Clinical Trial: Validation of New G6PD Point of Care Tests Against Gold Standard Quantitative

Study Status: Not yet recruiting
Recruit Status: Not yet recruiting
Study Type: Observational

Official Title: Validation of New G6PD Point of Care Tests (Biosensors) Against Gold Standard Quantitative Spectrophotometry and Genotyping

Brief Summary: This is a laboratory research to evaluate performances of quantitative POC G6PD tests (Biosensors) against gold standard quantitative laboratory based tests and genotyping.

Detailed Summary:

Radical cure of P. vivax malaria can be achieved using large doses of primaquine which have shown to cause some degree of hemolysis even in subjects who tested normal by the conventional qualitative G6PD tests. Different regimens of drug might be more appropriate in subjects with intermediate G6PD activity which can be currently measured only in well equipped laboratories. Validation of new qualitative and quantitative point-of-care tests is essential to for safe deployment of standard and new radical cure regimens against Plasmodium vivax.

This study will evaluate performances of quantitative POC G6PD tests (Biosensors) against gold standard quantitative laboratory based tests and genotyping. Patients will be searched from the electronic record database to identify up to 150 patients with the following characteristics: approximately 50 G6PD-deficient men and women (however only a very small percent of deficients are homozygous women) approximately 50 G6PD-heterozygous women with intermediate activity, and approximately 50 G6PD-normal individuals and patients who meet the screening criteria will be contacted at their home by a clinic staff member. The home visitor will explain study details and invite to participate in the study. If the patients express interest in participating, they will be directed to visit the following month at the clinic where they usually receive care.

After signing the informed consent form, two blood samples will be withdrawn; one sample will be taken by finger-stick (200 µl) and one sample (0.5 ml) will be taken by arm venipuncture. The blood from capillary sample will be used to assess G6PD activity using the POC tests, CBC and laboratory based quantitative tests. The venous blood will be used for reference standard quantitative G6PD assays, Hb typing analysis, CBC and buffy-coat will be st
Sponsor: University of Oxford

Current Primary Outcome: correlation in G6PD activity [ Time Frame: at enrollment ]

determined by the Biosensors and the spectrophotometric gold standard.


Original Primary Outcome: Same as current

Current Secondary Outcome:

  • correlation in Hemoglobin levels [ Time Frame: at enrollment ]
    determined by the Biosensors and the automated blood analyzer.
  • Determine association between one or more quantitative POC G6PD test (Biosensor) and the flow cytometry-based G6PD test [ Time Frame: at enrollment ]


Original Secondary Outcome:

  • correlation in Hemoglobin levels [ Time Frame: at enrollment ]
    determined by the Biosensors and the automated blood analyzer.
  • association between one or more quantitative POC G6PD test (Biosensor) and the flow cytometry-based G6PD test [ Time Frame: at enrollment ]


Information By: University of Oxford

Dates:
Date Received: December 4, 2015
Date Started: May 2016
Date Completion: December 2017
Last Updated: March 16, 2016
Last Verified: March 2016