SASA: Sysmex-XN 20 Analyser to Assess Lymphocyte Subsets and Other Haematological Parameters in Chronic/Acute Viral Infections

Sponsor
University College, London (Other)
Overall Status
Unknown status
CT.gov ID
NCT03495570
Collaborator
Central and North West London NHS Foundation Trust (Other)
100
1
6
16.6

Study Details

Study Description

Brief Summary

The XN-20, is a full blood count (FBC) analyser with an extended differential counting and flagging System. The XN-Series' individual channels allow real-time reflex analysis, and uses a two stage process to classify the white blood count (WBC) sub-populations and detect the presence of abnormal reactive and malignant cells. In regards to lymphocytes in the peripheral blood, the machine has the capacity to distinguish activated from non-activated T-cell subsets using a very small volume of EDTA sample (88uL) (including remnant sample from a standard full blood count) with results available in 1.5 minutes. It is a fully automated process and can be considered as an alternative rapid flow cytometry method.

Objective of the SASA study: to investigate the signal pattern of white blood cells assessed using the XN-20 full blood count platform in patients with untreated viral infections i.e. HIV, HCV and HBV. The data from the analysis will be reviewed in conjunction with patient's demographic and clinical disease characteristics with the aim of detecting characteristic cell populations that can be used in the development of system flags for future studies.

Condition or Disease Intervention/Treatment Phase
  • Diagnostic Test: blood draw

Detailed Description

Study design: observational pilot study. Approximately one hundred, participants (25 in each of group, A to D), will be enrolled at a single clinical site.

Study question: Do participants who have chronic or acute viral infections i.e. untreated HIV, HIV-HCV with treated HIV and untreated HCV, untreated HCV monoinfection or untreated HBV monoinfection, have a significant excess of activated lymphocytes as measured by D1+D2 on the XN WDF channel using the XN-20 analyser?

Objectives:

Primary: To assess whether participants who have chronic or acute viral infections have a significant excess of activated lymphocytes measured by the Sysmex-XN 20 analyser.

Secondary: To compare, the absolute numbers and percentages of lymphocytes subsets as measured in the Sysmex-XN 20 analyser to the percentages of these cells when measured using standard laboratory methods i.e. flow cytometry.

Primary Outcome Measure(s): Percentage of lymphocytes measured in area D1+D2 of the XN WDF and W1/W2 ratio from the WPC channel.

Secondary Outcome Measure(s ):
  1. % lymphocytes in the D1 area of the XN WDF channel;

  2. % lymphocytes in the D2 area of the XN WDF channel;

  3. % lymphocytes in the D0 area of the XN WDF channel;

  4. correlation between CD4+ T-cells (as measured by standard flow cytometry) and the D1+D2 area on the XN WDF channel;

  5. correlation between CD8+ T-cells (as measured by standard flow cytometry) and the D1+D2 area on the XN WDF channel;

  6. correlation between CD4+ T-cells (as measured by standard flow cytometry) and the W1/W2 area on the XN WPC channel;

  7. correlation between CD8+ T-cells (as measured by standard flow cytometry) and the W1/W2 area on the XN WPC channel;

Exploratory:

Association of uncontrolled viral infection and the following as measured on the XN-20 platform

  • % of lymphocytes mainly synthesizing antibodies with high fluorescence intensity (AS-Lymph);

  • absolute and % lymphocytes reacting to infection with high fluorescence intensity (RE-Lymph);

  • % reactive monocytes

  • Neutrophil reactivity intensity;

  • Neutrophil granularity intensity;

  • Immature platelet fraction;

  • Comparison of the blood film (DI-60 Review) and selected WBC subset read outs from the XN-20.

  • Review of WDF lymphocyte cloud positional information using - HFLC/LY-X/LY-Y/LY-Z/LY-WX/LY-WY/LY-WZ.

Study Design

Study Type:
Observational
Anticipated Enrollment :
100 participants
Observational Model:
Cohort
Time Perspective:
Prospective
Official Title:
An Observational Study Exploring the Utility of the Sysmex-XN 20 Analyser to Assess Lymphocyte Subsets and Other Haematological Parameters in Chronic or Acute Viral Infections,
Anticipated Study Start Date :
Apr 15, 2018
Anticipated Primary Completion Date :
Aug 15, 2018
Anticipated Study Completion Date :
Oct 15, 2018

Arms and Interventions

Arm Intervention/Treatment
A

HIV-infected (chronic or acute infection) with a HIV viral load of >1000 copies/mL in the 6 months prior to study entry and not (yet) in receipt of combination antiretroviral therapy (cART) at study entry.

