Pan African Clinical Trials Registry

South African Medical Research Council, South African Cochrane Centre
PO Box 19070, Tygerberg, 7505, South Africa
Telephone: +27 21 938 0506 / +27 21 938 0834 Fax: +27 21 938 0836
Email: pactradmin@mrc.ac.za Website: pactr.samrc.ac.za
Trial no.: PACTR202405890935254 Date of Approval: 23/05/2024
Trial Status: Registered in accordance with WHO and ICMJE standards
TRIAL DESCRIPTION
Public title EDE Scanner Study
Official scientific title A non-interventional clinical validation study of the Exponential Deep Examination (EDE) scanner in the detection of human immunodeficiency virus (HIV), tuberculosis (TB) and malaria
Brief summary describing the background and objectives of the trial Exponential Deep Examination (EDE) scanner is an innovative device designed to detect infectious diseases and antimicrobial resistance, developed by the parent company of Servizi EDE Research LLC, which has been carrying out research and scouting technology for more than 10 years, developing, among the others, a technology for non-invasive genome detection. Such technology can detect electromagnetic (EM) waves from individuals within a 2–5 meter radius. As EM waves differ among healthy (non-infected) versus infected individuals due to presence of pathogenic DNA/RNA sequences, the technology classifies these EM waves based on their spectral signatures and subsequently identifies the pathogen based on its corresponding sequence. The technology researched and fine-tuned by the parent company of Servizi EDE Research LLC comprises three main elements: (1) An EDE detector (sensor) to measure EM waves; (2) A portable targeting device: Android based device (smartphone) connected to the internet to transmit information and point to a certain individual and display information; and (3) A machine learning (ML) model to identify the spectral signature compatible with the specific pathogen. The same technology was used by the parent company of Servizi EDE Research LLC as a component to develop and fine-tune another type of scanner, which demonstrated high accuracy in detecting the Coronavirus Disease 2019 (COVID-19) (i.e., the COVID-19 EDE scanner). When tested in the Emirate of Abu Dhabi in the United Arab Emirates (UAE), the COVID-19 EDE scanner showed device sensitivity and specificity of 96.7% and 98.12%, respectively, against the gold standard COVID-19 polymerase chain reaction (PCR) test. Moreover, similar results were shown in a study conducted by the Abu Dhabi Health Services Company (SEHA) and Union 71 laboratory testing firm, whereby analysis of 1,093 patient samples yielded a sensitivity and specificity of 93.5% and 83.0%, respectively, in the detection of COVID-Objectives and Endpoints: Primary objective: To assess the sensitivity, specificity, PPV, and NPV of EDE scanner in the detection of infectious diseases of interest (HIV, TB, malaria). Secondary Objectives: To determine the frequency of symptoms (at enrollment) among patients screened positive and screened negative via EDE scanner, for each infectious disease of interest (HIV, TB, malaria), among patients with confirmed disease. Exploratory objectives: To assess the sensitivity, specificity, PPV, and NPV of EDE scanner in the detection of MDR-TB. To assess the sensitivity, specificity, PPV, and NPV of EDE scanner in the detection of HCV
Type of trial Observational
Acronym (If the trial has an acronym then please provide)
Disease(s) or condition(s) being studied Infections and Infestations
Sub-Disease(s) or condition(s) being studied HCV,HIV/AIDS,Malaria,Tuberculosis
Purpose of the trial Diagnosis / Prognosis
Anticipated trial start date 30/07/2024
Actual trial start date
Anticipated date of last follow up 30/07/2025
Actual Last follow-up date
Anticipated target sample size (number of participants) 2320
Actual target sample size (number of participants)
Recruitment status Not yet recruiting
Publication URL
Secondary Ids Issuing authority/Trial register
STUDY DESIGN
Intervention assignment Allocation to intervention If randomised, describe how the allocation sequence was generated Describe how the allocation sequence/code was concealed from the person allocating the participants to the intervention arms Masking If masking / blinding was used
Crossover: all participants receive all interventions in different sequence during study Non-randomised Allocation was determined by the holder of the sequence who is situated off site Open-label(Masking Not Used)
INTERVENTIONS
Intervention type Intervention name Dose Duration Intervention description Group size Nature of control
