Evaluation of the LumiraDx Point of Care D-Dimer and CRP Tests (NOVEL-3)
Primary Purpose
Embolism and Thrombosis, Infection, Inflammation
Status
Active
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Venepuncture
Fingerstick
Sponsored by
About this trial
This is an interventional diagnostic trial for Embolism and Thrombosis
Eligibility Criteria
Inclusion Criteria D-dimer:
- Subjects >18 years of age.
- Willing and able to provide written informed consent and comply with study procedures.
- Presenting to healthcare provider for any reason* *All presentations are suitable for recruitment; however, the following conditions are of particular interest: Venous thromboembolism symptoms (DVT and Pulmonary embolism), subjects seeking medical attention with symptoms of respiratory tract infection (upper or lower), Acute myocardial infarction / unstable angina, Anti-inflammatory medication (current), Any regular medication for a chronic condition (other than simple painkiller or inhaler), Atrial fibrillation, Diabetes mellitus (all types except 'pre-diabetes'), Heart failure, Hypertension (>150/90), Infection (significant current or within 3 months), Peripheral arterial disease, Surgery (within 6 weeks), Childbirth (within 8 weeks), Significant trauma, burns (within 4 weeks), Pregnancy (confirmed or suspected), Acute upper gastrointestinal haemorrhage other significant recent haemorrhage.
D-dimer Exclusion Criteria:
- The subject is currently receiving or has received within the past thirty (30) days of the study visit an experimental biologic or drug including either treatment or therapy.
- Skin lesions or conditions that would preclude a fingerstick and or a venous blood draw.
- End-stage renal failure on haemodialysis.
- Life expectancy documented as less than 30 days.
- Haemodynamically unstable (e.g. cardiogenic shock).
- Current anticoagulation therapy (Fragmin, LMWH) within the last 30 days.
- Patients taking anticoagulant therapy (DOACS, Warfarin, Heparins etc.) within the last 30 days.
- The subject has previously participated in this research study
CRP Inclusion criteria:
- Subjects >18 years of age.
- Willing and able to provide written informed consent and comply with study procedures.
- Subjects seeking medical attention with symptoms of infection, tissue injury, inflammatory disorders or associated disease. This includes but not limited to: respiratory tract infection (upper or lower), rheumatoid arthritis, Lupus, burns, trauma, inflammatory bowel disease.
CRP Exclusion Criteria:
- The subject is currently receiving or has received within the past thirty (30) days of the study visit an experimental biologic or drug including either treatment or therapy.
- Skin lesions or conditions that would preclude a fingerstick and or a venous blood draw.
- A subject with a critical illness, requiring critical intervention, or end of life or palliative care.
- Subjects suffering with Myeloma, Monoclonal Gammopathy or extreme Lipaemia.
- The subject has previously participated in this research study
Sites / Locations
- Rancho Paseo Medical Group
- Centura Health Physician Group
- New Medical Healthcare
- Diagnostic Clinic of Longview
Arms of the Study
Arm 1
Arm Type
Other
Arm Label
Blood collection
Arm Description
Venepuncture and fingerstick to obtain venous blood and capillary blood respectively
Outcomes
Primary Outcome Measures
Assessment of sample matrix comparison
Verification that all sample types give an equivalent result when tested in the LumiraDx assays. Results generated from capillary blood and venous whole blood will be compared to those generated from plasma to ensure that all 3 sample types give equivalent values. Results will be compared by standard statisitical techniques which may include Regression analysis (e.g. Passing Bablok) or Bias analysis (e.g. Altman Bland)
Secondary Outcome Measures
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT04375982
Brief Title
Evaluation of the LumiraDx Point of Care D-Dimer and CRP Tests
Acronym
NOVEL-3
Official Title
A Multicenter Study Conducted to Evaluate the Agreement Between Fingerstick Whole Blood, Venous Whole Blood and Plasma Determined on the LumiraDx Point of Care D-Dimer and Point of Care CRP Tests to Results on the Reference Analyzer
Study Type
Interventional
2. Study Status
Record Verification Date
March 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
April 20, 2020 (Actual)
Primary Completion Date
April 5, 2022 (Actual)
Study Completion Date
September 30, 2023 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
LumiraDx UK Limited
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
Yes
Device Product Not Approved or Cleared by U.S. FDA
Yes
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
A Multicenter Study Conducted to Evaluate the Agreement between Fingerstick Whole Blood, Venous Whole Blood and Plasma Determined on the LumiraDx Point of Care D-Dimer and Point of Care CRP Tests to Results on the Reference Analyzer
Detailed Description
The purpose of the study is to gather data to determine agreement between sample types, which together with performance evaluation data will be used to support CE marking under Directive 98/79/EC of the European Parliament and of the Council of 27 October 1998 on in vitro diagnostic medical devices 3, using ISO 13612:2002 - Performance Evaluation of In Vitro Diagnostic Medical Devices as the standard. The investigative devices are the LumiraDx Platform D Dimer Test and the LumiraDx Platform CRP Test. The LumiraDx Platform employs a portable diagnostic instrument used with single use D Dimer or CRP Assay Test Strips.
