Evidence map›Paper›PMID 31734695›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2020

Simultaneous Evaluation of Diagnostic Assays for Pharyngeal and Rectal Neisseria gonorrhoeae and Chlamydia trachomatis Using a Master Protocol.

Sarah B Doernberg, Lauren Komarow, Thuy Tien T Tran, Zoe Sund, Mark W Pandori, David Jensen, Ephraim L Tsalik, Carolyn D Deal, Henry F Chambers, Vance G Fowler and 3 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02870101 (Performance of Nucleic Acid Amplification Tests for the Detection of Neisseria Gonorrhoeae and Chlamydia Trachomatis in Extragenital Sites), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.9field-weighted citation impact, top 9% 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.

NCT02870101 nacompletednot on this map

Performance of Nucleic Acid Amplification Tests for the Detection of Neisseria Gonorrhoeae and Chlamydia Trachomatis in Extragenital Sites

TypeinterventionalSponsorDuke UniversityRan2017 to 2018Enrolled2,767ConditionsNeisseria Gonorrhoeae Infection, Chlamydia Trachomatis Infection, Sexually Transmitted InfectionsArmsNucleic acid amplification test 1 for NG and CT, Nucleic acid amplification test 2 for NG and CT, Nucleic acid amplification test 3 for NG and CT
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 34 citations in OpenAlex.

  1. Article
  2. The Antibacterial Resistance Leadership Group: Scientific Advancements and Future Directions.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Article
  3. The Future Ain't What It Used to Be…Out With the Old…In With the Better: Antibacterial Resistance Leadership Group Innovations.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Article
  4. Priorities and Progress in Diagnostic Research by the Antibacterial Resistance Leadership Group.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Review
  5. Article
  6. Clinically Adjudicated Reference Standards for Evaluation of Infectious Diseases Diagnostics.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Article
  7. Review
  8. Urgent, Comprehensive Federal Action Needed To Stem Mortality and Medicare Costs Associated With Antimicrobial Resistance.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
    Article
  9. Article
  10. Alternative strategies forFrontiers in microbiology · 2022
    Review
  11. Review
  12. Article
  13. Is the Patient Infected with SARS-CoV-2?Journal of clinical microbiology · 2021
    Article
  14. Review
  15. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 8 institutions in 1 country.

Sarah B DoernbergUniversity of California, San Francisco, California, USA.
Lauren KomarowThe George Washington University Biostatistics Center, Rockville, Maryland, USA.
Thuy Tien T TranThe George Washington University Biostatistics Center, Rockville, Maryland, USA.
Zoe SundDuke University, Durham, North Carolina, USA.
Mark W PandoriAlameda County Department of Public Health, Oakland, California, USA.
David JensenDuke University, Durham, North Carolina, USA.
Ephraim L TsalikDuke University, Durham, North Carolina, USA.
Carolyn D DealNational Institute of Allergy and Infectious Diseases, Bethesda, Maryland, USA.
Henry F ChambersUniversity of California, San Francisco, California, USA.
Vance G FowlerDuke University, Durham, North Carolina, USA.
Scott R EvansThe George Washington University Biostatistics Center, Rockville, Maryland, USA.
Robin PatelMayo Clinic, Rochester, Minnesota, USA.
Jeffrey D KlausnerUniversity of California, Los Angeles, California, USA.
Duke University · USGeorge Washington University · USUniversity of California, San Francisco · USAlameda County Public Health Department · USDurham VA Health Care System · USMayo Clinic · USNational Institute of Allergy and Infectious Diseases · USUniversity of California, Los Angeles · US

Funding

Antibacterial Resistance Leadership Group (ARLG)UM1AI104681 · NIAID · DUKE UNIVERSITY · PI Vance G. Fowler, Henry F HENRY CHAMBERS · 2013 to 2026
$180.8M
Mentoring Patient Oriented Research in Antibiotic-Resistant BacteriaK24AI093969 · NIAID · DUKE UNIVERSITY · PI FOWLER, VANCE G. · 2011 to 2020
$1.6M
NIAID NIH HHS K24 AI093969NIAID NIH HHS UM1 AI104681
6 · The paper itself

Abstract

backgroundPharyngeal and rectal Neisseria gonorrhoeae and Chlamydia trachomatis play important roles in infection and antibacterial resistance transmission, but no US Food and Drug Administration (FDA)-cleared assays for detection at these sites existed prior to this study. The objective was to estimate performance of assays to detect those infections in pharyngeal and rectal specimens to support regulatory submission.

methodsWe performed a cross-sectional, single-visit study of adults seeking sexually transmitted infection testing at 9 clinics in 7 states. We collected pharyngeal and rectal swabs from participants. The primary outcome was positive and negative percent agreement for detection of N. gonorrhoeae and C. trachomatis for 3 investigational assays compared to a composite reference. Secondary outcomes included positivity as well as positive and negative predictive values and likelihood ratios. Subgroup analyses included outcomes by symptom status and sex.

resultsA total of 2598 participants (79% male) underwent testing. We observed N. gonorrhoeae positivity of 8.1% in the pharynx and 7.9% in the rectum and C. trachomatis positivity of 2.0% in the pharynx and 8.7% in the rectum. Positive percent agreement ranged from 84.8% to 96.5% for different anatomic site infection combinations, whereas negative percent agreement was 98.8% to 99.6%.

conclusionsThis study utilized a Master Protocol to generate diagnostic performance data for multiple assays from different manufacturers in a single study population, which ultimately supported first-in-class FDA clearance for extragenital assays. We observed very good positive percent agreement when compared to a composite reference method for the detection of both pharyngeal and rectal N. gonorrhoeae and C. trachomatis. CLINICAL TRIALS REGISTRATION: NCT02870101.

Indexed as

Chlamydia InfectionsGonorrheaAdultChlamydia trachomatisCross-Sectional StudiesFemaleHumansMaleNeisseria gonorrhoeaeNucleic Acid Amplification TechniquesPharynxRectumChlamydia trachomatisdiagnostic techniques and proceduresNeisseria gonorrhoeaenucleic acid amplification techniquessexually transmitted infections

Identifiers

PMID31734695
PMCPMC7713680
OpenAlexW2986903319

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.