Zika Virus InfectionZITOPExNCT05589012
Evaluation of Viral Replication by Tonate Virus (TONV) and Zika Virus (ZIKV), Within an ex Vivo Trophoblast and Placental Model
An observational study of Zika Virus Infection, run by Assistance Publique - Hôpitaux de Paris.
Trial summary
Prospective, non-interventional study carried out after culturing placental trophoblastic tissue ex vivo and infection with Zika and Tonate Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Zika Virus Infection
- What is being tested?
- Cell line and virus, Infection of human placental culture explants and Determination of viral load in tissues by qRT-PCR
- Type of treatment
- Pill or oral medicine
- How many people
- 0 participants
- Where
- No sites listed yet
- Study dates
- 1 Nov 2023to 1 Apr 2024
- 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 18 years and older
- Women only
- No healthy volunteers
- Adult, Older adult
Study population: Pregnant women
Who may be able to join
- Patient over 18 years old
- Singleton pregnancy of normal course, at term, birth by caesarean section OR
- Trophoblast from Voluntary Termination of Pregnancy (IVG), after endo-uterine aspiration
Who cannot join
- Need for pathological, genetic or bacteriological examination of the placenta
- Multiple pregnancy
- HBV+ (Hepatitis B positive), HCV+ (Hepatitis C positive) , known CMV seroconversion during pregnancy (CytoMégaloVirus)
- Immunosuppression (drugs, corticosteroids, etc.)
- Diabetes
- Pre eclampsia
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- Intrauterine growth retardation (IUGR),
- Vascular or placental pathology.
- Refusal to participate
- Patient under guardianship / curatorship / security measure
- Patient under AME (state medical aid)
About this study
Prospective, non-interventional study carried out after culturing placental trophoblastic tissue ex vivo and infection with Zika and Tonate
Read the detailed description
The analysis will relate for each virus studied + control + favipiravir to 1 placenta in the 1st trimester and 1 placenta at term.
2 experiments per virus will be planned.
- Conditions
- Zika Virus Infection
- Being tested
- Cell line and virus, Infection of human placental culture explants, Determination of viral load in tissues by qRT-PCR
- Keywords
- trophoblast, placenta
- Medical subject headings
- Zika Virus Infection
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Cell line and virusBiological
C6/36 cells will be cultured in L15 culture medium (Leibovitz's L-15 medium), supplemented with 5% FBS (Fetal Bovine Serum) and 1% penicillin/streptomycin at 28°C in a humidified atmosphere containing 5% C02. ZIKV and TONV will be expanded and titrated using C6/36 cells. The viral stock will be aliquoted in 100 µL aliquots and stored at -80°C.
Infection of human placental culture explantsBiological
Placental tissues will be handled within one hour of delivery. The chorionic villi will be dissected into 5mm sections and the tissues washed abundantly, minimum 3 times with a standard culture medium (RPMI-1640 supplemented with 10% heat-inactivated fetal calf serum (FCS), 1% L-Glutamine and 1% Penicillin/Streptomycin) to remove maternal blood, membranes and blood clots.
Collagen gel sponges will be placed in 6-well plate wells containing 3mL of culture medium (RPMI-1640 supplemented with 15% heat-inactivated fetal bovine serum (FCS), 1% Penicillin/streptomycin, 0 1% Gentamycin, 1% Amphotericin B, 1% L-Glutamine, 1% non-essential amino acid, 1% sodium pyruvate) per well. Chorionic villi will be dissected into 5mm sections and placed on top of collagen gel sponges at the interface between culture medium and air.
Determination of viral load in tissues by qRT-PCRBiological
The tissues will be lysed by mechanical disruption in a lysis buffer + 4%TCEP (Tris(2-carboxyethyl)phosphine hydrochloride) (Machery-Nagel ref: 740395.107) with the Precellys system. The lysed tissues will be diluted in 100 mg/mL of Macherey-Nagel lysis buffer, aliquoted and stored at -80°C until extraction. Total RNA will be extracted in duplicate using the Nucleospin 96 RNA Core kit (Macherey Nagel ref: 740466.4), following the supplier's instructions.
Standard samples, controls and ZIKV and TONV viral RNA will be extracted and tested in parallel under the same conditions. The extracted RNA will be subjected to reverse transcriptase, using the Superscript One-Step RT-qPCR kit (Invitrogen ref: 11732088) according to the manufacturer's recommendations, with a probe and primer specific for ZIKV and TONV.
| Study group | Role | What they receive |
|---|---|---|
| Human placentas and trophoblasts (biological waste) from uncomplicated pregnancies. | The placentas will be collected following a birth by caesarean section after oral and written information by delivery of the information note for women who have had a normal singleton pregnancy at term.
