Evidence map›Paper›PMID 41823658›Full record

Observational studyClinical infectious diseases : an official publication of the Infectious Diseases Society of America2026

Performance Evaluation of the Xpert® HCV Test on Fingerstick Blood in a Prospective Observational Clinical Study at CLIA-Waived Sites in the United States.

Jennifer R Havens, Shelly-Ann Fluker, Jonathan Schimmel, L Madeline McCrary, Lesley S Miller, Tomoko Udo, Yukari C Manabe, Anne Luetkemeyer, Greer Burkholder, Andrew M Moon and 10 more

Registry-linked trialAbstract readObservational StudyEvaluation Study
In one paragraph

Observational study in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06508996 (Clinical Evaluation of the Xpert® HCV Test on the GeneXpert® Xpress System), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06508996 completednot on this map

Clinical Evaluation of the Xpert® HCV Test on the GeneXpert® Xpress System

TypeobservationalSponsorCepheidRan2024 to 2024Enrolled1,012ConditionsHCVArmsXpert HCV
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Jennifer R HavensDepartment of Behavioral Science, University of Kentucky College of Medicine, Lexington, Kentucky, USA.
Shelly-Ann FlukerDepartment of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.ORCID 0000-0002-8439-3598
Jonathan SchimmelDepartment of Emergency Medicine, Mount Sinai Icahn School of Medicine, NewYork, New York, USA.
L Madeline McCraryDepartment of Medicine, Washington University School of Medicine, St.Louis, Missouri, USA.ORCID 0000-0002-0046-4652
Lesley S MillerDepartment of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.ORCID 0000-0002-8660-8732
Tomoko UdoDepartment of Health Policy, Management, and Behavior, College of Integrated Health Sciences, University at Albany, Albany, NewYork, USA.ORCID 0000-0002-5319-2689
Yukari C ManabeDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.ORCID 0000-0001-8619-5598
Anne LuetkemeyerDepartment of Medicine, University of California SanFrancisco, San Francisco, California, USA.ORCID 0000-0003-0911-1578
Greer BurkholderDepartment of Medicine, University of Alabama Birmingham Heersink School of Medicine, Birmingham, Alabama, USA.
Andrew M MoonDepartment of Medicine, University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA.ORCID 0000-0001-7163-2062
Cody A ChastainDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.ORCID 0000-0001-6771-7397
Jennifer C PriceDepartment of Medicine, University of SanFrancisco School of Medicine, San Francisco, California, USA.
John CafardiDepartment of Internal Medicine, The Christ Hospital, Cincinnati, Ohio, USA.ORCID 0000-0001-7335-4932
Juan F Gallegos-OrozcoDepartment of Internal Medicine, University of Utah School of Medicine, Salt Lake City, Utah, USA.ORCID 0000-0001-9218-4983
Brittany A YoungDepartment of Internal Medicine, University of Utah School of Medicine, Salt Lake City, Utah, USA.ORCID 0000-0002-9781-3125
Jesse YoungDepartment of Pathology, University of Utah School of Medicine, Salt Lake City, Utah, USA.
Carlos AparicioCLAS Automation, Inc., Miami, Florida, USA.
Yu SongCepheid, Sunnyvale, California, USA.
Eric LaiPharmaDx, LLC, San Diego, California, USA.ORCID 0000-0001-5850-7451
Gail E LouwCepheid, Sunnyvale, California, USA.

Funding

LC: HIV Prevention Trials Network - Laboratory Support for the SARS-CoV-2 Seroprevalence Study (CoVPN 5002)UM1AI068613 · NIAID · JOHNS HOPKINS UNIVERSITY · PI SUSAN H ESHLEMAN, Mark A Marzinke · 2011 to 2026
$100.2M
TrainingU54EB007958 · NIBIB · JOHNS HOPKINS UNIVERSITY · PI Matthew Hamill · 2007 to 2026
$34.6M
SUPPLEMENTAL FUNDS FOR RADX INDEPENDENT TEST ASSESSMENT PROGRAM FOR HEPATITIS C VIRUS - COMMERCIALIZATION CENTER75N92022D00013 · NIBIB · VENTUREWELL · 2022 to 2025
$27.5M
RADx Innovation Funnel for HIV diagnostics – Validation Center75N92022D00015 · NIBIB · EMORY UNIVERSITY · PI PARSLOW, TRISTRAM G. · 2022 to 2025
$19.9M
RADX INNOVATION FUNNEL FOR HIV DIAGNOSTICS - COORDINATION CENTER75N92022D00014 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI SCHACHTER, STEVEN C. · 2022 to 2025
$4.1M
Centers for Disease Control (CDC)FDA HHSNHLBI NIH HHS 75N92022D00014NIAID NIH HHS UM1 AI068613NIBIB NIH HHS U54 EB007958NICHD NIH HHS 75N94023F00001NIH HHS 75N92022D00013NIH HHS 75N92022D00014NIH HHS 75N92022D00015NIH HHS 75N92022F00003NIH HHS 75N92022F00004NIH HHS 75N92023F00001
6 · The paper itself

Abstract

backgroundA major barrier to hepatitis C virus (HCV) elimination in the United States is the lack of a point-of-care test to confirm the presence of HCV RNA. The purpose of this clinical trial was to evaluate the performance of the Xpert® HCV test at CLIA-waived sites in the United States.

methodsParticipants at risk and/or with signs/symptoms of HCV infection provided fingerstick blood that was tested on the Xpert® HCV test and venous blood tested using the cobas® HCV and Elecsys® Anti-HCV II tests. Fingerstick blood was collected at CLIA-waived sites by individuals self-trained on collection procedures.

resultsParticipants (N = 1279) were enrolled across 15 sites; 1015 (79.3%) were deemed eligible for further evaluation. Specimens from 985 (97.0%) participants with valid results for Xpert®, cobas and Elecsys were included in the performance analysis. The prevalence of HCV antibodies and HCV RNA was 34.6% and 12.4%, respectively. The Xpert® HCV test demonstrated a positive percent agreement of 93.4% (95% CI: 87.6-96.6) and a negative percent agreement of 99.8% (95% CI: 99.2-99.9) relative to the patient infected status.

conclusionsData from this clinical trial showed that the Xpert® HCV test was sensitive, specific, and acceptable for use to detect HCV RNA in human EDTA fingerstick blood from individuals at risk and/or with signs/symptoms of HCV infection. Clinical Trials Registration. This study, Pro0075996, was approved by Advarra IRB (Columbia, Maryland, 21044) and registered on ClinicalTrials.gov (NCT06508996).

Indexed as

HepacivirusHepatitis CMolecular Diagnostic TechniquesAdolescentAdultAgedFemaleHepatitis C AntibodiesHumansMaleMiddle AgedPoint-of-Care TestingProspective StudiesRapid Diagnostic TestsRNA, ViralSensitivity and SpecificityHepatitis C AntibodiesRNA, Viralhepatitis Cpoint-of-careviral RNA

Identifiers

PMID41823658
PMCPMC13320264

What Socratic holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.