The study is designed as a clinical feasibility, to investigate the positive and negative percent agreement (PPA and NPA) of the BinaxNOW™ COVID-19/Flu A\&B Combo against a highly sensitive PCR method(s) in symptomatic patients suspected of SARS-CoV-2 or influenza infection when nasal swabs are self-collected by the patient/lay user.
Approximately 700 symptomatic participants will be enrolled to achieve at least 61 COVID PCR positive, 45 Flu A PCR positives, 30 Flu B PCR positives and 301 COVID and Influenza PCR negatives. The total number of research-related anterior nasal swabs collected from each consented Participant is two (2). Participants ages two (2) years and older meeting eligibility criteria will be enrolled. The order of nasal swab collection will be randomized according to the Participant ID as to which swab is used for BinaxNOW™ COVID-19/Flu A\&B Combo and which is to be eluted into VTM/UTM and will have the swab head left in the media (snap off or clip shaft) for comparator testing. For Participants with an odd numbered Participant ID, the first swab will be self-collected and used for the BinaxNOW™ COVID-19/Flu A\&B Combo. The second swab will be collected by a healthcare professional and eluted into VTM/UTM and will have the swab head left in the media (snap off or clip shaft) for comparator testing. The Participant will review the Instructions for Use, collect the nasal swab, and perform the BinaxNOW™ COVID-19/Flu A\&B Combo, then interpret and record the result at the time specified in the product instructions. For Participants with an even numbered Participant ID, the first swab will be collected by a healthcare professional and eluted into VTM/UTM and will have the swab head left in the media (snap off or clip shaft) for comparator testing. The second swab will be self-collected and used for the BinaxNOW™ COVID-19/Flu A\&B Combo. Once the healthcare provider collected the swab for the comparator test the Participant will review the Instructions for Use. The VTM/UTM samples will be stored, handled, and tested with comparator assays according to the manufacturers' product instructions. VTM/UTM specimens can be stored for up to 48 hours at 2-8°C. If delivery and processing of samples exceeds specified time periods, specimens should be transported in dry ice and once in laboratory frozen at -70°C or colder. Each Participant's demographic data, inclusion/exclusion data, days of symptom onset, comparator results, Education level, occupation, and socioeconomic status and other data points will be documented on the data collection worksheets and EDC.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
700
Diagnostic Test: BinaxNOW™ COVID-19/Flu A\&B Combo Self-Test The BinaxNOW™ COVID-19/Flu A\&B Combo Self-Test is a visually read lateral flow in vitro immunoassay for the qualitative detection and differentiation of the nucleocapsid protein antigen to SARS-CoV-2, Influenza A, and Influenza B directly in anterior nasal swab specimens from individuals with signs and symptoms of respiratory infection.
Demonstrate the positive percent agreement (PPA) and negative percent agreement (NPA)
The primary objective of this study is to demonstrate the positive and negative percent agreement (PPA and NPA) of the BinaxNOW™ COVID-19/Flu A\&B Combo against a highly sensitive PCR method(s) in symptomatic patients suspected of SARS-CoV-2 or influenza infection when nasal swabs are self-collected by the patient/lay user. The patient/lay user will perform the test, read, and interpret the test result.
Time frame: 5 months
Demonstrate the accuracy of the BinaxNOW™ COVID-19/Flu A&B Combo Self-Test in patient/lay user
The secondary objective of this study is to demonstrate the accuracy of the BinaxNOW™ COVID-19/Flu A\&B Combo Self-Test in the hands of patients/lay users, which are "intended users" in a point of care (POC) Clinical Laboratory Improvement Amendments of 1988 (CLIA) moderate, high or waived complexity test environment
Time frame: 5 months
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