Evidence map›Paper›PMID 36436279›Full record

Trial reportEBioMedicine2022

Trypanosome spliced leader RNA for diagnosis of acoziborole treatment outcome in gambiense human African trypanosomiasis: A longitudinal follow-up study.

Ipos Ngay Lukusa, Nick Van Reet, Dieudonné Mumba Ngoyi, Erick Mwamba Miaka, Justin Masumu, Pati Patient Pyana, Wilfried Mutombo, Digas Ngolo, Vincent Kobo, Felix Akwaso and 9 more

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in EBioMedicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03112655 (Diagnostic Tools for Human African Trypanosomiasis Elimination and Clinical Trials), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.1field-weighted citation impact, top 22% 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.

NCT03112655 nacompletednot on this map

Diagnostic Tools for Human African Trypanosomiasis Elimination and Clinical Trials: WP4 Early Test-of-cure

TypeinterventionalSponsorInstitut de Recherche pour le DeveloppementRan2017 to 2021Enrolled88ConditionsAfrican Trypanosomiasis, African, Trypanosomiasis, West, Sleeping SicknessArmsRNA and neopterin detection
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Review
  3. Observational
  4. Observational
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

19 authors at 5 institutions in 4 countries.

Ipos Ngay LukusaDepartment of Parasitology, Institut National de Recherche Biomédicale, Kinshasa, Democratic Republic of the Congo.
Nick Van ReetDepartment of Biomedical Sciences, Institute of Tropical Medicine, Antwerp, Belgium.
Dieudonné Mumba NgoyiDepartment of Parasitology, Institut National de Recherche Biomédicale, Kinshasa, Democratic Republic of the Congo.
Erick Mwamba MiakaProgramme National de Lutte contre la Trypanosomiase Humaine Africaine (PNLTHA), Ministry of Health, Kinshasa, Democratic Republic of the Congo.
Justin MasumuDepartment of Parasitology, Institut National de Recherche Biomédicale, Kinshasa, Democratic Republic of the Congo.
Pati Patient PyanaDepartment of Parasitology, Institut National de Recherche Biomédicale, Kinshasa, Democratic Republic of the Congo.
Wilfried MutomboProgramme National de Lutte contre la Trypanosomiase Humaine Africaine (PNLTHA), Ministry of Health, Kinshasa, Democratic Republic of the Congo.
Digas NgoloProgramme National de Lutte contre la Trypanosomiase Humaine Africaine (PNLTHA), Ministry of Health, Kinshasa, Democratic Republic of the Congo.
Vincent KoboProgramme National de Lutte contre la Trypanosomiase Humaine Africaine (PNLTHA), Ministry of Health, Kinshasa, Democratic Republic of the Congo.
Felix AkwasoProgramme National de Lutte contre la Trypanosomiase Humaine Africaine (PNLTHA), Ministry of Health, Kinshasa, Democratic Republic of the Congo.
Médard IlungaProgramme National de Lutte contre la Trypanosomiase Humaine Africaine (PNLTHA), Ministry of Health, Kinshasa, Democratic Republic of the Congo.
Lewis KanindaProgramme National de Lutte contre la Trypanosomiase Humaine Africaine (PNLTHA), Ministry of Health, Kinshasa, Democratic Republic of the Congo.
Sylvain MutandaProgramme National de Lutte contre la Trypanosomiase Humaine Africaine (PNLTHA), Ministry of Health, Kinshasa, Democratic Republic of the Congo.
Dieudonné Mpoyi MuambaProgramme National de Lutte contre la Trypanosomiase Humaine Africaine (PNLTHA), Ministry of Health, Kinshasa, Democratic Republic of the Congo.
Olaf Valverde MordtDrugs for Neglected Diseases Initiative, Geneva, Switzerland.
Antoine TarralDrugs for Neglected Diseases Initiative, Geneva, Switzerland.
Sandra RembryDrugs for Neglected Diseases Initiative, Geneva, Switzerland.
Philippe BüscherDepartment of Biomedical Sciences, Institute of Tropical Medicine, Antwerp, Belgium.
Veerle LejonMixed Research Unit 177 Intertryp, Institut de Recherche pour le Développement, Centre de Coopération Internationale en Recherche Agronomique pour le Développement, University of Montpellier, Montpellier, France. Electronic address: veerle.lejon@ird.fr.
Ministry of Public Health · CDNational Institute of Biomedical Research · CDDrugs for Neglected Diseases Initiative · CHInstituut voor Tropische Geneeskunde · BECentre de Coopération Internationale en Recherche Agronomique pour le Développement · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDetection of spliced leader (SL)-RNA allows sensitive diagnosis of gambiense human African trypanosomiasis (HAT). We investigated its diagnostic performance for treatment outcome assessment.

methodsBlood and cerebrospinal fluid (CSF) from a consecutive series of 97 HAT patients, originating from the Democratic Republic of the Congo, were prospectively collected before treatment with acoziborole, and during 18 months of longitudinal follow-up after treatment. For treatment outcome assessment, SL-RNA detection was compared with microscopic trypanosome detection and CSF white blood cell count. The trial was registered under NCT03112655 in clinicaltrials.gov.

findingsBefore treatment, respectively 94.9% (92/97; CI 88.5-97.8%) and 67.7% (65/96; CI 57.8-76.2%) HAT patients were SL-RNA positive in blood or CSF. During follow-up, one patient relapsed with trypanosomes observed at 18 months, and was SL-RNA positive in blood and CSF at 12 months, and CSF positive at 18 months. Among cured patients, one individual tested SL-RNA positive in blood at month 12 (Specificity 98.9%; 90/91; CI 94.0-99.8%) and 18 (Specificity 98.9%; 88/89; CI 93.9-99.8%).

interpretationSL-RNA detection for HAT treatment outcome assessment shows ≥98.9% specificity in blood and 100% in CSF, and may detect relapses without lumbar puncture.

fundingThe DiTECT-HAT project is part of the EDCTP2 programme, supported by Horizon 2020, the European Union Funding for Research and Innovation (grant number DRIA-2014-306-DiTECT-HAT).

Indexed as

Antiprotozoal AgentsTrypanosomaTrypanosomiasis, AfricanAnimalsFollow-Up StudiesHumansRNA, Spliced LeaderTreatment OutcomeTrypanosoma brucei gambienseAntiprotozoal AgentsRNA, Spliced LeaderBloodCerebrospinal fluidDiagnosisHuman African trypanosomiasisRelapseRNASpecificityTreatment outcomeTrypanosoma brucei gambiense

Identifiers

PMID36436279
PMCPMC9700268
OpenAlexW4309889315

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.