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Self- Versus Conventional-swabbing for COVID-19 Screening (COVISWAB) (COVISWAB)
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
Toestand
Conditie
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
Inschrijving (Verwacht)
Fase
- Niet toepasbaar
Contacten en locaties
Studie Locaties
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Clermont-Ferrand, Frankrijk, 63000
- CHU de Clermont-Ferrand
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
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
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 |
|---|---|
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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
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Patient realises the nasal swabbing himself first, then undergoes conventionnal swabbing
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Experimenteel: Conventional swabbing followed by supervised self-swabbing
the subject will undergo conventional nasopharyngeal swabbing performed by a trained healthcare professional first.
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patient undergoes conventionnal swabbing first then realises the nasal swabbing himself
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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Non-inferiority of self-swabbing compared to conventional swabbing concerning diagnosis sensitivity
Tijdsspanne: 5 minutes after the end of the procedure of nasopharyngeal swabbing
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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.
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5 minutes after the end of the procedure of nasopharyngeal swabbing
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Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Correlation between age, sex and swabbing-induced pain
Tijdsspanne: 5 minutes after the end of the procedure
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Score on the pain numeric rating scale (0 to 10; higher scores meaning more pain)
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5 minutes after the end of the procedure
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Correlation between eye color and swabbing-induced pain
Tijdsspanne: 5 minutes after the end of the procedure
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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)
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5 minutes after the end of the procedure
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Correlation between eye color and swabbing-induced discomfort
Tijdsspanne: 5 minutes after the end of the procedure
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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)
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5 minutes after the end of the procedure
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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
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symptoms self-reported by the subject and pain score on numeric rating scale (0 to 10; higher scores meaning more pain)
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5 minutes after the end of the procedure
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Correlation between body mass index and swabbing-induced pain
Tijdsspanne: 5 minutes after the end of the procedure
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symptoms self-reported by the subject and pain score on numeric rating scale (0 to 10; higher scores meaning more pain)
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5 minutes after the end of the procedure
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Correlation between anticipated pain and actual pain
Tijdsspanne: 5 minutes after the end of the procedure
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anticipated and actual pain self-reported on numeric rating scale (0 to 10; higher scores meaning more pain)
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5 minutes after the end of the procedure
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Correlation between anticipated discomfort and actual discomfort.
Tijdsspanne: 5 minutes after the end of the procedure
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anticipated and actual discomfort self-reported on numeric rating scale (0 to 10; higher scores meaning more pain)
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5 minutes after the end of the procedure
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Richness assessment for respiratory cells
Tijdsspanne: Day 0
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Ct value of beta-globin gene
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Day 0
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Non-inferiority of self-swabbing compared to conventional swabbing concerning pain
Tijdsspanne: 5 minutes after the end of the procedure of nasopharyngeal swabbing
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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
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5 minutes after the end of the procedure of nasopharyngeal swabbing
|
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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
|
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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).
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5 minutes after the end of the procedure of nasopharyngeal swabbing
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Medewerkers en onderzoekers
Onderzoekers
- Hoofdonderzoeker: Xavier MOISSET, University Hospital, Clermont-Ferrand
Studie record data
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Studie start (Verwacht)
Primaire voltooiing (Verwacht)
Studie voltooiing (Verwacht)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Updates van studierecords
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Laatste update ingediend die voldeed aan QC-criteria
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Meer informatie
Termen gerelateerd aan deze studie
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- RBHP 2020 MOISSET 2
- 2020-A02913-36 (Andere identificatie: ANSM)
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
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