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CompletedNCT07597889Updated May 19, 2026

Diagnostic Accuracy of 2 cm Versus 4 cm Insertion Depth for Nasal Swabs for SARS-CoV-2 (COVID-19) Rapid Antigen Testing-A Randomized Controlled Trial

An interventional study of 4 cm nasal swab - left nostril and 2 cm nasal swab in the left nostril in COVID -19, sponsored by Rigshospitalet, Denmark. Completed at 1 site in Denmark. Open to participants aged 16 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-05-19.

Sponsored by Rigshospitalet, Denmark · Not applicable, Interventional, and Diagnostic

From the registry’s dates

  • Registered 3 years 2 months after the study started (first participant enrolled Feb 2023, registered Apr 2026).
Phase
Not applicable
Study type
Interventional
Enrollment
317
Allocation
Randomized
Ages
16 Years and older
Sex
All
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Study summary

This study aims to compare the diagnostic accuracy of rapid antigen detection tests (RDTs) for SARS-CoV-2 using nasal swab insertion depths of 2 cm versus 4 cm.

The study is an investigator-initiated, randomized clinical trial conducted at a public COVID-19 test center in Copenhagen, Denmark.

Following enrollment, participants complete a questionnaire regarding symptoms and vaccination status.

Participants are randomized in a 1:1 ratio to one of two sampling sequences: either a 2 cm swab in the left nostril and a 4 cm swab in the right nostril, or vice versa. All participants undergo a healthcare worker-collected throat swab for RT-PCR analysis, which serves as the reference standard for SARS-CoV-2 infection.

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Conditions studied

  • COVID -19

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Keywords

  • covid-19
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In context

COVID-19

7,640 studies on the registry are indexed under COVID-19; 488 are open to participants now.

This study's enrollment of 317 is above the median of 100 across 4,099 interventional studies indexed under COVID-19.

Browse COVID-19 studies →

Lead sponsor

Rigshospitalet, Denmark is the lead sponsor of 1,017 studies on the registry; 183 are open to participants now.

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

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Who can participate

Ages eligible
16 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Citizens, aged 16 years or older, showing up for a SARS-CoV-2 RT-PCR test at Testcenter Valby in Copenhagen, Denmark

Exclusion criteria

Exclusion Criteria:

  • non-fluent in Danish
  • citizens with nasopharyngeal or oropharyngeal anomalies (e.g. neck breathers with tracheostomy)
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Study design

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

Study arms

  • Experimental
    2 cm nasal swab in the right nostril, and 4 cm nasal swab in the left nostril

    Diagnostic Test: 4 cm nasal swab - left nostril · Diagnostic Test: 2 cm nasal swab - right nostril

  • Experimental
    4 cm nasal swab in the right nostril, and 2 cm nasal swab in the left nostril

    Diagnostic Test: 2 cm nasal swab in the left nostril · Diagnostic Test: 4 cm nasal swab - right nostril

Interventions

  • Diagnostic test4 cm nasal swab - left nostril

    a 4 cm nasal swab insertion in the left nostril

  • Diagnostic test2 cm nasal swab in the left nostril

    a 2 cm nasal swab insertion in the left nostril

  • Diagnostic test4 cm nasal swab - right nostril

    a 4 cm nasal swab insertion in the right nostril

  • Diagnostic test2 cm nasal swab - right nostril

    a 2 cm nasal swab insertion in the right nostril

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What researchers measure

Primary outcomes

  1. Diagnostic accuracy (sensitivity and specificity) of SARS-CoV-2 antigen rapid diagnostic tests (Ag-RDTs) using nasal swabs collected at 2 cm versus 4 cm insertion depth, with RT-PCR as the reference standard

    Time frame: Baseline (during the study visit at the time of sample collection). Ag-RDT results were available immediately, whereas RT-PCR results were reported the following days (1-3 days).

Secondary outcomes

  1. Test discomfort on a 10-point VAS-scale

    Test discomfort was evaluated using a 10-point visual analogue scale (VAS), ranging from 0 (no discomfort) to 10 (worst imaginable discomfort).

    Time frame: Baseline (during the study visit at the time of sample collection).

  2. Self-reported symptoms of disease

    Self-reported symptoms of SARS-CoV-2 infection collected via questionnaire at enrollment, including presence, type, and duration of symptoms (e.g., fever, cough, sore throat, nasal congestion, loss of taste or smell)

    Time frame: Baseline (during the study visit at the time of sample collection). Self-reported symptoms of disease were collected immediately prior to testing, during the study visit.

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Study locations

1 site
  • Rigshospitalet
    Copenhagen, Denmark
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References and documents

Individual participant data

Plan to share: Yes — Study Protocol

Supporting information: Study protocol

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 19, 2026, 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
NCT07597889
Lead sponsor
Rigshospitalet, Denmark
Responsible party
Tobias Todsen (MD, PhD. Principal investigator., Rigshospitalet, Denmark) — Principal investigator
First posted
May 19, 2026
Start date
Feb 1, 2023
Primary completion
Feb 26, 2023
Completion
Feb 26, 2023
Last update
May 19, 2026

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 May 2026. You cannot join it, but the record below documents what was studied.

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