Diagnostics

Examples of diagnostics projects previously funded by Technology Transfer. See other areas.

Rapid diagnostics tests for resource-poor settings
Strategic Translation Award Rapid diagnostics tests for resource-poor settings Inexpensive, simple and high-performance tests for the simultaneous detection of hepatitis B virus (HBV), human immunodeficiency virus (HIV) and hepatitis C virus (HCV) for use in resource-limited settings.

From a product development partnership between Diagnostics for the Real World Limited and Dr Helen Lee, University of Cambridge Diagnostic Development Unit, these tests will be particularly applicable to clinical settings in which a rapid and immediate test result is crucial.
Clinical trial of a Chlamydia trachomatis rapid test
Strategic Translation Award Clinical trial of a Chlamydia trachomatis rapid test

Chlamydia trachomatis infections are one of the most common bacterial sexually transmitted diseases in the world. If detected early, the disease is very easy to treat with a one-off antibiotic pill.


However, undetected and untreated infections can lead to infertility, ectopic pregnancy and pelvic inflammatory disease. Efforts to control chlamydia are hampered by the fact that the majority of infected individuals are asymptomatic. In addition, sensitive methods to detect the infection are technically complicated, time consuming and expensive. Dr Helen Lee and Diagnostics for the Real World (DRW) have developed a rapid diagnostic test, the Chlamydia Rapid Test, and FirstBurst Urine Collector. These developments together provide a 30-minute diagnostic test kit for chlamydia infection. The test procedure requires minimal instrumentation and can be carried out by individuals with basic training. The FirstBurst Urine Collector is a convenient, disposable device for collecting first-void urine that will be useful not only for improved sensitivity of detection of chlamydia but also with other STDs. The clinical trial will enable DRW to apply for regulatory approval of these products in the EU and US, allowing market entry in Europe and the US and enabling the availability of a high-quality product for developing countries.

See our video: Developing the Chlamydia Rapid Test

Diarrhoea diagnostic device: from bench to bedside
Translation Award Diarrhoea diagnostic device: from bench to bedside
C. difficile infection is the most common infectious cause of health-care associated diarrhoea and classically, is a consequence of administering an antimicrobial to a patient in a healthcare setting (hospitals, nursing facilities, long term care and rehabilitation institutions).

The frequency, severity and refractoriness of C. difficile associated diarrhoea has increased dramatically in recent years and healthcare institutions actively tackle outbreaks.  Following diagnosis of C. difficile, a set of infection control measures is rapidly implemented in order to reduce morbidity and mortality and reduce the spread of the infection.  Delays in intervention have adverse clinical effects and therefore timely diagnosis is crucial. C. difficile infection can be diagnosed by analysis of gases from stool of an infected patient.  In collaboration with Professor Norman Ratcliffe (the University of the West of England, Bristol), Dr Chris Probert (University of Bristol) has designed a programme to develop a point-of-care reagent-free device which can in as little as 15 minutes analyse a stool sample to determine the presence or absence of C. difficile with high degree of sensitivity and specificity.  Application of this device in the healthcare setting will improve patient care by allowing earlier intervention in order to reduce morbidity and mortality and prevent outbreaks.
Velox diagnostic test for equine strangles
Translation Award Velox diagnostic test for equine strangles Strangles, caused by infection with the bacterium Streptococcus equi, is the most feared and frequently diagnosed infectious disease of horses world-wide.

The disease is characterised by abscessation of the lymph nodes of the head and neck, the swelling of which can restrict the airway. During outbreaks, up to 100 percent of horses may be affected and the disease can be fatal in up to 10 per cent of cases. Key to reducing disease spread and suffering is the rapid identification and isolation of infected horses.The current laboratory-based PCR method of disease identification developed by the Animal Health Trust (AHT) suffers from a 72 hour turnaround, during which the bacterium may have spread to other animals, exacerbating the problem. Andrew Waller and colleagues at AHT have been awarded translational funding to combine this method with the Atlas Genetics platform technology to develop a rapid point-of-care test that will enable veterinarians to diagnose the disease within 30 minutes of taking a sample from a horse. Reducing the time to identification of infected horses will deliver maximum healthcare benefit and improved clinical outcome.
Metabolite biomarker-based screening test to predict pre-eclampsia
Translation Award Metabolite biomarker-based screening test to predict pre-eclampsia Pre-eclampsia is a serious disorder of pregnancy, which affects approximately 3 per cent of pregnant women and is associated with significant maternal and perinatal morbidity and mortality.

Currently, there is no clinically useful screening method to accurately predict which mothers will develop pre-eclampsia. Consequently limited healthcare resources are thinly spread and cannot be directed towards monitoring those women at greatest risk. Moreover, currently available and emerging disease prevention strategies cannot be targeted to high-risk women most likely to benefit. Dr Louise Kenny from University College Cork and Professor Phil Baker from the University of Manchester have received Translation Award support to identify biomarkers in the plasma of women who subsequently develop pre-eclampsia. They will then test the performance of these candidate biomarkers in a large cohort of pregnant women (n=3000) akin to the normal antenatal population and develop a diagnostic which can be used to test for pre-eclampsia in widespread screening.
Simple rapid test kit for early diagnosis of EPEC
Translation Award Simple rapid test kit for early diagnosis of EPEC Translation Award support has been given to Professor Peter Williams and Dr Uta Praekelt to develop a rapid enteropatogenic Escherichia coli (EPEC) diagnostic kit for use in health centres in developing countries where resources and personnel are limited.

By testing all children with diarrhoea, those with EPEC can be identified quickly and subsequently receive appropriate treatment, reducing the likelihood of long lasting clinical complications.
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