- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03809117
Film Array Gastrointestinal Panel Compared to Usual Care for ED Evaluation of Infectious Diarrhea
A Randomized Controlled Trial of Biofire Film Array Gastrointestinal Panel Compared to Usual Care for Evaluation of Acute Infectious Diarrhea in the Emergency Department
This research study will test a laboratory test called Film-Array Gastrointestinal (GI) Panel. This GI Panel is a test that can identify the bacteria or viruses that may cause diarrhea. This test will enable the ED doctor to better understand the cause of diarrhea to try to determine the best treatment.
The primary objective of this study is to determine if testing ED patients who complain of diarrhea will lead to more optimal use of antibiotics. Optimal use of antibiotics is defined as the most appropriate antibiotic to treat a specified pathogen.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Andrew C Meltzer, MD, MS
- Phone Number: 202-741-2952
- Email: ameltzer@mfa.gwu.edu
Study Contact Backup
- Name: Maxine LeSaux
- Phone Number: 202-741-2917
- Email: mlesaux@mfa.gwu.edu
Study Locations
-
-
District of Columbia
-
Washington, District of Columbia, United States, 20037
- The George Washington University, Department of Emergency Medicine
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Presumed infectious diarrhea (3 or more loose stools in past 24 hours)
Must have one of the 3 following features or symptoms lasting more than 7 days.
- Symptoms greater than 24 hours;
- Dehydration (defined as the need for intravenous fluid or per clinician's judgement ((based on the general appearance and alertness of the patient, the pulse, the blood pressure, the presence or absence of postural hypotension, the mucous membranes and tears, sunken eyes, skin turgor, capillary refill, and jugular venous pressure.))
- Inflammation (defined as fever (greater than 100.1), blood in stool per patient, DRE, or tenesmus.)
Exclusion Criteria:
- Chronic Symptoms (>14 days)
- Inability to Follow- Up (i.e. no telephone)
- Prisoner
- Likely non-infectious cause of diarrhea (Crohn's disease, radiation colitis, irritable bowel syndrome, or celiac disease)
- Confirmed C. Diff Diarrhea
- Unable to provide written consent
- Non- English speaker
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Experimental
Gastrointestinal Polymerase Chain Reaction test performed and results communicated to treatment provider.
Followed by usual care per treating physician.
|
The 22-target FilmArray® GI Panel allows a syndromic approach to the diagnosis of infectious diarrhea as it includes bacteria, viruses and parasites in one test.
Results are typically available within two hours of collection.
|
Active Comparator: Control
Gastrointestinal Polymerase Chain Reaction test performed at the conclusion of the study.
Clinician will not be informed of results.
Usual Care performed per treating physician.
|
The 22-target FilmArray® GI Panel allows a syndromic approach to the diagnosis of infectious diarrhea as it includes bacteria, viruses and parasites in one test.
Results are typically available within two hours of collection.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of Participants With Optimal Antibiotic Chosen
Time Frame: 30 Days post ED Discharge
|
Optimal use of antibiotics is defined as the most appropriate antibiotic to treat a specified pathogen.
Designated physicians on study staff will retrospectively examine charts of enrolled subjects will evaluate whether the antibiotic chosen by treating clinician was appropriate given GI PCR results.
|
30 Days post ED Discharge
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
ED Length of Stay
Time Frame: 30 Days post ED Discharge
|
Time from patient arrival to time when patient is officially discharged or admitted
|
30 Days post ED Discharge
|
Hospital Admission Rate
Time Frame: 30 Days post ED Discharge
|
30 Days post ED Discharge
|
|
Rate of Abdominal/Pelvic CT Scans
Time Frame: 30 Days post ED Discharge
|
30 Days post ED Discharge
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Andrew Meltzer, MD, MS, The George Washington University
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- IRB #051839
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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