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CompletedNCT00827697Updated Aug 17, 2016

A Validation Study for Detecting Chlamydia and Gonorrhea in Rectal Samples

An observational study in Gonorrhea and Chlamydia, sponsored by University of Pittsburgh. Completed at 2 sites in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2016-08-17.

Sponsored by University of Pittsburgh · Observational

Study type
Observational
Model
Cohort
Time perspective
Cross-sectional
Enrollment
399
Ages
18 Years and older
Sex
All
01

Study summary

Our hypothesis is that nucleic acid amplification testing (NAAT) with the APTIMA Combo2 (AC2) will have greater sensitivity than culture in detecting Neisseria gonorrhoeae in rectal samples. We also hypothesize that AC2 will be equivalent to NAAT with the Becton Dickinson ProbeTec in detecting Chlamydia trachomatis and Neisseria gonorrhoeae in rectal samples.

Read the detailed description

This research is being done to compare the results of tests for diagnosing sexually transmitted infections (STI) from rectal samples. Specifically, this study will test for gonorrhea and Chlamydia from rectal samples and compare the results between standard culture and newer technology (nucleic acid amplification testing otherwise know as "NAAT") used to detect these infections. Gonorrhea and Chlamydia are STIs (infections you get from having sex with someone who is infected). Infections in the rectum may cause symptoms such as rectal discharge, itching and/or pain or may be asymptomatic (no symptoms present). Since these infections are sexually transmitted, it is important to have accurate tests to diagnose and treat these infections to prevent them from being passed onto a sexual partner.

NAAT has not been Food and Drug Administration (FDA) approved for use in diagnosing these infections in the rectum. The tests are approved to detect these infections from other sites (cervix and urine) and investigators believe that these tests will be very accurate in detecting these infections in the rectum as well. This study will validate the use of NAAT in rectal samples so that this technology can be used in our research laboratory for future studies that involve testing for STIs from the rectum.

There are times when people have signs of inflammation in the rectum (known as proctitis) and an infection or cause is not able to be identified. Investigators believe that this new technology (NAAT) may be able to find reasons (different bacteria) for infection that were not able to be identified with older testing methods. By participating in this study, one of the rectal swabs will also be tested for additional bacteria (called Mycoplasma and Trichomonas). Both of these organisms are sexually transmitted and may be important organisms in the cause of proctitis.

02

Conditions studied

  • Gonorrhea
  • Chlamydia

Keywords

  • Gonorrhea
  • Chlamydia
  • Rectal
03

In context

Chlamydia Infections

121 studies on the registry are indexed under Chlamydia Infections; 21 are open to participants now.

This study's enrollment of 399 is close to the median of 399 across 29 observational studies indexed under Chlamydia Infections.

Browse Chlamydia Infections studies →

Lead sponsor

University of Pittsburgh is the lead sponsor of 1,385 studies on the registry; 167 are open to participants now.

Of its 8 completed or terminated interventional studies of FDA-regulated products, 4 (50%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Women (n=175) and men who have sex with men (n=224) with a lifetime history of anal intercourse by self-report

Inclusion criteria

  1. Male and female subjects aged 18 and older
  2. Women or men who have a history of engaging in receptive anal intercourse
  3. Willing to provide written informed consent for participation in this study

Exclusion criteria

Exclusion Criteria:

  1. Use of oral antibiotics in the past 7 days
  2. Use of rectal douche or other rectal product in the past 24 hours
05

Study design

Observational model
Cohort
Time perspective
Cross-sectional
Enrollment
399 participants (actual)
Patient registry
No

Interventions

  • OtherGen-Probe APTIMA Combo2 (AC2)

    Laboratory Test

06

What researchers measure

Primary outcomes

  1. Sensitivity and specificity of AC2 in detecting Neisseria gonorrhoeae in rectal samples

    Sensitivity and specificity of AC2 to ProbeTec and culture in detecting Neisseria gonorrhoeae in rectal samples

    Time frame: Visit 1

  2. Sensitivity and specificity of AC2 in detecting Chlamydia trachomatis in rectal samples

    Compare the sensitivity and specificity of the AC2 to ProbeTec and as necessary, for discrepant results, to APTIMA CT assay in detecting Chlamydia trachomatis in rectal sample

    Time frame: Visit 1

07

Study locations

2 sites
  • Magee-Womens Hospital of UPMC
    Pittsburgh, Pennsylvania 15213, United States
  • Pittsburgh AIDS Center for Treatment (PACT)
    Pittsburgh, Pennsylvania 15213, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 17, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00827697
Lead sponsor
University of Pittsburgh
Collaborators
National Institutes of Health (NIH), National Institute of Allergy and Infectious Diseases (NIAID)
Responsible party
Sharon Hillier (Richard Sweet Professor of Reproductive Infectious Disease, University of Pittsburgh) — Principal investigator
First posted
Jan 23, 2009
Start date
May 2009
Primary completion
Mar 2010
Completion
Mar 2010
Last update
Aug 17, 2016

Study contacts

Sharon L Hillier, PhD
principal investigator · University of Pittsburgh

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2016. You cannot join it, but the record below documents what was studied.

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