Clinical trial NCT02672228: Feasibility of the Vapor Nanobubble Technology for Malaria Diagnostics (MalariaSense)
Official title: Feasibility of the Vapor Nanobubble Technology (MalariSense) for Malaria Diagnostics
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Malaria
Lead sponsor: London School of Hygiene and Tropical Medicine
Sponsor class: OTHER
Collaborators: name: Precision Acoustics ltd UK
name: Standa, UAB Lithuania
name: X Instruments LLC, CA, USA
First posted: 2016-02-03
Enrollment: 208
Sex: ALL
Minimum age (years): 1
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: DIAGNOSTIC

Brief summary: This is a proof of concept study that will evaluate the feasibility of a vapor nanobubble technology (MalariSense) for malaria diagnostics. The MalariSense technology will use a highly innovative approach based on the transdermal non-invasive detection of vapor nanobubbles produced by the excitation of malaria-specific hemozoin by safe, low-energy laser pulse. The objectives of this study will be to determine the sensitivity and specificity of MalariSense in diagnosing malaria in malaria suspected cases attending a health facility in The Gambia and to identify factors influencing the diagnostic accuracy of MalariSense

Detailed description: This is a proof of concept study that will evaluate the feasibility of a vapor nanobubble technology (MalariSense) for malaria diagnostics. The primary objective is to determine the sensitivity of MalariSense against microscopy in diagnosing malaria in malaria suspected cases attending a health facility in The Gambia. The secondary objectives include the following;

1. To determine the sensitivity of MalariSense against PCR in diagnosing malaria in malaria suspected cases attending a health facility in The Gambia
2. To determine the specificity of MalariSense in diagnosing malaria in malaria suspected cases attending a health facility in The Gambia.
3. To identify factors influencing the diagnostic accuracy of MalariSense
4. To validate the protocol for a blood vessel identification for the test and assess the safety of the prototype The study site will be Basse in the Eastern region of The Gambia. The study will be conducted during the malaria transmission season (August to December 2015). Participants will be patients with suspected uncomplicated malaria presenting to the outpatient department of Basse Health centre. At baseline, suspected malaria cases (clinical assessment) will be asked to provide informed consent and then transferred to the MRC Basse field station where a finger prick blood sample will be collected for a malaria rapid diagnostic test (RDT), microscopy and on filter paper for subsequent molecular studies. In addition, they will be tested using the Malarisense Technology. Measurements will be taken from the wrist, ear lobe and finger tips. The laboratory prototype of the device will include three major components: pulsed laser with the fiber output, integrated handheld probe with the fiber launch in the center and an ultrasound sensor with pre-amplifier, and the signal acquisition hardware with software.

The study will enrol a total sample size of 50 patients with confirmed malaria. It is estimated that about 125 to 167 suspected cases will need to be screened/tested to get this sample size. The Sample size will be increased by 10% to allow for any missing values - therefore up to 185 suspected cases screened. In addition, a convenience sample of 30 malaria negative participants will be enrolled for comparisons between malaria positive and malaria negative populations. RDT positive patients will be provided with antimalarial treatment while the others will receive treatment according to their condition. Microscopy and species-specific PCR will be performed later. Microscopy results will be taken as the gold standard.

There will not be any active follow up. Study participants will be asked to come back 2 days after the test, or earlier if they notice a problem.

Eligibility criteria: Inclusion Criteria:

* Patients presenting to the health facility with suspected uncomplicated malaria
* Provision of informed consent

Exclusion Criteria:

* Neonates and under 12 months old
* Pregnant women

Primary outcomes:
measure: "Hemozoin-generated vapour nanobubble (H-VNB) amplitude thresholds among malaria infected and uninfected individuals"
timeFrame: Day 1
Secondary outcomes:
measure: Safety profile of Malarisense technology for malaria diagnosis
timeFrame: Day 1 - Day 3
measure: Correlation of incidence rate ratio of hemozoin-positive traces with level of parasite density as determined by microscopy
timeFrame: Day1 - Day 3
Other outcomes:
Locations:
city: Basse, Upper River Region
country: Gambia
facility: Basse Health Centre
Study officials:
affiliation: Medical Research Council Unit, The Gambia
name: Umberto D'alessandro, PhD, MD
role: PRINCIPAL_INVESTIGATOR
References: