FujiLAM Prospective Evaluation Trial

NCT ID: NCT04089423

Last Updated: 2022-01-25

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

COMPLETED

Total Enrollment

1731 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-12-13

Study Completion Date

2021-12-31

Brief Summary

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This is a prospective, multicentre cohort study in which the accuracy and the diagnostic yield of the FujiLAM test will be assessed using a microbiological reference standard, an extended microbiological reference standard and a composite reference standard among inpatient and outpatient people living with HIV (PLHIV).

Detailed Description

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Conditions

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Diagnosis of Tuberculosis in People Living With HIV

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Interventions

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Fujifilm SILVAMP TB LAM

Fujifilm SILVAMP TB LAM detects the presence of lipoarabinomannan (LAM) in urine with a visually read lateral flow test that uses silver amplification.

Intervention Type DEVICE

Other Intervention Names

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Omega VISITECT® CD4 Advanced Disease test

Eligibility Criteria

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Inclusion Criteria

* Adult PLHIV (≥18 years), irrespective of their CD4 count and antiretroviral therapy (ART) status, at risk of having pulmonary and/or extra-pulmonary TB
* Inpatients: irrespective of TB symptoms
* Outpatients: at least one of the symptoms suggestive of TB (as defined by WHO\*)
* written informed consent
* willingness to have a trial follow-up visit at 2-3 and 6 months after enrolment (e.g. not planning to relocate)

Exclusion Criteria

* Current anti-TB treatment \*
* Any anti-TB treatment within 60 days prior to enrolment
* Any isoniazid preventive therapy within 6 months prior to enrolment \* Patients starting anti-TB treatment at the time of enrolment will not be excluded from the trial provided that all trial specimens are collected before starting the 3rd dose of treatment.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centre for Infectious Disease Research in Zambia

OTHER

Sponsor Role collaborator

Infectious Diseases Institute, Uganda

OTHER

Sponsor Role collaborator

Malawi-Liverpool-Wellcome Trust Clinical Research Programme

OTHER

Sponsor Role collaborator

Swiss Tropical & Public Health Institute

OTHER

Sponsor Role collaborator

Ifakara Health Institute

OTHER

Sponsor Role collaborator

University of Cape Town

OTHER

Sponsor Role collaborator

Viet Tiep Hospital

OTHER

Sponsor Role collaborator

National Tuberculosis Control Programme

UNKNOWN

Sponsor Role collaborator

Fujifilm

INDUSTRY

Sponsor Role collaborator

Omega Diagnostics

UNKNOWN

Sponsor Role collaborator

Tuberculosis and Lung Disease Hospital in Hai Phong

UNKNOWN

Sponsor Role collaborator

The HIV Netherlands Australia Thailand Research Collaboration

OTHER

Sponsor Role collaborator

Foundation for Innovative New Diagnostics, Switzerland

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Morten Ruhwald, MD

Role: PRINCIPAL_INVESTIGATOR

FIND Head of TB programme

Locations

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Malawi-Liverpool-Wellcome Trust Clinical Research Programme

Blantyre, , Malawi

Site Status

CIDRI-Africa University of Cape Town

Cape Town, , South Africa

Site Status

Ifakara Health Institute

Dar es Salaam, , Tanzania

Site Status

The HIV Netherlands Australia Thailand Research collaboration

Bangkok, Bankok, Thailand

Site Status

Infectious Diseases Institute

Kampala, , Uganda

Site Status

Viet Tiep Hospital

Haiphong, Le Chan, Vietnam

Site Status

Centre for Infectious Disease Research in Zambia

Lusaka, , Zambia

Site Status

Countries

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Malawi South Africa Tanzania Thailand Uganda Vietnam Zambia

References

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Sossen B, Szekely R, Mukoka M, Muyoyeta M, Nakabugo E, Hella J, Van Nguyen H, Ubolyam S, Erkosar B, Vermeulen M, Centner CM, Nyangu S, Sanjase N, Sasamalo M, Dinh HT, Ngo TA, Manosuthi W, Jirajariyavej S, Nguyen NV, Avihingsanon A, Kerkhoff AD, Denkinger CM, Reither K, Nakiyingi L, MacPherson P, Meintjes G, Ruhwald M; FujiLAM Study Consortium. Urine-Xpert Ultra for the diagnosis of tuberculosis in people living with HIV: a prospective, multicentre, diagnostic accuracy study. Lancet Glob Health. 2024 Dec;12(12):e2024-2034. doi: 10.1016/S2214-109X(24)00357-7.

Reference Type DERIVED
PMID: 39577975 (View on PubMed)

Gils T, Hella J, Jacobs BKM, Sossen B, Mukoka M, Muyoyeta M, Nakabugo E, Van Nguyen H, Ubolyam S, Mace A, Vermeulen M, Nyangu S, Sanjase N, Sasamalo M, Dinh HT, Ngo TA, Manosuthi W, Jirajariyavej S, Denkinger CM, Nguyen NV, Avihingsanon A, Nakiyingi L, Szekely R, Kerkhoff AD, MacPherson P, Meintjes G, Reither K, Ruhwald M. A Prospective Evaluation of the Diagnostic Accuracy of the Point-of-Care VISITECT CD4 Advanced Disease Test in 7 Countries. J Infect Dis. 2025 Feb 4;231(1):e82-e90. doi: 10.1093/infdis/jiae374.

Reference Type DERIVED
PMID: 39046150 (View on PubMed)

Szekely R, Sossen B, Mukoka M, Muyoyeta M, Nakabugo E, Hella J, Nguyen HV, Ubolyam S, Chikamatsu K, Mace A, Vermeulen M, Centner CM, Nyangu S, Sanjase N, Sasamalo M, Dinh HT, Ngo TA, Manosuthi W, Jirajariyavej S, Mitarai S, Nguyen NV, Avihingsanon A, Reither K, Nakiyingi L, Kerkhoff AD, MacPherson P, Meintjes G, Denkinger CM, Ruhwald M; FujiLAM Study Consortium. Prospective multicentre accuracy evaluation of the FUJIFILM SILVAMP TB LAM test for the diagnosis of tuberculosis in people living with HIV demonstrates lot-to-lot variability. PLoS One. 2024 May 31;19(5):e0303846. doi: 10.1371/journal.pone.0303846. eCollection 2024.

Reference Type DERIVED
PMID: 38820372 (View on PubMed)

Other Identifiers

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7430-2/1

Identifier Type: -

Identifier Source: org_study_id

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