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N/A N=98 Randomized Diagnostic

Rapid Diagnostic Assay for Gonorrhea and Chlamydia

Urethritis · Cervicitis · Sexually Transmitted Infections

Enrolled (actual)
98
Serious AEs
0.0%
Results posted
Sep 2025
Primary outcome: Primary: Mean Antibiotic Days of Therapy (DOT) Administered Per Patient With Symptomatic Urethritis or Cervicitis — 7; 1 Antibiotic days of therapy (DOT) — p=0.053

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Rapid 30-minute Desktop Assay (Diagnostic_test)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Massachusetts General Hospital
Primary completion
Jun 2024

Outcome Measures

OutcomeResultp-value
PRIMARY
Mean Antibiotic Days of Therapy (DOT) Administered Per Patient With Symptomatic Urethritis or Cervicitis
7; 1 0.053
SECONDARY
Participant Visit Duration
57; 87
SECONDARY
Sample Processing Time
SECONDARY
Time to Result
6.5; 34
SECONDARY
Test-concordant Antibiotic Use for Gonorrhea
41; 46
SECONDARY
Diagnosis-concordant Antibiotic Use for Gonorrhea
43; 48
SECONDARY
Proportion of Participants With Invalid or Unavailable Point of Care Gram Stain or Rapid STI Test Results
4; 0

Summary

This study is a pilot randomized controlled trial evaluating the use of either a) rapid 30-minute desktop assay or b) point-of-care gram stain (current standard of care) to guide the clinical management of patients with symptomatic urethritis or cervicitis evaluated in the Massachusetts General Hospital Sexual Health Clinic. Patients presenting with symptoms of urethritis or cervicitis and meeting inclusion criteria will be randomized to have diagnostic specimens tested during the clinical encounter using either the 30-minute desktop assay or point-of-care gram stain. Patients randomized to the intervention arm of the study will also have a gram stain created, which will be held for interpretation by the clinician following the clinical encounter. Patients will not be followed longitudinally. Recruitment will conclude when 100 participants enroll in the study.

Eligibility Criteria

Inclusion Criteria

  • 18 years of age and older
  • Presenting with symptoms of acute urethritis or cervicitis
  • Willing to provide urine or additional vaginal swab specimen

Exclusion Criteria

  • Younger than 18 years old
  • Presenting with symptoms not consistent with urethritis or cervicitis
  • Unwilling or unable to provide urine or vaginal swab specimen
  • Pregnant
  • Contact of index patients with Gonorrhea or Chlamydia
  • Known exposure to Gonorrhea or Chlamydia
  • Reporting concurrent symptoms at a non-genital site
  • Suspected or confirmed to have Monkeypox
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT05564299). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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