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Updated: Apr 11, 2026

Multiplexed Isothermal Amplification Based Diagnostic Platform to Detect Zika, Chikungunya, and Dengue 1
Published on: March 13, 2018
Prospective cohort study with active surveillance for fever in four dengue endemic countries in Latin America
Insights
This study assessed dengue incidence in children preparing for a vaccine trial. Results show sites can detect dengue cases and febrile episodes, supporting future efficacy studies.
Area of Science:
- * Clinical research
- * Infectious diseases
- * Vaccinology
Background:
- * Preparation for a Phase III dengue vaccine efficacy trial required understanding local dengue incidence.
- * An observational study was conducted in a cohort of children aged 9-16 years.
Purpose of the Study:
- * To identify dengue infections within a defined pediatric cohort.
- * To evaluate the capability of investigational sites in detecting dengue cases and febrile episodes.
Main Methods:
- * Observational study involving 3,000 children aged 9-16 years across 20 sites.
- * Monitoring of acute febrile episodes and serological/virological confirmation of dengue.
- * Calculation of incidence density for febrile episodes and dengue cases.
Main Results:
- * 50 probable dengue cases (21.3%) and 18 confirmed dengue cases (7.7%) were identified from 255 febrile episodes.
- * Overall incidence density of acute febrile episodes was 17.7 per 100 person-years.
- * Incidence varied by location, from 15.3 in Colombia to 22.0 in Puerto Rico.
Conclusions:
- * Investigational sites demonstrated capacity to capture and follow acute febrile episodes.
- * The study successfully detected dengue cases, validating site readiness for the Phase III trial.
- * Findings provide crucial epidemiological data for dengue vaccine efficacy assessment.
Abstract:
To prepare for a Phase III dengue vaccine efficacy trial, 20 investigational sites were selected for this observational study to identify dengue infections in a closed cohort (N = 3,000 children 9-16 years of age). Of 255 acute febrile episodes experienced by 235 children, 50 (21.3%) were considered serologically probable dengue, and 18 (7.7%) were considered virologically confirmed (i.e., dengue NS1 antigen positive) dengue cases. Considering the disease-free and at-risk period from study start to onset of symptoms, the overall incidence density of acute febrile episodes was 17.7 per 100 person-years of follow-up, ranging from 15.3 in Colombia to 22.0 in Puerto Rico. This study showed that all sites were capable of capturing and following up acute febrile episodes within a specific timeframe among the established cohort and to detect dengue cases.
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