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NextGen - Clinical Implication of Next Generation Sequencing

Wake Forest University (WFU) logo

Wake Forest University (WFU)

Status and phase

Enrolling
Phase 4

Conditions

Urinary Tract Infections

Treatments

Drug: Antibiotic
Device: Next Gen

Study type

Interventional

Funder types

Other

Identifiers

NCT05206500
IRB00073565

Details and patient eligibility

About

Recently more advanced techniques, including Polymerase Chain Reaction (PCR) and Next Generation Sequencing (NGS) are available to detect bacteria in urine based on bacterial genomes. Comparing to traditional culture, these techniques have more sensitivity and could potentially be of a great help in patients with Colony Count of less than 10,000 and more than zero.

Full description

Bacterial sensitivity test for different antibiotics are the most important guide for treatment of patients with UTI. Unfortunately, for patients with less than 10,000 Colony Count (CC), usually no sensitivity test is done and there is not any guide for appropriate antibiotic therapy for this group.

Enrollment

100 estimated patients

Sex

Female

Ages

18 to 80 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Female at least 18 years of age
  • U/C (Urinary Culture) growth of <10,000 Colony-Forming Units (CFU)
  • Understanding and acceptance of the need to return for all scheduled follow-up visits
  • Able to give informed consent

Exclusion criteria

  • Catheter in use (Foley or suprapubic or intermittent)
  • Not able to provide clean midstream urine
  • Antibiotic consumption in the past 2 weeks before signing the consent
  • Pregnant or Planning to Conceive
  • Incarcerated

Trial design

Primary purpose

Supportive Care

Allocation

N/A

Interventional model

Single Group Assignment

Masking

None (Open label)

100 participants in 1 patient group

Symptomatic Patients with low Colony Count
Other group
Description:
Patients with positive urinalysis, symptomatic, and Urine Culture Colony Count \<10,000 to be treated based on Next Generation Sequencing result.
Treatment:
Device: Next Gen
Drug: Antibiotic

Trial contacts and locations

1

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Central trial contact

Majid Mirzazadeh, MD; Sachin N Vyas, MS, PhD

Data sourced from clinicaltrials.gov

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