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Performance of the LumiraDx SARS-CoV-2 Ag assay will be assessed by comparison to a reference method.
The study is a prospective, multi-center study. One (1) reference laboratory and approximately six (6) geographically diverse POC (Point of Care) locations (e.g. physician office laboratories, urgent cares, emergency departments, outpatient clinics, drive through testing sites or research centers) in the U.S. will participate in the study. Testing in the reference laboratory will be performed by trained laboratory personnel. Testing at the POC sites will be performed by non-laboratory health professionals who are representative of typical intended use operators (e.g. nurses, physician assistants, medical assistants, etc.). Each site will have a minimum of one (1) untrained intended use operator who will perform testing under this protocol.
A subject's participation in this study will consist of a single visit. Following completion of the informed consent process and a review of Inclusion/Exclusion criteria to determine eligibility, each subject will receive a unique study identification number.
Subjects will have nasopharyngeal or nasal or throat swabs collected. Capillary blood may be collected alongside nasal swabs. Saliva samples may also be collected. Specimens will be obtained from each subject enrolled using standard collection methods.
The LumiraDx SARS-CoV-2 Ag Test will be performed at POC sites by intended use operators (e.g. nurses, physician assistants, medical assistants, etc.). Each site will have a minimum of one (1) untrained intended use operator who will perform testing under this protocol.
The LumiraDx SARS-CoV-2 Ag Test will be performed at the site on the same day as the date of collection using one swab for each subject enrolled. A central laboratory will perform reference testing.
Positive Percent Agreement (PPA) and Negative Percent Agreement (NPA) will be estimated for the LumiraDx SARS-CoV-2 Ag Test results as compared with the reference Test.
A minimum of thirty (30) positive SARS-CoV-2 are required, but it is likely because of the prevalence of SARS-CoV-2 in the population, that a greater number of negatives will be obtained during the prospective collection of positive samples; therefore, approximately four-hundred (400) subjects will be enrolled. A minimum of thirty (30) negative samples are required.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A: Sample Collection | Nasal Swab and Saliva Sample Collection |
| |
| Group B: Sample Collection | Nasal swab, Capillary Blood (from fingerstick) and Saliva Collection |
| |
| Group C: Sample Collection | Nasal Swab, Throat Swab and Saliva Sample Collection |
| |
| Group D: Sample Collection | Nasopharyngeal Swab and Saliva Sample Collection |
| |
| Group E: Sample Collection | Nasal swab |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Nasal Swab | Diagnostic Test | Collection of one more nasal swabs |
|
| Measure | Description | Time Frame |
|---|---|---|
| Performance Evaluation | Evaluation of performance of the device versus a reference method using standard qualitative comparison techniques (Percent Agreement) | On day of the medical encounter (1 day) |
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Inclusion Criteria:
or The subject must have a documented SARS-CoV-2 PCR test in the past 48 hours.
3. Written informed consent must be obtained prior to study enrollment.
Exclusion Criteria:
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Approximately six (6) geographically diverse POC (Point of Care) locations (e.g. physician office laboratories, urgent cares, emergency departments, outpatient clinics including drive through testing sites or research centers) in the U.S. will participate in the study. Males and females of any age may be enrolled, and should be represented in proportions representative of the population.
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| Name | Affiliation | Role |
|---|---|---|
| Christopher Chappel | Chappel Group | Principal Investigator |
| Robert Rosen | Ardmore Family Practice | Principal Investigator |
| Andre Gvozden | Gvozden Pediatrics | Principal Investigator |
| Madhavi Ampajwala | Village Health Partners | Principal Investigator |
| Edward Zissman | Pediatric Associates of Altamonte Springs | Principal Investigator |
| Melanie Hoppers | Physicians Quality Care of Jackson | Principal Investigator |
| Kimberley Henderson | Good Samaritan Minute Clinic | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Children's Pediatric Associates of Altamonte Springs | Altamonte Springs | Florida | 32701 | United States | ||
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36152227 | Derived | Ellis JE, Guest P, Lawson V, Loecherbach J, Lindner N, McCulloch A. Performance Evaluation of the Microfluidic Antigen LumiraDx SARS-CoV-2 and Flu A/B Test in Diagnosing COVID-19 and Influenza in Patients with Respiratory Symptoms. Infect Dis Ther. 2022 Dec;11(6):2099-2109. doi: 10.1007/s40121-022-00696-8. Epub 2022 Sep 24. | |
| 33629225 |
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| ID | Term |
|---|---|
| D000086382 | COVID-19 |
| ID | Term |
|---|---|
| D011024 | Pneumonia, Viral |
| D011014 | Pneumonia |
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
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| Nasopharyngeal swab | Diagnostic Test | Collection of one more nasopharyngeal swabs |
|
| Throat swab | Diagnostic Test | Collection of one more throat swabs |
|
| Fingerstick | Diagnostic Test | Collection of capillary blood from one or more fingersticks |
|
| Saliva specimen | Diagnostic Test | Collection of free drool |
|
| Chappel Group |
| Kissimmee |
| Florida |
| 34744 |
| United States |
| Good Samaritan Minute Clinic, Georgia Tech | Atlanta | Georgia | 30318 | United States |
| Gvozden Pediatrics | Millersville | Maryland | 21108 | United States |
| Ardmore Family Practice | Winston-Salem | North Carolina | 27103 | United States |
| Physicians Quality Care of Jackson | Jackson | Tennessee | 38305 | United States |
| Village Health Partners | Plano | Texas | 75024 | United States |
| Drain PK, Ampajwala M, Chappel C, Gvozden AB, Hoppers M, Wang M, Rosen R, Young S, Zissman E, Montano M. A Rapid, High-Sensitivity SARS-CoV-2 Nucleocapsid Immunoassay to Aid Diagnosis of Acute COVID-19 at the Point of Care: A Clinical Performance Study. Infect Dis Ther. 2021 Jun;10(2):753-761. doi: 10.1007/s40121-021-00413-x. Epub 2021 Feb 24. |
| D014777 |
| Virus Diseases |
| D018352 | Coronavirus Infections |
| D003333 | Coronaviridae Infections |
| D030341 | Nidovirales Infections |
| D012327 | RNA Virus Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |