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MalariaNCT01555255

Malaria Rapid Diagnostic Tests (RDTs) in Pregnancy: Detection of Placental Malaria

An observational study of Malaria and Placental Malaria, run by Foundation for Innovative New Diagnostics, Switzerland at 2 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study seeks to determine whether screening pregnant women for malaria with malaria rapid diagnostic tests (RDTs) may detect placental infection and predict risk of poor birth outcomes due to malaria in areas of varied malaria transmission in Africa. Read more about this study

Who is it for?
Ages 16 to 44 years, women only
Conditions the study is for
Malaria, Placental Malaria, Malaria in Pregnancy
How many people
1,205 participants
Where
2 sitesin 2 countries
Study dates
1 May 2011to 30 Mar 2012
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 16 to 44 years
  • Women only
  • No healthy volunteers
  • Child, Adult

Study population: Women presenting for routine antenatal care in the second and third trimesters of pregnancy, at antenatal clinics at ≥2 sites of varied malaria transmission intensity in Africa

Specific participant selection criteria include:

  1. Presenting for care after quickening and before onset of labor (i.e. in the second or third trimester of pregnancy)
  2. Age between 16 years and 44 years, inclusive
  3. Willingness and ability to follow up with study visits and activities through the duration of pregnancy and at delivery
  4. Absence of history of serious adverse reaction to sulfa drugs
  5. Absence of history of serious adverse reaction to artemisinin-based drugs (depending on national policy on treatment of malaria in pregnancy)
  6. Absence of HIV infection (both because guidelines for malaria prevention in pregnancy for HIV-infected women differ from those for HIV-negative women, and in order to avoid confounding of pregnancy outcomes by HIV-related complications or treatments in this early evaluation)
  7. Absence of history of or current obstetrical complications (e.g. pre-eclampsia, eclampsia, hypertension during pregnancy, post-partum hemorrhage, evidence of multiple gestation)
  8. Absence of chronic disease (e.g. diabetes mellitus, sickle cell disease)
  9. Absence of evidence of severe acute disease requiring inpatient management or referral
  10. Provision of written informed consent
  11. Enrollment Hb ≥7 g/dL

Trial locations and contacts

2 sites in 2 countries.

2 sites in 2 countries

Burkina Faso1 site
  • IRSS, Direction Régionale de l'Ouest

    Bobo-Dioulasso, 01BP 545

Other trials in Burkina Faso

Uganda1 site
  • Tororo District Hospital

    Tororo, Tororo District, 0

Other trials in Uganda

About this study

This study seeks to determine whether screening pregnant women for malaria with malaria rapid diagnostic tests (RDTs) may detect placental infection and predict risk of poor birth outcomes due to malaria in areas of varied malaria transmission in Africa.

Read the detailed description

Malaria prevention measures for pregnant women are critical and available, but the effectiveness of intermittent preventive treatment (IPTp) with sulfadoxine-pyrimethamine, a cornerstone in this prevention effort, is declining with increasing parasite resistance. New drugs for IPTp are being considered, but there are disadvantages to presumptive use of the few remaining efficacious antimalarials. An alternative approach may involve screening with diagnostic tests to better target efficacious antimalarial treatment to asymptomatic women with laboratory evidence of malaria infection. Light microscopy of peripheral maternal blood misses a large proportion of cases, and PCR is unavailable in routine health care settings. Preliminary evidence suggests that detection of parasite antigen in peripheral blood may provide an accurate indicator of clinically significant infections and predict pregnancy outcomes. Therefore, screening with RDTs may offer an accurate and practical way to identify pregnant women who will benefit from targeted therapy for placental malaria infection. Antigen detection thresholds vary widely among RDTs, and the distribution of target antigens in peripheral blood circulation is expected to differ; therefore, the potential value of RDTs in this population can best be established by evaluating the detection of placental parasitemia for highly-characterized RDTs, enabling results to be extrapolated to other products and programs. The study described here is proposed to address this question.

Keywords
malaria, pregnancy, placental malaria, malaria in pregnancy, birth weight, anemia
Medical subject headings
Malaria, Birth Weight, Anemia

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. accuracy of diagnostic tests during gestation

    accuracy of malaria RDTs, blood smears and PCR performed on maternal peripheral blood to diagnose or predict placental malaria during gestation

    Measured: 2nd trimester of pregnancy

  2. accuracy of diagnostic tests during gestation

    accuracy of malaria RDTs, blood smears and PCR performed on maternal peripheral blood to diagnose or predict placental malaria during gestation

    Measured: 3rd trimester of pregnancy

Secondary outcomes (3)
  1. association of placental malaria with infant birth weight

    Measured: at birth

  2. association of placental malaria with maternal hemoglobin

    Measured: twice during gestation and at delivery

  3. accuracy of diagnostic tests at delivery

    accuracy of malaria RDTs, peripheral blood smears and PCR performed on maternal peripheral blood to diagnose placental malaria at delivery

    Measured: at delivery

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 Mar 2012 (estimated)
  2. Study start1 May 2011
  3. Primary completion30 Mar 2012
  4. Study completion30 Mar 2012

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case only
Time perspective
Prospective
Enrolment
1,205 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01555255
Sponsor's protocol ID
RPC390
Status last verified
Sep 2026
First submitted
14 Mar 2012
Last updated
17 Sep 2026
Results posted
No
Data monitoring committee
No

Publications

  • Canier L, Khim N, Kim S, Sluydts V, Heng S, Dourng D, Eam R, Chy S, Khean C, Loch K, Ken M, Lim H, Siv S, Tho S, Masse-Navette P, Gryseels C, Uk S, Van Roey K, Grietens KP, Sokny M, Thavrin B, Chuor CM, Deubel V, Durnez L, Coosemans M, Menard D. An innovative tool for moving malaria PCR detection of parasite reservoir into the field. Malar J. 2013 Nov 9;12:405. doi: 10.1186/1475-2875-12-405.

    PubMed 24206649

Questions about this trial

What is this clinical trial studying?

An observational study of Malaria and Placental Malaria, run by Foundation for Innovative New Diagnostics, Switzerland at 2 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 17 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Burkina Faso, Uganda. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

accuracy of diagnostic tests during gestation (time frame: 2nd trimester of pregnancy). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01555255, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Sep 2026; AzTrials last refreshed its copy on 8 Nov 2026.

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