  1. 1.To develop a sensing method for concurrent electrochemical-tag coded isothermal amplification and real-time electrochemical detection;
  2. 2.To design a molecular strategy to barcode four individual samples so that they can be pooled together and to simultaneously amplify and identify a positive individual, if any, from the pooled sample.
  3. 3.To fabricate a microfluidic device integrating the sample processor and barcoding module with the nucleic acid amplification and detection step for large-scale population screening of up to 100 individuals.
  4. 4.To validate the performance of the prototype using clinical specimens and benchmark it against the detection data from commercially available testing equipment.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
200

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Jul 2021

Typical duration for all trials

Geographic Reach
1 country

3 active sites

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

April 12, 2021

Completed
7 days until next milestone

First Posted

Study publicly available on registry

April 19, 2021

Completed
2 months until next milestone

Study Start

First participant enrolled

July 1, 2021

Completed
2.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 31, 2024

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 31, 2024

Completed
Last Updated

March 1, 2023

Status Verified

February 1, 2023

Enrollment Period

2.9 years

First QC Date

April 12, 2021

Last Update Submit

February 28, 2023

Conditions

Keywords

COVID-19Population screening

Outcome Measures

Primary Outcomes (1)

  • Diagnostic test

    The sensitivity, specificity, and positive and negative predictive values will be calculated for futher data analysis

    through study completion, an average of 3 years

Study Arms (2)

Positive case

The sample will be tested by microfluidic device and shows positive

Negative control

The sample will be tested by microfluidic device and shows negative

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodProbability Sample
Study Population

Adult patients hospitalized at the Prince of Wales Hospital who have received testing for SARS-CoV-2 PCR

You may qualify if:

  • Patients hospitalized at the Prince of Wales Hospital who have received testing for SARS-CoV-2 PCR
  • Age 18 years or above

You may not qualify if:

  • Mentally incompetent to provide informed consent

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (3)

The Hong Kong University of Sciences and Technology

Sai Kung, Hong Kong

RECRUITING

Chinese University of Hong Kong

Shatin, Hong Kong

RECRUITING

Prince of Wales Hospital

Shatin, Hong Kong

RECRUITING

Related Publications (8)

  • Hollingsworth TD, Ferguson NM, Anderson RM. Frequent travelers and rate of spread of epidemics. Emerg Infect Dis. 2007 Sep;13(9):1288-94. doi: 10.3201/eid1309.070081.

    PMID: 18252097BACKGROUND
  • Hufnagel L, Brockmann D, Geisel T. Forecast and control of epidemics in a globalized world. Proc Natl Acad Sci U S A. 2004 Oct 19;101(42):15124-9. doi: 10.1073/pnas.0308344101. Epub 2004 Oct 11.

    PMID: 15477600BACKGROUND
  • Ferretti L, Wymant C, Kendall M, Zhao L, Nurtay A, Abeler-Dorner L, Parker M, Bonsall D, Fraser C. Quantifying SARS-CoV-2 transmission suggests epidemic control with digital contact tracing. Science. 2020 May 8;368(6491):eabb6936. doi: 10.1126/science.abb6936. Epub 2020 Mar 31.

    PMID: 32234805BACKGROUND
  • Shears P. Emerging and reemerging infections in africa: the need for improved laboratory services and disease surveillance. Microbes Infect. 2000 Apr;2(5):489-95. doi: 10.1016/s1286-4579(00)00309-9.

    PMID: 10865194BACKGROUND
  • Lazcka O, Del Campo FJ, Munoz FX. Pathogen detection: a perspective of traditional methods and biosensors. Biosens Bioelectron. 2007 Feb 15;22(7):1205-17. doi: 10.1016/j.bios.2006.06.036. Epub 2006 Aug 28.

    PMID: 16934970BACKGROUND
  • Jani IV, Janossy G, Brown DW, Mandy F. Multiplexed immunoassays by flow cytometry for diagnosis and surveillance of infectious diseases in resource-poor settings. Lancet Infect Dis. 2002 Apr;2(4):243-50. doi: 10.1016/s1473-3099(02)00242-6.

    PMID: 11937424BACKGROUND
  • R. Dorfman, The Detection of Defective Members of Large Populations, Ann. Math. Stat. 14 (1943) 436-440.

    BACKGROUND
  • J.L. Schmid-burgk, D. Li, D. Feldman, J. Strecker, B. Cleary, A. Regev, LAMP-Seq : Population-Scale COVID-19 Diagnostics Using a Compressed Barcode Space, BioRxiv. (2020).

    BACKGROUND

Biospecimen

Retention: SAMPLES WITH DNA

nasopharyngeal swab, deep throat saliva, and/or mouth gargle sample

MeSH Terms

Conditions

COVID-19

Condition Hierarchy (Ancestors)

Pneumonia, ViralPneumoniaRespiratory Tract InfectionsInfectionsVirus DiseasesCoronavirus InfectionsCoronaviridae InfectionsNidovirales InfectionsRNA Virus InfectionsLung DiseasesRespiratory Tract Diseases

Study Officials

  • I-Ming HSING

    Hong Kong University of Sciences and Technology

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
observational
Observational Model
CASE CONTROL
Time Perspective
CROSS SECTIONAL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor, Department of Chemical and Biological Engineering

Study Record Dates

First Submitted

April 12, 2021

First Posted

April 19, 2021

Study Start

July 1, 2021

Primary Completion

May 31, 2024

Study Completion

May 31, 2024

Last Updated

March 1, 2023

Record last verified: 2023-02

Data Sharing

IPD Sharing
Will not share

Locations