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CompletedNCT04119154ChedzaUpdated May 2, 2022

Feasibility and Accuracy of Nanosensor-based Cancer Diagnosis at the Point-of-care (Chedza)

An interventional study of Contrast Microhalography (CEM) in Breast Neoplasms and Lymphoma, sponsored by Harvard School of Public Health (HSPH). Completed at 1 site in Botswana. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-05-02.

Sponsored by Harvard School of Public Health (HSPH) · Not applicable, Interventional, and Diagnostic

Phase
Not applicable
Study type
Interventional
Enrollment
270
Allocation
Not applicable
Ages
18 Years and older
Sex
All
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Study summary

Prospective feasibility and validation study of a novel, near-to-care modality for diagnosis of malignancy among cancer suspects.

Read the detailed description

Prospective feasibility and validation study of a novel contrast microhalography (CEM) device for diagnosis of malignancy in Botswana. Consenting patients identified by their providers as requiring a fine needle aspirate (FNA) or percutaneous biopsy for assessment for possible lymphoma or breast cancer will undergo standard diagnostic procedure. Concurrently these patients will have additional FNA fluid tested using the portable novel nanosensor-based device (CEM). Diagnosis made from standard anatomic pathology, flow cytometry, and/or cytology will be compared with the diagnosis made using the CEM platform. Assessment of the feasibility and acceptability of the CEM platform will be performed. Assessment of training requirements for CEM platform will be completed.

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Conditions studied

  • Breast Neoplasms
  • Lymphoma
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In context

Breast Neoplasms

12,815 studies on the registry are indexed under Breast Neoplasms; 2,920 are open to participants now.

This study's enrollment of 270 is above the median of 72 across 9,494 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Harvard School of Public Health (HSPH) is the lead sponsor of 154 studies on the registry; 10 are open to participants now.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Botswana citizen
  • Age 18 years or older
  • Able and willing to provide informed consent
  • Undergoing diagnostic procedure for palpable abnormality (biopsy, node/mass resection, or fine-needle aspirate) for diagnosis of possible lymphoid malignancy or breast cancer

Exclusion criteria

Exclusion Criteria:

  • Involuntary incarceration (prison, jail, etc.)
  • Procedures involving internal organs or locations expected to have elevated risk of complication
  • Increased risk for severe bleeding as defined as known hemophilia or other bleeding disorder, use of anticoagulants in past week (not including aspirin or other NSAIDS), advanced liver disease, or other condition determined by clinician to significantly increase bleeding risk of procedure
  • Known pregnancy
  • Critical illness as defined by current intensive care admission, hypotension (systolic BP\<100mmHg), hypoxemia (O2 saturation \<94% on room air), or other condition determined by clinician to significantly decrease physiologic tolerance of procedure
  • Other condition felt by the clinician performing procedure to significantly increase risk of procedure
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Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
270 participants (actual)

Study arms

  • Experimental
    Standard diagnosis and CEM platform

    Participants will receive standard diagnostic approach and assessment by CEM platform

    Diagnostic Test: Contrast Microhalography (CEM)

Interventions

  • Diagnostic testContrast Microhalography (CEM)

    Fine needle aspirates evaluated by CEM device

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What researchers measure

Primary outcomes

  1. Accuracy for diagnosis of non-Hodgkin lymphoma

    Accuracy (proportion of true positive and true negative out of total number assessed) of CEM in comparison with standard diagnostic approach.

    Time frame: Day 1, at time of diagnosis

  2. Accuracy for diagnosis of invasive breast cancer

    Accuracy (proportion of true positive and true negative out of total number assessed) of CEM in comparison with standard diagnostic approach.

    Time frame: Day 1, at time of diagnosis

  3. Time to diagnosis

    Time from diagnostic procedure to knowledge of test result by the treating clinician

    Time frame: Day 1, at time of diagnosis

  4. Proficiency in testing using CEM platform

    Proportion of personnel of varying laboratory experience and training modalities with proficiency using CEM platform

    Time frame: Day 1, At completion of training

Secondary outcomes

  1. Accuracy for sub-type diagnosis (aggressive vs. indolent) of non-Hodgkin lymphoma

    Accuracy (proportion of true positive and true negative out of total number non-Hodgkin lymphoma) of CEM in comparison with standard diagnostic approach.

    Time frame: Day 1, at time of diagnosis

  2. Accuracy for molecular subtype diagnosis of invasive breast cancer

    Accuracy (proportion of true positive and true negative out of total number of invasive breast cancers), compared with standard diagnostic approach, for the molecular subtype diagnosis of invasive breast cancer into estrogen-receptor positive, triple-negative, and other estrogen-receptor negative categories.

    Time frame: Day 1, at time of diagnosis

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Study locations

1 site
  • Botswana Harvard AIDS Institute
    Gaborone, Botswana
08

References and documents

Study documents

  • Informed consent form · Jul 17, 2019

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Yes — Completely anonymized data can be shared to investigators following successful receipt of IRB approval (Botswana and US committees).

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Analytic code

Time frame: Following completion of primary analysis.

Access criteria: Sharing following required IRB approval (Botswana and US).

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 2, 2022, 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
NCT04119154
Collaborators
National Cancer Institute (NCI), Botswana Harvard AIDS Institute Partnership, Massachusetts General Hospital, Brigham and Women's Hospital
Responsible party
Scott Dryden-Peterson (Research Associate, Harvard School of Public Health (HSPH)) — Principal investigator
First posted
Oct 8, 2019
Start date
Aug 1, 2019
Primary completion
Sep 20, 2021
Completion
Sep 20, 2021
Last update
May 2, 2022

Study contacts

Ralph Weissleder, MD, PhD
principal investigator · Massachusetts General Hospital
Scott Dryden-Peterson, MD, MSc
principal investigator · Botswana Harvard AIDS Institute, Harvard TH Chan School of Public Health, Brigham and Women's Hospital

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2022. You cannot join it, but the record below documents what was studied.

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