ClinicalTrials.gg
RecruitingNCT07051902Updated Apr 15, 2026

Microbiome and Atopy in Mali

An observational study in Atopic Disease, sponsored by National Institute of Allergy and Infectious Diseases (NIAID). Recruiting at 2 sites in Mali. Open to participants aged 3 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-04-15.

Sponsored by National Institute of Allergy and Infectious Diseases (NIAID) · Observational

From the registry’s dates

  • Started Sep 2025; still recruiting 1 year 1 month later.
Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
288
Ages
3 Years and older
Sex
All
01

Study summary

This study is about allergic diseases in people living in Mali. Allergic diseases can cause health problems like asthma or skin rashes. In this study, the investigators will look for clues about things that may affect whether people get allergic diseases. The investigators will look at things on or in the body, like germs, and things in the environment, like pollution. To do this, the investigators will collect different types of biological samples, health information, and environmental information from people with allergic diseases and people without allergic diseases. The investigators will compare what is found in each group to look for differences that might be related to allergic disease.

Read the detailed description

This is a case-control study where participants from Bamako in Mali will be screened to identify patients with atopic disease (asthma and atopic dermatitis). Age and sex-matched healthy controls will be selected at a 1:1 ratio. All study participants (including healthy controls) will undergo a clinical evaluation and provide skin swabs, nasal swabs, induced sputum (if successful), blood samples, drinking water samples, stool samples, as well as complete an interviewer-administered questionnaire on environmental exposures. All participants (including healthy controls) will also undergo pulmonary function testing (spirometry and/or oscillometry) and undergo testing of transepidermal electrical impedance (using a Nevisense machine). Samples will be used to evaluate the microbiome diversity in participants with allergy-related diseases (ARDs) compared to healthy controls. Environmental surveys will assess the association between atopy and exposures that are primarily outdoor versus indoor exposures. Temporal and spatial variation in these pollutants will be assessed. Air samples taken from the community and participant home drinking water samples (when available) will be used to assess the presence and variability of pollutants in the environment.

02

Conditions studied

  • Atopic Disease

Keywords

  • asthma
  • atopic dermatitis
  • allergies
03

In context

Asthma

4,841 studies on the registry are indexed under Asthma; 600 are open to participants now.

This study's planned enrollment of 288 is above the median of 158 across 1,250 observational studies indexed under Asthma.

Browse Asthma studies →

Lead sponsor

National Institute of Allergy and Infectious Diseases (NIAID) is the lead sponsor of 2,446 studies on the registry; 179 are open to participants now.

Of its 405 completed or terminated interventional studies of FDA-regulated products, 302 (75%) have results posted.

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

04

Who can participate

Ages eligible
3 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Study participants will be recruited from the Bamako area

Eligibility criteria

Inclusion Criteria (Study Group):

  • Aged ≥3 years.
  • Able to provide (for ages ≥18 years) or has a parent or guardian who can provide informed consent on their behalf (for ages \<18 years).
  • Positive Screening questionnaire for asthma or eczema.
  • Diagnosed with atopic dermatitis or asthma via physician diagnosis and criteria as follows:
  • Clinical diagnosis of atopic disease, as defined by Hanifin and Rajka criteria, that has been present for ≥3 months before the screening visit.

Inclusion Criteria (Healthy Volunteers):

  • Aged ≥3 years.
  • Able to provide informed consent (for ages ≥18 years) or has a parent or guardian who can provide informed consent on their behalf (for ages \<18 years).
  • Negative Screening questionnaire for asthma and eczema.
  • In good general health as evidenced by medical history and not diagnosed with atopic dermatitis or asthma via physician diagnosis.
  • Failure to meet Hanifin and Rajka criteria and \<3 on GINA guidelines for asthma diagnosis.
  • No self-reported history of food allergy.

Exclusion Criteria:

  • Use of antibiotics in the 3 months prior to screening.
  • Current pregnancy or lactation (determined by self-report).
  • Treatment with an drug within 12 months prior to screening.
  • Current smoker or tobacco use within 4 months prior to screening.
  • Current skin infections other than atopic dermatitis (e.g., scabies).
  • Active diarrhea as defined by three or more loose stools per day (Bristol stool scale score of 6 or 7).
  • Presence of current bacterial, viral, or fungal infection, with the exception of isolated onchomycosis, which is not exclusionary.
  • Any other condition or factor that the investigator determines may significantly influence the results of testing.
Terms in these criteria, in plain language(2)

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.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
288 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Participants with atopic disease (asthma or atopic dermatitis)
  • Age/sex-matched healthy volunteers.
06

What researchers measure

Primary outcomes

  1. Differences in gut microbiome between atopic patients and healthy controls in children and adults.

    Shannon diversity index analyzed using t-test with significance level of .05, will be lower in patients with atopic disease.

    Time frame: Within 28 days after the screening visit.

Secondary outcomes

  1. Relative abundance of taxa and expression of metabolically functional genes in the skin microbiome.

    RNAseq

    Time frame: Within 28 days after the screening visit.

  2. Relative abundance of taxa and expression of metabolically functional genes in the gut microbiome.

    Metagenomic sequencing

    Time frame: Within 28 days after the screening visit.

  3. Relative abundance of taxa and expression of metabolically functional genes in the nasal microbiome

    Metagenomic sequencing

    Time frame: Within 28 days after the screening visit.

  4. Presence, frequency, and/or proximity to environmental exposures.

    Patient survey to establish risk. Higher exposure, linked to higher atopy risk.

    Time frame: Within 28 days after the screening visit.

  5. Serum concentration of total IgE, specific IgE panels, and eosinophils

    Time frame: Within 28 days after the screening visit.

  6. Concentration of pollutants or pollutant biomarkers in urine and serum

    Time frame: Within 28 days after the screening visit.

07

Study locations

2 of 2 sites recruiting
  • Dermatology Hospital of Bamako
    Bamako, Mali
    Recruiting
  • Pneumology Ward, Point G University Hospital
    Bamako, Mali
    Recruiting
08

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

Started Sep 2025 (actual). Primary completion is estimated for Dec 2026, 15 months after the start.

Of 364 non-industry observational studies under Asthma, half reached primary completion within 38 months of starting (the median), counting those still running; a quarter within 18 and three quarters within 97. This study's planned 15 months is below that.

Counting every sponsor, half of 454 studies reached it within 36 months; a quarter within 18 and three quarters within 82.

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

Registered
Jun 26, 2025
First posted
Jul 4, 2025
StartActual
Sep 30, 2025
Primary completionEst.
Dec 2026
CompletionEst.
Dec 2026
Last update
Apr 15, 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 Apr 15, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07051902
Responsible party
Sponsor
First posted
Jul 4, 2025
Start date
Sep 30, 2025
Primary completion
Dec 2026 (estimated)
Completion
Dec 2026 (estimated)
Last update
Apr 15, 2026

Study contacts

Cisse Lamissa, MD
Contact
lamissa05@gmail.com
+223 66956944
Khadida Ouattara, MD, MSc
Contact
zankhadi@gmail.com
+223 66780357
Ian Myles, MD
principal investigator · NIAID, National Institutes of Health (NIH)
Kingsley Osei-Karikari
study chair · National Institutes of Health (NIH)

Oversight

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

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion