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The AMH^2 (Anti-Mullerian Hormone - At My Home) study is a head-to-head-to-head validation study aiming to evaluate the concordance of AMH levels found in blood collected via three different routes: collected at-home using the TAP II device, drawn through standard venipuncture techniques, and collected with the ADx card, another at-home collection device widely available on the market for commercial use.
Today, information regarding fertility potential is challenging to obtain for healthy women; clinically meaningful in-clinic testing is limited by physician availability and patient willingness to undergo testing in-clinic. Meanwhile, at-home hormonal bloodwork relies on the use of an ADx card, and is not widely accepted as clinically reliable by the medical community. The Sponsor is developing a comprehensive home fertility assessment to enable couples to proactively estimate and manage their fertility and family building options. Accurate and reliable at-home AMH testing is necessary to reach this goal.
This study aims to validate the clinical excellence and medical accuracy of blood drawn via the TAP II device relative to a standard in-clinic venipuncture draw and other options available on the market to support emerging telemedicine care models. In doing so, the Sponsor may receive CLIA validation for the TAP II in AMH testing and commercialize a Lab Developed Test.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Women recruited from a general population subject to I/E criteria | Experimental | All study participants will administer three blood collection modalities (2 TAP II, 1 ADx card, and phlebotomist-performed venipuncture). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Blood draw through TAP II | Diagnostic Test | Two self-administered blood draws through TAP II device |
|
| Measure | Description | Time Frame |
|---|---|---|
| Correlation (r-squared) of the AMH levels resulting from the shipped TAP II samples and venipuncture samples. | Evaluate the concordance of the TAP blood collection device after shipment with in-clinic blood collection for AMH. | Lab analysis 72 hours after ADx card/venipuncture/TAP II hand delivery |
| Measure | Description | Time Frame |
|---|---|---|
| Correlation (r-squared) of AMH levels from stored TAP II samples and venipuncture samples | Evaluate the concordance of the TAP blood collection device without shipment with in-clinic blood collection for AMH for control versus venipuncture "ground truth". | Lab analysis 72 hours after ADx card/venipuncture/TAP II hand delivery |
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Study Participants
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Anatte E Karmon, Harvard University | Fertility Institute of Hawaii | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Turtle Health Pop-up Clinic | Brookline | Massachusetts | 02445 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36050723 | Derived | Silliman E, Chung EH, Fitzpatrick E, Jolin JA, Brown M, Hotaling J, Styer AK, Karmon AE. Evaluation of at-home serum anti-Mullerian hormone testing: a head-to-head comparison study. Reprod Biol Endocrinol. 2022 Sep 1;20(1):131. doi: 10.1186/s12958-022-01004-2. |
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| Blood draw through ADx cardT | Diagnostic Test | One self-administered ADx card blood draw |
|
| Blood draw through standard venipuncture | Diagnostic Test | One phlebotomist-performed standard venipuncture |
|
| Correlation (r-squared) of AMH levels from stored ADx samples and venipuncture samples. |
Evaluate the concordance of the ADx card comparator device with in-clinic blood collection for AMH for control versus venipuncture "ground truth". |
| Lab analysis 72 hours after ADx card/venipuncture/TAP II hand delivery |
| Number of women changing risk bands | The number of participants who move to a different risk strata for their age and hormonal birth control status. This will be defined by changing to a different row for their AMH concentration range, treating venipuncture as the "Gold Standard" and comparing the number of women who move rows utilizing their TAP draws or ADx card draw. | Lab analysis 72 hours after ADx card/venipuncture/TAP II hand delivery |
| NPS superiority | Superiority of net promoter score of TAP II device compared to venipuncture as measured by a post-draw survey (calculated as a standard NPS: 9/10 scores - 0-6 scores). | Survey collected within 3 days of blood draw |
| Self-reported pain | Self-reported pain of different draw methods as measured by a post-draw using the Stanford Pain Scale. | Survey collected within 3 days of blood draw |