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Table 1 Study design characteristics of the identified studies evaluating the use of the HS-RDT for the detection of MiP

From: Malaria in pregnancy (MiP) studies assessing the clinical performance of highly sensitive rapid diagnostic tests (HS-RDT) for Plasmodium falciparum detection

No.

Country

First Author or PI in clinical trial record

Period

Malaria transmission

Objective of HS-RDT evaluation

Study design

Participants

HS-RDT samples

Institution and References

Clinical performance (test accuracy)

Clinical impact (benefits and applications

Asymptomatic

Symptomatic

Sample size

Mol+ Sample

Peripheral

Placental

Specimen type

Testing context

 

Completed and analyzed

      

1

Benin

V. Briand

Dec 2013–Jul 2017

High

Y based on PCR

Y Association HS-RDT positivity and clinical outcomes

Preconceptional cohort, recruitment at community level. HS-RDT testing at 1st/3rd trimester ANC visit and at delivery.

X

X

942*

172

X

X

Thawed blood

Research Lab

IRD,

FIND [22]

2

Colombia (1)

A.M. Vasquez

Sept–Dec 2017

Low

Y based on PCR

N

Observational cross-sectional trial. Retrospective study. ANC visits or at delivery.

X

X

737

35

X

X

Thawed blood

Research Lab

Univ. of Antioquia, FIND [26]

3

Colombia (2)

A.M. Vasquez

May 2017–Jan 2018

Low

Y based on PCR

N

Observational cross-sectional trial. ANC visits.

X

X

858

39

X

 

Fresh blood

POC (ANC clinic)

Univ. of Antioquia, FIND [27]

4

Indonesia

V.T. Unwin

Mar–Jun 2018

Moderate

Y based on PCR+LAMP (composite)

N

ANC visits (participants of a MiP intervention study)

X

 

270

158

X

 

Thawed red blood cells + plasma

Research Lab

LSTM [23]

Parent study [24]

5

Kenya (1)

A.M. Samuels

April–Sept 2018

High

Y – [a]based on PCR

Y – [b]Correlation HS-RDT-positivity in ANC and Malaria Indicator Surveys (as proxy for surveillance)

[a]: First ANC visit.[b]: Community based Malaria Indicator Survey (cMIS) + all ANC visits.

X

X

[a]: 482 [b]: 4000/y

172

X

 

Fresh blood

POC (ANC clinic)

LSTM,

CDC,

KEMRI [25]

Completed (analysis ongoing)

6

Papua New Guinea

L. Robinson

Jun–Dec 2018

Low

Y based on PCR

N

Observational cross-sectional trial. ANC visits.

X

X

918

X

 

Fresh blood

POC (ANC clinic)

Burnet Institute, PNG IMR, FIND [36]

7

Kenya (2)

E.R. Adams,F.O. ter Kuile

Oct 2018–May 2019

High

Y based on PCR

N

ANC visits (participants of a MiP intervention study)

X

 

493

X

 

Fresh blood

POC (ANC clinic)

PI E Adams, F ter Kuile

Parent study [37]

8

Malawi

D.P. Mathanga, J. Gutman

Jan 2017–Dec 2019

Moderate/high

Y based on PCR

N

Population cross-sectional survey: cohort followed from first ANC visit to delivery (participants of a MiP intervention study). HS-RDT testing at delivery.

X

X

601

X

X

Fresh blood

Field Lab

Univ. of Malawi, CDC [38]

Parent study [39]

Ongoing studies

  

Diagnostics (in addition to HS-RDT)

Testing context

Ref

PCR

LAMP

Co-RDT

LM

9

Burkina Faso (1)

Tahita M.C,Tinto H.

Aug 2020–Feb 2022

High

N

Y Operational feasibility and impact of additional screening with HS-RDTs

ANC visits (16–24 weeks at their first booking)

X

X

qPCR (if budget available)

–

Yes

Yes

POC (ANC clinic)

Institut de Recherche en Sciences de la Santé/Clinical Research Unit of Nanoro (CRUN) [31]

10

Burkina Faso (2)

Tahita M.C,Tinto H.

Dec 2020–May 2021

High

Y

based on PCRand microscopy

N

ANC visits (16–24 weeks at their first booking)

X

X

qPCR

–

Yes

Yes

Lab conditions

Institut de Recherche en Sciences de la Santé/Clinical Research Unit of Nanoro (CRUN)

11

Senegal

Programme National de Lutte Contre le Paludisme (PNLP)

Dec 2019–TBC

   

ANC visits

     

Yes

POC (ANC clinic)

Programme National de Lutte Contre le Paludisme (PNLP)

12

Nigeria

W. Oyibo

Jan–April 2021

Moderate/high

Y Compared to co-RDT and LM

 

ANC visits.

  

DBS collected, but not planned in short term

–

YesPf/Pan

Yes

POC (ANC clinic)

University of Lagos PI W Oyibo

13

DRC

H Muhindo, V Maketa, H Schallig, PF Mens, K Kayentao

Dec 2020–Dec 2022

High

Y Compared to qPCR

N

ANC visits and at time of delivery

X

X

YesqPCR

–

-

Yes

POC (ANC clinic)

University of KinshasaAcademic Medical Centre (Amsterdam)Malaria Research and Training Center (Bamako) [40]

  1. IRD Institut de Recherche pour le Développement; FIND Foundation for Innovative New Diagnostics; CDC Centre for Disease Control; KEMRI Kenya Medical Research Institute; PNG IMR Papua New Guinea Institute of Medical Research; LSTM Liverpool School of Tropical Medicine; ANC antenatal clinic; POC point-of-care; LM light microscopy; Y yes; N no
  2. Malaria transmission determined by P. falciparum prevalence by PCR in the study, or by EIR. Prevalence: Prevalence was determined as low transmission < 9%, moderate 9–25%, and high > 25%. Prevalence by EIR only for high transmission areas, > 5 per year. Samples size: all samples collected in study * study included 327 women, samples collected at multiple timepoints. Mol + sample indicates number of samples positive by molecular methods