ClinicalTrials.gg
CompletedNCT06438575PATUpdated Apr 8, 2026Results posted

Point of Care Diagnosis of Vaginal Infections

An interventional study of Xpert® Xpress MVP test and Usual Care in Vaginitis, Bacterial Vaginosis and Yeast Vaginitis, sponsored by Sharon L Hillier. Completed at 1 site in United States. Open to female participants aged 14 Years and older. Per ClinicalTrials.gov, last updated 2026-04-08.

Sponsored by Sharon L Hillier · Not applicable, Interventional, and Diagnostic

Phase
Not applicable
Study type
Interventional
Enrollment
351
Allocation
Randomized
Ages
14 Years and older
Sex
Female
01

Study summary

Vaginal infections are a common gynecologic issue and may cause significant symptoms and discomfort for individuals. Point of care tests are used to diagnose infections in the office, with an advantage of quick diagnosis and treatment. Examples of point of care tests are urine pregnancy, rapid strep and COVID-19 tests. This study will enroll persons with vaginal complaints and compare diagnosis and treatment based on usual care to diagnosis and treatment using a Food and Drug Administration-approved point of care test for the diagnosis of vaginitis. The study is being done to better understand diagnosis, treatment, and satisfaction using point of care tests compared to usual care.

Participants will be randomized to one of two study arms:

Arm 1: the healthcare provider will perform their usual evaluation and tests to make the diagnosis and provide treatment, as needed.

Arm 2: the provider will be asked to use the results of the point-of-care test being used in the study to make the diagnosis and provide treatment, as needed.

Regardless of arm, all diagnoses and treatment will be provided through the healthcare provider. All participants will be contacted 2 weeks later to answer a questionnaire related to diagnosis, treatment, current symptoms, and satisfaction with their visit. Medical records related to vaginal complaints, up to 30 days from enrollment, will be reviewed by the study team to obtain information on symptoms, tests performed, results, and treatments prescribed.

Read the detailed description

The goal of this randomized clinical trial is to evaluate whether same day testing using the Xpert® Xpress MVP test in a patient care setting results in a higher degree of appropriate treatment of vaginitis compared to standard of care for persons having vaginitis symptoms. Approximately 300 individuals who are complaining of vaginitis symptoms and are seeking care at one of the study participating offices within Magee-Womens Hospital will be invited to participate. In this study, the office visit will serve as the enrollment visit. After obtaining informed consent, participants will complete a brief questionnaire and self-collect three vaginal swabs for three tests that are FDA-cleared for vaginitis diagnosis: Xpert® Xpress MVP, BD MAX™ Vaginal Panel, and BD AffirmTM VPIII Microbial Identification Test. Participants will be randomized (1:1) into one of two arms after collecting swabs:

Arm 1, vaginitis diagnosis and treatment will be based on usual provider evaluation and treatment during the office visit. The Xpert® Xpress MVP test will be batched with delayed results made available to the provider following the participant's 2-week study follow-up telephone contact

. Arm 2, the Xpert® Xpress MVP test will be run in real time as a point of care test at the time of the office visit and the results will be made available to the provider in approximately one hour. Providers will be asked to use the MVP test result for diagnosis and treatment of the participant

All participants, regardless of arm, will complete a follow-up telephone contact approximately two weeks after their office visit to assess symptom resolution and satisfaction. Review and collection of electronic medical record information related to the office visit evaluation, testing, diagnosis and treatment will also be included.

A Healthcare Provider Sub study will also be performed. The sub study will include a baseline questionnaire completed by clinicians at participating offices and then a follow-up questionnaire administered to clinicians who provided care for at least one study participant. The sub study will help investigators understand how providers feel about point-of-care testing for vaginitis.

02

Conditions studied

  • Vaginitis
  • Bacterial Vaginosis
  • Yeast Vaginitis
  • Trichomonas Vaginitis

Keywords

  • Point-of-care diagnosis
  • Vaginitis
  • Symptomatic
03

In context

Vaginitis

98 studies on the registry are indexed under Vaginitis; 12 are open to participants now.

This study's enrollment of 351 is above the median of 108 across 71 interventional studies indexed under Vaginitis.

Browse Vaginitis studies →

Lead sponsor

This is the only study on the registry with Sharon L Hillier as lead sponsor.

