Inflammatory Bowel Diseases Clinical Trial
Official title:
IBDoc® Canadian User Performance Evaluation
The objective of the IBDoc® user performance evaluation is to demonstrate the ease-of-use of the IBDoc® calprotectin home test to allow patients with inflammatory bowel disease (IBD) to independently and correctly determine calprotectin concentration in their own stool sample. The study is based on Chapter 8 of the International Organization for Standardization (ISO) Standard, ISO 15197:2013 "In vitro diagnostic test systems - Requirements for blood-glucose monitoring systems for self-testing in managing diabetes mellitus". The study is a prospective, multicenter study, not blinded for patients, and includes a total of 61 patients.
The patient will determine the calprotectin concentration in their own stool sample using the
IBDoc® assay. For this, the patient will collect a stool sample in a standard collection tube
at home. The patients will return to the clinical site with the specimen, where they will
receive a standardized IBDoc® training. They will also be given opportunity to perform an
IBDoc® practice test using the collected sample. The patients will then perform the full
IBDoc® assay using the collected stool sample under the observation of the healthcare
provider, who will assess their performance. The final result - the interpretation of the
IBDoc® lateral flow assay by the CalApp® smartphone application, to yield a final μg/g
calprotectin concentration in stool, will be sent to the health care provider (HCP) via the
IBDoc® Web Portal.
The usability of the IBDoc® test will be evaluated according to the following factors:
- Trueness/ accuracy - the patients' ability to obtain correct results will be evaluated by
comparing patients' IBDoc® results with reference measurements from the same stool sample
using the BÜHLMANN fCAL® ELISA, performed at a laboratory site. For reference measurements
the HCP at the clinical site will obtain 3 CALEX® Cap extracts from the patient's stool
sample, which will be stored frozen and shipped to the laboratory site.
To exclude bias or inaccuracy that may arise from the analytical performance characteristics
of the IBDoc® assay itself, a comparative IBDoc® assay will be performed according to the
instructions for use, with the patients' samples in a laboratory. For the comparative IBDoc®
measurement the HCP at the clinical site will obtain one CALEX® Valve extract from the
patient's stool sample, which will be stored frozen and shipped to the laboratory site.
-IBDoc® Calprotectin test usability, clearness of obtained result, and comprehensiveness of
the Instruction for Use will be assessed in the following ways:
- Patient's questionnaire
- HCP's questionnaire - human factors evaluation
The ability of patients to correctly collect and extract stool samples using the CALEX® Valve
device will be analysed as an additional module within the IBDoc® User Performance
Evaluation. The CALEX® Valve extracts obtained by the patients as part of the IBDoc®
procedure will be stored frozen and shipped to the laboratory site. Calprotectin levels in
the patients' CALEX® Valve extracts will be determined with the BÜHLMANN fCAL® ELISA and
compared to calprotectin reference values obtained from the same stool samples by the HCP's.
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