About this trial
This study is being done to learn more about the disease in Ituri and to evaluate a new rapid test that may help doctors find the disease more quickly. This research includes characterisation of clinical presentations and pathology of plague, as well as identification of circumstances that may increase the risk of infection. Biological samples collected include blood, mouth swab, saliva, a bubo aspirate and a sputum sample (the latter only in case of plague in the lungs). These samples will be used to test the performance of the new rapid study test.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
All participants (aged ≥5 year old) within Rethy, Logo and Aru health zones, presenting with possible symptoms of bubonic and/or pneumonic plague according to WHO definition
Willing to provide voluntary consent (or voluntary assent and parental consent in case of minors.
Disqualifiers
Participants not eligible, able, or willing to undergo study procedures
Children <5 years of age
Participants on antibiotic treatment ≥48h prior to recruitment
Trial population
People (\> 5 years of age), living within Rethy, Logo and Aru health zones
Trial design
Other
Prospective
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
Duplex F1V RDT performance
Sensitivity, specificity, positive and negative predictive value of the Duplex F1V RDT results on different biological fluids, i.e. (1) gingival sulcus fluid, (2) saliva, (3) venous blood, (4) bubo aspirates and/or (5) sputum (depending on clinical presentation), as compared to positive PCR
Secondary outcomes
Agreement between Duplex F1V RDT results in each biological fluid and PCR results on the same fluid
Profile (type, frequency, severity) of clinical features observed among PCR-confirmed plague cases at presentation and during follow-up until treatment completion
Epidemiological and clinical factors (with their respective odd ratios) associated with PCR-confirmed infection, compared to PCR-negative suspects (nested test negative design)
Proportion of PCR confirmed cases with recovery, death or lost to follow-up assessed at the end of treatment
Sponsors and contacts
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Institute of Tropical Medicine, Belgium
Lead sponsor
Institut Pasteur
Collaborator
Université Paris-Saclay
Collaborator
Centre de Recherche en Maladies Tropicales de L'Ituri (CRMT)
Collaborator
Institut National pour la Recherche Biomedicale (INRB)
Collaborator
This trial is not recruiting at the moment. You can still explore other options: