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CompletedNCT05514886EXPERT-CoV-2Updated Sep 19, 2024

Evaluation of Molecular Point-of-care Xpert® Xpress SARS-CoV-2 Detection Implementation in Resource-limited Settings

An observational study in COVID-19, sponsored by National Institute for Medical Research, Tanzania. Completed at 1 site in Tanzania. Open to participants aged 5 Years and older. Per ClinicalTrials.gov, last updated 2024-09-19.

Sponsored by National Institute for Medical Research, Tanzania · Observational

Study type
Observational
Model
Case-only
Time perspective
Cross-sectional
Enrollment
3,429
Ages
5 Years and older
Sex
All
01

Study summary

This study evaluated the diagnostic accuracy and effectiveness of POC viral load (VL) assay in improving the availability of SARS-CoV-2 detection for COVID-19 patient management in decentralised healthcare facilities of resource-constrained settings in Tanzania, DR Congo and Burkina Faso.

Read the detailed description

Project Title: Evaluation of molecular point-of-care Xpert® Xpress SARS-CoV-2 detection implementation in resource limited settings (RIA2020EF-2990) - EXPERT-CoV-2

Clinical Trial Registration: NCT05514886

Principal Investigator: Dr Daniel T. R Minja, NIMR- Tanga Centre, Korogwe Research Station, Tanzania

Collaborating Partners: University of Kinshasa, DR Congo, Research Institute for Health Sciences, Burkina Faso, University of Copenhagen, Denmark, University of Antwerp, Belgium, University of Valencia, Spain

Funding: This project (RIA2020EF-2990) is part of the EDCTP2 programme supported by the European Union.

Date: 17th July 2024

Background: Rapid diagnostic tests of individuals infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) are the cornerstone to implementing early case detection and management to control the spread of the deadly virus. RT-PCR is the gold standard for the detection of SARS-CoV-2 but its availability and usability is impeded by fragmented laboratory infrastructure in LMICs and even when available it's only found in reference labs.

The recent development of the Gene Expert molecular Point-of-Care (POC) (Xpert® Xpress SARS-CoV-2/Flu/RSV test, Cepheid Sunnyvale, CA) for SARS-CoV-2 testing in the clinics with results delivery within hours of sample collection has been vital in resolving the turnaround time (TAT). GeneXpert has been widely rolled out within national tuberculosis (TB) and HIV programmes across Africa. However, evaluation of its diagnostic accuracy and the feasibility of its integration into the TB/HIV programme has not been evaluated in resource-constrained settings.

Study objective: This study is envisaged to evaluate the diagnostic accuracy and effectiveness of POC viral load (VL) assay in improving the availability of SARS-CoV-2 detection for COVID-19 patient management in decentralised healthcare facilities of resource-constrained settings in Tanzania, DR Congo and Burkina Faso.

Methods and Results: This study was conducted in Tanzania, Burkina Faso and DR Congo between 21st July 2021 and February 2024. Data analyses are ongoing and further updates will be made available once the final phylogenetic analyses are completed and ready for publication, details of the clades and variants will also be available.

02

Conditions studied

  • COVID-19

Keywords

  • SARS-CoV-2
03

In context

Lead sponsor

National Institute for Medical Research, Tanzania is the lead sponsor of 14 studies on the registry; 1 is open to participants now.

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

04

Who can participate

Ages eligible
5 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Individuals age 5 years and above with respiratory symptoms suggestive of SARS-CoV-2 infection

Inclusion criteria

  • Aged 5 years and above presenting with symptoms as indicated in national COVID-19 standard cases definitions or
  • Presence of one or more respiratory symptoms (fever (defined as >37.5°C), Persistent coughs, headache, myalgia, sore throat ) or One risk factor for COVID-19, including known contact with a patient with COVID-19, underlying comorbidities, smoking.
  • Provision of an informed consent/assent (for minors aged 11-17 years) by themselves or parents/guardians to participate

Exclusion criteria

Exclusion Criteria:

  • Inability or unwillingness to give written informed consent/assent.
05

Study design

Observational model
Case-only
Time perspective
Cross-sectional
Enrollment
3,429 participants (actual)
Patient registry
No
Biospecimen retention
Samples with dna

Interventions

  • DeviceGene Expert molecular Point-of-Care (POC) (Xpert® Xpress SARS-CoV-2/Flu/RSV test

    POC viral load (VL) assay in improving the availability of SARS-CoV-2 detection for COVID-19 patient management in decentralized healthcare facilities of resource-constrained settings in Tanzania, DR Congo and Burkina Faso.

06

What researchers measure

Primary outcomes

  1. Proportion of patients with SARS-CoV-2 infection

    The study will screen patients with respiratory tract infections suggestive of SARS-CoV-2 infection

    Time frame: 24 months

07

Study locations

1 site
  • Nimr Korogwe
    Tanga, Tanzania
08

References and documents

Individual participant data

Plan to share: Undecided — This will be discussed in the consortium and once consensus has been reached, it will be decided on which information and data will be shared.

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 Sep 19, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05514886
Lead sponsor
National Institute for Medical Research, Tanzania
Collaborators
University of Kinshasa, The Democratic Republic of Congo, Research Institute for Health Sciences - Burkina Faso, Universiteit Antwerpen, Belgium, Københavns Universitet, Universidad de Valencia, Spain
Responsible party
Daniel T Minja, PhD (Principal Investigator, National Institute for Medical Research, Tanzania) — Principal investigator
First posted
Aug 25, 2022
Start date
Aug 10, 2022
Primary completion
Feb 29, 2024
Completion
Feb 29, 2024
Last update
Sep 19, 2024

Study contacts

DANIEL TR MINJA, PhD
principal investigator · National Institute for Medical Research, Tanzania

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 Sep 2024. You cannot join it, but the record below documents what was studied.

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