Evidence map›Paper›PMID 29615488›Full record

Trial reportGut2018

Development and clinical validation of the Genedrive point-of-care test for qualitative detection of hepatitis C virus.

Alba Llibre, Yusuke Shimakawa, Estelle Mottez, Shaun Ainsworth, Tan-Phuc Buivan, Rick Firth, Elliott Harrison, Arielle R Rosenberg, Jean-François Meritet, Arnaud Fontanet and 11 more

Registry-linked trialOpen access · hybridAbstract readClinical TrialValidation Study
In one paragraph

Trial report in Gut, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02992184 (PoC-HCV Genedrive Viral Detection Assay Validation Study), which is not on this map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
6.1field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02992184 completednot on this map

PoC-HCV Genedrive Viral Detection Assay Validation Study

TypeobservationalSponsorANRS, Emerging Infectious DiseasesRan2016 to 2016Enrolled417ConditionsHepatitis CArmsHCV RNA detection with Genedrive assay, HCV RNA detection with RealTime HCV
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 71 citations in OpenAlex.

  1. Review
  2. Current advances in Hepatitis C diagnostics.Journal of biological engineering · 2024
    Review
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Diagnostic Performance and Usability of the GenedriveDiagnostics (Basel, Switzerland) · 2021
    Article
  17. Article
  18. Article
  19. BMJ open · 2020
    Article
  20. In-field evaluation of Xpert® HCV viral load Fingerstick assay in people who inject drugs in Tanzania.Liver international : official journal of the International Association for the Study of the Liver · 2020
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors at 8 institutions in 4 countries.

Alba Llibre *Immunobiology of Dendritic Cells, Institut Pasteur, Paris, France.
Yusuke Shimakawa *Unité d'Epidémiologie des Maladies Emergentes, Institut Pasteur, Paris, France.
Estelle MottezCentre for Translational Research, Institut Pasteur, Paris, France.
Shaun Ainsworthgenedrive pIc, Manchester, UK.
Tan-Phuc BuivanCentre for Translational Research, Institut Pasteur, Paris, France.
Rick Firthgenedrive pIc, Manchester, UK.
Elliott Harrisongenedrive pIc, Manchester, UK.
Arielle R RosenbergUniversité Paris Descartes, EA4474 "Hepatitis C Virology", AP-HP, Hôpital Cochin, Service de Virologie, Paris, France.
Jean-François MeritetUniversité Paris Descartes, EA4474 "Hepatitis C Virology", AP-HP, Hôpital Cochin, Service de Virologie, Paris, France.
Arnaud FontanetUnité d'Epidémiologie des Maladies Emergentes, Institut Pasteur, Paris, France.
Pablo CastanHospital Universitario La Paz, Madrid, Spain.
Antonio MadejónLiver Unit, Hospital Universitario La Paz, CIBERehd, IdiPAZ, Madrid, Spain.
Mark Laverickgenedrive pIc, Manchester, UK.
Allison GlassLancet Laboratories, Johannesburg, South Africa.
Raquel VianaLancet Laboratories, Johannesburg, South Africa.
Stanislas PolImmunobiology of Dendritic Cells, Institut Pasteur, Paris, France.
C Patrick McClureGastrointestinal and Liver Disorders Theme, NIHR Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust, University of Nottingham, Nottingham, UK.
William Lucien IrvingGastrointestinal and Liver Disorders Theme, NIHR Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust, University of Nottingham, Nottingham, UK.
Gino Mielegenedrive pIc, Manchester, UK.
Matthew L Albert *Immunobiology of Dendritic Cells, Institut Pasteur, Paris, France.
Darragh Duffy *Immunobiology of Dendritic Cells, Institut Pasteur, Paris, France.
Institut Pasteur · FRHôpital Cochin · FRHospital Universitario La Paz · ESInserm · FRLancet Laboratories · ZANottingham Biomedical Research Centre · GBConservatoire National des Arts et Métiers · FRUniversité Paris Cité · FR

Funding

Medical Research Council MR/N005953/1
6 · The paper itself

Abstract

objectiveRecently approved direct acting antivirals provide transformative therapies for chronic hepatitis C virus (HCV) infection. The major clinical challenge remains to identify the undiagnosed patients worldwide, many of whom live in low-income and middle-income countries, where access to nucleic acid testing remains limited. The aim of this study was to develop and validate a point-of-care (PoC) assay for the qualitative detection of HCV RNA.

designWe developed a PoC assay for the qualitative detection of HCV RNA on the PCR Genedrive instrument. We validated the Genedrive HCV assay through a case-control study comparing results with those obtained with the Abbott RealTi

resultsThe PoC assay identified all major HCV genotypes, with a limit of detection of 2362 IU/mL (95% CI 1966 to 2788). Using 422 patients chronically infected with HCV and 503 controls negative for anti-HCV and HCV RNA, the Genedrive HCV assay showed 98.6% sensitivity (95% CI 96.9% to 99.5%) and 100% specificity (95% CI 99.3% to 100%) to detect HCV. In addition, melting peak ratiometric analysis demonstrated proof-of-principle for semiquantification of HCV. The test was further validated in a real clinical setting in a resource-limited country.

conclusionWe report a rapid, simple, portable and accurate PoC molecular test for HCV, with sensitivity and specificity that fulfils the recent FIND/WHO Target Product Profile for HCV decentralised testing in low-income and middle-income countries. This Genedrive HCV assay may positively impact the continuum of HCV care from screening to cure by supporting real-time treatment decisions. TRIAL REGISTRATION NUMBER: NCT02992184 .

Indexed as

AdultAgedCase-Control StudiesFemaleGenotypeHepacivirusHepatitis C, ChronicHumansMaleMiddle AgedPoint-of-Care SystemsPolymerase Chain ReactionReproducibility of ResultsRNA, ViralSensitivity and SpecificityViral LoadRNA, ViralChronic Viral HepatitisDiagnostic VirologyHepatitis C

Identifiers

PMID29615488
PMCPMC6176522
OpenAlexW2795927900

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.