Similarly, trophoblasts are collected following endo-uterine aspiration in the context of voluntary termination of pregnancy.
* Cell line and virus
* Infection of human placental culture explants
* Determination of viral load in tissues by qRT-PCR Receives: Biological: Cell line and virus; Biological: Infection of human placental culture explants; Biological: Determination of viral load in tissues by qRT-PCR |
What is being measured
The primary outcome is the main question the study is designed to answer.
To assess the replication potential of TONV and ZIKV after placenta infection ex vivo.
Determine the viral load (RT-qtPCR) of TONV and ZIKV after placenta infection, ex vivo in RNA copies/mL
Measured: inclusion
Secondary outcomes (10)
Validate the ex vivo placental model for TONV.
Analysis of viral load in placental explants for TONV in RNA copies/mL
Measured: Inclusion
Compare viral infection of the placenta at different terms of pregnancy (first trimester and term).
Analysis of the viral load according to the term in RNA copies/mL
Measured: first trimester
Compare viral infection of the placenta at different terms of pregnancy (first trimester and term).
Analysis of gene expression of the different cytokines according to the term in RNA copies/mL
Measured: first trimester
Compare viral infection of the placenta at different terms of pregnancy (first trimester and term).
Analysis of the histological lesions according to the term in RNA copies/mL
Measured: first trimester
Compare viral infection of the placenta at different terms of pregnancy (first trimester and term).
Analysis of the viral load according to the term in RNA copies/mL
Measured: term
Compare the placental infection of TONV versus ZIKV.
Analysis of viral load depending on the virus (ZIKV vs TONV) in RNA copies/mL
Measured: inclusion
Compare the placental infection of TONV versus ZIKV.
Analysis of gene expression of different cytokines depending on the virus (ZIKV vs TONV) in RNA copies/mL
Measured: inclusion
Compare the placental infection of TONV versus ZIKV.
Analysis of histological lesions depending on the virus (ZIKV vs TONV) in RNA copies/mL
Measured: inclusion
Highlight the cellular targets of TONV.
Histological analysis and labeling of TONV cells in RNA copies/mL
Measured: inclusion
Highlight the cellular targets of TONV.
Histological analysis and labeling of placental cells in RNA copies/mL
Measured: inclusion
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted21 Oct 2022
- Study start1 Nov 2023 (estimated)
- Primary completion1 Apr 2024 (estimated)
- Study completion1 Apr 2024 (estimated)
Why it stopped: Withdrawal by the investigators
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Zika Virus InfectionStudies of the same condition, open and under way.
- More trials run by Assistance Publique - Hôpitaux de ParisThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Cohort
- Time perspective
- Prospective
- Enrolment
- 0 participants (actual)
Sponsor and investigators
- Lead sponsor
- Assistance Publique - Hôpitaux de Paris
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05589012
- Sponsor's protocol ID
- 2020-A01318-31
- Acronym
- ZITOPEx
- Status last verified
- Aug 2022
- First submitted
- 22 Aug 2022
- Last updated
- 12 Aug 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 12 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Evaluation of Viral Replication by Tonate Virus (TONV) and Zika Virus (ZIKV), Within an ex Vivo Trophoblast and Placental Model
- ClinicalTrials.gov ID
- NCT05589012
- Acronym / sponsor ID
- ZITOPEx / 2020-A01318-31
- Conditions
- Zika Virus Infection
- Keywords
- trophoblast, placenta
- Study type
- Observational
- Recruitment status
- WithdrawnReason stopped: Withdrawal by the investigators
- Enrolment
- 0 participants (actual)
- Lead sponsor
- Assistance Publique - Hôpitaux de ParisUniversity, hospital or other
- Study start
- 1 Nov 2023 (estimated)
- Primary completion
- 1 Apr 2024 (estimated)
- Study completion
- 1 Apr 2024 (estimated)
- First posted
- 21 Oct 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Prospective, non-interventional study carried out after culturing placental trophoblastic tissue ex vivo and infection with Zika and Tonate
Detailed description
The analysis will relate for each virus studied + control + favipiravir to 1 placenta in the 1st trimester and 1 placenta at term.
2 experiments per virus will be planned.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Human placentas and trophoblasts (biological waste) from uncomplicated pregnancies. | – | Biological: Cell line and virus, Biological: Infection of human placental culture explants, Biological: Determination of viral load in tissues by qRT-PCRThe placentas will be collected following a birth by caesarean section after oral and written information by delivery of the information note for women who have had a normal singleton pregnancy at term. Similarly, trophoblasts are collected following endo-uterine aspiration in the context of voluntary termination of pregnancy. * Cell line and virus * Infection of human placental culture explants * Determination of viral load in tissues by qRT-PCR |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Pregnant women
Key inclusion criteria (3 listed)
- Patient over 18 years old
- Singleton pregnancy of normal course, at term, birth by caesarean section OR
- Trophoblast from Voluntary Termination of Pregnancy (IVG), after endo-uterine aspiration
Key exclusion criteria (11 listed)
- Need for pathological, genetic or bacteriological examination of the placenta
- Multiple pregnancy
- HBV+ (Hepatitis B positive), HCV+ (Hepatitis C positive) , known CMV seroconversion during pregnancy (CytoMégaloVirus)
- Immunosuppression (drugs, corticosteroids, etc.)