Experimental Group EDE Scanner N/A 6-8 months Exponential Deep Examination (EDE) scanner is an innovative device designed to detect infectious diseases and antimicrobial resistance, developed by the parent company of Servizi EDE Research LLC, which has been carrying out research and scouting technology for more than 10 years, developing, among the others, a technology for non-invasive genome detection. The main aim is to assess the sensitivity, specificity, PPV, and NPV of the EDE scanner in detecting HIV, TB, and malaria (against the respective reference standard diagnostic tests). Consecutive patients who present for routine clinic visits will be invited to participate in the study until a total of 2,320 eligible participants are enrolled. Study enrollment will take place over approximately 6-8 months. Selected sites will be a sample of hospitals routinely involved in the management of infectious diseases. Eligible participants from these sites will be consented and enrolled in one of the below 3 groups: • Group 1 (N=1982)*: Asymptomatic/symptomatic patients suspected of HIV (n=730) identified via routine community screening of HIV. Group 1 will also include symptomatic patients suspected of TB(n=730) or malaria (n=522) based on physician’s clinical evaluation, which may include laboratory (eg, liver function tests, complete blood count [CBC]) or radiological (eg, chest X-ray) assessments per routine clinical practice. *In addition to N=1982 patients described above, all symptomatic patients suspected of HCV will be enrolled during the course of the study (for the purpose of assessing the exploratory objective). There is no estimated target sample size for HCV due to very low expected prevalence of HCV across South Africa and Kenya. • Group 2 (N=255): Healthy participants (no evidence of active infectious disease or any infectious disease in the past 8 weeks) to serve as the control group. These participants will be undergoing routine blood tests per standard of care and may be attending the site for for thefor the management of non-communicable diseases. • Group 3 (N=83): Patients suspected of MDR-TB. Suspected MDR-TB patients are defined as patients with documented pulmonary TB due to strains of Mycobacterium tuberculosis, currently on TB treatment per routine clinical practice and suspected of MDR-TB based on physician’s clinical evaluation (eg, lack of treatment response to both isoniazid and rifampicin). 2320
Control Group EDE diagnostic Scanner None The duration of the study is 6-8 months but each participant will have one EDE scanner test at any routine clinic visit The group will undergo the EDE scanner test; additionally, the routine blood sample collected from these participants will be used for reference standard diagnostic testing of HIV, malaria, or HCV, or a sputum sample will be collected from these participants for reference standard diagnostic testing of TB 255 Uncontrolled
ELIGIBILITY CRITERIA
List inclusion criteria List exclusion criteria Age Category Minimum age Maximum age Gender
Inclusion criteria For Group 1 (symptomatic patients suspected of HIV/TB/malaria/HCV): • Male or female, aged ≥18 years • Asymptomatic/symptomatic patients suspected of HIV, or symptomatic patients suspected of TB, malaria, or HCV based on physician’s clinical evaluation, which may include laboratory (eg, liver function tests, CBC) or radiological (eg, chest X-ray) tests per routine clinical practice • Patient agrees to undergo the non-invasive EDE scanner test and standard diagnostic testing for the respective infectious disease (HIV/TB/malaria/HCV) - per routine standard of care, in parallel • Provision of signed informed consent For Group 2 (healthy participants): • Male or female, aged ≥18 years • Healthy participant, as determined by physician’s judgment • Participant undergoing routine blood test as per standard of care • Participant agrees to undergo non-invasive EDE scanner test • Participant permits use of the routine blood sample to conduct a standard diagnostic test for HIV, malaria, or HCV; or, participant agrees to provide a sputum sample to conduct a standard diagnostic test for TB • No evidence of active infectious disease or any infectious disease in the past 8 weeks • No history of any of the following in the past 6 months (at minimum): close contact with infected patients or infectious disease department, open/unprotected relations, drug abuse, blood transfusions • Provision of signed informed consent For Group 3 (suspected MDR-TB patients): • Male or female, aged ≥18 years • Patients with documented pulmonary TB due to strains of Mycobacterium tuberculosis, currently on TB treatment as per routine clinical practice and suspected of MDR-TB based on physician’s clinical evaluation (eg, lack of treatment response to both isoniazid and rifampicin) • Patient agrees to undergo the non-invasive EDE scanner test and standard diagnostic testing for MDRTB (per routine standard of care), in parallel • Provision of signed informed consent Exclusion criteria For Group 1 (symptomatic patients suspected of HIV/TB/malaria/HCV): • Current or previous history of treatment for HIV, TB, malaria, or HCV • Patients suspected to be co-infected with more than one of the infectious diseases of interest (HIV/TB/malaria/HCV) • Current or previous participation in any investigational drug or medical device study in the past 3 months • Patients on any concomitant antibiotic or antiviral treatment For Group 2 (healthy participants): • Current or previous participation in any investigational drug or medical device study in the past 3 months • Participants on any concomitant antibiotic or antiviral treatment For Group 3 (suspected MDR-TB patients): • Previous history of treatment for MDR-TB or extensive drug resistance TB (XDR-TB) • Current or previous participation in any investigational drug or medical device study in the past 3 months • Patients on any concomitant antibiotic or antiviral treatment 80 and over: 80+ Year,Adult: 19 Year-44 Year,Aged: 65+ Year(s),Middle Aged: 45 Year(s)-64 Year(s) 18 Year(s) 80 Year(s) Both
