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CompletedNCT04320485Updated Feb 10, 2021

Evaluation of the Clinical Specificity of the Active Anthrax Detect™ Plus (AAD Plus) Lateral Flow Immunoassay (LFI)

An observational study in Anthrax, sponsored by InBios International, Inc.. Completed at 4 sites in United States. Open to participants aged 18 Years to 90 Years. Per ClinicalTrials.gov, last updated 2021-02-10.

Sponsored by InBios International, Inc. · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
450
Ages
18 Years to 90 Years
Sex
All
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Study summary

The primary objective of the study is to determine the estimated clinical specificity of the AAD Plus. A secondary objective is to determine the estimated sensitivity of the AAD Plus as 10% of the study subject samples will be contrived to be positive.

Read the detailed description

This study is a multi-site trial assessing the clinical specificity of AAD Plus using capillary blood, venous blood, and venous serum samples collected from presumptive anthrax negative subjects who present with symptoms consistent with cold, flu or other bronchial and febrile infections in the US. At least 440 subjects who meet the study eligibility criteria will have 3 blood samples from a single time point tested with the AAD Plus device. The samples will be: 1) capillary blood collected by finger stick; 2) venous blood collected in a sodium citrate anticoagulant tube; and, 3) serum obtained from venous blood collected in a serum separator tube. The capillary blood sample will be tested immediately to avoid clotting by an unblinded staff member. The venous blood and serum samples will be tested by a blinded staff member as soon as possible after preparation. Additional aliquots of the serum sample will be prepared and stored frozen at -20 ± 2°C or colder for possible additional reference testing [CDC reverse-transcriptase polymerase chain reaction (RT-PCR) assay (K140426)] in the event that any of the subject's capillary blood, venous blood, or serum sample is positive.

At each clinical site, subjects' paired venous whole blood and serum samples will be randomly selected such that 10% of all subjects' samples (total of 40) will be spiked with recombinant anthrax lethal factor (LF) to prepare a contrived positive sample. Each clinical site will be provided a unique randomization list by the Data Management Center that identifies, which subjects will be randomized for spiking with LF. The numbers of spiked samples will be distributed approximately equally between all sites. An unblinded site staff member will prepare the blinded, spiked (from 40 subjects selected for spiking) and unspiked (from 400 subjects that are not selected for spiking) venous blood and serum specimens to be tested by a blinded staff member. Before the venous blood sample and serum specimens (from subjects selected for spiking) are spiked; the unblinded staff member will also test all unspiked samples on the AAD Plus and record the results. Then the spiked venous blood and serum sample will be given to the blinded staff member for testing. Thus, blinded staff will receive whole blood and serum samples that could be either unspiked (presumed negative) or spiked (presumed positive) to preserve the blind. In the rare event that the AAD Plus test result is positive on the unspiked sample tested by the unblinded staff member, then the unblinded staff member will give the unspiked sample from this subject to the blinded operator for AAD Plus testing and the subject's serum sample will be sent for reference testing as described above. Blinded staff will remain blinded throughout the study to the contrived spiking of the whole blood and serum samples as to which samples were contrived.

02

Conditions studied

  • Anthrax

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Keywords

  • Anthrax
  • Lateral flow immunoassay
  • Diagnostics
03

In context

Anthrax

75 studies on the registry are indexed under Anthrax; 12 are open to participants now.

This study's enrollment of 450 is above the median of 99 across 16 observational studies indexed under Anthrax.

Browse Anthrax studies →

Lead sponsor

InBios International, Inc. is the lead sponsor of 7 studies on the registry; none 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 to 90 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Male and female subjects, 18 to 90 years of age, with symptoms consistent with cold, flu or other bronchial and febrile infections.

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

  1. Male or female, 18 to 90 years of age.
  2. Current symptoms consistent with cold, flu or other bronchial and febrile infections. The subject must currently (day of consent) have at least one of the following symptoms: fever, chills, chest discomfort, shortness of breath, cough, dizziness/confusion, nausea, headache, sweats, fatigue, or body aches.

Exclusion criteria

Exclusion Criteria:

  1. Nursing home residents
  2. Inmates/subjects in police custody
  3. Unable to understand verbal or written language of the consent or require a Legal Authorized Representative for consent
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
450 participants (actual)
Patient registry
No
Biospecimen retention
Samples with dna

Interventions

  • Diagnostic testActive Anthrax Detect™ Plus (AAD Plus)

    A lateral flow immunoassay rapid test (AAD Plus) for early and presumptive diagnosis of inhalational anthrax.

06

What researchers measure

Primary outcomes

  1. The estimated specificity of the AAD Plus test.

    For the estimated specificity, the negative percent agreement (NPA) will be calculated from testing unspiked specimens from 400 subjects (with presumed negative samples).

    Time frame: Day of enrollment.

Secondary outcomes

  1. The percent positive agreement (PPA)

    The percent positive agreement (PPA) of the contrived serum specimens will be calculated under the assumption that all spiked specimens are true positives.

    Time frame: Day of enrollment.

07

Study locations

4 sites
  • Fiel Family and Sports Medicine/CCT Research
    Tempe, Arizona 85283, United States
  • Hometown Urgent Care and Research
    Cincinnati, Ohio 45215, United States
  • Hometown Urgent Care and Research
    Columbus, Ohio 43214, United States
  • Hometown Urgent Care and Research
    Dayton, Ohio 45424, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Mar 2020 to primary completion in Dec 2020, 8 months.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 22, 2020
First posted
Mar 25, 2020
StartActual
Mar 25, 2020
Primary completionActual
Dec 17, 2020
CompletionActual
Dec 17, 2020
Last update
Feb 10, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 10, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04320485
Lead sponsor
InBios International, Inc.
Collaborators
Fast-Track Drugs & Biologics, LLC, Biomedical Advanced Research and Development Authority
Responsible party
Sponsor
First posted
Mar 25, 2020
Start date
Mar 25, 2020
Primary completion
Dec 17, 2020
Completion
Dec 17, 2020
Last update
Feb 10, 2021

Study contacts

Marketa Hnilova, PhD
study director · InBios International

Oversight

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

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This study is completed, as verified in Feb 2021. You cannot join it, but the record below documents what was studied.

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