Investigating and Modelling the Natural History of Dengue in Hospitalised Patients to Improve Future Research
DENEM
Dengue Evaluation of Multi-State Models (DENEM Study): A Prospective Observational Study of Patients Hospitalised With Dengue Vascular Leak in Nha Trang, Vietnam, to Develop Novel Statistical Methodology
1 other identifier
observational
235
1 country
1
Brief Summary
The goal of this observational study is to investigate the natural history of dengue in hospitalised patients in Vietnam, to better understand the disease process, and utilise the data to improve future clinical trials. The main questions it aims to answer are: In participants hospitalised with dengue in Vietnam:
- Recording of their routine clinical data
- Regular blood tests
- Regular ultrasound scans
- A follow up appointment.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Nov 2026
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 5, 2026
CompletedFirst Posted
Study publicly available on registry
September 2, 2026
CompletedStudy Start
First participant enrolled
November 1, 2026
ExpectedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2028
Study Completion
Last participant's last visit for all outcomes
April 1, 2028
September 2, 2026
August 1, 2026
1.4 years
June 5, 2026
August 28, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Degree of vascular leak
Presence and severity of vascular leak (none, moderate, severe) per Tomashek et al. 2018 consensus definitions - composite of change of haematocrit from baseline, presence of ascites/pleural effusion by point of care ultrasound and presence of respiratory/cardiovascular compromise.
From enrollment until day 10 of illness, or discharge
Secondary Outcomes (11)
Multi-state model evaluation - precision
Assessed at 3 days and 5 days post admission
Multi-state model evaluation: model fit
From enrollment until day 10 of illness or discharge
Viral dynamics
From enrollment until day 10 of illness, or discharge
Degree of thrombocytopenia
From enrollment until day 10 of illness or discharge
Degree of bleeding
From enrollment until day 10 of illness or discharge
- +6 more secondary outcomes
Study Arms (3)
Hospitalised Cohort
Patients hospitalised with dengue with warning signs or severe dengue
Diagnostic Control Cohort
Patients with non-dengue febrile illness
Platelet Control Cohort
Healthy Vietnamese volunteers
Eligibility Criteria
Patients presenting to Khánh Hòa Hospital of Tropical Diseases, Nha Trang, Vietnam.
You may qualify if:
- Meet the 2009 WHO criteria for dengue with warning signs or severe dengue AND
- Are being admitted as an inpatient AND
- Have documented standard-of-care laboratory confirmation of dengue (defined as either positive by molecular assay (e.g. reverse transcription polymerase chain reaction) OR positive by antigen testing (non-structural protein-1) OR positive Immunoglobulin M (IgM) combined with clinical diagnosis of dengue by attending physician. AND
- Were born in Vietnam (only for platelet phenomics substudy)
- Have a documented fever at assessment AND
- Have a documented negative standard-of-care dengue test, with no clinical diagnosis of dengue AND
- Were born in Vietnam (only for platelet phenomics substudy)
- Vietnamese-born adults ≥16 years of age with no history of febrile illness in the preceding 14 days.
You may not qualify if:
- Receiving an experimental dengue treatment during their illness.
- Inability to provide written, informed consent AND no legal guardian able to provide written, informed consent in the event of incapacity.
- Clinician-determined unsuitability for recruitment.
- Any non-steroidal anti-inflammatory, antiplatelet or anticoagulant medication received in preceding 7 days.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Liverpool School of Tropical Medicinelead
- Nagasaki Universitycollaborator
- Pasteur Institute, Nha Trangcollaborator
Study Sites (1)
Nagasaki University Vietnam Research Station, Nha Trang
Nha Trang, Vietnam
Related Publications (3)
McBride A, Chanh HQ, Trieu HT, Tran HB, Anderson KB, Aogo RA, Avirutnan P, Tran LHB, Chan XH, Chandra R, Chang A, Chia PY, Daniel V, Demidova A, Consuegra Rodriguez MP, Figueiredo-Mello C, Garcia-Gallo E, Garrood W, Tam DTH, Jaenisch T, Kain M, Katzelnick L, Lam PK, Leopold SJ, Lim C, M Siqueira A, Malavige GN, Malik S, Merson L, Meyer-Andrieux I, Moorman N, Neal A, Nguyen NM, Ong HC, Pett S, Rojas-Garrido E, Schilling W, Shahrin L, Sjo P, Syed Omar SF, Teixeira M, Tirupakuzhi Vijayaraghavan BK, Villar L, Vuong NL, Waickman A, Wills B, Kestelyn E, Watson J, Munblit DB, Yacoub S. Dengue therapeutics consortium 2025: a global collaboration in action. BMJ Public Health. 2026 Jan 12;4(1):e004043. doi: 10.1136/bmjph-2025-004043. eCollection 2026.
PMID: 41561567BACKGROUNDVuong NL, Lam PK, Ming DKY, Duyen HTL, Nguyen NM, Tam DTH, Duong Thi Hue K, Chau NV, Chanpheaktra N, Lum LCS, Pleites E, Simmons CP, Rosenberger KD, Jaenisch T, Bell D, Acestor N, Halleux C, Olliaro PL, Wills BA, Geskus RB, Yacoub S. Combination of inflammatory and vascular markers in the febrile phase of dengue is associated with more severe outcomes. Elife. 2021 Jun 22;10:e67460. doi: 10.7554/eLife.67460.
PMID: 34154705BACKGROUNDTomashek KM, Wills B, See Lum LC, Thomas L, Durbin A, Leo YS, de Bosch N, Rojas E, Hendrickx K, Erpicum M, Agulto L, Jaenisch T, Tissera H, Suntarattiwong P, Collers BA, Wallace D, Schmidt AC, Precioso A, Narvaez F, Thomas SJ, Edelman R, Siqueira JB, Cassetti MC, Dempsey W, Gubler DJ. Development of standard clinical endpoints for use in dengue interventional trials. PLoS Negl Trop Dis. 2018 Oct 4;12(10):e0006497. doi: 10.1371/journal.pntd.0006497. eCollection 2018 Oct.
PMID: 30286085BACKGROUND
Biospecimen
Serum, PaxGene fibonucleic acid tubes, (ethylenediaminetetraacetic acid) EDTA whole blood for diagnostic purposes.
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 5, 2026
First Posted
September 2, 2026
Study Start (Estimated)
November 1, 2026
Primary Completion (Estimated)
April 1, 2028
Study Completion (Estimated)
April 1, 2028
Last Updated
September 2, 2026
Record last verified: 2026-08
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, ANALYTIC CODE
Anonymised study results will be made publicly available through scientific publications and, where appropriate, data repositories. Requests from bona fide researchers for access to de-identified participant-level data will be considered on a case-by-case basis, subject to applicable ethical approvals, participant consent, and local and institutional policies.