The Evaluation of Potential Zika, Chikungunya, and Dengue Infections in Mexico (Zik01)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 600
- 试验地点
- 6
- 主要终点
- The proportion of subjects that have confirmed Zika, Chikungunya, or Dengue (including co-infections) from the subjects presenting with fever and/or rash in southeastern Mexico.
研究概览
简要总结
This study will evaluate subjects with fever and/or rash to determine the percentage of those infected by the Zika, Chikungunya, or Dengue virus. The study will also compare the clinical signs, symptoms, and lab abnormalities related to each virus, to better specify each virus's characteristics.
详细描述
The study will enroll subjects in several different cohorts including a febrile rash cohort (attempting to capture acute Zika/Chikungunya/Dengue infection), a household cohort (attempting to capture asymptomatic or minimally symptomatic subjects), and a cohort of those with Guillain Barré). Additionally, two subpopulations of the febrile rash cohort that have special follow up. This includes the pregnant population, who will be followed through delivery to determine pregnancy outcomes, and those subjects with neurologic or cognitive manifestations who will be evaluated to determine the spectrum of neurologic disease seen with these diseases.
Subjects with Guillain Barré with potential exposure to Zika virus are of special interest given the severity of disease. Subjects with Guillian Barré do not need to have a preceding illness suggestive of Zika or other viruses. As there are few subjects with Guillain Barré, subjects will be enrolled in two ways - a prospective cohort for subjects with acute Guillain Barré, and a cohort for subjects that had Guillain Barré in the last several years. Data collected systematically from these cohorts will improve the understanding of Zika/Chikungunya/Dengue virus infections.
There are many uncertainties about the number of subjects that meet this case definition. There are limits to the ability to enroll based on staffing and other resources. If there are many cases, an emphasis will be placed on enrolling pregnant subjects and adults with neurologic complications that meet the case definition, as this is the area of highest clinical need. If there are few pregnant women or subjects with neurologic problems that can be enrolled, then any adults or children meeting the criteria can be enrolled. Not all cohorts will be active at all sites, based on the type of facility and type of patients typically seen. If sufficient numbers of certain populations are enrolled (i.e. children born to women infected with Zika), the protocol may be amended to study those populations in more detail.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 1 Year 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Subjects with fever and/or rash will be included if they are 1 year of age or older, and meet one of the following criteria (1 or 2):
- •Meeting the WHO/PAHO case definition, as defined as (a and b and c):
- •One or both of the following primary signs:
- •Elevated body temperature (> 37.2 °C) AND
- •One or more of the following symptoms (not explained by other medical conditions):
- •Arthralgia
- •Non-purulent conjunctivitis or conjunctival hyperemia
- •Malaise AND
- •Onset of illness in the last 7 days
- •Modified case definition (a and b):
- •Any two of the following:
- •Elevated body temperature (> 37.2 °C)
- •Arthralgia
- •Non-purulent conjunctivitis or conjunctival hyperemia
- •Malaise AND
- •Onset of illness in the last 7 days
- •Household Cohort Inclusion Criteria:
- •1 year of age and older, and
- •Either live in the same household as a subject enrolled into the febrile rash cohort OR live in the same household as a subject who is experiencing an illness similar to Zika (fever and rash as previously described), regardless if said subject is enrolled in the study.
- •Guillain-Barré Prospective Cohort Inclusion Criteria:
- •Either confirmed or suspected Guillain-Barré (areflexic flaccid paralysis) as defined either of the following:
- •Confirmed Guillain-Barré
- •Acute onset of weakness or paralysis (from baseline to full weakness in 20 days)
- •Weakness is symmetrical
- •Areflexic (reflexes are 0/4)
- •Suspected Guillain-Barré
- •Acute onset of illness
- •Areflexic flaccid paralysis
- •Prior Guillain-Barré Cohort Inclusion Criteria:
- •Confirmed Guillain-Barré
- •Acute onset of weakness or paralysis (from baseline to full weakness in 7 days)
- •Weakness is symmetrical
- •Areflexic (reflexes are 0/4)
- •Diagnosis since January 2014
- •Suspected Guillain-Barré
- •Acute onset of illness
- •Areflexic flaccid paralysis
- •Clinical diagnosis of Guillain-Barré
- •Diagnosis since January 2014
排除标准
- 未提供
结局指标
主要结局
The proportion of subjects that have confirmed Zika, Chikungunya, or Dengue (including co-infections) from the subjects presenting with fever and/or rash in southeastern Mexico.
时间窗: 2 years
次要结局
未报告次要终点