NCT06951009

Brief Summary

Acute urethritis (inflammation of the male urethra) affects millions of men in the United States each year. Effective management of STIs is complicated by asymptomatic infections, as men often delay seeking care until symptoms become severe. Yet, even men without symptoms can show measurable evidence of urethritis. Therefore, a cheap, simple, and non-invasive point-of-care (POC) test, providing results within 30 minutes, could significantly enhance STI management by facilitating early diagnosis and treatment. A new diagnostic method, urine flow cytometry, has shown potential in hospital settings for accurately detecting inflammation by counting white blood cells (infection-fighting cells) in urine samples. The Sysmex UF-5000 flow cytometer, a state-of-the-art device, may offer a non-invasive, cost-effective, and accurate method to diagnose urethritis compared to traditional Gram stains and urinalysis, potentially extending its use beyond specialized clinics. This study aims to determine the efficacy and precision of the Sysmex UF-5000 analyzer in diagnosing urethritis using first-catch urine samples. Additionally, the study seeks to evaluate whether urine collected using the 10 mL Colli-Pee device provides greater accuracy and precision compared to the standard urine cup (30-60 mL) when used with urine flow cytometry and LE urinalysis.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
20

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Apr 2025

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

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

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

April 9, 2025

Completed
3 days until next milestone

First Submitted

Initial submission to the registry

April 12, 2025

Completed
18 days until next milestone

First Posted

Study publicly available on registry

April 30, 2025

Completed
7 days until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 7, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 7, 2025

Completed
Last Updated

July 18, 2025

Status Verified

June 1, 2025

Enrollment Period

28 days

First QC Date

April 12, 2025

Last Update Submit

July 17, 2025

Conditions

Outcome Measures

Primary Outcomes (6)

  • Detection of white blood cells in single sample

    Participants will provide urine samples on three days during each week of participation, for a total of 2 weeks. Urine samples collected in standard of care urine cups and Colli-Pee devices will be compared for white blood cells (WBC) per microliter, as detected by the Sysmex UP-5000. The UF5000 results will be the continuous variable of "WBCs per microliter" of urine.

    Three days during Week 1 and three days during Week 2

  • Detection of leukocyte esterase (LE) in single sample

    Participants will provide urine samples on three days during each week of participation, for a total of 2 weeks. Urine samples collected in standard of care urine cups and Colli-Pee devices will be compared for leukocyte esterase as detected by urinalysis. For the urinalysis, the categorical results will be "neg", "1+", "2+", "3+", and "4+" leukocyte esterase.

    Three days during Week 1 and three days during Week 2

  • Detection of white blood cells in repeat sampling

    Participants will provide urine samples on three days during each week of participation, for a total of 2 weeks. Urine samples collected in standard of care urine cups and Colli-Pee devices will be compared for white blood cells (WBC) per microliter, as detected by the Sysmex UP-5000. The UF5000 results will be the continuous variable of "WBCs per microliter" of urine. The average of 3 sample collections will be evaluated.

    Three days during Week 1 and three days during Week 2

  • Detection of leukocyte esterase (LE) in repeat sampling

    Participants will provide urine samples on three days during each week of participation, for a total of 2 weeks. Urine samples collected in standard of care urine cups and Colli-Pee devices will be compared for leukocyte esterase as detected by urinalysis. For the urinalysis, the categorical results will be "neg", "1+", "2+", "3+", and "4+" leukocyte esterase. The average of 3 sample collections will be evaluated.

    Three days during Week 1 and three days during Week 2

  • Detection of white blood cells over time

    Participants will provide urine samples on three days during each week of participation, for a total of 2 weeks. Urine samples collected in standard of care urine cups and Colli-Pee devices will be compared for white blood cells (WBC) per microliter, as detected by the Sysmex UP-5000. The UF5000 results will be the continuous variable of "WBCs per microliter" of urine. Specimens will be compared at 0 hours, 1 hour, 2 hours, 4 hours and 8 hours.

    Three days during Week 1 and three days during Week 2

  • Detection of leukocyte esterase (LE) over time

    Participants will provide urine samples on three days during each week of participation, for a total of 2 weeks. Urine samples collected in standard of care urine cups and Colli-Pee devices will be compared for leukocyte esterase as detected by urinalysis. For the urinalysis, the categorical results will be "neg", "1+", "2+", "3+", and "4+" leukocyte esterase. Specimens will be compared at 0 hours, 1 hour, 2 hours, 4 hours and 8 hours.

    Three days during Week 1 and three days during Week 2

Study Arms (2)

Colli-Pee collection followed by standard-of-care urine collection cup

ACTIVE COMPARATOR

Participants with an odd birth year will collect urine using the Colli-Pee device during Week 1 and with the standard-of care urine cup during Week 2.

Device: Colli-PeeDevice: standard of care 60 mL urine cupDiagnostic Test: UrinalysisDiagnostic Test: Sysmex UP-5000

Standard-of-care urine collection followed by Colli-Pee collection

ACTIVE COMPARATOR

Participants with an even birth year will collect urine using the standard-of-care urine cup during Week 1 and with the Colli-Pee device during Week 2.

Device: Colli-PeeDevice: standard of care 60 mL urine cupDiagnostic Test: UrinalysisDiagnostic Test: Sysmex UP-5000

Interventions

Colli-PeeDEVICE

The Colli-Pee device is a first void urine self-sampling device. Participants will collect urine samples with this device three times during one week of study participation. Urine sample collection with this device will occur either in Week 1 or Week 2 of study participation, depending on the Participant's Arm assignment.

Colli-Pee collection followed by standard-of-care urine collection cupStandard-of-care urine collection followed by Colli-Pee collection

Participants will collect clean catch urine samples with this device three times during one week of study participation. Urine sample collection with this device will occur either in Week 1 or Week 2 of study participation, depending on the Participant's Arm assignment.

Colli-Pee collection followed by standard-of-care urine collection cupStandard-of-care urine collection followed by Colli-Pee collection
UrinalysisDIAGNOSTIC_TEST

Participant samples will be analyzed by urinalysis to evaluate for leukocyte esterase (LE).

Colli-Pee collection followed by standard-of-care urine collection cupStandard-of-care urine collection followed by Colli-Pee collection
Sysmex UP-5000DIAGNOSTIC_TEST

Participant samples will be analyzed by the Sysmex UP-5000 to evaluate for white blood cells (WBCs) per microliter.

Colli-Pee collection followed by standard-of-care urine collection cupStandard-of-care urine collection followed by Colli-Pee collection

Eligibility Criteria

Age18 Years - 50 Years
Sexmale(Gender-based eligibility)
Gender Eligibility Detailsassigned male at birth
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Men aged 18 to 50.
  • No urethral symptoms (discharge, dysuria)

You may not qualify if:

  • History of genital surgery or known urethral abnormalities
  • Testing positive for gonorrhea and chlamydia
  • Diagnosis of a sexually transmitted infection within the last year.
  • Not available to collect a urine specimen in the morning 3x/week for 2 weeks

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Indiana University

Indianapolis, Indiana, 46202, United States

Location

MeSH Terms

Conditions

Urethritis

Interventions

Urinalysis

Condition Hierarchy (Ancestors)

Urethral DiseasesUrologic DiseasesFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesMale Urogenital Diseases

Intervention Hierarchy (Ancestors)

Clinical Chemistry TestsClinical Laboratory TechniquesDiagnostic Techniques and ProceduresDiagnosisDiagnostic Techniques, UrologicalInvestigative Techniques

Study Officials

  • Stephen J Jordan, MD

    Indiana University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
DIAGNOSTIC
Intervention Model
CROSSOVER
Model Details: Participants with an odd birth year will use the Colli-Pee during the first week; even birth year participants will use the Colli-Pee during the second week. Participants with an odd birth year will use the standard-of-care 60 mL urine cup during the second week; even birth year participants will use the urine cup during the first week.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

April 12, 2025

First Posted

April 30, 2025

Study Start

April 9, 2025

Primary Completion

May 7, 2025

Study Completion

May 7, 2025

Last Updated

July 18, 2025

Record last verified: 2025-06

Data Sharing

IPD Sharing
Will not share

Information and specimens collected for this study may be used for other research studies or shared with other researchers who are conducting their own research studies. This may include sharing with researchers outside Indiana University and sharing with private companies. It may also include making the information available in public and private databases of research data so that other researchers can use the information to answer research questions. If study staff share information or specimens in this way, they will remove information that could identify the subject(s), such as name and contact information, before any information or specimens are shared. Due to privacy concerns, IPD will not be shared.

Locations