Prevention of Female Genital Schistosomiasis (FGS) in Rural High-endemic South Africa

NCT ID: NCT01154907

Last Updated: 2017-09-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

6500 participants

Study Classification

OBSERVATIONAL

Study Start Date

2010-04-30

Study Completion Date

2021-12-31

Brief Summary

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Schistosomiasis is a poverty-related water-transmitted parasitic disease affecting more that 200 million people world wide. Infection with Schistosoma haematobium may cause Female Genital Schistosomiasis (FGS) with pathological lesions in the female genital tract, especially the cervix. Findings indicate that FGS is a hitherto under-diagnosed illness of young women in endemic poor tropical countries, deserving further attention. A cross-sectional study from Zimbabwe indicated that the pathologic genital lesions were unchanged two years after praziquantel treatment in adult women whereas in those who had been treated with praziquantel in childhood the prevalence of genital lesions was significantly lower. Furthermore, a higher prevalence of HIV was detected in women with FGS compared to those without. The proposed project aims at achieving a better understanding of how annual distribution of praziquantel to pre- and post-pubertal schoolgirls may prevent FGS. This information can be of use in current schistosomiasis control programs in the near term resulting in improved strategies for treatment. Preventing or reducing the risk of FGS and genital lesions will lead to improved reproductive health among in women living in schistosomiasis endemic areas.

Project Goal: Contribute to a reduction of the global burden of female genital schistosomiasis (FGS) through improved knowledge about the prevention of gynecological lesions and through improved diagnosis of FGS.

Detailed Description

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Conditions

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Uro-genital Schistosomiasis

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Girls ages 10-12

In 18 rural schools in Ugu District, South Africa. Undergoing mass-treatment provided by the Department of Health.

Praziquantel was administered at 40mg/kg in annual mass-treatment

Praziquantel

Intervention Type DRUG

One day, 40mg/kg standard mass Praziquantel as recommended by WHO and local authorities

Young adult women

In rural schools in three districts, South Africa. Undergoing mass-treatment provided by the Departments of Health.

Praziquantel was administered at 40mg/kg in annual mass-treatment

Praziquantel

Intervention Type DRUG

One day, 40mg/kg standard mass Praziquantel as recommended by WHO and local authorities

Interventions

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Praziquantel

One day, 40mg/kg standard mass Praziquantel as recommended by WHO and local authorities

Intervention Type DRUG

Other Intervention Names

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Biltricide

Eligibility Criteria

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Inclusion Criteria

* Females in Schistosoma haematobium endemic areas

Exclusion Criteria

* Boys
* Pregnancy
* Allergic to praziquantel
* Severe disease
Minimum Eligible Age

10 Years

Maximum Eligible Age

23 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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University of KwaZulu

OTHER

Sponsor Role collaborator

University of Agder

OTHER

Sponsor Role collaborator

Sorlandet Hospital HF

OTHER_GOV

Sponsor Role collaborator

University of Copenhagen

OTHER

Sponsor Role collaborator

Leiden University Medical Center

OTHER

Sponsor Role collaborator

Universiteit Antwerpen

OTHER

Sponsor Role collaborator

Oslo University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Eyrun Floerecke Kjetland

MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Eyrun F Kjetland, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Oslo University Hospital, University of KwaZulu-Natal (UKZN)

Myra Taylor, PhD

Role: PRINCIPAL_INVESTIGATOR

UKZN/ Child Development Research Unit (CDRU)

Jane Kvalsvig, PhD

Role: PRINCIPAL_INVESTIGATOR

UKZN/ CDRU

Svein G Gundersen, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Agder University Hospital / Sorlandet Hospital

Locations

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University of KwaZulu Natal

Durban, KwaZulu-Natal, South Africa

Site Status RECRUITING

Countries

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South Africa

Central Contacts

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Eyrun Floereke Kjetland, MD, PhD

Role: CONTACT

+47 97008579

Myra Taylor, MD, PhD

Role: CONTACT

Facility Contacts

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Eyrun F. Kjetland, MD, PhD

Role: primary

+27 76 4920800

Myra Taylor, MD, PhD

Role: backup

+27 31 2604499

References

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Baan M, Galappaththi-Arachchige HN, Gagai S, Aurlund CG, Vennervald BJ, Taylor M, van Lieshout L, Kjetland EF. The Accuracy of Praziquantel Dose Poles for Mass Treatment of Schistosomiasis in School Girls in KwaZulu-Natal, South Africa. PLoS Negl Trop Dis. 2016 May 3;10(5):e0004623. doi: 10.1371/journal.pntd.0004623. eCollection 2016 May.

Reference Type BACKGROUND
PMID: 27139497 (View on PubMed)

Bustinduy AL, Friedman JF, Kjetland EF, Ezeamama AE, Kabatereine NB, Stothard JR, King CH. Expanding Praziquantel (PZQ) Access beyond Mass Drug Administration Programs: Paving a Way Forward for a Pediatric PZQ Formulation for Schistosomiasis. PLoS Negl Trop Dis. 2016 Sep 22;10(9):e0004946. doi: 10.1371/journal.pntd.0004946. eCollection 2016 Sep. No abstract available.

Reference Type BACKGROUND
PMID: 27658198 (View on PubMed)

Pillay P, van Lieshout L, Taylor M, Sebitloane M, Zulu SG, Kleppa E, Roald B, Kjetland EF. Cervical cytology as a diagnostic tool for female genital schistosomiasis: Correlation to cervical atypia and Schistosoma polymerase chain reaction. Cytojournal. 2016 Apr 20;13:10. doi: 10.4103/1742-6413.180784. eCollection 2016.

Reference Type RESULT
PMID: 27168759 (View on PubMed)

Holmen S, Galappaththi-Arachchige HN, Kleppa E, Pillay P, Naicker T, Taylor M, Onsrud M, Kjetland EF, Albregtsen F. Characteristics of Blood Vessels in Female Genital Schistosomiasis: Paving the Way for Objective Diagnostics at the Point of Care. PLoS Negl Trop Dis. 2016 Apr 13;10(4):e0004628. doi: 10.1371/journal.pntd.0004628. eCollection 2016 Apr.

Reference Type RESULT
PMID: 27073857 (View on PubMed)

Holmen SD, Kleppa E, Lillebo K, Pillay P, van Lieshout L, Taylor M, Albregtsen F, Vennervald BJ, Onsrud M, Kjetland EF. The first step toward diagnosing female genital schistosomiasis by computer image analysis. Am J Trop Med Hyg. 2015 Jul;93(1):80-86. doi: 10.4269/ajtmh.15-0071. Epub 2015 Apr 27.

Reference Type RESULT
PMID: 25918212 (View on PubMed)

Kleppa E, Klinge KF, Galaphaththi-Arachchige HN, Holmen SD, Lillebo K, Onsrud M, Gundersen SG, Taylor M, Ndhlovu P, Kjetland EF. Schistosoma haematobium infection and CD4+ T-cell levels: a cross-sectional study of young South African women. PLoS One. 2015 Mar 13;10(3):e0119326. doi: 10.1371/journal.pone.0119326. eCollection 2015.

Reference Type RESULT
PMID: 25768005 (View on PubMed)

Holmen SD, Kjetland EF, Taylor M, Kleppa E, Lillebo K, Gundersen SG, Onsrud M, Albregtsen F. Colourimetric image analysis as a diagnostic tool in female genital schistosomiasis. Med Eng Phys. 2015 Mar;37(3):309-14. doi: 10.1016/j.medengphy.2014.12.007. Epub 2015 Jan 24.

Reference Type RESULT
PMID: 25630808 (View on PubMed)

Kildemoes AO, Kjetland EF, Zulu SG, Taylor M, Vennervald BJ. Schistosoma haematobium infection and asymptomatic bacteriuria in young South African females. Acta Trop. 2015 Apr;144:19-23. doi: 10.1016/j.actatropica.2015.01.008. Epub 2015 Jan 24.

Reference Type RESULT
PMID: 25623258 (View on PubMed)

Norseth HM, Ndhlovu PD, Kleppa E, Randrianasolo BS, Jourdan PM, Roald B, Holmen SD, Gundersen SG, Bagratee J, Onsrud M, Kjetland EF. The colposcopic atlas of schistosomiasis in the lower female genital tract based on studies in Malawi, Zimbabwe, Madagascar and South Africa. PLoS Negl Trop Dis. 2014 Nov 20;8(11):e3229. doi: 10.1371/journal.pntd.0003229. eCollection 2014.

