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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.

Withdrawn

Withdrawn. The study stopped before anyone enrolled.

Official record
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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
Show all 11Show fewer
  • 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.

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 groups in NCT05589012
Study groupRoleWhat 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.

  1. 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)
  1. Validate the ex vivo placental model for TONV.

    Analysis of viral load in placental explants for TONV in RNA copies/mL

    Measured: Inclusion

  2. 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

  3. 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

  4. 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

  5. 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

  6. 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

  7. 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

  8. 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

  9. Highlight the cellular targets of TONV.

    Histological analysis and labeling of TONV cells in RNA copies/mL

    Measured: inclusion

  10. 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.

  1. First posted21 Oct 2022
  2. Study start1 Nov 2023 (estimated)
  3. Primary completion1 Apr 2024 (estimated)
  4. Study completion1 Apr 2024 (estimated)

Why it stopped: Withdrawal by the investigators

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
Cohort
Time perspective
Prospective
Enrolment
0 participants (actual)
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

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.

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