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CompletedNCT03462615Updated Sep 17, 2026

Clinical Performance of the Histidine Rich Protein 2 (HRP2) Highly Sensitive Rapid Diagnostic Test (HS-RDT) for Malaria Diagnosis in Pregnant Women in Papua New Guinea

An observational study in Plasmodium Falciparum Malaria, Pregnancy Malaria and Diagnoses Disease, sponsored by Foundation for Innovative New Diagnostics, Switzerland. Completed at 1 site in Papua New Guinea. Open to female participants aged 16 Years and older. Per ClinicalTrials.gov, last updated 2026-09-17.

Sponsored by Foundation for Innovative New Diagnostics, Switzerland · Observational

Study type
Observational
Model
Case-only
Time perspective
Cross-sectional
Enrollment
930
Ages
16 Years and older
Sex
Female
01

Study summary

Malaria during pregnancy remains an important public health issue in endemic countries. Most cases of malaria in pregnant women are asymptomatic, and can contribute to adverse outcomes, such as maternal and neonatal anaemia as well as low birth weight. Infections that do not cause symptoms (sub-clinical infections) - particularly in low transmission settings -remain difficult to diagnose during pregnancy but can contribute to adverse outcomes e.g. growth restriction, premature birth, miscarriage and stillbirth.

The Bill \& Melinda Gates Foundation (BMGF) has supported the development of an HRP2-based high sensitivity rapid diagnostic tests (HS-RDT) that has analytical sensitivity ten times better than current RDTs and a sensitivity near 80% when compared to the 'gold standard' of quantitative polymerase chain reaction (qPCR). In this regard, the new HS-RDT may be a promising diagnostic and screening test for subclinical malaria during pregnancy.

The overall aim is to compare the performance of novel high sensitivity rapid detection tests with conventional rapid diagnostic tests for Plasmodium falciparum malaria infection in pregnant women in Papua New Guinea

02

Conditions studied

  • Plasmodium Falciparum Malaria
  • Pregnancy Malaria
  • Diagnoses Disease

Keywords

  • malaria
  • pregnancy
  • diagnosis
  • rapid diagnostic test
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In context

Malaria, Falciparum

455 studies on the registry are indexed under Malaria, Falciparum; 37 are open to participants now.

This study's enrollment of 930 is above the median of 561 across 63 observational studies indexed under Malaria, Falciparum.

Browse Malaria, Falciparum studies →

Lead sponsor

Foundation for Innovative New Diagnostics, Switzerland is the lead sponsor of 61 studies on the registry; 3 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
16 Years and older
Sexes eligible
Female
Sampling method
Non-probability sample

Study population

The study will test samples from pregnant women aged 16 and older, self-presenting at health centres for antenatal care in this malaria-endemic setting

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • All women must meet all the following inclusion criteria in order to be eligible to participate in the study:

    • Pregnant women attending first antenatal care visit at selected health facilities
    • Resident in the study area for at least 1 year prior to enrolment
    • Age ≥ 16
    • Willing to freely participate with signed (or, if illiterate, provide a thumbprint in the presence of an independent witness)
    • Willing to provide finger-prick blood sample

Exclusion criteria

Exclusion Criteria:

  • Women meeting any of the following exclusion criteria at screening will be excluded from study participation:

    • History of malaria or antimalarial drugs used in the last three months, as recalled or documented in health record
    • Presence of severe malaria as defined by WHO guidelines at the moment of recruitment.

Presence of symptoms and signs of other serious chronic disease such as severe anaemia, tuberculosis and/or central nervous system infections, as defined by WHO guidelines

Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Case-only
Time perspective
Cross-sectional
Enrollment
930 participants (actual)
Patient registry
No

Interventions

  • Diagnostic testHS-RDT

    A single finger-prick blood sample will be collected and used to test participants with the HS-RDT. The results of the results of the test will not be used for treatment purposes nor used to inform patient care.

    Also known as: ultra sensitive RDT

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What researchers measure

Primary outcomes

  1. Sensitivity, specificity, negative predictive value and positive predictive value

    1.1 Estimates of sensitivity, specificity, negative predictive value, positive predictive value, and diagnostic odds ratio of HRP2 HS-RDT for the detection of P. falciparum during pregnancy, compared with conventional good quality RDTs, microscopy and LAMP in peripheral blood with qPCR as reference test.

    Time frame: 1 year

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Study locations

1 site
  • Nonga General Hospital
    Rabaul, East New Britain Province, Papua New Guinea
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 17, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03462615
Lead sponsor
Foundation for Innovative New Diagnostics, Switzerland
Collaborators
Burnet Institute, Papua New Guinea Institute of Medical Research
Responsible party
Sponsor
First posted
Mar 12, 2018
Start date
Aug 15, 2018
Primary completion
May 30, 2019
Completion
May 30, 2019
Last update
Sep 17, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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