Insights Into Tick-Borne Diseases: a Study From an Endemic Area of Northern Italy

NCT ID: NCT06374615

Last Updated: 2024-04-18

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

RECRUITING

Clinical Phase

NA

Total Enrollment

384 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-03-25

Study Completion Date

2029-03-31

Brief Summary

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This is a monocentric, experimental, non-pharmacological and non-device no profit study.

The study is experimental because all the visits and blood withdrawals foreseen by the protocol do not fall within the normal clinical practice.

Detailed Description

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Conditions

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Tick-Borne Diseases

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Serological test for Tick-borne Patogens

A baseline visit (T0) will be scheduled within 7-10 days of the tick bite. T0 visit will include: signature of ICF, data collection, blood sampling. Signature of a specific consent will be sought for storage of the leftover samples at -80°.

12 weeks apart from the bite (T1), subjects will be invited to a clinical and serological follow-up visit.

Participants will be taught to contact the study investigators in case of emergence of compatible signs/symptoms. In this case, one of the study members will call the participant to schedule an additional visit (T unscheduled, TU). At this time a blood sample will be collected. Timing for molecular and serological tests will be performed in relation to the emergence of patient's symptoms. In case of TBDs caused by TBEV, Rickettsia spp, Borrelia spp, Ehrlichia, Anaplasma spp. and Babesia spp the patient will be treated according to standard clinical practice.

Group Type EXPERIMENTAL

IgG and IgM search for specific Tick-Borne Patogens

Intervention Type DIAGNOSTIC_TEST

Ticks will be classified based on morphological characteristics by microscopy observation.

For TBP detection by molecular test, Nucleic acid extraction will be performed on ticks lysate or blood using kits MagMAX TM Viral/Pathogen Nucleic Acid Isolation Kit (Thermo Fisher Scientific) on MagEX STARlet platform from Hamilton. Species identification by molecular method will be performed by Sanger sequencing for Rickettsiae and Babesia, and Multi-Locus Sequence Typing will be used to characterize Borrelia.

Serum samples collected throughout the study will be tested to assess any seroconversions during the follow-up period.

Samples will be tested for the presence of specific IgG and IgM for the following TBPs: TBEV, R. typhi. R. conorii, Borrelia spp, Anaplasma, Ehrlichia and Babesia.

Interventions

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IgG and IgM search for specific Tick-Borne Patogens

Ticks will be classified based on morphological characteristics by microscopy observation.

For TBP detection by molecular test, Nucleic acid extraction will be performed on ticks lysate or blood using kits MagMAX TM Viral/Pathogen Nucleic Acid Isolation Kit (Thermo Fisher Scientific) on MagEX STARlet platform from Hamilton. Species identification by molecular method will be performed by Sanger sequencing for Rickettsiae and Babesia, and Multi-Locus Sequence Typing will be used to characterize Borrelia.

Serum samples collected throughout the study will be tested to assess any seroconversions during the follow-up period.

Samples will be tested for the presence of specific IgG and IgM for the following TBPs: TBEV, R. typhi. R. conorii, Borrelia spp, Anaplasma, Ehrlichia and Babesia.

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* all individuals aged \> 8 years presenting for tick removal.
* Individuals providing signed informed consent.

Exclusion Criteria

* tick not available for analysis
Minimum Eligible Age

8 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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IRCCS Sacro Cuore Don Calabria di Negrar

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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IRCCS Sacro Cuore Don Calabria hospital

Negrar, Verona, Italy

Site Status RECRUITING

Countries

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Italy

Central Contacts

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Elvia Malo

Role: CONTACT

+390456014854

Facility Contacts

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Andrea Tedesco

Role: primary

Other Identifiers

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2024-07

Identifier Type: -

Identifier Source: org_study_id

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