Immune Response After Leptospirosis Infection (SERO7LEPTO)
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Purpose
Leptospirosis is a zoonotic infection induced by pathogen bacteria (genus: Leptospira) growing in water polluted by animal fluids. Due to its 10 fold occurence in French overseas aera, and especially in Reunion Island, as compared to metropoly, it is considered as a major public health issue.
An important inter-individual variability in humoral immune response suggests that vaccination should be recommended in exposed subjects.
This cohort study aimed to determine if subjects that have been infected by leptospirosis for 1 to 7 years still remain immunized, and then do not need vaccination.
| Condition | Intervention |
|---|---|
| Leptospirosis | Other: cohort |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | Serological Response in Patients Infected by Leptospirosis 1 to 7 Years Earlier |
- Leptospirosis immunization assessed by serum immunoglobulin [ Time Frame: 1-7 years after leptospirosis infection ]Humoral immune response will be measured in serum cured-subjects using micro-agglutination test
- rate of still-immunized patients [ Time Frame: 1-7 years after leptospirosis infection ]Seropositive subjects will be measured using the ELISA serion method and the ELISA recombinant protein method
- comparison of 3 diagnosis method for leptospirosis [ Time Frame: 1-7 years after leptospirosis infection ]Matched results of the 3 methods: micro-agglutination test, ELISA serion method and ELISA recombinant protein method will be compared
Biospecimen Retention: Samples Without DNA
| Estimated Enrollment: | 175 |
| Study Start Date: | October 2016 |
| Estimated Study Completion Date: | September 2018 |
| Estimated Primary Completion Date: | December 2017 (Final data collection date for primary outcome measure) |
-
Other: cohort
Every year more than 500 000 severe forms of leptospirosis are diagnosed in Reunion Island. The risk of mucocutaneous contact with contaminated media remains important due to highly aqueous environment.
Cured subjects that have been infected for 1, 2, 3, 4, 5, 6 or 7 years will be enrolled. The qualitative and quantitative humoral immune response to leptospirosis infection will also be evaluated to determine whether they still get protective immunization. Leptospirosis immunization will be evaluated using micro-agglutination test.
Graded immune responses related to the severity and the length of the infection will also be investigated.
Finally, 3 methods used for leptospirosis diagnosis will be compared. It is expected from this study to evaluate the appropriate conditions in which new vaccination could be required to prevent further leptospirosis infection in cured subjects.
Eligibility| Ages Eligible for Study: | 18 Years and older (Adult, Senior) |
| Sexes Eligible for Study: | All |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
Inclusion Criteria:
- Subjects diagnosed for leptospirosis by polymerase chain reaction measured in Reunion Island Hospital between 209-2015
- with social security issue
Exclusion Criteria:
- Leptospirosis diagnosis not confirmed by polymerase chain reaction
- subject exhibiting immunodepressive status (cancers, transplantation, immune deficit, blood disorders)
- under medication: corticoids, immunosuppressor, chemiotherapy
Contacts and LocationsPlease refer to this study by its ClinicalTrials.gov identifier: NCT02898519
| Contact: CHRISTINE JUHEL, PHD | +262262359949 | christine.juhel@chu-reunion.fr |
| Principal Investigator: | NICOLAS TRAVERSIER, MD | CHU DE LA REUNION |
More Information
| Responsible Party: | Centre Hospitalier Universitaire de la Réunion |
| ClinicalTrials.gov Identifier: | NCT02898519 History of Changes |
| Other Study ID Numbers: |
2015/CHU/07 |
| Study First Received: | September 8, 2016 |
| Last Updated: | September 8, 2016 |
| Individual Participant Data (IPD) Sharing Statement: | |
| Plan to Share IPD: | No |
Additional relevant MeSH terms:
|
Leptospirosis Weil Disease Gram-Negative Bacterial Infections Bacterial Infections Spirochaetales Infections |
ClinicalTrials.gov processed this record on July 14, 2017


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