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

04

Who can participate

Ages eligible
14 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Eligibility criteria

Primary study

Inclusion Criteria:

  • Complaining of at least one symptom of vaginitis: vaginal discharge, vaginal odor, vulvar or vaginal itch. Women having vulvar or vaginal discomfort such as irritation, burning, pain of less than 2 months duration are also eligible. Pregnant participants who complain of vaginal discharge will be required to have at least one additional vaginal symptom to be eligible.
  • Seeking care at one of the participating offices.
  • Able and willing to provide .
  • Willing to undergo all study-related assessments and procedures, including self-collection of vaginal swabs, answering questions/surveys, agreeing to the review and collection of information from their medical record from the office (enrollment/index) visit and up to 4 weeks after the office visit.

Exclusion Criteria:

  • Previous participation in this study.
  • Any condition, that in the opinion of the investigator, would preclude provision of consent, make participation in the study unsafe, complicate interpretation of study outcome data, or otherwise interfere with achieving the study objectives

Healthcare Provider Sub-study

Inclusion Criteria:

  • Able and willing to provide informed consent
  • Provided clinical care to at least one study participant on the date of their study enrollment
  • Willing to undergo all study-related assessments including answering questions/surveys
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
351 participants (actual)

Study arms

  • Other
    Usual Care

    Vaginitis diagnosis and treatment will be based on usual provider evaluation and treatment during the office visit

    Diagnostic Test: Usual Care

  • Other
    Same Day Results

    the Xpert® Xpress MVP test will be run in real time as a point of care test at the time of the office visit and the results will be made available to the provider in approximately one hour. Providers will be asked to use the MVP test result for diagnosis and treatment of the participant.

    Diagnostic Test: Xpert® Xpress MVP test

  • Other
    Healthcare Provider Substudy

    Healthcare providers who had at least one patient enrolled in the randomized trial.

    Diagnostic Test: Xpert® Xpress MVP test · Diagnostic Test: Usual Care

Interventions

  • Diagnostic testXpert® Xpress MVP test

    The Xpert® Xpress MVP is an FDA-cleared point-of-care test for vaginitis diagnosis

  • Diagnostic testUsual Care

    Usual methods used by the healthcare provider for vaginitis diagnosis

06

What researchers measure

Primary outcomes

  1. Number of Participants Prescribed Appropriate Treatment

    Number of participants prescribed appropriate treatment at index visit or within 24 hours of index visit. Appropriate treatment is defined as Centers For Disease Control recommended, or Food and Drug Administration approved treatment based on diagnosis from the self-collected samples. Diagnosis is based on concordant results from two Food and Drug Administration approved diagnostic tests for vaginitis.

    Time frame: Approximately 24 hours

Secondary outcomes

  1. Number of Participants That Receive Correct Diagnosis of Vaginitis

    Number of participants whose vaginitis is correctly diagnosed by their healthcare provider. A positive result from both the Xpert® Xpress MVP and the BD MAX™ Vaginal Panel will be considered the gold standard for diagnosis of vaginitis/vaginosis. Correct diagnosis is based on concordant results from two Food and Drug Administration approved diagnostic tests for vaginitis

    Time frame: Approximately 2 weeks

  2. Number of Participants Who Experience Resolution of Vaginitis Symptoms

    Number of participants who experience resolution of vaginitis symptoms at the two week follow up contact assessed by participant's self-report.

    Time frame: Approximately 2 weeks

  3. Number of Participants That Are Satisfied With Their Office Visit

    Number of participants that respond that they are satisfied or very satisfied with their diagnosis and treatment for vaginitis at the 2-week follow-up visit. Satisfaction is evaluated on a 5-point Likert scale with 1 being very satisfied and 5 being very dissatisfied.

    Time frame: Approximately 2 weeks

  4. Number of Accurate BD AffirmTM VPIII Test Results

    Number of participant samples for which the BD AffirmTM VPIII test results agree with the results from the gold standard, defined as a concordant positive or negative result from both the Xpert® Xpress MVP and the BD MAX™ Vaginal Panel.

    Time frame: Approximately 2 weeks

Other outcomes

  1. Number of Healthcare Providers That Are Satisfied With Xpert® Xpress MVP Test

    Number of healthcare providers that respond that they are satisfied or very satisfied with the turnaround time using the Xpert® Xpress MVP to diagnose and treat their patients' vaginitis. Satisfaction is evaluated on a 5-point Likert scale with 1 being very satisfied and 5 being very dissatisfied.

