Evidence map›Paper›PMID 29176887›Full record

ArticlePloS one2017

First external quality assurance program for bloodstream Real-Time PCR monitoring of treatment response in clinical trials of Chagas disease.

Juan C Ramírez, Rudy Parrado, Elena Sulleiro, Anabelle de la Barra, Marcelo Rodríguez, Sandro Villarroel, Lucía Irazu, Cristina Alonso-Vega, Fabiana Alves, María A Curto and 8 more

3 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.9field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01162967 phase2completednot on this map

Protocol for phase ii clinical trial, randomized and open for etiological treatment of chronic chagas disease with posaconazole and benznidazole

TypeinterventionalSponsorHospital Universitari Vall d'Hebron Research InstituteRan2010 to 2013Enrolled78ConditionsChagas DiseaseArmsBenznidazole, Posaconazole
NCT01489228 phase2unknown statusnot on this map

Phase 2 Randomized, Multicenter, Placebo-controlled, Safety and Efficacy Study to Evaluate Three Oral E1224 Dosing Regimens and Benznidazole for the Treatment of Adult Patients With Chronic Indeterminate Chagas Disease

TypeinterventionalSponsorDrugs for Neglected DiseasesRan2011 to 2013Enrolled230ConditionsChronic Chagas Disease, IndeterminateArmsE1224, Benznidazole, Placebo
NCT01678599 phase4completednot on this map

Optimization of Sampling Procedure for PCR Technique to Assess Parasitological Response for Patients With Chronic Chagas Disease Treated With Benznidazole in Aiquile, Bolivia

TypeinterventionalSponsorDrugs for Neglected DiseasesRan2011 to 2013Enrolled220ConditionsChagas DiseaseArmsBenznidazole
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 31 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Parasite Burden ofMicroorganisms · 2024
    Article
  5. Congenital Transmission ofVector borne and zoonotic diseases (Larchmont, N.Y.) · 2023
    Article
  6. International journal for parasitology. Parasites and wildlife · 2023
    Article
  7. Observational
  8. Chagas Disease.Annals of internal medicine · 2023
    Review
  9. Observational
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Observational
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 9 institutions in 4 countries.

Juan C RamírezInstituto de Investigaciones en Ingeniería Genética y Biología Molecular "Dr. Héctor N. Torres" (INGEBI-CONICET), Buenos Aires, Argentina.
Rudy ParradoInstituto de Investigaciones Biomédicas (IIBISMED), Universidad Mayor de San Simón, Cochabamba, Bolivia.
Elena SulleiroHospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, PROSICS Barcelona, Barcelona, Spain.
Anabelle de la BarraInstituto de Investigaciones Biomédicas (IIBISMED), Universidad Mayor de San Simón, Cochabamba, Bolivia.
Marcelo RodríguezInstituto Nacional de Enfermedades Infecciosas (INEI)-ANLIS "Dr. Carlos G. Malbrán", Buenos Aires, Argentina.
Sandro VillarroelInstituto de Investigaciones Biomédicas (IIBISMED), Universidad Mayor de San Simón, Cochabamba, Bolivia.
Lucía IrazuInstituto Nacional de Enfermedades Infecciosas (INEI)-ANLIS "Dr. Carlos G. Malbrán", Buenos Aires, Argentina.
Cristina Alonso-VegaDrugs for Neglected Diseases initiative (DNDi), Geneva, Switzerland.
Fabiana AlvesDrugs for Neglected Diseases initiative (DNDi), Geneva, Switzerland.
María A CurtoInstituto de Investigaciones en Ingeniería Genética y Biología Molecular "Dr. Héctor N. Torres" (INGEBI-CONICET), Buenos Aires, Argentina.
Lineth GarcíaInstituto de Investigaciones Biomédicas (IIBISMED), Universidad Mayor de San Simón, Cochabamba, Bolivia.
Lourdes OrtizUniversidad Autónoma Juan Misael Saracho, Tarija, Bolivia.
Faustino TorricoFundación CEADES, Cochabamba, Bolivia.
Joaquim GascónISGlobal, Barcelona Centre for International Health Research (CRESIB), Hospital Clínic-Universitat de Barcelona, Barcelona, Spain.
Laurence FlevaudMédecins Sans Frontières Operational Center Barcelona-Athens (OCBA), Barcelona, Spain.
Israel MolinaHospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, PROSICS Barcelona, Barcelona, Spain.
Isabela RibeiroDrugs for Neglected Diseases initiative (DNDi), Geneva, Switzerland.
Alejandro G SchijmanInstituto de Investigaciones en Ingeniería Genética y Biología Molecular "Dr. Héctor N. Torres" (INGEBI-CONICET), Buenos Aires, Argentina.ORCID http://orcid.org/0000-0001-9805-3415
Universidad Mayor de San Simón · BOConsejo Nacional de Investigaciones Científicas y Técnicas · ARDrugs for Neglected Diseases Initiative · CHAdministración Nacional de Laboratorios e Institutos de Salud · ARUniversitat Autònoma de Barcelona · ESBarcelona Institute for Global Health · ESFundación PROINPA · BOMédecins Sans Frontières · ESUniversidad Autónoma Juan Misael Saracho · BO

Funding

Wellcome Trust
6 · The paper itself

Abstract

Real-Time PCR (qPCR) testing is recommended as both a diagnostic and outcome measurement of etiological treatment in clinical practice and clinical trials of Chagas disease (CD), but no external quality assurance (EQA) program provides performance assessment of the assays in use. We implemented an EQA system to evaluate the performance of molecular biology laboratories involved in qPCR based follow-up in clinical trials of CD. An EQA program was devised for three clinical trials of CD: the E1224 (NCT01489228), a pro-drug of ravuconazole; the Sampling Study (NCT01678599), that used benznidazole, both conducted in Bolivia; and the CHAGASAZOL (NCT01162967), that tested posaconazole, conducted in Spain. Four proficiency testing panels containing negative controls and seronegative blood samples spiked with 1, 10 and 100 parasite equivalents (par. eq.)/mL of four Trypanosoma cruzi stocks, were sent from the Core Lab in Argentina to the participating laboratories located in Bolivia and Spain. Panels were analyzed simultaneously, blinded to sample allocation, at 4-month intervals. In addition, 302 random blood samples from both trials carried out in Bolivia were sent to Core Lab for retesting analysis. The analysis of proficiency testing panels gave 100% of accordance (within laboratory agreement) and concordance (between laboratory agreement) for all T. cruzi stocks at 100 par. eq./mL; whereas their values ranged from 71 to 100% and from 62 to 100% at 1 and 10 par. eq./mL, respectively, depending on the T. cruzi stock. The results obtained after twelve months of preparation confirmed the stability of blood samples in guanidine-EDTA buffer. No significant differences were found between qPCR results from Bolivian laboratory and Core Lab for retested clinical samples. This EQA program for qPCR analysis of CD patient samples may significantly contribute to ensuring the quality of laboratory data generated in clinical trials and molecular diagnostics laboratories of CD.

Indexed as

Chagas DiseaseHumansMonitoring, PhysiologicNitroimidazolesReal-Time Polymerase Chain ReactionTriazolesTrypanocidal AgentsbenzonidazoleNitroimidazolesposaconazoleTriazolesTrypanocidal Agents

Identifiers

PMID29176887
PMCPMC5703561
OpenAlexW2768399700

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.