- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01884779
Prevalence of Histoplasmosis in HIV + Patients With a Rapid Diagnostic Test in West Indies (EDIRAPHIS)
July 10, 2017 updated by: ANRS, Emerging Infectious Diseases
Histoplasmosis in the Guiana Shield and the French West Indies: Evaluating Prevalence in HIV + Patients With a Rapid Diagnostic Test Using an ELISA Capture Method for the Detection of Histoplasma Antigens in Blood and Urine.
Histoplasma capsulatum var.
capsulatum histoplasmosis is the leading cause of acquired immunodeficiency syndrome (AIDS) and death in French Guiana and probably in the Amazon.
The diagnosis of this disease requires invasives procedures, laboratory performance, and delays up to several weeks.
The Mycotic Diseases Branch of the Centers for Disease Control and Prevention (CDC) has established a rapid, sensitive and specific ELISA test for blood and urine samples that looks interesting in endemic areas, particularly in developing countries.
The study aims to measure the proportion of HIV-infected patients hospitalized or in outpatient awaiting hospitalization for a suspicion of infectious syndrome whose serum and/or urinary antigen detection tests are positive for Histoplasma capsulatum var.
capsulatum.
Study Overview
Status
Unknown
Conditions
Study Type
Observational
Enrollment (Anticipated)
727
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Guadeloupe
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Pointe-à-Pitre, Guadeloupe, France, 97159
- Pointe-à-Pitre University Hospital
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Guyane
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Cayenne, Guyane, France, 97306
- Cayenne General Hospital
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Saint-Laurent-du-Maroni, Guyane, France, 97320
- Western French Guiana Hospital
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-
Martinique
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Fort-de-France, Martinique, France, 97261
- Fort-de-France University Hospital
-
-
-
-
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Paramaribo, Suriname
- 's Lands Hospital
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Paramaribo, Suriname
- Academisch Ziekenhuis Paramaribo Hospital
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Paramaribo, Suriname
- Diakonessenhuis hospital
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-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Sampling Method
Non-Probability Sample
Study Population
Adult (aged 18 or over), seen while hospitalized or in outpatient awaiting hospitalization, HIV1 or HIV2 infection confirmed by techniques validated in France and in Suriname, either before the episode considered, or discovered concomitantly, and presenting at least one of the three followings items: an alteration of their general condition (with a grade 1 according to the WHO Performance Status scale) and/or a fever and/or symptoms suggestive of an infectious syndrome.
Description
Inclusion Criteria:
- Adult (aged 18 or over).
- Patient seen while hospitalized or in outpatient awaiting hospitalization.
- HIV1 or HIV2 infection confirmed by techniques validated in France and in Suriname, either before the episode considered, or discovered concomitantly.
- Patient presenting at least one of the three followings items: an alteration of their general condition (with a grade 1 according to the WHO Performance Status scale) and/or a fever and/or symptoms suggestive of an infectious syndrome.
- Medical prescription for the collection of blood and urine specimens to test for an infectious agent within 7 days following admission to the hospital.
- Written consent to participate in the study obtained.
Exclusion Criteria:
- Refusal to participate in the study.
- Patient in a critical condition that doesn't allow physicians to get an informed consent without a legal representative to represent him and sign a consent form for the patient participation in the study.
- Ongoing antifungal treatment or antifungal treatment stopped during the month preceding the inclusion date (topic antifungal therapy not considered at this point).
- Patient in detention at the time of admission to the hospital.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Observational Models: Other
- Time Perspectives: Cross-Sectional
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Proportion of HIV-infected patients hospitalized or in outpatient awaiting hospitalization for a suspicion of infectious syndrome whose serum and/or urinary antigen detection tests are positive for Histoplasma capsulatum var. capsulatum.
Time Frame: At the time of inclusion (baseline)
|
At the time of inclusion (baseline)
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Sensitivity of the ELISA test on urine and blood specimens
Time Frame: At the time of inclusion (baseline)
|
At the time of inclusion (baseline)
|
Sensibility of the ELISA test on urine and blood specimens
Time Frame: At the time of inclusion (baseline)
|
At the time of inclusion (baseline)
|
Negative predictive value of the ELISA test on urine and blood specimens
Time Frame: At the time of inclusion (baseline)
|
At the time of inclusion (baseline)
|
Comparison of the distribution of Histoplasma antigen concentrations in urine and serum specimens according to severity of cases of histoplasmosis due to Histoplasma capsulatum var. capsulatum
Time Frame: At the time of inclusion (baseline)
|
At the time of inclusion (baseline)
|
Comparison of the socio-demographic, clinical, paraclinical and therapeutic characteristics according to severity of cases of histoplasmosis due to Histoplasma capsulatum var. capsulatum
Time Frame: 30 days or 90 days after inclusion
|
30 days or 90 days after inclusion
|
Comparison of the factors for environmental exposure to Histoplasma capsulatum var capsulatum between patients with a positive ELISA test and/or fungal culture for histoplasmosis and those who tested negative for histoplasmosis
Time Frame: At the time of inclusion
|
At the time of inclusion
|
Frequency of histoplasmosis compared to the other main diagnoses according to three sets of comparisons: positive ELISA test and positive fungal culture; positive ELISA test and negative fungal culture; negative ELISA test and positive fungal culture
Time Frame: 90 days after inclusion
|
90 days after inclusion
|
Comparison of the socio-demographic, clinical, paraclinical, therapeutic and survival outcome characteristics of cases of histoplasmosis compared to those who tested negative for histoplasmosis
Time Frame: 90 days after inclusion
|
90 days after inclusion
|
Identify the prognostic factors for short-term unfavourable progression of cases of histoplasmosis due to Histoplasma capsulatum var. capsulatum confirmed by ELISA test and/or by fungal culture
Time Frame: 30 days and 90 days after inclusion
|
30 days and 90 days after inclusion
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Study Chair: Mathieu NACHER, MD, PhD, CIE 802 Inserm / DGOS
- Study Chair: Stephen G VREDEN, MD, PhD, Foundation for Scientific Research Suriname (SWOS)
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
August 1, 2013
Primary Completion (Actual)
July 1, 2014
Study Completion (Anticipated)
December 1, 2018
Study Registration Dates
First Submitted
June 20, 2013
First Submitted That Met QC Criteria
June 21, 2013
First Posted (Estimate)
June 24, 2013
Study Record Updates
Last Update Posted (Actual)
July 11, 2017
Last Update Submitted That Met QC Criteria
July 10, 2017
Last Verified
July 1, 2017
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- ANRS 12260 EDIRAPHIS
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
product manufactured in and exported from the U.S.
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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