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Completed

NCT Number: NCT05196932

COVID Card Pilot Study to Detect Antibodies to SARS-CoV-2

This study aims to investigate the clinical performance characteristics of the novel point-of-care, semi-quantitative test for SARS-CoV-2 in the Emergency Department compared to the gold standard (ELISA).

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

University of Maryland Medical Systems

Baltimore, Maryland, 21201, United States

About this study

A prospective, non-blinded, non-randomized trial will be conducted at the Adult Emergency Department at the University of Maryland Medical Center and Adult Urgent Care Center, which is managed by the Department of Emergency Medicine, located in Baltimore, Maryland.

Patients meeting eligibility criteria and who have signed the research informed consent will be enrolled in this study. Subject data collected will include demographic information and past medical history. Upon enrollment into the study, a study team member will obtain a fingerstick blood sample and a sample of blood obtained during usual care venipuncture. Both fingerstick blood and blood from venipuncture will be run on the point-of-care, semi-quantitative test. The test should be expected to result within minutes after the blood sample is added to the agglutinin. An additional tube of blood will be obtained and sent to the local central laboratory for quantitative serum SARS-CoV-2 antibody testing.

Additional data will be collected on the reported or documented COVID-19 immunization status and reported or documented history of prior COVID-19 infection.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Adult (age > 18 years) emergency department patients
  • ED workup includes blood testing
  • Confirmed history of vaccination against SARS-CoV-2

Exclusion criteria

  • Known to be pregnant at the time of evaluation
  • Incarcerated at the time of evaluation
  • Requires the use of an interpreter
  • Patient is considered immunocompromised or has any other condition that the investigator feels makes the patient unsuitable for study inclusion.
  • Has any other condition that the investigator feels makes the patient unsuitable for study inclusion

Treatment and study plan

Novel point-of-care, semi-quantitative test for SARS-CoV-2 antibodies

Device

A drop of blood obtained by both finger-prick and venipuncture will be placed on the test card, which has been activated by the addition of diluent. Visual clumping of red blood cells (RBCs) will be seen within minutes if SARS-CoV-2 antibodies are present. Additionally, the COVID card is semi-quantitative, meaning that the yielded hemagglutination pattern will correlate with the concentration of antibodies in the serum.

A research team member will be present at bedside to provide their interpretation based on an established visual agglutination scoring system.

Other names: Covid Card

Primary outcomes

  1. Clinical Performance

    Time frame: 6 months

    To measure the diagnostic sensitivity, specificity, and accuracy compared to the gold standard central laboratory SARS-CoV-2 antibody test.

Secondary outcomes

  1. Past Medical Conditions

    Time frame: 6 months

    To measure the diagnostic sensitivity, specificity, and accuracy compared to the gold standard central laboratory SARS-CoV-2 antibody test relative to patient past medical conditions

  2. Time Since Vaccination

    Time frame: 6 months

    To measure the diagnostic sensitivity, specificity, and accuracy compared to the gold standard central laboratory SARS-CoV-2 antibody test relative to the time since vaccination

  3. Inter-Rater Reliability

    Time frame: 6 months

    To measure differences in interpretation (scoring) of hemagglutination patterns between study team members.

  4. Type of Blood

    Time frame: 6 months

    The test characteristics of blood obtained by fingerstick will be compared to that of blood obtained by venipuncture.

Sponsors and collaborators

Lead sponsor

University of Maryland, Baltimore

Other

Registry information

Official study title

A Pilot Study Investigating the Clinical Performance of a Novel, Point-of-care, Semi-quantitative Test for SARS-CoV-2 Antibodies in Patients Vaccinated Against COVID-19

Important dates

Study start
2022
Primary completion
2023
Study completion
2023
First posted
Jan 19, 2022
Registry last updated
May 10, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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