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RecruitingNCT07358910RACSMEIUpdated Jan 22, 2026

Risk Assessment of Community Spread of Multiple Endemic Infectious Diseases in a One Health Perspective

An observational study in Dengue, Chikungunya and Zika Virus Infection, sponsored by Institut Pasteur du Cambodge. Recruiting at 1 site in Cambodia. Open to participants aged 2 Years to 75 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-01-22.

Sponsored by Institut Pasteur du Cambodge · Observational

From the registry’s dates

  • Primary completion was expected by Apr 2026, 6 months ago, but the record still lists the study as recruiting.
  • Started Dec 2025; still recruiting 10 months later.
Study type
Observational
Model
Family-based
Time perspective
Cross-sectional
Enrollment
10,000
Ages
2 Years to 75 Years
Sex
All
01

Study summary

RACSMEI addresses the high burden of infectious diseases in low- and middle-income countries, including Cambodia, where limited surveillance and laboratory capacity often obscure etiologies and transmission dynamics. This knowledge gap hinders the design of effective prevention and control strategies.

RACSMEI will improve understanding across multiple pathogens using a multidisciplinary One Health approach. We will answer key questions on burden, ecology, transmission and population immune status to inform targeted and culturally appropriate interventions. The project combines a nationally representative One Health survey, social-science methods, and multiplex, diverse diagnostics to efficiently test for 57 priority pathogens, including zoonotic and vector-borne agents, vaccine-preventable and elimination-targeted diseases, enteric, respiratory, and environmentally transmitted pathogens and selected neglected tropical diseases and parasites relevant to Cambodia.

Mathematical modelling will reconstruct and forecast transmission dynamics and assess the potential impact of future public-health strategies. By integrating intersectoral data and innovative methods, RACSMEI will generate actionable evidence for public-health authorities, support precision One Health interventions, and help reduce disease burden in affected communities. The project also aims to ensure the transferability of methods and insights to other countries facing similar challenges.

Read the detailed description

RACSMEI is a nationwide, One Health, multi-pathogen initiative designed to generate integrated evidence for public-health decision-making in Cambodia. Beyond producing epidemiological findings, the project will establish a structured biobank and curated datasets intended to support long-term collaborative research, knowledge sharing, and evidence-informed policy. The program includes capacity building and technology transfer to strengthen national institutions and foster regional scientific leadership and international collaboration. Engagement with communities and national stakeholders is planned to facilitate future studies and promote the uptake of results in practice. Overall, RACSMEI aims to provide a scalable model for integrated infectious-disease assessment in low- and middle-income settings, creating durable infrastructure, partnerships, and decision-support resources that can be used beyond the project period.

02

Conditions studied

  • Dengue
  • Chikungunya
  • Zika Virus Infection
  • Japanese Encephalitis
  • West Nile Virus
  • Tick-borne Encephalitis (TBE)
  • Severe Fever With Thrombocytopenia Syndrome
  • Nipah Virus Infection
  • Hantavirus Infections
  • Hepatitis E
  • Brucellosis
  • Q Fever
  • Leptospirosis
  • Melioidosis
  • Influenza A and B
  • Malaria
  • Yellow Fever
  • Mayaro Fever
  • Usutu Virus Infection
  • Oropouche Fever
  • Rift Valley Fever
  • Arenavirus Infections
  • Measles
  • Mumps
  • Rubella
  • Human Papilloma Virus (HPV)
  • Rotavirus Disease
  • Pertussis
  • Diphteria
  • Tetanus
  • Varicella
  • Hepatitis A
  • Norovirus Infections
  • Enterovirus
  • Adenovirus
  • Rhinovirus
  • Parvovirus
  • Respiratory Syncytial Virus (RSV)
  • Cytomegalovirus
  • Epstein Barr Virus
  • Salmonella Typhi
  • Vibrio Cholerae
  • Legionella Pneumophila Pneumonia
  • Mycoplasma
  • Chlamydia
  • Lymphatic Filariasis
  • Toxoplasma Gondii
  • Giardiasis
  • Entamoeba Histolytica
  • Leishmaniasis
  • Strongyloides Stercoralis Infection
  • Ascaris Lumbricoides
  • Trichuris Trichiura
  • Clonorchis Sinensis
  • Opisthorchis Viverrini
  • Schistosomiasis
  • Streptococcus Pneumoniae
  • Meningitis