Reference Type RESULT
PMID: 25412334 (View on PubMed)

Kleppa E, Holmen SD, Lillebo K, Kjetland EF, Gundersen SG, Taylor M, Moodley P, Onsrud M. Cervical ectopy: associations with sexually transmitted infections and HIV. A cross-sectional study of high school students in rural South Africa. Sex Transm Infect. 2015 Mar;91(2):124-9. doi: 10.1136/sextrans-2014-051674. Epub 2014 Oct 3.

Reference Type RESULT
PMID: 25281761 (View on PubMed)

Kjetland EF, Norseth HM, Taylor M, Lillebo K, Kleppa E, Holmen SD, Andebirhan A, Yohannes TH, Gundersen SG, Vennervald BJ, Bagratee J, Onsrud M, Leutscher PD. Classification of the lesions observed in female genital schistosomiasis. Int J Gynaecol Obstet. 2014 Dec;127(3):227-8. doi: 10.1016/j.ijgo.2014.07.014. Epub 2014 Aug 13. No abstract available.

Reference Type RESULT
PMID: 25179171 (View on PubMed)

Kleppa E, Ramsuran V, Zulu S, Karlsen GH, Bere A, Passmore JA, Ndhlovu P, Lillebo K, Holmen SD, Onsrud M, Gundersen SG, Taylor M, Kjetland EF, Ndung'u T. Effect of female genital schistosomiasis and anti-schistosomal treatment on monocytes, CD4+ T-cells and CCR5 expression in the female genital tract. PLoS One. 2014 Jun 4;9(6):e98593. doi: 10.1371/journal.pone.0098593. eCollection 2014.

Reference Type RESULT
PMID: 24896815 (View on PubMed)

Pillay P, Taylor M, Zulu SG, Gundersen SG, Verweij JJ, Hoekstra P, Brienen EA, Kleppa E, Kjetland EF, van Lieshout L. Real-time polymerase chain reaction for detection of Schistosoma DNA in small-volume urine samples reflects focal distribution of urogenital Schistosomiasis in primary school girls in KwaZulu Natal, South Africa. Am J Trop Med Hyg. 2014 Mar;90(3):546-52. doi: 10.4269/ajtmh.13-0406. Epub 2014 Jan 27.

Reference Type RESULT
PMID: 24470560 (View on PubMed)

Hegertun IE, Sulheim Gundersen KM, Kleppa E, Zulu SG, Gundersen SG, Taylor M, Kvalsvig JD, Kjetland EF. S. haematobium as a common cause of genital morbidity in girls: a cross-sectional study of children in South Africa. PLoS Negl Trop Dis. 2013;7(3):e2104. doi: 10.1371/journal.pntd.0002104. Epub 2013 Mar 21.

Reference Type RESULT
PMID: 23556009 (View on PubMed)

Galappaththi-Arachchige HN, Amlie Hegertun IE, Holmen S, Qvigstad E, Kleppa E, Sebitloane M, Ndhlovu PD, Vennervald BJ, Gundersen SG, Taylor M, Kjetland EF. Association of Urogenital Symptoms with History of Water Contact in Young Women in Areas Endemic for S. haematobium. A Cross-Sectional Study in Rural South Africa. Int J Environ Res Public Health. 2016 Nov 14;13(11):1135. doi: 10.3390/ijerph13111135.

Reference Type RESULT
PMID: 27854250 (View on PubMed)

Lothe A, Zulu N, Oyhus AO, Kjetland EF, Taylor M. Treating schistosomiasis among South African high school pupils in an endemic area, a qualitative study. BMC Infect Dis. 2018 May 25;18(1):239. doi: 10.1186/s12879-018-3102-0.

Reference Type DERIVED
PMID: 29801483 (View on PubMed)

Related Links

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http://who.int/schistosomiasis/en/

WHO pocket atlas for Female Genital Schistosomiasis

Other Identifiers

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VIBE-FGS

Identifier Type: -

Identifier Source: org_study_id