COVID-19NCT04558372
Genosvid Diagnostic Test for Early Detection of COVID-19
A study testing exhaled breath sampling in people with COVID-19, run by Gadjah Mada University at 8 sites in Indonesia.
Trial summary
Electronic-nose had been used to diagnose other infectious lung diseases, such as tuberculosis. Universitas Gadjah Mada has developed an electronic-nose device which is easy-to-use, portable, and can be manufactured at a low price. Here the investigators test the electronic-nose to diagnose COVID-19 in Indonesia. Read more about this study
- Who is it for?
- Ages 4 years and older
- Conditions the study is for
- COVID-19
- What is being tested?
- exhaled breath sampling
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,999 participants
- Where
- 8 sitesIndonesia
- Study dates
- 1 Apr 2020to 12 Dec 2020
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 4 years and older
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- Patients diagnosed with COVID-19, non COVID-19, and suspected COVID-19 infection, based on the results of anamnesis, physical examination, laboratory, X-rays and rapid tests.
- Able to produce samples for RT-PCR examination.
- Agree to participate (sign informed consent). For children, informed consent are obtained from the parents. For adolescent patients, accent consent is asked.
- Patients who do not need oxygen therapy supplementation in the form of mask-type or ventilator. Patients who use oxygen supplementation with nasal cannula are still included as study participants.
Who cannot join
- Unable to breath deeply due to difficulty breathing due to complications of COVID-19 or other diseases
- The quality of the breath do not meet the standard interpretation of the instrument sensor curve (breath sampel is declared invalid).
Trial locations and contacts
8 sites in 1 country.
8 sites in 1 country
Indonesia8 sites
RS Bhayangkara Tk I R.Said Soekanto
Jakarta
Saiful Anwar
Malang
Dr Sardjito Hospital
Yogyakarta, 55281
Bambanglipuro Hospital
Yogyakarta, 55764
Bhayangkara Tk III Polda DIY
Yogyakarta
RS Akademik UGM
Yogyakarta
RSPAU Hardjolukito
Yogyakarta
RST Tk III Dr Soetarto
Yogyakarta
About this study
Official title: Genosvid Diagnostic Test for Early Detection of COVID-19: UGM Electronic-Nose Innovation for Indonesia
Electronic-nose had been used to diagnose other infectious lung diseases, such as tuberculosis. Universitas Gadjah Mada has developed an electronic-nose device which is easy-to-use, portable, and can be manufactured at a low price. Here the investigators test the electronic-nose to diagnose COVID-19 in Indonesia.
Read the detailed description
The validation of device is conducted to 43 confirmed COVID-19 patients and 40 confirmed COVID-19 negative patients from Bhayangkara Hospital, RSLKC Bambalipuro in Yogyakarta Special Region, Indonesia.
Afterwards, patients with symptoms suggesting COVID-19 will be recruited using multicentre consecutive sampling. The minimum number of participants required is 1460 subjects. The study use a triple-blind design where the research subjects, breath sample takers, and sample examiners did not know the results of each sampling that had been done. The final data processor was also blinded to the results of nose and throat swabs. The breath sampling data is saved in graphic form which interpretation will be carried out later by the data processor at the final stage.
This study population involve children and adults who come to the COVID-19 outpatient clinic in each participating hospital with a diagnosis of suspected COVID-19 infection. All patients remain in the setting under medical service in accordance with the standard operating procedure (SOP) and clinical practice guidelines (CPG) protocols for handling patients with suspected COVID-19. The patients underwent nasal and oropharyngeal swabs according to the COVID-19 outpatient CPG.
The participants will be asked about symptoms that they have, such as fever, fatigue, dry cough, stuffy/ runny nose, sore throat, myalgia, shortness of breath, and diarrhea. Afterwards, they will be asked to breathe normally using a mask for 2 times, then inhale and exhale in a forced expiratory volume to an air collecting bag that later is connected to the e-nose machine via a HEPA-filter. The performance of breath test will be compared with the performance of symptoms with the reference of RT-PCR results. In addition, participants' demographic and clinical data will be collected.
- Conditions
- COVID-19
- Being tested
- exhaled breath sampling
- Keywords
- COVID-19, diagnosis, electronic nose
- Medical subject headings
- COVID-19, Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
exhaled breath samplingOther
Also called GENOSVID portable exhaled breath sampling
The participants breath through non-rebreathing mask until the reservoir bag is full. The reservoir bag is connected to Hepa-filter at one side, and another side of Hepa-filter is connected to the electronic-nose (Genosvid) device.
exhaled breath samplingOther
Also called GENOSVID portable exhaled breath sampling
The participants breath through non-rebreathing mask until the reservoir bag is full. The reservoir bag is connected to Hepa-filter at one side, and another side of Hepa-filter is connected to the electronic-nose (Genosvid) device.
exhaled breath samplingOther
Also called GENOSVID portable exhaled breath sampling
The participants breath normally using a mask for 2 times then they are asked to inhale and exhale in a forced expiratory volume through an e-nose tube connected to the Hepa-filter at the inlet.
| Study group | Role | What they receive |
|---|---|---|
| Group 1- 43 COVID-19 patients | Experimental | COVID-19 patients breath normally via disposable non-rebreathing mask Receives: Other: exhaled breath sampling |
| Group 2- 40 non COVID-19 patients | Experimental | Non COVID-19 patients breath normally via disposable non-rebreathing mask Receives: Other: exhaled breath sampling |
| Group 3- suspected COVID-19 patients | Experimental | The participants breath normally using a mask for 2 times then they are asked to inhale and exhale in a forced expiratory volume through an e-nose tube connected to the Hepa-filter at the inlet. Receives: Other: exhaled breath sampling |
What is being measured
The primary outcome is the main question the study is designed to answer.
Diagnostic accuracy of electronic nose signal in COVID-19
sensitivity, specificity, positive predictive value, negative predictive value of electronic nose signal in diagnosing COVID-19
Measured: 2 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Sep 2020
- Study start1 Apr 2020
- Primary completion12 Dec 2020
- Study completion12 Dec 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for COVID-19Studies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Diagnosis
- Allocation
- Non-randomised
- Intervention model
- Single group
- Model description
- 3 groups: 1. COVID-19 patients 2. non COVID-19 patients 3. suspected COVID-19 patients
- Masking
- Triple blind
- Who is masked
- Participant, Investigator, Outcomes assessor
- Enrolment
- 1,999 participants (actual)
Sponsor and investigators
- Lead sponsor
- Gadjah Mada University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, dr. Dian K. Nurputra, M.Sc, Ph.D, SpA, Gadjah Mada University
- Investigators
- Dian K. Nurputra, MD(Paed), M.Sc, Ph.D, Principal investigator, Faculty of Medicine, Public Health and Nursing Universitas Gadjah MadaKuwat Triyana, Prof, Dr.Eng, MSi., Study chair, Faculty of Mathematics and Natural Sciences Universitas Gadjah Mada
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04558372
- Sponsor's protocol ID
- 1.6/2020
- Status last verified
- Dec 2020
- First submitted
- 20 Sep 2020
- Last updated
- 29 Dec 2020
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Hidayat SN, Julian T, Dharmawan AB, Puspita M, Chandra L, Rohman A, Julia M, Rianjanu A, Nurputra DK, Triyana K, Wasisto HS. Hybrid learning method based on feature clustering and scoring for enhanced COVID-19 breath analysis by an electronic nose. Artif Intell Med. 2022 Jul;129:102323. doi: 10.1016/j.artmed.2022.102323. Epub 2022 May 17.
PubMed 35659391
Study at a glance
From the registry record, last updated by the sponsor on 29 Dec 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Genosvid Diagnostic Test for Early Detection of COVID-19: UGM Electronic-Nose Innovation for Indonesia
- ClinicalTrials.gov ID
- NCT04558372
- Acronym / sponsor ID
- 1.6/2020
- Conditions
- COVID-19
- Keywords
- COVID-19, diagnosis, electronic nose
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,999 participants (actual)
- Lead sponsor
- Gadjah Mada UniversityUniversity, hospital or other
- Study start
- 1 Apr 2020 (actual)
- Primary completion
- 12 Dec 2020 (actual)
- Study completion
- 12 Dec 2020 (actual)
- First posted
- 22 Sep 2020 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Electronic-nose had been used to diagnose other infectious lung diseases, such as tuberculosis. Universitas Gadjah Mada has developed an electronic-nose device which is easy-to-use, portable, and can be manufactured at a low price. Here the investigators test the electronic-nose to diagnose COVID-19 in Indonesia.
Detailed description
The validation of device is conducted to 43 confirmed COVID-19 patients and 40 confirmed COVID-19 negative patients from Bhayangkara Hospital, RSLKC Bambalipuro in Yogyakarta Special Region, Indonesia.
Afterwards, patients with symptoms suggesting COVID-19 will be recruited using multicentre consecutive sampling. The minimum number of participants required is 1460 subjects. The study use a triple-blind design where the research subjects, breath sample takers, and sample examiners did not know the results of each sampling that had been done. The final data processor was also blinded to the results of nose and throat swabs. The breath sampling data is saved in graphic form which interpretation will be carried out later by the data processor at the final stage.
This study population involve children and adults who come to the COVID-19 outpatient clinic in each participating hospital with a diagnosis of suspected COVID-19 infection. All patients remain in the setting under medical service in accordance with the standard operating procedure (SOP) and clinical practice guidelines (CPG) protocols for handling patients with suspected COVID-19. The patients underwent nasal and oropharyngeal swabs according to the COVID-19 outpatient CPG.
The participants will be asked about symptoms that they have, such as fever, fatigue, dry cough, stuffy/ runny nose, sore throat, myalgia, shortness of breath, and diarrhea. Afterwards, they will be asked to breathe normally using a mask for 2 times, then inhale and exhale in a forced expiratory volume to an air collecting bag that later is connected to the e-nose machine via a HEPA-filter. The performance of breath test will be compared with the performance of symptoms with the reference of RT-PCR results. In addition, participants' demographic and clinical data will be collected.
Study design
- Primary purpose
- Diagnosis
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 3
- Model description
- 3 groups: 1. COVID-19 patients 2. non COVID-19 patients 3. suspected COVID-19 patients
| Arm | Type | Receives |
|---|---|---|
| Group 1- 43 COVID-19 patients | Experimental | Other: exhaled breath samplingCOVID-19 patients breath normally via disposable non-rebreathing mask |
| Group 2- 40 non COVID-19 patients | Experimental | Other: exhaled breath samplingNon COVID-19 patients breath normally via disposable non-rebreathing mask |
| Group 3- suspected COVID-19 patients | Experimental | Other: exhaled breath samplingThe participants breath normally using a mask for 2 times then they are asked to inhale and exhale in a forced expiratory volume through an e-nose tube connected to the Hepa-filter at the inlet. |
Who may qualify
- Ages
- 4 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (4 listed)
- Patients diagnosed with COVID-19, non COVID-19, and suspected COVID-19 infection, based on the results of anamnesis, physical examination, laboratory, X-rays and rapid tests.
- Able to produce samples for RT-PCR examination.
- Agree to participate (sign informed consent). For children, informed consent are obtained from the parents. For adolescent patients, accent consent is asked.
- Patients who do not need oxygen therapy supplementation in the form of mask-type or ventilator. Patients who use oxygen supplementation with nasal cannula are still included as study participants.
Key exclusion criteria (2 listed)
- Unable to breath deeply due to difficulty breathing due to complications of COVID-19 or other diseases
- The quality of the breath do not meet the standard interpretation of the instrument sensor curve (breath sampel is declared invalid).
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| exhaled breath samplingAlso: GENOSVID portable exhaled breath samplingThe participants breath through non-rebreathing mask until the reservoir bag is full. The reservoir bag is connected to Hepa-filter at one side, and another side of Hepa-filter is connected to the electronic-nose (Genosvid) device. | Other | Group 1- 43 COVID-19 patients |
| exhaled breath samplingAlso: GENOSVID portable exhaled breath samplingThe participants breath through non-rebreathing mask until the reservoir bag is full. The reservoir bag is connected to Hepa-filter at one side, and another side of Hepa-filter is connected to the electronic-nose (Genosvid) device. | Other | Group 2- 40 non COVID-19 patients |
| exhaled breath samplingAlso: GENOSVID portable exhaled breath samplingThe participants breath normally using a mask for 2 times then they are asked to inhale and exhale in a forced expiratory volume through an e-nose tube connected to the Hepa-filter at the inlet. | Other | Group 3- suspected COVID-19 patients |
Primary outcome
Diagnostic accuracy of electronic nose signal in COVID-19
Time frame: 2 years
sensitivity, specificity, positive predictive value, negative predictive value of electronic nose signal in diagnosing COVID-19
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 29 Dec 2020.
- Derived from this study: PubMed 35659391Hidayat SN, Julian T, Dharmawan AB, Puspita M, Chandra L, Rohman A, Julia M, Rianjanu A, Nurputra DK, Triyana K, Wasisto HS. Hybrid learning method based on feature clustering and scoring for enhanced COVID-19 breath analysis by an electronic nose. Artif Intell Med. 2022 Jul;129:102323. doi: 10.1016/j.artmed.2022.102323. Epub 2022 May 17.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Dian K. Nurputra, MD(Paed), M.Sc, Ph.D principal investigator
Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada
Kuwat Triyana, Prof, Dr.Eng, MSi. study chair
Faculty of Mathematics and Natural Sciences Universitas Gadjah Mada
8 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing exhaled breath sampling in people with COVID-19, run by Gadjah Mada University at 8 sites in Indonesia.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 29 Dec 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 8 sites in Indonesia. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Diagnostic accuracy of electronic nose signal in COVID-19 (time frame: 2 years). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04558372, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Dec 2020.