Keywords

  • Infectious disease
  • One Health
  • Population-based survey
  • Nationally representative survey
  • Seroepidemiology
  • Multiplex serology
  • Seroprevalence
  • Vector-borne diseases
  • Zoonoses
  • Vaccine-preventable diseases
  • Neglected tropical diseases
  • Transmission dynamics
  • Force of infection
  • Mathematical modelling
  • Spatial epidemiology
  • Precision public health
  • Cambodia
03

In context

Dengue

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

This study's planned enrollment of 10,000 is above the median of 595 across 80 observational studies indexed under Dengue.

Browse Dengue studies →

Lead sponsor

Institut Pasteur du Cambodge is the lead sponsor of 3 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
2 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Probability sample

Study population

The study population comprises approximately 10,000 participants aged 2 to 75 years, drawn from 4,160 households across Cambodia's 25 provinces. Households will be randomly selected from 104 villages to ensure a nationally representative sample that reflects the country's diverse geographic and demographic characteristics. Participants will provide detailed socio-demographic information, enabling post-stratification weighted analysis of the sample's structure by sex, age, and geographic area to facilitate the extrapolation of findings to the entire population, ensuring that the study's conclusions are broadly applicable.

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

  • Residency in the village for more than 6 months;
  • Age between 2 and 75 years old at the time of inclusion;
  • For adults: provision of written consent;
  • For children aged 2-17 years: written parental consent form, verbal assent from children aged 13-17 years;

Exclusion criteria

Exclusion Criteria:

  • Unable to understand or consent;
  • Under guardianship or deprived of liberty;
  • Medical conditions that impede survey participation;
  • Refusal to participate in the study.
05

Study design

Observational model
Family-based
Time perspective
Cross-sectional
Enrollment
10,000 participants (estimated)
Patient registry
No
Biospecimen retention
Samples without dna

Groups and cohorts

  • Human Community Cohort (National Population Sample)

    Probability-based, multi-stage population sample of \~10,000 participants (2-75 years old) recruited across urban and rural communities nationwide. Data include standardized questionnaires (demography, health conditions, mobility, animal contact, healthcare access) and serum biospecimens for multiplex serology;

06

What researchers measure

Primary outcomes

  1. Seroprevalence of antibodies against an established panel of priority pathogens in the surveyed human populations:

    The proportion of sampled individuals with detectable antibodies against this priority panel of pathogens, measured using multiplex serological assays.

    Time frame: At the time of blood sampling during household visits, over the inclusion period from December 2025 to April 2026.

07

Study locations

1 of 1 sites recruiting
  • Institut Pasteur du Cambodge
    Phnom Penh, Phnom Penh 12201, Cambodia
    Recruiting
    • Sowath LY, MD, Ph.D · Contactlsowath@pasteur-kh.org · +855 69 322 031
    • Sopheak SORN, MSc. · Contactssopheak@pasteur-kh.org · +855 12 268 660
    • Claude Flamand, Ph.D · Principal investigator
    • Tephanie Sieng, Ph.D · Sub investigator
    • Erik Karlsson, Ph.D · Sub investigator
    • Sokleaph CHENG, Ph.D · Sub investigator
    • Sébastien Boyer, Ph.D · Sub investigator
08

References and documents

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 22, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07358910
Lead sponsor
Institut Pasteur du Cambodge
Collaborators
Institut Pasteur, CDC - Ministry of Health of Cambodia, UMR ASTRE (CIRAD), Malaria Consortium, Ministry of Agriculture, Forestry and Fisheries Cambodia
Responsible party
Sponsor
First posted
Jan 22, 2026
Start date
Dec 18, 2025
Primary completion
Apr 16, 2026 (estimated)
Completion
Sep 30, 2027 (estimated)
Last update
Jan 22, 2026

Study contacts

Claude Flamand, Ph.D.
Contact
cflamand@pasteur-kh.org
+855012333650
Najet Hadhri, MSc.
Contact
nhadhri@pasteur-kh.org
+34661400698
Claude Flamand, Ph.D.
principal investigator · Institut Pasteur du Cambodge

Oversight

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

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