Agreement of the different sample types to the reference method will be demonstrated across a patient population representative of the indication for use of the products. Operators will be trained clinical site staff who are representative of the intended users of the product, i.e. health care professionals at the point of care such as nurses, technicians, doctors, etc. A panel of whole blood and plasma samples will be obtained from each patient in order to assess the accuracy of the investigative device across all sample types.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Embolism and Thrombosis, Infection, Inflammation
7. Study Design
Primary Purpose
Diagnostic
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Model Description
Subjects are asked to provide venous and capillary blood samples which are not being taken as part of routine care
Masking
None (Open Label)
Allocation
N/A
Enrollment
200 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Blood collection
Arm Type
Other
Arm Description
Venepuncture and fingerstick to obtain venous blood and capillary blood respectively
Intervention Type
Diagnostic Test
Intervention Name(s)
Venepuncture
Intervention Description
Blood tube will be collected from standard venepuncture
Intervention Type
Diagnostic Test
Intervention Name(s)
Fingerstick
Intervention Description
Capillary blood will be collected by fingerstick
Primary Outcome Measure Information:
Title
Assessment of sample matrix comparison
Description
Verification that all sample types give an equivalent result when tested in the LumiraDx assays. Results generated from capillary blood and venous whole blood will be compared to those generated from plasma to ensure that all 3 sample types give equivalent values. Results will be compared by standard statisitical techniques which may include Regression analysis (e.g. Passing Bablok) or Bias analysis (e.g. Altman Bland)
Time Frame
2 months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria D-dimer:
Subjects >18 years of age.
Willing and able to provide written informed consent and comply with study procedures.
Presenting to healthcare provider for any reason* *All presentations are suitable for recruitment; however, the following conditions are of particular interest: Venous thromboembolism symptoms (DVT and Pulmonary embolism), subjects seeking medical attention with symptoms of respiratory tract infection (upper or lower), Acute myocardial infarction / unstable angina, Anti-inflammatory medication (current), Any regular medication for a chronic condition (other than simple painkiller or inhaler), Atrial fibrillation, Diabetes mellitus (all types except 'pre-diabetes'), Heart failure, Hypertension (>150/90), Infection (significant current or within 3 months), Peripheral arterial disease, Surgery (within 6 weeks), Childbirth (within 8 weeks), Significant trauma, burns (within 4 weeks), Pregnancy (confirmed or suspected), Acute upper gastrointestinal haemorrhage other significant recent haemorrhage.
D-dimer Exclusion Criteria:
The subject is currently receiving or has received within the past thirty (30) days of the study visit an experimental biologic or drug including either treatment or therapy.
Skin lesions or conditions that would preclude a fingerstick and or a venous blood draw.
End-stage renal failure on haemodialysis.
Life expectancy documented as less than 30 days.
Haemodynamically unstable (e.g. cardiogenic shock).
Current anticoagulation therapy (Fragmin, LMWH) within the last 30 days.
Patients taking anticoagulant therapy (DOACS, Warfarin, Heparins etc.) within the last 30 days.
The subject has previously participated in this research study
CRP Inclusion criteria:
Subjects >18 years of age.
Willing and able to provide written informed consent and comply with study procedures.
Subjects seeking medical attention with symptoms of infection, tissue injury, inflammatory disorders or associated disease. This includes but not limited to: respiratory tract infection (upper or lower), rheumatoid arthritis, Lupus, burns, trauma, inflammatory bowel disease.
CRP Exclusion Criteria:
The subject is currently receiving or has received within the past thirty (30) days of the study visit an experimental biologic or drug including either treatment or therapy.
Skin lesions or conditions that would preclude a fingerstick and or a venous blood draw.
A subject with a critical illness, requiring critical intervention, or end of life or palliative care.
Subjects suffering with Myeloma, Monoclonal Gammopathy or extreme Lipaemia.
The subject has previously participated in this research study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Judith Kirstein
Organizational Affiliation
Rancho Paseo Medical Group
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Matthew Morgan
Organizational Affiliation
Centura Health Physician Group
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Anita Scribner
Organizational Affiliation
Diagnostic Clinic of Longview
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
William Simon
Organizational Affiliation
New Medical Healthcare
Official's Role
Principal Investigator
Facility Information:
Facility Name
Rancho Paseo Medical Group
City
Banning
State/Province
California
ZIP/Postal Code
92220
Country
United States
Facility Name
Centura Health Physician Group
City
Northglenn
State/Province
Colorado
ZIP/Postal Code
80234
Country
United States
Facility Name
New Medical Healthcare
City
Wichita
State/Province
Kansas
ZIP/Postal Code
67212
Country
United States
Facility Name
Diagnostic Clinic of Longview
City
Longview
State/Province
Texas
ZIP/Postal Code
75605
Country
United States
12. IPD Sharing Statement
Plan to Share IPD
No
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Evaluation of the LumiraDx Point of Care D-Dimer and CRP Tests
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