- Diabetes
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Cell line and virusC6/36 cells will be cultured in L15 culture medium (Leibovitz's L-15 medium), supplemented with 5% FBS (Fetal Bovine Serum) and 1% penicillin/streptomycin at 28°C in a humidified atmosphere containing 5% C02. ZIKV and TONV will be expanded and titrated using C6/36 cells. The viral stock will be aliquoted in 100 µL aliquots and stored at -80°C. | Biological | Human placentas and trophoblasts (biological waste) from uncomplicated pregnancies. |
| Infection of human placental culture explantsPlacental tissues will be handled within one hour of delivery. The chorionic villi will be dissected into 5mm sections and the tissues washed abundantly, minimum 3 times with a standard culture medium (RPMI-1640 supplemented with 10% heat-inactivated fetal calf serum (FCS), 1% L-Glutamine and 1% Penicillin/Streptomycin) to remove maternal blood, membranes and blood clots. Collagen gel sponges will be placed in 6-well plate wells containing 3mL of culture medium (RPMI-1640 supplemented with 15% heat-inactivated fetal bovine serum (FCS), 1% Penicillin/streptomycin, 0 1% Gentamycin, 1% Amphotericin B, 1% L-Glutamine, 1% non-essential amino acid, 1% sodium pyruvate) per well. Chorionic villi will be dissected into 5mm sections and placed on top of collagen gel sponges at the interface between culture medium and air. | Biological | Human placentas and trophoblasts (biological waste) from uncomplicated pregnancies. |
| Determination of viral load in tissues by qRT-PCRThe tissues will be lysed by mechanical disruption in a lysis buffer + 4%TCEP (Tris(2-carboxyethyl)phosphine hydrochloride) (Machery-Nagel ref: 740395.107) with the Precellys system. The lysed tissues will be diluted in 100 mg/mL of Macherey-Nagel lysis buffer, aliquoted and stored at -80°C until extraction. Total RNA will be extracted in duplicate using the Nucleospin 96 RNA Core kit (Macherey Nagel ref: 740466.4), following the supplier's instructions. Standard samples, controls and ZIKV and TONV viral RNA will be extracted and tested in parallel under the same conditions. The extracted RNA will be subjected to reverse transcriptase, using the Superscript One-Step RT-qPCR kit (Invitrogen ref: 11732088) according to the manufacturer's recommendations, with a probe and primer specific for ZIKV and TONV. | Biological | Human placentas and trophoblasts (biological waste) from uncomplicated pregnancies. |
Primary outcome
To assess the replication potential of TONV and ZIKV after placenta infection ex vivo.
Time frame: inclusion
Determine the viral load (RT-qtPCR) of TONV and ZIKV after placenta infection, ex vivo in RNA copies/mL
10 secondary outcomes
Validate the ex vivo placental model for TONV.
Time frame: Inclusion
Compare viral infection of the placenta at different terms of pregnancy (first trimester and term).
Time frame: first trimester
Compare viral infection of the placenta at different terms of pregnancy (first trimester and term).
Time frame: first trimester
Compare viral infection of the placenta at different terms of pregnancy (first trimester and term).
Time frame: first trimester
Compare viral infection of the placenta at different terms of pregnancy (first trimester and term).
Time frame: term
Compare the placental infection of TONV versus ZIKV.
Time frame: inclusion
Compare the placental infection of TONV versus ZIKV.
Time frame: inclusion
Compare the placental infection of TONV versus ZIKV.
Time frame: inclusion
Highlight the cellular targets of TONV.
Time frame: inclusion
Highlight the cellular targets of TONV.
Time frame: inclusion
Results and safety
The study was withdrawn before enrolling participants, so there are no results.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 Aug 2026.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
Questions about this trial
What is this clinical trial studying?
An observational study of Zika Virus Infection, run by Assistance Publique - Hôpitaux de Paris.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 11 exclusion criteria. 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: withdrawn, as of the sponsor's last update on 12 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.
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 was withdrawn before enrolling participants, so there are no results.
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?
To assess the replication potential of TONV and ZIKV after placenta infection ex vivo. (time frame: inclusion). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 12 Aug 2026.