PCOT for Outpatients With Acute Respiratory Tract Infection at Risk of Severe Disease in Primary Healthcare
Point-of-care Multiplex PCR Test for Outpatients With Acute Respiratory Tract Infection at Risk of Severe Disease in Primary Healthcare: a Pragmatic Cluster-randomised Controlled Trial.
1 other identifier
interventional
16,868
1 country
1
Brief Summary
This study aims to evaluate the clinical value of point-of-care multiplex PCR testing (POCT) in guiding early diagnosis and target treatment for acute respiratory infections in primary healthcare settings.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Sep 2025
Typical duration for not_applicable
1 active site
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
First Submitted
Initial submission to the registry
September 4, 2025
CompletedFirst Posted
Study publicly available on registry
September 8, 2025
CompletedStudy Start
First participant enrolled
September 15, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 31, 2028
ExpectedStudy Completion
Last participant's last visit for all outcomes
January 31, 2028
September 8, 2025
September 1, 2025
2.4 years
September 4, 2025
September 4, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
The incidence rates of respiratory failure and hospitalization
within 14 days after the diagnosis of acute respiratory infection
Secondary Outcomes (19)
Proportion of patients receiving an immediate antiviral treatment
within 1 day after the diagnosis
Proportion of patients receiving an immediate antiviral treatment by age, sex comorbidities, Immune status, season
within 1 day after the diagnosis
Proportion of patients receiving antiviral treatment
within 2 days
Proportion of patients receiving antibiotic treatment
within 2 days
Proportion of patients receiving target treatment
within 2 days
- +14 more secondary outcomes
Study Arms (2)
intervention group
EXPERIMENTALcommunity health care center in intervention group were provided with point-of-care multiplex PCR test (POCT) plus routine test. POCT testing was recommended for all enrolled patients presenting with acute respiratory infections who meet the predefined inclusion criteria. The therapeutic interventions were determined by health-care workers on the basis of POCT result, clinical assessment and guideline.
control group
NO INTERVENTIONpatients in the control group will take the routine tests and receive anti-infective treatment according to clinical assessment and guideline.
Interventions
community health care center in intervention group were provided with point-of-care multiplex PCR test (POCT) plus routine test. POCT testing was recommended for all enrolled patients presenting with acute respiratory infections who meet the predefined inclusion criteria. The therapeutic interventions were determined by health-care workers on the basis of POCT result, clinical assessment and guideline.
Eligibility Criteria
You may qualify if:
- Onset time\<=7 days;
- First visit;
- Age\>=18 years old;
- Patients with acute upper respiratory tract infection with severe high-risk factors, or patients with acute lower respiratory tract infection;
- The condition is allowed to be treated in an outpatient clinic;
- Signed informed consent.
You may not qualify if:
- The doctor judges that the disease is serious and requires hospitalization;
- New unclear consciousness;
- Respiratory rate\>=30 beats/min;
- Hypoxemia or respiratory failure;
- Heart rate\> 125 beats/min;
- Systolic blood pressure \< 90 or diastolic blood pressure \< 60 mmHg;
- Known active tuberculosis;
- Pregnant and lactating women;
- Have participated in this study within 90 days;
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Xincheng District Hospital, Hohhot; Genghis Khan Community Health Service Center; East Street & West Street Sub-district Community Health Service Center; East Yingxin Road Community Health Service Center and so on
Hohhot, Inner Mongolia, China
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- DIAGNOSTIC
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
September 4, 2025
First Posted
September 8, 2025
Study Start
September 15, 2025
Primary Completion (Estimated)
January 31, 2028
Study Completion (Estimated)
January 31, 2028
Last Updated
September 8, 2025
Record last verified: 2025-09
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL