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Self- Versus Conventional-swabbing for COVID-19 Screening (COVISWAB) (COVISWAB)

2 april 2021 bijgewerkt door: University Hospital, Clermont-Ferrand

Comparison for Sensitivity and Tolerance of Self-swabbing and Conventional Nasopharyngeal Swabbing for SARS-CoV-2 Detection for Pain, Discomfort and Acceptability: a Randomized Controlled Non-inferiority Study

Self-swabbing requires less personal protective equipment and could allow to test more people and even to do quick self-diagnosis if antigenic tests are available.

In a preliminary study on 190 medical students, the investigators have shown that self and conventional swabbing were identically well-accepted with equivalent level of pain and discomfort induced by swabbing. In a sub-group of this sample, the investigators have shown that the quality of the 2 sampling methods were equivalent.

The goal of this large study in the general population is to confirm these findings in an adequately powered study. Such results would allow to develop self-swabbing for large screening campaigns and eventually self-diagnosis using antigenic tests.

Studie Overzicht

Gedetailleerde beschrijving

All consecutive subjects coming to the 2 dedicated centers for COVID-19 screening in Clermont-Ferrand University hospital (one for medical students and one for the general population) will be asked to be included in the present study. They will be randomly assigned to either supervised self-swabbing followed by conventional swabbing led by a healthcare professional or the other way round.

All the subjects will have to complete a brief questionnaire including demographical characteristics (age, sex, height, weight, eye color), potential symptoms (asthenia, fever, anosmia…) anticipated pain and discomfort and previous nasopharyngeal swabbing experience. Pain, discomfort and overall acceptability of the procedure will be completed just after completion of the swabbing.

Studietype

Ingrijpend

Inschrijving (Verwacht)

400

Fase

  • Niet toepasbaar

Contacten en locaties

In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.

Studie Locaties

      • Clermont-Ferrand, Frankrijk, 63000
        • CHU de Clermont-Ferrand

Deelname Criteria

Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.

Geschiktheidscriteria

Leeftijden die in aanmerking komen voor studie

18 jaar en ouder (Volwassen, Oudere volwassene)

Accepteert gezonde vrijwilligers

Ja

Geslachten die in aanmerking komen voor studie

Allemaal

Beschrijving

Inclusion Criteria:

  • Any subject coming for nasopharyngeal swabbing for SARS-CoV-2 screening
  • Fluent in French (both oral and written)
  • Able to give an eclaired consent

Exclusion Criteria:

  • Contra-indication to nasopharyngeal swabbing
  • Refusal to participate
  • Pregnant women

Studie plan

Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.

Hoe is de studie opgezet?

Ontwerpdetails

  • Primair doel: Diagnostisch
  • Toewijzing: Gerandomiseerd
  • Interventioneel model: Parallelle opdracht
  • Masker: Geen (open label)

Wapens en interventies

Deelnemersgroep / Arm
Interventie / Behandeling
Experimenteel: Supervised self-swabbing followed by conventional swabbing
the subjects will first benefit from a 5 minutes explanation on how to perform self-swabbing and will then performed the swabbing under the supervision of a trained healthcare professional
Patient realises the nasal swabbing himself first, then undergoes conventionnal swabbing
Experimenteel: Conventional swabbing followed by supervised self-swabbing
the subject will undergo conventional nasopharyngeal swabbing performed by a trained healthcare professional first.
patient undergoes conventionnal swabbing first then realises the nasal swabbing himself

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Non-inferiority of self-swabbing compared to conventional swabbing concerning diagnosis sensitivity
Tijdsspanne: 5 minutes after the end of the procedure of nasopharyngeal swabbing
assessed using consistency of COVID-19 RT-PCR results for both sampling modalities (Self- swabbing versus conventional-swabbing). If non-inferiority is confirmed on this criterion, pain will be tested.
5 minutes after the end of the procedure of nasopharyngeal swabbing

Secundaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Correlation between age, sex and swabbing-induced pain
Tijdsspanne: 5 minutes after the end of the procedure
Score on the pain numeric rating scale (0 to 10; higher scores meaning more pain)
5 minutes after the end of the procedure
Correlation between eye color and swabbing-induced pain
Tijdsspanne: 5 minutes after the end of the procedure
Eye-color self-reported by the subject on a validated 14 item scale and pain score on the numeric rating scale (NRS) (0 to 10; higher scores meaning more pain)
5 minutes after the end of the procedure
Correlation between eye color and swabbing-induced discomfort
Tijdsspanne: 5 minutes after the end of the procedure
Eye-color self-reported by the subject on a validated 14 item scale and discomfort score on numeric rating scale (0 to 10; higher scores meaning more discomfort)
5 minutes after the end of the procedure
Correlation between symptoms (fever, headache, asthenia, anosmia, agueusia, cough, dyspnea, muscle pain, sore throat, diarrhea) and swabbing-induced pain
Tijdsspanne: 5 minutes after the end of the procedure
symptoms self-reported by the subject and pain score on numeric rating scale (0 to 10; higher scores meaning more pain)
5 minutes after the end of the procedure
Correlation between body mass index and swabbing-induced pain
Tijdsspanne: 5 minutes after the end of the procedure
symptoms self-reported by the subject and pain score on numeric rating scale (0 to 10; higher scores meaning more pain)
5 minutes after the end of the procedure
Correlation between anticipated pain and actual pain
Tijdsspanne: 5 minutes after the end of the procedure
anticipated and actual pain self-reported on numeric rating scale (0 to 10; higher scores meaning more pain)
5 minutes after the end of the procedure
Correlation between anticipated discomfort and actual discomfort.
Tijdsspanne: 5 minutes after the end of the procedure
anticipated and actual discomfort self-reported on numeric rating scale (0 to 10; higher scores meaning more pain)
5 minutes after the end of the procedure
Richness assessment for respiratory cells
Tijdsspanne: Day 0
Ct value of beta-globin gene
Day 0
Non-inferiority of self-swabbing compared to conventional swabbing concerning pain
Tijdsspanne: 5 minutes after the end of the procedure of nasopharyngeal swabbing
assessed using a Numerical Rating Scale (0 indicating no pain and 10 the worst imaginable pain). If non-inferiority is confirmed on this criterion, discomfort will be tested
5 minutes after the end of the procedure of nasopharyngeal swabbing
Non-inferiority of self-swabbing compared to conventional swabbing concerning pain discomfort
Tijdsspanne: 5 minutes after the end of the procedure of nasopharyngeal swabbing
assessed using a Numerical Rating Scale (0 indicating no discomfort and 10 the worst imaginable discomfort). If non-inferiority is confirmed on this criterion, acceptability will be tested
5 minutes after the end of the procedure of nasopharyngeal swabbing
Non-inferiority of self-swabbing compared to conventional swabbing concerning acceptability
Tijdsspanne: 5 minutes after the end of the procedure of nasopharyngeal swabbing
assessed using a Numerical Rating Scale (0 indicating that the procedure is not acceptable at all and 10 that the procedure is perfectly well accepted).
5 minutes after the end of the procedure of nasopharyngeal swabbing

Medewerkers en onderzoekers

Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.

Onderzoekers

  • Hoofdonderzoeker: Xavier MOISSET, University Hospital, Clermont-Ferrand

Studie record data

Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.

Bestudeer belangrijke data

Studie start (Verwacht)

1 april 2021

Primaire voltooiing (Verwacht)

1 oktober 2021

Studie voltooiing (Verwacht)

1 december 2021

Studieregistratiedata

Eerst ingediend

1 april 2021

Eerst ingediend dat voldeed aan de QC-criteria

2 april 2021

Eerst geplaatst (Werkelijk)

5 april 2021

Updates van studierecords

Laatste update geplaatst (Werkelijk)

5 april 2021

Laatste update ingediend die voldeed aan QC-criteria

2 april 2021

Laatst geverifieerd

1 maart 2021

Meer informatie

Termen gerelateerd aan deze studie

Informatie over medicijnen en apparaten, studiedocumenten

Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel

Nee

Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct

Nee

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