Simple urine test could spot pneumonia in kids without needles
NCT ID NCT07181200
First seen Jun 26, 2026 · Last updated Sep 11, 2026 · Updated 2 times
Summary
This study will test whether a new urine-based test can accurately diagnose pneumococcal pneumonia in children under 5 in Malawi. Researchers will use 350 stored urine samples from healthy kids and those with pneumonia, comparing results to standard lab methods. If it works, this non-invasive test could replace painful procedures and help track vaccine effectiveness.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- serotype-specific urinary antigen detection (ssUAD) assay
- What this could lead to
- If successful, this could provide a simple, non-invasive urine test to diagnose pneumococcal pneumonia in children, improving care in high-burden areas.
- What could go wrong
- This is an early-stage diagnostic study using stored samples, not a treatment trial. The test may not reliably distinguish infection from harmless carriage in this setting.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 350 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2026
- Expected to finish
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Aug 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Participants will be children aged 12-24 months enrolled in the NP Resistome study (COMREC reference P.10/24-1200) in the following groups; * Children hospitalised with pneumonia at Queen Elizabeth Central Hospital. * Children with pneumonia treated at Ndirande Health Centre. * Healthy children living in Ndirande community.
- Ages
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12 to 24 months
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion criteria for healthy children in the community • Child aged between12-24 months. Exclusion criteria for healthy children in the community * Presence of any of the following symptoms: fever, cough, difficulty in breathing or fast breathing. * Currently taking long-term antibiotic prophylaxis, TB treatment or immunosuppressive medications. * Diagnosis of an immunosuppressive illness, including HIV infection. * Hospital admission within the past six months. Inclusion criteria for children with pneumonia in the community * Child aged between12-24 months. * Presence of all of the following symptoms: fever, cough, difficulty in breathing and fast breathing. * Participant has been prescribed antibiotics for treatment of a lower respiratory tract infection on this presentation. Exclusion criteria for children with pneumonia in the community * Severe anaemia, with a recorded haemoglobin level \< 70 grams per Litre. * Currently taking long-term antibiotic prophylaxis, TB treatment or immunosuppressive medications. * Diagnosis of an immunosuppressive illness, including HIV infection. * Hospital admission within the past six months. Inclusion criteria for children hospitalised with pneumonia * Child aged between 12-24 months. * Presence of all of the following symptoms: fever, cough, difficulty in breathing and fast breathing. * Participant has been prescribed antibiotics for treatment of a lower respiratory tract infection on this presentation. Exclusion criteria for children hospitalised with pneumonia * Severe anaemia, with a recorded haemoglobin level \< 70 grams per Litre. * Currently taking long-term antibiotic prophylaxis, TB treatment or immunosuppressive medications. * Diagnosis of an immunosuppressive illness, including HIV infection. * Hospital admission within the past six months. Inclusion criteria for children re-hospitalised with pneumonia * Child aged between12-24 months. * Presence of all of the following symptoms: fever, cough, difficulty in breathing and fast breathing. * Participant has been prescribed antibiotics for treatment of a lower respiratory tract infection on this presentation. * Hospital admission to ANY hospital with a lower respiratory tract infection within the past 3 months. Exclusion criteria for children re-hospitalised with pneumonia * Severe anaemia, with a recorded haemoglobin level \< 70 grams per Litre. * Currently taking long-term antibiotic prophylaxis, TB treatment or immunosuppressive medications. * Diagnosis of an immunosuppressive illness, including HIV infection.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Malawi Liverpool Wellcome Research Programme
RECRUITINGBlantyre, Malawi
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can a smart oxygen device shorten hospital stays for pneumonia?