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The enumeration of T lymphocytes positive for the CD4 antigen is used to determine the immune status of patients with, or suspected of developing, immune deficiencies such as AIDS. The BD FACS Prestoâ„¢ is an investigational automated system for in vitro diagnostic use in performing the direct enumeration of CD4 absolute count, CD4 percentage of lymphocytes, and hemoglobin (Hb) concentration in human whole blood.
This is a prospective study to determine the relative bias between the investigational BD FACS Presto system and the predicate BD FACS Calibur with BD Tritest system in their determination of absolute CD4, % CD4, and Hb concentrations.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| All subjects | This is a single arm study. Samples from each subject will be tested with the Investigational BD FACSPresto System, the BD FACSCalibur flow cytometer, and the Sysmex hematology analyzer KX-21. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Investigational BD FACSPresto System | Device | Blood samples will be tested on the BD FACSPresto system for CD4 absolute count (CD4Abs), %CD4, and Hb concentration. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Method bias between BD FACSPresto System vs. Predicate in venous blood (AbsCD4 and %CD4) | The primary endpoint is the bias (expected difference) between the investigational vs. predicate system measured as absolute CD4 lymphocyte count and %CD4 in peripheral venous blood from a minimum of 400 specimens with valid results tested at three or more external sites. | assayed upon sample collection |
| Measure | Description | Time Frame |
|---|---|---|
| Method bias between BD FACSPresto System vs. Predicate in Capillary Blood (AbsCD4 and %CD4) | The bias (expected difference) between the investigational vs. predicate system measured as absolute CD4 lymphocyte count and %CD4 in capillary blood from a minimum of 400 specimens with valid results tested will be determined at three or more external sites. | assayed upon sample collection |
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Inclusion Criteria:
Exclusion Criteria:
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The study will enroll specimens from children 0-12 years and adolescent or adult patients 13 years of age or greater. Enrolment of children in the study is expected to satisfy the binning (stratification) requirements since relative lymphocytosis and higher CD4+ lymphocyte counts are normal in children less than 5 years of age.
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| Name | Affiliation | Role |
|---|---|---|
| Kevin Judge, MD | Becton, Dickinson | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Children's Hospital Los Angeles | Los Angeles | California | 90027 | United States | ||
| San Francisco General Hospital and Trauma Center |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27483008 | Derived | Angira F, Akoth B, Omolo P, Opollo V, Bornheimer S, Judge K, Tilahun H, Lu B, Omana-Zapata I, Zeh C. Clinical Evaluation of the BD FACSPresto Near-Patient CD4 Counter in Kenya. PLoS One. 2016 Aug 2;11(8):e0157939. doi: 10.1371/journal.pone.0157939. eCollection 2016. |
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| ID | Term |
|---|---|
| D000163 | Acquired Immunodeficiency Syndrome |
| ID | Term |
|---|---|
| D015658 | HIV Infections |
| D000086982 | Blood-Borne Infections |
| D003141 | Communicable Diseases |
| D007239 | Infections |
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| BD FACSCalibur flow cytometer | Device | Blood samples will be tested on the predicate, currently marketed device. For CD4Abs and %CD4 measurement, the BD FACSCalibur flow cytometer will be used with BD Multiset software version 1.1 or later and BD Tritest CD3/CD4/CD45 reagent with Trucount tubes. |
|
| Sysmex hematology analyzer KX-21 | Device | Blood samples will be tested for hemoglobic concentration on the predicate, currently marketed Sysmex hematology analyzer KX-21 |
|
| Method bias between BD FACSPresto System vs. Predicate for Hemoglobin | The bias (expected difference) between the investigational BD FACSPresto system vs. predicate (Sysmex KX-21 hematology analyzer) will be determined for hemoglobin concentration using venous blood and capillary blood. | assayed upon sample collection |
| San Francisco |
| California |
| 94111 |
| United States |
| Becton Dickinson MedLab | San Jose | California | 95131 | United States |
| National AIDS Research Institute | Pune | Maharashtra | 411 026 | India |
| KEMR/CDC Research and Public Health Collaboration | Kisumu | Kenya |
| Siriraj Hospital | Bangkok | Siriraj | 10700 | Thailand |
| D015229 |
| Sexually Transmitted Diseases, Viral |
| D012749 | Sexually Transmitted Diseases |
| D016180 | Lentivirus Infections |
| D012192 | Retroviridae Infections |
| D012327 | RNA Virus Infections |
| D014777 | Virus Diseases |
| D012897 | Slow Virus Diseases |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
| D007153 | Immunologic Deficiency Syndromes |
| D007154 | Immune System Diseases |