ETHICS APPROVAL
Has the study received appropriate ethics committee approval Date the study will be submitted for approval Date of approval Name of the ethics committee
No 02/04/2024 JARAMOGI OGINGA ODINGA TEACHING AND REFERRAL HOSPITAL ISERC
Ethics Committee Address
Street address City Postal code Country
P.O. BOX 849, KISUMU Kisumu 40100 Kenya
Has the study received appropriate ethics committee approval Date the study will be submitted for approval Date of approval Name of the ethics committee
No 20/05/2024 Kenya Medica Research Institute Scientific Ethics Review Unit
Ethics Committee Address
Street address City Postal code Country
Kenya Medical Research Institute P.O. Box 54840 00200 Off Raila Odinga Way. Nairobi, Kenya Nairobi 00100 Kenya
OUTCOMES
Type of outcome Outcome Timepoint(s) at which outcome measured
Primary Outcome To assess the sensitivity, specificity, PPV, and NPV of EDE scanner in the detection of infectious diseases of interest (HIV, TB, malaria). during the intervention
Secondary Outcome To determine the frequency of symptoms (at enrollment) among patients screened positive and screened negative via EDE scanner, for each infectious disease of interest (HIV, TB, malaria), among patients with confirmed disease* during the intervention
RECRUITMENT CENTRES
Name of recruitment centre Street address City Postal code Country
Ahero Clinical Trials Unit P.O Box 2254 Kisumu Kenya
KEMRI Siaya Clinical Research Annexe P.O Box 47855-00100 Siaya Kenya
Victoria Biomedical Research Institute VIBRI Off Angawa Road, P.O Box 7180 40100 Kisumu Kenya
FUNDING SOURCES
Name of source Street address City Postal code Country
EDE Research Institute FD Ground Floor Accelerator Building Masdar City, Abu Dhabi, United Arab Emirates Abu Dhabi United Arab Emirates
SPONSORS
Sponsor level Name Street address City Postal code Country Nature of sponsor
Primary Sponsor EDE Research Institute EDE Research Institute Abu Dhabi FD Ground Floor Accelerator Building Masdar City, Abu Dhabi, United Arab Emirates Abu Dhabi United Arab Emirates Commercial Sector/Industry
COLLABORATORS
Name Street address City Postal code Country
CONTACT PEOPLE
Role Name Email Phone Street address
Principal Investigator Bernhards Ogutu ogutu6@gmail.com +254703034000 Ahero Clinical Trials Unit
City Postal code Country Position/Affiliation
Kisumu Kenya Principal Investigator
Role Name Email Phone Street address
Principal Investigator Videlis Nduba vnduba@gmail.com +254724522474 Siaya Clinical Trials Annex
City Postal code Country Position/Affiliation
Siaya Kenya Principal Investigator
Role Name Email Phone Street address
Principal Investigator Lucas Tina ltina@vibriafrica.org +254708358451 Kisumu County Referral Hospital Off Angawa Road. P.O Box 7180-40100
City Postal code Country Position/Affiliation
Kisumu Kenya PI
Role Name Email Phone Street address
Public Enquiries Deborah Lo Forte deborah.loforte@ede.ae +971562240274 FD Ground Floor Accelerator Building Masdar City, Abu Dhabi, United Arab
City Postal code Country Position/Affiliation
Masdar City United Arab Emirates EDE Research
Role Name Email Phone Street address
Scientific Enquiries Andrea Valenti andrea.valenti@ede.ae +971562240274 FD Ground Floor Accelerator Building Masdar City, Abu Dhabi, United Arab Emirates
City Postal code Country Position/Affiliation
Masdar City United Arab Emirates EDE Research Institute
REPORTING
Share IPD Description Additional Document Types Sharing Time Frame Key Access Criteria
Yes IPD for this study will be made available via the Clinical Study Data Request site. IPD that underlie the results reported in this study, after deidentification will be shared. Clinical Study Report,Informed Consent Form,Statistical Analysis Plan,Study Protocol IPD will be made available within 6 months of publishing the results of the primary endpoints of the study Access is provided after a research proposal is submitted and has received approval from the Independent Review Panel and after a Data Sharing Agreement is in place. Access is provided for an initial period of 12 months but an extension can be granted, when justified, for up to another 12 months.
URL Results Available Results Summary Result Posting Date First Journal Publication Date
http://clinicalstudydatarequest.com No
Result Upload 1: Result Upload 2: Result Upload 3: Result Upload 4: Result Upload 5:
Result URL Hyperlinks Link To Protocol
Result URL Hyperlinks
Changes to trial information