    Time frame: Approximately 14 months

07

Results

Posted Apr 8, 2026

Participant flow

Participant flow — Overall Study
MilestoneUsual CareSame Day ResultsHealthcare Provider Substudy
Started13713975
Completed13713975
Not completed000

Outcome measures

PrimaryNumber of Participants Prescribed Appropriate Treatment

Number of participants prescribed appropriate treatment at index visit or within 24 hours of index visit. Appropriate treatment is defined as Centers For Disease Control recommended, or Food and Drug Administration approved treatment based on diagnosis from the self-collected samples. Diagnosis is based on concordant results from two Food and Drug Administration approved diagnostic tests for vaginitis.

Time frame:
Approximately 24 hours
Reported as:
Count of participants · Participants
Number of Participants Prescribed Appropriate Treatment
ParticipantsUsual CareSame Day Results
Appropriate treatment provided61104
Appropriate treatment not provided5821
Statistical analysis
  • Usual Care vs Same Day Results · Fisher Exact · p = <.001
SecondaryNumber of Participants That Receive Correct Diagnosis of Vaginitis

Number of participants whose vaginitis is correctly diagnosed by their healthcare provider. A positive result from both the Xpert® Xpress MVP and the BD MAX™ Vaginal Panel will be considered the gold standard for diagnosis of vaginitis/vaginosis. Correct diagnosis is based on concordant results from two Food and Drug Administration approved diagnostic tests for vaginitis

Time frame:
Approximately 2 weeks
Reported as:
Count of participants · Participants
Number of Participants That Receive Correct Diagnosis of Vaginitis
ParticipantsUsual CareSame Day Results
Correct diagnosis by provider63108
Incorrect/incomplete diagnosis5617
Statistical analysis
  • Usual Care vs Same Day Results · Fisher Exact · p = <.001
SecondaryNumber of Participants Who Experience Resolution of Vaginitis Symptoms

Number of participants who experience resolution of vaginitis symptoms at the two week follow up contact assessed by participant's self-report.

Time frame:
Approximately 2 weeks
Reported as:
Count of participants · Participants
Number of Participants Who Experience Resolution of Vaginitis Symptoms
ParticipantsUsual CareSame Day Results
Yes, symptoms resolved101109
No, symptoms did not resolve3629
Statistical analysis
  • Usual Care vs Same Day Results · Fisher Exact · p = .323
SecondaryNumber of Participants That Are Satisfied With Their Office Visit

Number of participants that respond that they are satisfied or very satisfied with their diagnosis and treatment for vaginitis at the 2-week follow-up visit. Satisfaction is evaluated on a 5-point Likert scale with 1 being very satisfied and 5 being very dissatisfied.

Time frame:
Approximately 2 weeks
Reported as:
Count of participants · Participants
Number of Participants That Are Satisfied With Their Office Visit
ParticipantsUsual CareSame Day Results
Satisfied, very satisfied120124
Dissatisfied, very dissatisfied, neutral1714
Statistical analysis
  • Usual Care vs Same Day Results · Fisher Exact · p = .573
SecondaryNumber of Accurate BD AffirmTM VPIII Test Results

Number of participant samples for which the BD AffirmTM VPIII test results agree with the results from the gold standard, defined as a concordant positive or negative result from both the Xpert® Xpress MVP and the BD MAX™ Vaginal Panel.

Time frame:
Approximately 2 weeks
Reported as:
Count of participants · Participants
Number of Accurate BD AffirmTM VPIII Test Results
ParticipantsUsual CareSame Day Results
Correct diagnosis7985
Incorrect diagnosis3738
Statistical analysis
  • Usual Care vs Same Day Results · Fisher Exact · p = .890
Other pre-specifiedNumber of Healthcare Providers That Are Satisfied With Xpert® Xpress MVP Test

Number of healthcare providers that respond that they are satisfied or very satisfied with the turnaround time using the Xpert® Xpress MVP to diagnose and treat their patients' vaginitis. Satisfaction is evaluated on a 5-point Likert scale with 1 being very satisfied and 5 being very dissatisfied.

