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MeningitisNCT07432113

Prediction of Infectious Agents in the Biofire® FilmArray bioMérieux Meningitis/Encephalitis Panel Based on Clinical Syndrome and Cerebrospinal Fluid Parameters: a Diagnostic Stewardship Proposal.

A study testing Biofire FilmArray Meningitis/Encephalitis Panel in people with Meningitis and Encephalitic Infection, run by Federal University of Health Science of Porto Alegre at 1 site in Brazil.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Background: Infections of the central nervous system (CNS) are associated with high morbidity, mortality, and high resource consumption. The BioFire FilmArray is a molecular diagnostic panel capable of identifying 14 pathogens in approximately one hour, including bacteria, viruses, and fungi. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Meningitis, Encephalitic Infection, Encephalitis
What is being tested?
Biofire FilmArray Meningitis/Encephalitis Panel
Could I receive a placebo?
No, everyone receives an active treatment
How many people
182 participants
Where
1 siteBrazil
Study dates
13 Apr 2026to 31 Oct 2029
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients aged 18 years or older, of any gender.
  • Presence of at least two of the following symptoms: fever, lethargy, altered level of consciousness, seizures, acute focal deficit, signs of meningeal irritation, or headache.
  • Symptoms must have started within the last 30 days.
  • Obligatory presence of pleocytosis (CSF white blood cell count ≥ 5 cells/mm³).
  • Provision of written Informed Consent (TCLE) by the patient or their legal representative.

Who cannot join

  • Failure to sign the Informed Consent Form.
  • Clinical manifestations lasting more than 30 days.
  • Patients under 18 years of age.
  • Patients who have undergone neurosurgery within 30 days prior to the onset of symptoms (applies to both prospective and control groups).

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Alessandro C Pasqualotto, PhD contact

+55 51 999951614

pasqualotto@ufcspa.edu.br

Cândida Driemeyer, MD contact

+5551998793442

driemeyer@ufcspa.edu.br

Brazil1 site, 1 recruiting
  • Irmandande Santa Casa de Porto Alegre

    Porto Alegre, Rio Grande do Sul, 90020-090

    Alessandro C Pasqualotto, PhD, +55 51 999951614, pasqualotto@ufcspa.edu.br

    Candida Driemeyer, MD, +5551998793442, driemeyer@ufcspa.edu.br

    Recruiting

Other trials in Brazil

About this study

Background: Infections of the central nervous system (CNS) are associated with high morbidity, mortality, and high resource consumption. The BioFire FilmArray is a molecular diagnostic panel capable of identifying 14 pathogens in approximately one hour, including bacteria, viruses, and fungi. However, it is not yet widely available in the Brazilian public health system.

Objective: The primary objective of this study is to evaluate the pre-test probability of positivity of the Biofire FilmArray bioMérieux Meningitis/Encephalitis panel in patients with clinical syndrome of meningitis and/or encephalitis and pleocytosis (CSF ≥ 5 cells).

Read more

As secondary objectives, the study aims to:

Determine the clinical impact of using the panel through variables such as total hospital stay and length of stay in the intensive care unit.

Compare the duration of antibiotic use in non-bacterial cases between groups. Compare the time to reduction of acyclovir use in etiologies without proven benefit.

Compare the time for identification of the causative pathogen and mortality rates between the study groups.

Perform a cost-effectiveness analysis of the test. Compare the request for imaging exams, such as brain MRI and CT scan, between the groups.

Methods: This is a prospective, transversal, and multicenter study conducted at Santa Casa de Porto Alegre and Hospital Dom João Becker. Patients will be compared with a retrospective cohort used as a control group.

Read the detailed description

This will be a prospective study, conducted at Santa Casa de Porto Alegre, a philanthropic tertiary university hospital with 1,400 beds and at Hospital Dom João Becker, which has 173 inpatient beds and 20 ICU beds. Adult patients with clinical symptoms compatible with CNS infection that began less than 30 days prior, for whom cerebrospinal fluid collection has been indicated by the attending physician, will be included. Participation in the study will be subject to the signing of an informed consent form (ICF) by the patient or their legal representative. The patient will then be included in the study. Samples will be processed with qualitative and quantitative cytology, protein, glucose, and lactate analysis, as well as specific tests as requested by the attending physician. Patients will be compared with a retrospective cohort used as a control group (patients with clinical CNS infection who underwent cerebrospinal fluid collection but were not tested with the FilmArray panel) over the past 4 years.

Being tested
Biofire FilmArray Meningitis/Encephalitis Panel
Keywords
filmarray, biofire, biofire filmarray, meningits, encephalitis
Medical subject headings
Meningitis, Encephalitis, Meningitis, Fungal, Meningitis, Viral, Meningitis, Bacterial

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Biofire FilmArray Meningitis/Encephalitis PanelDiagnostic test

    The Biofire FilmArray is a multiplex molecular diagnostic test that will be performed on 0.2 mL of cerebrospinal fluid (CSF) collected from patients via lumbar or suboccipital puncture. The system automatically performs DNA/RNA extraction, purification, multiplex PCR, and identification of 14 different pathogens (6 bacteria, 7 viruses, and 1 fungus). The complete process takes approximately one hour and provides qualitative results to guide therapeutic decisions such as antibiotic stewardship.

Study groups in NCT07432113
Study groupRoleWhat they receive
Biofire FilmArray groupExperimentalPatients with clinical suspicion of CNS infection and pleocytosis (CSF ≥ 5 cells/mm³) who will be prospectively tested using the BioFire FilmArray Meningitis/Encephalitis panel
Receives: Diagnostic Test: Biofire FilmArray Meningitis/Encephalitis Panel
Retrospective Control GroupNo interventionA retrospective cohort of patients from the last four years who presented with similar clinical syndromes and CSF pleocytosis (≥ 5 cells/mm³) but were managed with standard care without molecular panel testing.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Rate of BioFire® FilmArray® Meningitis/Encephalitis Panel Positivity

    Proportion of positive BioFire® FilmArray® Meningitis/Encephalitis panel results among participants presenting with a clinical syndrome of meningitis and/or encephalitis and cerebrospinal fluid pleocytosis (≥ 5 cells/mm³).

    Measured: At the time of BioFire® FilmArray® result availability, assessed up to 24 months

Secondary outcomes (9)
  1. Total hospital length of stay in days

    Duration of hospitalization, measured in days, compared between study groups.

    Measured: From hospital admission until hospital discharge or death, whichever occurs first, assessed up to 24 months.

  2. Intensive care unit length of stay in days

    Duration of intensive care unit stay, measured in days, compared between study groups.

    Measured: From intensive care unit admission until intensive care unit discharge or death, whichever occurs first, assessed up to 24 months.

  3. Duration of antibiotic therapy in participants without confirmed bacterial infection

    Duration of systemic antibiotic therapy, measured in days, compared between study groups in participants without confirmed bacterial etiology.

    Measured: From antibiotic initiation until discontinuation, hospital discharge, or death, whichever occurs first, assessed up to 24 months.

  4. Duration of acyclovir therapy in participants without confirmed indication

    Duration of acyclovir therapy, measured in days, compared between study groups in participants without confirmed indication of benefit.

    Measured: From acyclovir initiation until discontinuation, hospital discharge, or death, whichever occurs first, assessed up to 24 months.

  5. Time to pathogen identification

    Time, measured in days, from diagnostic testing to identification of an infectious pathogen, compared between study groups when a pathogen is detected.

    Measured: From cerebrospinal fluid collection until pathogen identification, when available, assessed up to 24 months.

  6. In-hospital mortality

    Occurrence of death during hospitalization, compared between study groups.

    Measured: From hospital admission until death or hospital discharge, whichever occurs first, assessed up to 24 months.

  7. Need for hemodialysis

    Requirement for hemodialysis at any time during hospitalization, compared between study groups.

    Measured: From hospital admission until hospital discharge or death, whichever occurs first, assessed up to 24 months.

  8. Direct medical costs

    Direct medical costs associated with hospitalization and therapeutic interventions, compared between study groups.

    Measured: From hospital admission until hospital discharge or death, whichever occurs first, assessed up to 24 months.

  9. Use of neuroimaging

    Performance of at least one brain magnetic resonance imaging or computed tomography scan during hospitalization, compared between study groups.

    Measured: From hospital admission until hospital discharge or death, whichever occurs first, assessed up to 24 months.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 Feb 2026
  2. Study start13 Apr 2026
  3. Primary completion16 Mar 2028 (estimated)
  4. Study completion31 Oct 2029 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Diagnosis
Allocation
Non-randomised
Intervention model
Parallel groups
Model description
The data obtained in the prospective arm of the study will be compared with those of a control group formed by a retrospective cohort of patients hospitalized in the last four years, with compatible clinical syndrome and liquid containing hair less than 5 cells. These data are previously collected as part of routine medical care and are recorded in the medical records of the participating institutions. There will be no direct interaction with the participants and no additional collection of information or biological materials.
Masking
None (open label)
Enrolment
182 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07432113
Sponsor's protocol ID
88825625.5.0000.5335
Other IDs
U1111-1334-6700
Status last verified
Aug 2026
First submitted
1 Feb 2026
Last updated
21 Aug 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Individual participant data will not be shared to ensure strict compliance with the Brazilian General Data Protection Law (LGPD) and to protect the privacy of participants, especially those from the retrospective cohort for whom a waiver of informed consent was granted due to the impossibility of contact.

Publications

  • Cailleaux M, Pilmis B, Mizrahi A, Lourtet-Hascoet J, Nguyen Van JC, Alix L, Couzigou C, Vidal B, Tattevin P, Le Monnier A. Impact of a multiplex PCR assay (FilmArray(R)) on the management of patients with suspected central nervous system infections. Eur J Clin Microbiol Infect Dis. 2020 Feb;39(2):293-297. doi: 10.1007/s10096-019-03724-7. Epub 2019 Nov 12.

    PubMed 31720944
  • Duff S, Hasbun R, Balada-Llasat JM, Zimmer L, Bozzette SA, Ginocchio CC. Economic analysis of rapid multiplex polymerase chain reaction testing for meningitis/encephalitis in adult patients. Infection. 2019 Dec;47(6):945-953. doi: 10.1007/s15010-019-01320-7. Epub 2019 May 20.

    PubMed 31111325
  • Soucek DK, Dumkow LE, VanLangen KM, Jameson AP. Cost Justification of the BioFire FilmArray Meningitis/Encephalitis Panel Versus Standard of Care for Diagnosing Meningitis in a Community Hospital. J Pharm Pract. 2019 Feb;32(1):36-40. doi: 10.1177/0897190017737697. Epub 2017 Nov 1.

    PubMed 29092659
  • Trujillo-Gomez J, Tsokani S, Arango-Ferreira C, Atehortua-Munoz S, Jimenez-Villegas MJ, Serrano-Tabares C, Veroniki AA, Florez ID. Biofire FilmArray Meningitis/Encephalitis panel for the aetiological diagnosis of central nervous system infections: A systematic review and diagnostic test accuracy meta-analysis. EClinicalMedicine. 2022 Feb 14;44:101275. doi: 10.1016/j.eclinm.2022.101275. eCollection 2022 Feb.

    PubMed 35198914

Questions about this trial

What is this clinical trial studying?

A study testing Biofire FilmArray Meningitis/Encephalitis Panel in people with Meningitis and Encephalitic Infection, run by Federal University of Health Science of Porto Alegre at 1 site in Brazil.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 21 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Brazil. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Alessandro C Pasqualotto, PhD (+55 51 999951614, pasqualotto@ufcspa.edu.br), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Rate of BioFire® FilmArray® Meningitis/Encephalitis Panel Positivity (time frame: At the time of BioFire® FilmArray® result availability, assessed up to 24 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07432113, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Aug 2026.

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