Master Protocol for Evaluating Multiple Infection Diagnostics for Ciprofloxacin-Resistant Neisseria Gonorrhoeae
Start Date
4/16/2025
Completion Date
7/1/2026
Summary
The goal of this study is to learn if a few investigational tests can correctly find the gene mutation (mutant allele gyrA 91F) that predicts ciprofloxacin resistance in clinical specimens that harbor Neisseria gonorrhoeae. The main question the study aims to answer: Can the investigational reflex test find the correct gene mutation (Neisseria gonorrhoeae gyrA 91F or gyrA 91S) as compared to the sequenced result? Specimens that are collected for routine clinical care and harbor Neisseria gonorrhoeae will be evaluated in this study.
Detailed Description
This is a prospective, multi-center, cross-sectional study using consecutive clinical specimens that are collected for routine clinical care and test positive for N. gonorrhoeae using an FDA-cleared molecular assay. The study evaluates the diagnostic accuracy of multiple investigational reflex tests to detect the mutant allele gyrA 91F that predicts ciprofloxacin resistance in N. gonorrhoeae, as compared to a reference standard of Sanger sequencing of the gyrA codon 91. Specimens will be tested via a reference standard of Sanger sequencing and one investigational reflex test. The target sample size is 311 urine specimens, 496 vaginal swab specimens, and 469 pharyngeal specimens, for each investigational reflex test.
Eligibility Criteria
Age Range: No minimum to No maximum
Interventions
Investigational Reflex Test 1
Investigational Reflex Test 2
Investigational Reflex Test 3
Conditions
Locations
San Francisco Public Health Laboratory
San Francisco, California 94102
United States
Indiana University School of Medicine
Indianapolis, Indiana 46202
United States
Mississippi State Department of Public Health
Jackson, Mississippi 39216
United States
Corewell Health
Royal Oak, Missouri 48073
United States
LabCorp
Durham, North Carolina 27703
United States
ARUP Laboratories
Salt Lake City, Utah 84108
United States
University of Virginia School of Medicine
Charlottesville, Virginia 22908
United States
Molecular Testing Labs
Vancouver, Washington 98684
United States