Development of a Diagnostic Prediction Score for Tuberculosis in Hospitalized Children With Severe Acute Malnutrition (TB-Speed SAM)
NCT04240990 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 603
Last updated 2025-12-10
Summary
TB-Speed SAM is a multicentric, prospective diagnostic cohort study conducted in two countries with high and very high TB incidence (Uganda and Zambia). It aims at assessing several diagnostic tests that could result in the development of a score and algorithm for TB treatment decision in hospitalised children with severe acute malnutrition (SAM).
Conditions
- Tuberculosis
- Severe Acute Malnutrition
Interventions
- OTHER
-
Development of a score and algorithm for TB treatment decision in hospitalised children with SAM.
The diagnostic strategy will include an initial clinical, radiographic and bacteriological evaluation of all enrolled children: * TB contact history * Suggestive TB symptoms in the previous 4 weeks * Physical examination * Clinical, anthropometric and biochemical assessment of malnutrition * Clinical assessment for other non-dietary causes of malnutrition * Digitalized CXR * Ultra performed on NPA and stool samples, and one gastric aspirate (GA) * Mycobacterial culture performed on two GAs * Abdominal ultrasonography * QuantiFERON®-TB Gold IGRA * Monocyte-to-Lymphocyte Ratio (MLR) * C-Reactive Protein (CRP) TB diagnosis will be made according to national TB guidelines.
Sponsors & Collaborators
-
UNITAID
collaborator OTHER -
Institut National de la Santé Et de la Recherche Médicale, France
lead OTHER_GOV
Principal Investigators
-
Olivier Marcy, MD, PhD · University of Bordeaux, France
-
Maryline Bonnet, MD, PhD · Institut de Recherche pour le Développemnt (IRD) Montpellier, France
-
Eric Wobudeya, MD, PhD · MU-JHU Care Ltd, Kampala, Uganda
Study Design
- Allocation
- NA
- Purpose
- DIAGNOSTIC
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 2 Months
- Max Age
- 59 Months
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2019-11-04
- Primary Completion
- 2022-06-20
- Completion
- 2022-06-20
Countries
- Uganda
- Zambia
Study Locations
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