Time frame:
Approximately 14 months
Reported as:
Count of participants · Participants
Number of Healthcare Providers That Are Satisfied With Xpert® Xpress MVP Test
ParticipantsHealthcare Providers With Patient in Same Day Results Arm
Satisfied or very satisfied52
Neither dissatisfied or satisfied1

Adverse events

Collected over 6 weeks. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Usual Care0/137 (0%)0/137 (0%)—
Same Day Results0/139 (0%)0/139 (0%)—

Baseline characteristics

Age, Continuous
Age, Continuous(years)Usual CareSame Day ResultsHealthcare Provider SubstudyTotal
Median32 (27 to 42)33 (26 to 39)—33 (27 to 41)
Age, Customized
Age, Customized(Participants)Usual CareSame Day ResultsHealthcare Provider SubstudyTotal
<30 years535315121
30-39 years445434132
40-49 years25211359
50-59 years49619
60 years and older112720
Sex: Female, Male
Sex: Female, Male(Participants)Usual CareSame Day ResultsHealthcare Provider SubstudyTotal
Female13713968344
Male0077
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Usual CareSame Day ResultsHealthcare Provider SubstudyTotal
Hispanic or Latino910—19
Not Hispanic or Latino128129—257
Unknown or Not Reported00—0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Usual CareSame Day ResultsHealthcare Provider SubstudyTotal
American Indian or Alaska Native00—0
Asian33—6
Native Hawaiian or Other Pacific Islander00—0
Black or African American7067—137
White5557—112
More than one race511—16
Unknown or Not Reported41—5
Region of Enrollment
Region of Enrollment(participants)Usual CareSame Day ResultsHealthcare Provider SubstudyTotal
United States13713975351
Pregnancy status
Pregnancy status(Participants)Usual CareSame Day ResultsHealthcare Provider SubstudyTotal
Not pregnant125131—256
Pregnant128—20
Number of current vaginitis symptoms
Number of current vaginitis symptoms(Participants)Usual CareSame Day ResultsHealthcare Provider SubstudyTotal
One4237—79
Two6254—116
Three2339—62
Four or more109—19
08

Study locations

1 site
  • Magee-Womens Hospital of UPMC
    Pittsburgh, Pennsylvania 15213, United States
09

References and documents

Publications

  • Hillier SL, Austin M, Macio I, Meyn LA, Badway D, Beigi R. Diagnosis and Treatment of Vaginal Discharge Syndromes in Community Practice Settings. Clin Infect Dis. 2021 May 4;72(9):1538-1543. doi: 10.1093/cid/ciaa260. PubMed 32350529 ↗
  • Schwebke JR, Gaydos CA, Nyirjesy P, Paradis S, Kodsi S, Cooper CK. Diagnostic Performance of a Molecular Test versus Clinician Assessment of Vaginitis. J Clin Microbiol. 2018 May 25;56(6):e00252-18. doi: 10.1128/JCM.00252-18. Print 2018 Jun. PubMed 29643195 ↗
  • Wiesenfeld HC, Macio I. The infrequent use of office-based diagnostic tests for vaginitis. Am J Obstet Gynecol. 1999 Jul;181(1):39-41. doi: 10.1016/s0002-9378(99)70433-3. PubMed 10411793 ↗
  • Hillier SL, Macio I, Gallagher R, Meyn L, Beamer M, Zamborsky T, Campbell T, Bunge K, Wiesenfeld HC. Randomized Study of Usual Care vs Xpert(R) Xpress MVP at the Point of Care for Accurate Diagnosis and Appropriate Treatment of Vaginal Infections. Sex Transm Dis. 2026 May 12. doi: 10.1097/OLQ.0000000000002343. Online ahead of print. PubMed 42117698 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jun 2024 to primary completion in Mar 2025, 9 months.

Results were first posted in Apr 2026, 1 year after primary completion.

Of 22 interventional studies with no phase under Vaginitis, half reached primary completion within 12 months of starting (the median), counting those still running; a quarter within 9 and three quarters within 35. This study's 9 months is below that.

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

Registered
May 24, 2024
First posted
Jun 3, 2024
StartActual
Jun 16, 2024
Primary completionActual
Mar 19, 2025
CompletionActual
Mar 26, 2025
Results first posted
Apr 8, 2026
Last update
Apr 8, 2026
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 Apr 8, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT06438575
Lead sponsor
Sharon L Hillier
Collaborators
Cepheid
Responsible party
Sharon L Hillier (Professor, University of Pittsburgh) — Sponsor-investigator
First posted
Jun 3, 2024
Start date
Jun 16, 2024
Primary completion
Mar 19, 2025
Completion
Mar 26, 2025
Results posted
Apr 8, 2026
Last update
Apr 8, 2026

Study contacts

Sharon L Hillier, PhD
principal investigator · University of Pittsburgh

Oversight

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

Not currently enrolling

This study is completed, as verified in Aug 2025. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion