Owo

Researchers are studying the ADHINCRA Program, which aims to improve the control of high blood pressure in Africa by addressing factors related to patients, healthcare providers, and health systems. This program hopes to reduce the risk of serious health problems like heart disease, stroke, and kidney disease by helping people manage their hypertension better. The study focuses on adults aged 18 to 70 years who have high blood pressure but do not have diabetes. The ADHINCRA Program is a nurse-led approach that includes home blood pressure monitoring, a mobile health app for support, lifestyle counseling, and a simplified treatment plan for hypertension. Participants either have not been treated for hypertension before or are on a single medication. The program is delivered through primary care centers at participating sites. Participants will be monitored for changes in their blood pressure over 12 months, with the main measure being the number of people whose systolic blood pressure falls below 140 mmHg. The study includes regular assessments and uses technology to support treatment adherence. The total participation period involves baseline measurements and follow-up at 12 months after starting the program.

Researchers are evaluating the safety, tolerability, and antiviral effectiveness of ARN-75039, a new oral antiviral medication, for treating Lassa fever in adults hospitalized in West Africa. This Phase 2, randomized, open-label clinical trial is conducted within the INTEGRATE platform and compares two different oral doses of ARN-75039 (100 mg twice daily and 50 mg twice daily) with the standard intravenous ribavirin treatment. The study aims to assess antiviral activity by measuring changes in viral load and includes participants confirmed to have Lassa virus infection by RT-PCR. Participants are randomly assigned in equal groups to receive either the high-dose ARN-75039, low-dose ARN-75039, or intravenous ribavirin for a 10-day inpatient treatment period. The ARN-75039 treatment includes an initial loading phase followed by tapered twice-daily oral dosing designed to achieve and maintain effective drug levels while minimizing side effects. All participants also receive supportive care according to local standards. The study is conducted at specialized centers equipped for Lassa fever management and pharmacovigilance under coordinated African and U.S. regulatory oversight. During the 28-day study period, which includes treatment and follow-up phases, participants undergo continuous safety monitoring for adverse events and clinical outcomes such as symptom resolution, organ failure, and mortality. Researchers collect viral load data through RT-PCR testing to evaluate antiviral effects and perform pharmacokinetic sampling in patients receiving ARN-75039 to understand drug exposure. Additional assessments include laboratory tests, electrocardiograms, physical exams, and monitoring for potential viral resistance. The results will help guide further development of ARN-75039 as a treatment for Lassa fever.

Lassa fever is a viral hemorrhagic fever causing thousands of deaths annually in West Africa, with about 12% in-hospital mortality. It is primarily spread through contact with rodent excreta and can occasionally spread between humans, leading to hospital outbreaks. Current treatment relies on ribavirin, which has concerns regarding toxicity, effectiveness, and cost, creating an urgent need for new, safer medications. The World Health Organization has prioritized Lassa fever for urgent research, and the INTEGRATE consortium brings together international partners to address this need through clinical trials. This multinational, multi-center phase II-III trial evaluates the safety and effectiveness of three investigational drugs—Favipiravir, Dexamethasone, and ARN-75039 (in high and low doses)—compared to the standard treatment with ribavirin in hospitalized patients confirmed to have Lassa fever. The study uses an open-label, randomized design with parallel arms, assessing each investigational drug against the standard of care. The trial includes a hospitalization period of 10 days followed by a 28-day follow-up. Participants will be monitored throughout hospitalization and follow-up for outcomes including death and new organ failure events such as kidney, respiratory failure, or shock within the initial 10 days. Safety and tolerability of treatments will be assessed along with clinical, virological, and biological parameters. Pharmacokinetics and pharmacodynamics data will be collected to optimize dosing. The total study duration for each participant is 28 days, with close clinical and laboratory monitoring during and after treatment.

This research aims to train radiologists in Nigeria to perform ultrasound-guided breast biopsies for breast cancer diagnosis. The study focuses on introducing a practical and sustainable training method using mobile health (mHealth) devices to improve diagnostic practices in Nigerian hospitals, where blind biopsy or surgical excision is currently the norm. Women participating in the study will receive ultrasound-guided breast biopsies performed by trained radiologists. This method is considered the standard of care in the United States due to its higher accuracy compared to blind biopsies and equivalence to surgical excision. The study evaluates the use of mHealth technology to facilitate this training and clinical implementation. Participants will be monitored for the number of successful ultrasound-guided breast biopsies within one year. The study collects data on the effectiveness of the training and biopsy procedures, aiming to enhance breast cancer diagnosis at the point of care. Women must consent to participate and meet eligibility criteria, with all procedures and outcomes tracked during the study period.