Actively Recruiting

Phase Not Applicable
FEMALE
Healthy Volunteers
NCT06203951

Improving Perinatal Outcomes Among Kenyan Pregnant Women With an Integrated STI Testing Model

Led by University of Washington · Updated on 2025-07-16

3132

Participants Needed

8

Research Sites

204 weeks

Total Duration

On this page

Sponsors

U

University of Washington

Lead Sponsor

E

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

Collaborating Sponsor

AI-Summary

What this Trial Is About

The investigators will conduct a 3-arm individual-level RCT in Kisumu and Siaya, Kenya to compare perinatal outcomes associated with 3 models of STI testing and management in antenatal care. The investigators will enroll 3132 pregnant women and randomize 1:1:1 to receive standard-of-care (syndromic management only without CT, NG, or TV testing) vs. CT, NG, and TV testing using Xpert® assays universally vs. only among women without STI symptoms. All women with STIs detected and/or symptoms per Ministry of Health algorithms will receive immediate treatment, EPT per national guidelines, and tests of cure. All participants will be enrolled during routine antenatal care and followed through 9-months postpartum. The investigators will quantify and compare a composite outcome of pregnancy loss/stillbirth, PTB, LBW, SGA, and neonatal death, between randomization arms, in addition to several secondary and exploratory outcomes.

CONDITIONS

Official Title

Improving Perinatal Outcomes Among Kenyan Pregnant Women With an Integrated STI Testing Model

Who Can Participate

FEMALE
Healthy Volunteers

Eligibility Criteria

Eligible

You may qualify if you...

  • Self-identifying as a cisgender woman
  • Seeking antenatal services from the clinic
  • Planning to receive antenatal and postnatal care at the clinic
  • Willingness to receive syndromic STI screening and HIV/syphilis testing per national guidelines
  • Able and willing to provide informed consent for participation
Not Eligible

You will not qualify if you...

  • Male gender
  • Not seeking antenatal services from the clinic
  • Not planning to receive antenatal and postnatal care at the clinic
  • Not willing to receive syndromic STI screening and HIV/syphilis testing per national guidelines
  • Not able or willing to provide informed consent for participation

AI-Screening

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Trial Site Locations

Total: 8 locations

1

Homa Bay Teaching and Referral Hospital

Homa Bay, Kenya

Actively Recruiting

2

Rachuonyo South Sub County Hospital

Homa Bay, Kenya

Actively Recruiting

3

Rangwe Sub County Hospital

Homa Bay, Kenya

Actively Recruiting

4

Chulaimbo County hospital

Kisumu, Kenya

Actively Recruiting

5

Kisumu County Hospital

Kisumu, Kenya

Actively Recruiting

6

Lumumba Sub County hospital

Kisumu, Kenya

Actively Recruiting

7

Migosi Sub County Hospital

Kisumu, Kenya

Actively Recruiting

8

Yala sub County Hospital

Yala, Kenya

Actively Recruiting

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Research Team

L

Lauren Gomez

CONTACT

F

Felix Abuna

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

DIAGNOSTIC

Number of Arms

3

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