Defining the next generation of Plasmodium vivax diagnostic tests for control and elimination: Target product profiles

Details

• Alternative Title:
  PLoS Negl Trop Dis
• Personal Author:
  Ding, Xavier C. ; Ade, Maria Paz ; Baird, J. Kevin ; Cheng, Qin ; Cunningham, Jane ; Dhorda, Mehul ; Drakeley, Chris ; Felger, Ingrid ; Gamboa, Dionicia ; Harbers, Matthias ; Herrera, Socrates ; Lucchi, Naomi ; Mayor, Alfredo ; Mueller, Ivo ; Sattabongkot, Jetsumon ; Ratsimbason, Arsène ; Richards, Jack ; Tanner, Marcel ; González, Iveth J.
• Description:
  The global prevalence of malaria has decreased over the past fifteen years, but similar gains have not been realized against Plasmodium vivax because this species is less responsive to conventional malaria control interventions aimed principally at P. falciparum. Approximately half of all malaria cases outside of Africa are caused by P. vivax. This species places dormant forms in human liver that cause repeated clinical attacks without involving another mosquito bite. The diagnosis of acute patent P. vivax malaria relies primarily on light microscopy. Specific rapid diagnostic tests exist but typically perform relatively poorly compared to those for P. falciparum. Better diagnostic tests are needed for P. vivax. To guide their development, FIND, in collaboration with P. vivax experts, identified the specific diagnostic needs associated with this species and defined a series of three distinct target product profiles, each aimed at a particular diagnostic application: (i) point-of-care of acutely ill patients for clinical care purposes; (ii) point-of-care asymptomatic and otherwise sub-patent residents for public health purposes, e.g., mass screen and treat campaigns; and (iii) ultra-sensitive not point-of-care diagnosis for epidemiological research/surveillance purposes. This report presents and discusses the rationale for these P. vivax-specific diagnostic target product profiles. These contribute to the rational development of fit-for-purpose diagnostic tests suitable for the clinical management, control and elimination of P. vivax malaria.
• Subjects:
  Diagnostic Tests, Routine Humans Malaria, Falciparum Malaria, Vivax Plasmodium Falciparum Plasmodium Vivax Point-of-Care Systems Species Specificity
• Source:
  PLoS Negl Trop Dis. 11(4).
• Pubmed ID:
  28369085
• Pubmed Central ID:
  PMC5391123
• Document Type:
  Journal Article
• Volume:
  11
• Issue:
  4
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:6b3b803c732d51b9d5f8d2851e806390c514748d9c71d1cf8cd4f60d4f957073
• Download URL:
  https://stacks.cdc.gov/view/cdc/45717/cdc_45717_DS1.pdf
• File Type:
  [PDF - 1.28 MB ]