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NCT Number: NCT06468319

Pregnancy Registry in Mali

This registry will assess pregnancy outcomes through demographic surveillance and prospective data collection at a health facility in Kalifabougou, Mali.

Recruiting

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Key information

Age range

15 year–49 year

Sex eligibility

Female

Study type

Observational

Primary location

Kalifabougou MRTC Clinic

Kalifabougou, Koulikoro, Mali

Location status: Recruiting

Location contact

Kassoum Kayentao, MD, MPH, PhD

CONTACT

[email protected]

+223 7646 0173

About this study

This pregnancy registry will gather background data on pregnancy rates and outcomes as well as infant health data to inform future implementation of clinical trials testing monoclonal antibodies (mAbs) to prevent malaria in pregnancy.

In the first part of the study (Community Census Cohort), women of child-bearing age (WOCBA) in the community will be identified and followed for up to 3 years to detect pregnancy at all stages. Upon detection of pregnancy, these women may then transition to participation in the Health Facility Cohort.

In the second part of the study (Health Facility Cohort), data will be prospectively collected from pregnant women presenting at the health facility for antenatal care (ANC) visits or referred in from the Community Census Cohort. The pregnant women will be followed through pregnancy outcome and until 12 months postpartum, and their infant(s) will be followed until 12 months of age.

The study team will collect baseline information in a systematic manner on early pregnancy events, pregnancy and postpartum complications and outcomes, utilization of existing malaria prevention tools, malaria infections and clinical disease, birth outcomes, and follow-up of subsequent offspring.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Community Census Cohort:

  • Females of childbearing potential or pregnant females.
  • Aged 15 to 49 years.
  • Able to provide verbal individual informed consent.

Health Facility Cohort:

  • Pregnant females 15 to 49 years and their subsequent offspring.
  • Resides in or in the health catchment area of Kalifabougou and willing to return to the health center for Antenatal Care (ANC) visits.
  • Able to provide written individual informed consent for herself and her future offspring(s).

Exclusion criteria

Community Census Cohort:

  • Temporary residence in the study area.
  • Other condition(s) that, in the opinion of the investigator, would jeopardize the safety or rights of an individual participating in the study, interfere with the evaluation of the study objectives, or render the participant unable to comply with the protocol.

Health Facility Cohort:

  • Temporary residence in the study area.
  • Other condition(s) that, in the opinion of the investigator, would jeopardize the safety or rights of an individual participating in the study, interfere with the evaluation of the study objectives, or render the participant unable to comply with the protocol.

Treatment and study plan

Primary outcomes

  1. Number of pregnancies

    Time frame: Through study completion, an average of 1 year

    Detected by urine or serum by active and passive screening

  2. Number of malaria cases

    Time frame: Through study completion, an average of 1 year

    Detected by RDT and/or blood smear and/or PCR during pregnancy defined as any parasitemia with or without malaria symptoms

  3. Incidence of placental malaria

    Time frame: Through study completion, an average of 1 year

    Detected by blood smear or pathology/histology, at delivery

  4. Use of other malaria prevention tools

    Time frame: Through study completion, an average of 1 year

    Recorded by survey

  5. Number of Participants with anemia during pregnancy and post-partum

    Time frame: Through study completion, an average of 1 year

    Defined as hemoglobin level less than 11 g/dL

  6. Dating of pregnancies

    Time frame: Through study completion, an average of 1 year

    Measured at each ANC visit by ultrasound and last menstrual period

  7. Number of Maternal Deaths

    Time frame: Through study completion, an average of 1 year

  8. Number of fetal Losses and Stillbirths

    Time frame: Through study completion, an average of 1 year

    Pregnancies terminated in the first trimester (<=12 weeks) and in the second trimester (>12 and <28 weeks) and stillbirth

  9. Number of multiple gestations

    Time frame: Through study completion, an average of 1 year

    Twins, triplets, or multiple gestations during pregnancy

  10. Incidence of preterm delivery

    Time frame: Through study completion, an average of 1 year

    Preterm delivery (≥28 to <37 weeks)

  11. Occurrence of chronic medical conditions

    Time frame: Through study completion, an average of 1 year

    Description and reporting of occurrence of chronic medical conditions during pregnancy and/or post-partum

  12. Occurrence of pregnancy and post-partum adverse outcomes

    Time frame: Through study completion, an average of 1 year

    Description and reporting of occurrence of pregnancy and post-partum adverse outcomes including but not limited to gestational diabetes, gestational hypertension, pre-eclampsia, eclampsia, postpartum hemorrhage, and postpartum depression

Secondary outcomes

  1. Number of neonatal deaths

    Time frame: Through study completion, an average of 1 year

    Neonatal death as defined as early (≤7 days) or late (>7 days ≤28 days) after delivery

  2. Incidence of low Birth Weight (LBW)

    Time frame: Through study completion, an average of 1 year

    LBW as defined as <2.5 kg at birth

  3. Incidence of preterm birth

    Time frame: Through study completion, an average of 1 year

    Preterm birth (≥28 to <37 weeks)

  4. Occurrence and description of malformations

    Time frame: Through study completion, an average of 1 year

    Occurrence and description of malformations identified at delivery and within the first 6 months of life

  5. Occurrence of Small for Gestational Age (SGA)

    Time frame: Through study completion, an average of 1 year

    defined as newborns whose birth weight is <10th percentile for gestational age as defined by INTERGROWTH-21st international standards

  6. Occurrence of malaria (symptomatic and asymptomatic) in neonates and infants

    Time frame: Through study completion, an average of 1 year

    Detected by RDT and/or blood smear and/or PCR at birth and throughout first year of life defined as any parasitemia with or without malaria symptoms

  7. Occurrence of anemia during infancy at 6 and 12 months of age

    Time frame: Through study completion, an average of 1 year

    Anemia during infancy as defined by age of testing

  8. Occurrence of neonatal/infant/pediatric adverse outcomes

    Time frame: Through study completion, an average of 1 year

    Description and reporting of occurrence of neonatal/infant/pediatric adverse outcomes

  9. Timing of receipt of routine vaccinations

    Time frame: Through study completion, an average of 1 year

    Reporting and timing of receipt of routine vaccinations, including malaria vaccines, and other standard of care anti-malarial treatment

Study contacts

Contact information is provided by the study sponsor or research team.

Boubacar Traore, PharmD, PhD

CONTACT

[email protected]

+223 20 22 14 17

Kassoum Kayentao, MD, MPH, PhD

CONTACT

[email protected]

+223 7646 0173

Sponsors and collaborators

Lead sponsor

National Institute of Allergy and Infectious Diseases (NIAID)

Nih

Collaborators

  • National Institutes of Health (NIH)
  • University of Washington

Registry information

Official study title

Assessment of Pregnancy Outcomes Through Demographic Surveillance and Prospective Data Collection at a Health Facility in Kalifabougou, Mali

Important dates

Study start
2024
Primary completion
2030
Study completion
2030
First posted
Jun 21, 2024
Registry last updated
Mar 13, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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