ClinicalTrials.gg
Status unknownNCT03511443Updated Apr 27, 2018

Evaluation of the Performance of a hsRDT Versus cRDT in Reactive Case Detection of Malaria Infections

An interventional study of hsRDT in Malaria Diagnosis and Malaria,Falciparum, sponsored by University Research Co, LLC. Status unknown at 1 site in Myanmar. Open to participants aged 5 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-04-27.

Sponsored by University Research Co, LLC · Not applicable, Interventional, and Diagnostic

The sponsor has not verified this record recently (last verified Apr 2018), so the status shown — last known as Recruiting — may be out of date.

From the registry’s dates

  • Registered 5 months after the study started (first participant enrolled Oct 2017, registered Mar 2018).
Phase
Not applicable
Study type
Interventional
Enrollment
1,980
Allocation
Not applicable
Ages
5 Years and older
Sex
All
01

Study summary

A systematic review assessing the role, appropriateness and benefits of the active case detection strategy, both proactive and reactive, in low malaria transmission settings. A common indication is that more studies should be carried out to optimize the ACD strategy to the local context, or to provide evidence for the adoption of improved methods. One possible improved method is the use of more accurate diagnostic tools, such as the hsRDT proposed in this study, with an increased capacity to detect lower levels of parasitemia. It can provide a timely and relevant contribution for their development of national Standard Operating Procedures for a screening tool in the reactive case detection strategy.

Read the detailed description

The study is conducted in the areas under Sakhanmaw Rural Health Center, Ann Township in Southern Rakhine State, Myanmar.

General objective was to evaluate the performance of the new highly-sensitive rapid diagnostic test (RDT) developed by SD Bioline versus conventional RDT, compared with PCR as the gold standard, in reactive case detection of malaria infections in Rakhine State, Myanmar.

Specific objectives

  • To evaluate the prevalence of malaria identified by the new hsRDT in comparison with that by cRDT and PCR
  • To assess the diagnostic performance characteristics of hsRDT versus cRDT, using PCR as gold standard, in the detection of P.falciparum infections
  • To evaluate correlation of detection capability between cRDT and hsRDT
  • To identify risk factors associated with malaria infection, including but not limited to, socio-demographic factors and travel history related with malaria index cases

This is a prospective community-based single-center reactive case detection (RCD) study to assess the performance of hsRDT versus cRDT in identifying individuals with malaria infection ("Secondary case") in a population living and/or working in a close physical proximity to an "index case." All cases parasitologically confirmed by conventional RDT will be promptly notified to the study team and interviewed with a standardized case investigation form at their home, possibly within 3 days. All members of the primary case household and those of the nearest 10 households, aged 5 years and above, will be invited to participate in the study. A blood spot will be collected for subsequent PCR analysis. At least 50 index cases are targeted for investigation and reactive case detection and an estimated number of 1,980 persons will be involved in the study.

It is expected that this study will be an important input for the national malaria control program in Myanmar as they develop the strategies to conduct reactive case detection.

A suitable statistical software, e.g. STATA will be used to analyze the data resulting from the participant interviews and 3 parasitological tests. Logistic regression models will be developed to examine factors significantly associated with malaria infections.

02

Conditions studied

  • Malaria Diagnosis
  • Malaria,Falciparum

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Keywords

  • hsRDT
  • usRDT
  • Reactive Case Detection (RCD)
  • High risk for malaria
03

In context

Malaria, Falciparum

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

This study's planned enrollment of 1,980 is above the median of 126 across 376 interventional studies indexed under Malaria, Falciparum.

Browse Malaria, Falciparum studies →

Lead sponsor

This is the only study on the registry with University Research Co, LLC as lead sponsor.

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

04

Who can participate

Ages eligible
5 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

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

  • Age at least 5 years old
  • Resident of the villages, or temporary visitors, or co-workers or co-travelers of index case
  • Willingness to participate in the study evident by

Exclusion criteria

Exclusion Criteria:

  • Presence of severe clinical illness including severe malaria
  • Non-resident index cases
  • Refusal to participate in the study
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

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
1,980 participants (estimated)

Study arms

  • Other
    Diagnostic performance of hsRDT

    Comparing diagnostic power of two diagnostics

    Diagnostic Test: hsRDT

Interventions

  • Diagnostic testhsRDT

    Testing highly sensitive RDT detection for low parasitemia

    Also known as: Highly sensitive RDT is also used as ultrasensitive RDT

06

What researchers measure

Primary outcomes

  1. Prevalence of malaria infections identified by the new hsRDT

    Outcomes measured by malaria test positivity rate by cRDT, hsRDT and PCR, respectively

    Time frame: PCR diagnosis of samples will occur after 10 months of data collection.

Secondary outcomes

  1. Diagnostic performance characteristics of hsRDT versus cRDT using PCR as gold standard, in the detection of P.falciparum infections

    Outcomes measured between hsRDT and cRDT

    Time frame: Outcomes will be analyzed after 10 months of data collection

  2. Correlation of detection capability between cRDT and hsRDT

    Outcomes measured by correlation of test positivity rates

    Time frame: PCR results will be analyzed during month 10

  3. Risk factors associated with malaria infection cases

    Outcomes will be measured by relative risk of malaria in association with different risk factors identified

    Time frame: Outcome will be measured/analyzed in month 10, after PCR results are released

07

Study locations

1 of 1 sites recruiting
  • University Research Co., LLC (URC)
    Yangon, Myanmar
    Recruiting
08

References and documents

Publications

  • Chen I, Clarke SE, Gosling R, Hamainza B, Killeen G, Magill A, O'Meara W, Price RN, Riley EM. "Asymptomatic" Malaria: A Chronic and Debilitating Infection That Should Be Treated. PLoS Med. 2016 Jan 19;13(1):e1001942. doi: 10.1371/journal.pmed.1001942. eCollection 2016 Jan. PubMed 26783752 ↗
  • malERA Consultative Group on Health Systems and Operational Research. A research agenda for malaria eradication: health systems and operational research. PLoS Med. 2011 Jan 25;8(1):e1000397. doi: 10.1371/journal.pmed.1000397. PubMed 21311588 ↗
  • Adams M, Joshi SN, Mbambo G, Mu AZ, Roemmich SM, Shrestha B, Strauss KA, Johnson NE, Oo KZ, Hlaing TM, Han ZY, Han KT, Thura S, Richards AK, Huang F, Nyunt MM, Plowe CV. An ultrasensitive reverse transcription polymerase chain reaction assay to detect asymptomatic low-density Plasmodium falciparum and Plasmodium vivax infections in small volume blood samples. Malar J. 2015 Dec 23;14:520. doi: 10.1186/s12936-015-1038-z. PubMed 26701778 ↗
  • Cheng Z, Wang D, Tian X, Sun Y, Sun X, Xiao N, Zheng Z. Capture and Ligation Probe-PCR (CLIP-PCR) for Molecular Screening, with Application to Active Malaria Surveillance for Elimination. Clin Chem. 2015 Jun;61(6):821-8. doi: 10.1373/clinchem.2014.237115. Epub 2015 May 11. PubMed 25964304 ↗
  • Okell LC, Ghani AC, Lyons E, Drakeley CJ. Submicroscopic infection in Plasmodium falciparum-endemic populations: a systematic review and meta-analysis. J Infect Dis. 2009 Nov 15;200(10):1509-17. doi: 10.1086/644781. PubMed 19848588 ↗
  • Imwong M, Hanchana S, Malleret B, Renia L, Day NP, Dondorp A, Nosten F, Snounou G, White NJ. High-throughput ultrasensitive molecular techniques for quantifying low-density malaria parasitemias. J Clin Microbiol. 2014 Sep;52(9):3303-9. doi: 10.1128/JCM.01057-14. Epub 2014 Jul 2. PubMed 24989601 ↗
  • Imwong M, Nguyen TN, Tripura R, Peto TJ, Lee SJ, Lwin KM, Suangkanarat P, Jeeyapant A, Vihokhern B, Wongsaen K, Van Hue D, Dong le T, Nguyen TU, Lubell Y, von Seidlein L, Dhorda M, Promnarate C, Snounou G, Malleret B, Renia L, Keereecharoen L, Singhasivanon P, Sirithiranont P, Chalk J, Nguon C, Hien TT, Day N, White NJ, Dondorp A, Nosten F. The epidemiology of subclinical malaria infections in South-East Asia: findings from cross-sectional surveys in Thailand-Myanmar border areas, Cambodia, and Vietnam. Malar J. 2015 Sep 30;14:381. doi: 10.1186/s12936-015-0906-x. PubMed 26424000 ↗
  • Searle KM, Shields T, Hamapumbu H, Kobayashi T, Mharakurwa S, Thuma PE, Smith DL, Glass G, Moss WJ. Efficiency of household reactive case detection for malaria in rural Southern Zambia: simulations based on cross-sectional surveys from two epidemiological settings. PLoS One. 2013 Aug 6;8(8):e70972. doi: 10.1371/journal.pone.0070972. Print 2013. PubMed 23940677 ↗
  • van Eijk AM, Ramanathapuram L, Sutton PL, Kanagaraj D, Sri Lakshmi Priya G, Ravishankaran S, Asokan A, Tandel N, Patel A, Desai N, Singh R, Sullivan SA, Carlton JM, Srivastava HC, Eapen A. What is the value of reactive case detection in malaria control? A case-study in India and a systematic review. Malar J. 2016 Feb 6;15:67. doi: 10.1186/s12936-016-1120-1. PubMed 26852118 ↗
  • Hustedt J, Canavati SE, Rang C, Ashton RA, Khim N, Berne L, Kim S, Sovannaroth S, Ly P, Menard D, Cox J, Meek S, Roca-Feltrer A. Reactive case-detection of malaria in Pailin Province, Western Cambodia: lessons from a year-long evaluation in a pre-elimination setting. Malar J. 2016 Mar 1;15:132. doi: 10.1186/s12936-016-1191-z. PubMed 26931488 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Undecided

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 27, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03511443
Lead sponsor
University Research Co, LLC
Collaborators
Duke University, United States Agency for International Development (USAID), Department of Medical Research, Lower Myanmar, Centers for Disease Control and Prevention
Responsible party
Sponsor
First posted
Apr 27, 2018
Start date
Oct 2, 2017
Primary completion
Jun 28, 2018 (estimated)
Completion
Oct 1, 2018 (estimated)
Last update
Apr 27, 2018

Study contacts

San Kyawt Khine, MD
Contact
skkhine.khine75@gmail.com
959450542076
Kyaw Myint Tun, MD
Contact
ktun@urc-chs.com
9595039861
Saw Lwin, MD
study chair · University Research Co, LLC
Feliciano Monti, MD
study chair · US Embassy, Yangon

Oversight

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

Not currently enrolling

This study is status unknown, as verified in Apr 2018. You cannot join it, but the record below documents what was studied.

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