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CompletedNCT04582474Updated Sep 16, 2026

Demonstration of an Electronic Clinical Decision Support Module for Dengue in Burkina Faso

An interventional study of Dengue module and rapid diagnostic tests in Dengue, sponsored by Foundation for Innovative New Diagnostics, Switzerland. Completed at 2 sites in Burkina Faso. Open to participants aged 6 Months and older. Per ClinicalTrials.gov, last updated 2026-09-16.

Sponsored by Foundation for Innovative New Diagnostics, Switzerland · Not applicable, Interventional, and Diagnostic

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Phase
Not applicable
Study type
Interventional
Enrollment
335
Allocation
Not applicable
Ages
6 Months and older
Sex
All
01

Study summary

The Integrated Management of Childhood Illness (IMCI) guideline has been implemented in Burkina Faso and is used across primary health facilities to assess children under the age of 5 years. A part from a rapid diagnostic test (RDT) for malaria, no other point of care in vitro diagnostic tests are widely used to improve disease diagnosis and inform treatment decisions. Dengue fever has been reported in Burkina Faso since 1925 and the recent epidemics in 2016 and 2017 have prompted the government to validate and deploy a clinical management algorithm for Dengue and a case reporting process to support surveillance for a targeted response.

The organisation Terre des hommes has digitalised IMCI and implemented the module through its Integrated electronic Diagnosis Approach (IeDA) programme across primary health care centers (PHCs) in the country with proven impact on clinical care and proven reduction in antibiotic prescriptions. Many recognize the need to update the IMCI guideline with current evidence. However this is challenging and may require large clinical trials. The advantage of electronic clinical decision support systems is plural: they improve quality of care through increased adherence and feedback information to the system; they strengthen surveillance systems by connecting relevant patient related data and provide geo-tagged coordinates for targeted responses; and they can become evidence-adaptive.

An electronic module of the Burkina Faso Dengue clinical management guideline accompanied with dengue rapid diagnostic tests has the potential to improve the diagnosis of non-malaria fevers in particular during "dengue seasons" and improve the efficiency of surveillance for this disease.

In this study, the investigators aim to assess the usability and the performance of the dengue module for patient management in primary health care facilities.

02

Conditions studied

  • Dengue

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Keywords

  • Non-malarial fevers
  • Clinical decision support tools
  • Rapid diagnostic test
03

In context

Dengue

283 studies on the registry are indexed under Dengue; 44 are open to participants now.

This study's enrollment of 335 is above the median of 132 across 197 interventional studies indexed under Dengue.

Browse Dengue 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.

04

Who can participate

Ages eligible
6 Months and older
Sexes eligible
All
Accepts healthy volunteers
No

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Inclusion criteria

  • Older than 6 month
  • Presentation with fever (axillary temperature ≥ 37,5⁰C) or history of fever for 2-7 days without localizing signs of another pathology such as malaria diagnosed by RDT
  • Malaria diagnosis: negative malaria RDT performed at the the study site by a nurse as part of the routine consultation, or a positive malaria RDT with antimalarial treatment failure

Exclusion criteria

Exclusion Criteria:

  • Neonates (0-2 months) and children ≤ 6 month for operational reasons such as difficulties with blood draw
  • Patients with severe disease requiring urgent care
05

Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
335 participants (actual)

Study arms

  • Experimental
    Dengue module and rapid diagnostic tests

    Other: Dengue module and rapid diagnostic tests

Interventions

  • OtherDengue module and rapid diagnostic tests

    Digital platform providing clinical decision support for Dengue, Dengue rapid diagnostic tests and training will be deployed at study sites for Dengue screening, diagnosis, case management as well as reporting to surveillance system following local guidelines

06

What researchers measure

Primary outcomes

  1. Point estimates of the percentage of dengue consultations performed using the dengue module, with 95% confidence intervals

    This outcome will be evaluated by reporting the ratio of dengue consultations performed using the dengue module over the total number of consultations, together with a 95% confidence interval based on Wilson's score method.

    Time frame: 4 months

  2. Evaluation of the adherence to the different steps of the module

    This outcome will be evaluated by the percentage ratio of dengue module steps adhered by patients over the total number of patients at each step.

    Time frame: 4 months

Secondary outcomes

  1. Estimate of the operational characteristic, Efficacy, of the dengue module: percentage of forms emitted from the module received in the surveillance system

    Time frame: 4 months

  2. Estimate of the operational characteristic, Timeliness, of the dengue module: percentage of forms that are received by the surveillance system on time, as defined by the national surveillance system.

    Time frame: 4 months

  3. Estimate of operational characteristic, Completeness, of the dengue module: percentage of fields that are completed.

    Time frame: 4 months

  4. Positive predictive value of dengue rapid diagnostic test

    Polymerase chain reaction results will be used as the reference test.

    Time frame: 4 months

07

Study locations

2 sites
  • Centre de Santé et de Promotion Sociale (Sandogo)
    Ouagadougou, District Boulmiougou, Burkina Faso
  • Centre de Santé et de Promotion Sociale (Secteur 16)
    Ouagadougou, District Boulmiougou, Burkina Faso
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Sep 2020 to primary completion in Nov 2020, 2 months.

Of 25 non-industry interventional studies with no phase under Dengue, half reached primary completion within 12 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 27. This study's 2 months is below that.

Counting every sponsor, half of 30 studies reached it within 12 months; a quarter within 6 and three quarters within 36.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 8, 2020
First posted
Oct 9, 2020
StartActual
Sep 10, 2020
Primary completionActual
Nov 20, 2020
CompletionActual
Dec 31, 2020
Last update
Sep 16, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 16, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04582474
Lead sponsor
Foundation for Innovative New Diagnostics, Switzerland
Collaborators
Ministry of Health, Burkina Faso, Terre des hommes, Burkina Faso & Switzerland
Responsible party
Sponsor
First posted
Oct 9, 2020
Start date
Sep 10, 2020
Primary completion
Nov 20, 2020
Completion
Dec 31, 2020
Last update
Sep 16, 2026

Study contacts

Brice W Bicaba, MD
principal investigator · Ministry of Health, Burkina Faso

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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