Diagnostic Test: blood draw
single one time blood draw to measure lymphocyte panels included activated lymphocytes using remnant sample from a full blood count
Other Names:
  • lymphocytes panels as measured by Sysmex XN-20 analyser
  • B

    HIV-infected on cART with HIV viral load <50 copies/mL within the 6 months prior to study entry, at least one measure of HCV (chronic or acute infection) showing a detectable HCV viral load and not in receipt of HCV treatment at study entry.

    Diagnostic Test: blood draw
    single one time blood draw to measure lymphocyte panels included activated lymphocytes using remnant sample from a full blood count
    Other Names:
  • lymphocytes panels as measured by Sysmex XN-20 analyser
  • C

    HCV mono-infected (chronic or acute infection) with detectable HCV viral load (>lower limit of quantification) in the prior 6 months and not in receipt of HCV treatment at study entry.

    Diagnostic Test: blood draw
    single one time blood draw to measure lymphocyte panels included activated lymphocytes using remnant sample from a full blood count
    Other Names:
  • lymphocytes panels as measured by Sysmex XN-20 analyser
  • D

    HBV mono-infected (chronic or acute infection) patients with detectable HBV viral load in the prior 6 months and not in receipt of HBV treatment at study entry.

    Diagnostic Test: blood draw
    single one time blood draw to measure lymphocyte panels included activated lymphocytes using remnant sample from a full blood count
    Other Names:
  • lymphocytes panels as measured by Sysmex XN-20 analyser
  • Outcome Measures

    Primary Outcome Measures

    1. Percentage of lymphocytes measured in area D1+D2 of the XN WDF and W1/W2 ratio from the WPC channel. [Day 1]

    Secondary Outcome Measures

    1. % lymphocytes in the D1 and D2 area of the XN WDF channel [Day 1]

      as above

    2. % lymphocytes in the D0 area of the XN WDF channel; [Day 1]

      as above

    3. correlation between CD4+ T-cells (as measured by standard flow cytometry) and the D1+D2 area on the XN WDF channel; [Day 1]

      as above

    4. correlation between CD8+ T-cells (as measured by standard flow cytometry) and the D1+D2 area on the XN WDF channel; [Day 1]

      as above

    5. correlation between CD4+ T-cells (as measured by standard flow cytometry) and the W1/W2 area on the XN WPC channel; [Day 1]

      as above

    6. correlation between CD8+ T-cells (as measured by standard flow cytometry) and the W1/W2 area on the XN WPC channel; [Day 1]

      as above

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Adults aged ≥18 years;

    • Registered patient at Mortimer Market Centre;

    • Willing to have a blood draw for the purpose of the study or, if the participant is having a blood draw for routine care, willing to have an additional EDTA sample taken at the time of that routine blood draw and willing that the results of the sample being drawn for standard care (FBC and T-cell subsets) can be used for this study;

    In one of the four mutually exclusive groups:
    1. Group A: HIV-infected (chronic or acute infection) with a HIV viral load of >1000 copies/mL in the 6 months prior to study entry and not (yet) in receipt of combination antiretroviral therapy (cART) at study entry; ii) Group B: HIV-infected on cART with HIV viral load <50 copies/mL within the 6 months prior to study entry, at least one measure of HCV (chronic or acute infection) showing a detectable HCV viral load and not in receipt of HCV treatment at study entry; iii) Group C: HCV mono-infected (chronic or acute infection) with detectable HCV viral load (>lower limit of quantification) in the prior 6 months and not in receipt of HCV treatment at study entry; iv) Group D: HBV mono-infected (chronic or acute infection) patients with detectable HBV viral load in the prior 6 months and not in receipt of HBV treatment at study entry.
    • written informed consent.
    Exclusion Criteria:
    • On immunosuppressants and/or receiving chemotherapy or radiotherapy for a malignancy;

    • Intercurrent infection within the prior 30 days (e.g. influenza like illness).

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Mortimer Market centre London United Kingdom WC1E 6JB

    Sponsors and Collaborators

    • University College, London
    • Central and North West London NHS Foundation Trust

    Investigators

    • Study Chair: Sarah L Pett, MD/PhD, University College, London

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    University College, London
    ClinicalTrials.gov Identifier:
    NCT03495570
    Other Study ID Numbers:
    • UCL 17/0634
    First Posted:
    Apr 12, 2018
    Last Update Posted:
    Apr 12, 2018
    Last Verified:
    Mar 1, 2018
    Individual Participant Data (IPD) Sharing Statement:
    No
    Plan to Share IPD:
    No
    Studies a U.S. FDA-regulated Drug Product:
    No
    Studies a U.S. FDA-regulated Device Product:
    No
    Keywords provided by University College, London
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Apr 12, 2018