Self- Versus Conventional-swabbing for COVID-19 Screening (COVISWAB) (COVISWAB)
2. april 2021 oppdatert av: 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.
Studieoversikt
Status
Ukjent
Forhold
Detaljert beskrivelse
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
Intervensjonell
Registrering (Forventet)
400
Fase
- Ikke aktuelt
Kontakter og plasseringer
Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.
Studiesteder
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Clermont-Ferrand, Frankrike, 63000
- CHU de Clermont-Ferrand
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Deltakelseskriterier
Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
18 år og eldre (Voksen, Eldre voksen)
Tar imot friske frivillige
Ja
Kjønn som er kvalifisert for studier
Alle
Beskrivelse
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
Studieplan
Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Diagnostisk
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Ingen (Open Label)
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
|---|---|
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Eksperimentell: 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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Eksperimentell: 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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Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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Non-inferiority of self-swabbing compared to conventional swabbing concerning diagnosis sensitivity
Tidsramme: 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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Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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Correlation between age, sex and swabbing-induced pain
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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.
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
|
|
Non-inferiority of self-swabbing compared to conventional swabbing concerning pain discomfort
Tidsramme: 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
Tidsramme: 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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Samarbeidspartnere og etterforskere
Det er her du vil finne personer og organisasjoner som er involvert i denne studien.
Etterforskere
- Hovedetterforsker: Xavier MOISSET, University Hospital, Clermont-Ferrand
Studierekorddatoer
Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.
Studer hoveddatoer
Studiestart (Forventet)
1. april 2021
Primær fullføring (Forventet)
1. oktober 2021
Studiet fullført (Forventet)
1. desember 2021
Datoer for studieregistrering
Først innsendt
1. april 2021
Først innsendt som oppfylte QC-kriteriene
2. april 2021
Først lagt ut (Faktiske)
5. april 2021
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
5. april 2021
Siste oppdatering sendt inn som oppfylte QC-kriteriene
2. april 2021
Sist bekreftet
1. mars 2021
Mer informasjon
Begreper knyttet til denne studien
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- RBHP 2020 MOISSET 2
- 2020-A02913-36 (Annen identifikator: ANSM)
Legemiddel- og utstyrsinformasjon, studiedokumenter
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