Haematological dynamics following treatment of visceral leishmaniasis: a protocol for systematic review and individual participant data (IPD) meta-analysis

Introduction Visceral leishmaniasis (VL) is a parasitic disease with an estimated 30 000 new cases occurring annually. Despite anaemia being a common haematological manifestation of VL, the evolution of different haematological characteristics following treatment remains poorly understood. An indivi...

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Main Authors: James Wilson, Koert Ritmeijer, Fabiana Alves, Prabin Dahal, Kasia Stepniewska, Shyam Sundar, Philippe J Guérin, Manju Rahi, Ahmed Musa, Krishna Pandey, Rishikesh Kumar, Sauman Singh-Phulgenda, Niyamat Ali Siddiqui, Abdalla Munir, Caitlin Naylor, Gemma Buck, Paritosh Malaviya
Format: Article
Language:English
Published: BMJ Publishing Group 2023-12-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/13/12/e074841.full
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author James Wilson
Koert Ritmeijer
Fabiana Alves
Prabin Dahal
Kasia Stepniewska
Shyam Sundar
Philippe J Guérin
Manju Rahi
Ahmed Musa
Krishna Pandey
Rishikesh Kumar
Sauman Singh-Phulgenda
Niyamat Ali Siddiqui
Abdalla Munir
Caitlin Naylor
Gemma Buck
Paritosh Malaviya
author_facet James Wilson
Koert Ritmeijer
Fabiana Alves
Prabin Dahal
Kasia Stepniewska
Shyam Sundar
Philippe J Guérin
Manju Rahi
Ahmed Musa
Krishna Pandey
Rishikesh Kumar
Sauman Singh-Phulgenda
Niyamat Ali Siddiqui
Abdalla Munir
Caitlin Naylor
Gemma Buck
Paritosh Malaviya
author_sort James Wilson
collection DOAJ
description Introduction Visceral leishmaniasis (VL) is a parasitic disease with an estimated 30 000 new cases occurring annually. Despite anaemia being a common haematological manifestation of VL, the evolution of different haematological characteristics following treatment remains poorly understood. An individual participant data meta-analysis (IPD-MA) is planned to characterise the haematological dynamics in patients with VL.Methods and analysis The Infectious Diseases Data Observatory (IDDO) VL data platform is a global repository of IPD from therapeutic studies identified through a systematic search of published literature (PROSPERO registration: CRD42021284622). The platform currently holds datasets from clinical trials standardised to a common data format. Corresponding authors and principal investigators of the studies indexed in the IDDO VL data platform meeting the eligibility criteria for inclusion were invited to be part of the collaborative IPD-MA. Mixed-effects multivariable regression models will be constructed to identify determinants of haematological parameters by taking clustering within study sites into account.Ethics and dissemination This IPD-MA meets the criteria for waiver of ethical review as defined by the Oxford Tropical Research Ethics Committee (OxTREC) granted to IDDO, as the research consists of secondary analysis of existing anonymised data (exempt granted on 29 March 2023, OxTREC REF: IDDO). Ethics approval was granted by the ICMR-Rajendra Memorial Research Institute of Medical Sciences ethics committee (letter no.: RMRI/EC/30/2022) on 4 July 2022. The results of this analysis will be disseminated at conferences, the IDDO website and peer-reviewed publications in open-access journals. The findings of this research will be critically important for control programmes at regional and global levels, policymakers and groups developing new VL treatments.PROSPERO registration number CRD42021284622.
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spelling doaj-art-da1da7b2a4ae4db39d942fe1e76b857a2025-08-20T01:48:37ZengBMJ Publishing GroupBMJ Open2044-60552023-12-01131210.1136/bmjopen-2023-074841Haematological dynamics following treatment of visceral leishmaniasis: a protocol for systematic review and individual participant data (IPD) meta-analysisJames Wilson0Koert Ritmeijer1Fabiana Alves2Prabin Dahal3Kasia Stepniewska4Shyam Sundar5Philippe J Guérin6Manju Rahi7Ahmed Musa8Krishna Pandey9Rishikesh Kumar10Sauman Singh-Phulgenda11Niyamat Ali Siddiqui12Abdalla Munir13Caitlin Naylor14Gemma Buck15Paritosh Malaviya16Infectious Diseases Data Observatory (IDDO), Oxford, UKMédecins Sans Frontières, Amsterdam, NetherlandsDrugs for Neglected Disease Initiative, Geneva, Switzerland4 Nuffield Department of Medicine, University of Oxford, Oxford, UK9 University of Oxford, Oxford, UKInfectious Disease Research Laboratory, Department of Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi, IndiaCentre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UKAcademy of Scientific and Innovative Research (AcSIR), Ghaziabad, Uttar Pradesh, IndiaInstitute of Endemic Diseases, University of Khartoum, Khartoum, SudanRajendra Memorial Research Institute of Medical Sciences (RMRIMS), Patna, IndiaRajendra Memorial Research Institute of Medical Sciences (RMRIMS), Patna, IndiaInfectious Diseases Data Observatory (IDDO), Oxford, UKRajendra Memorial Research Institute of Medical Sciences (RMRIMS), Patna, IndiaInfectious Diseases Data Observatory (IDDO), Oxford, UKInfectious Diseases Data Observatory (IDDO), Oxford, UKInfectious Diseases Data Observatory (IDDO), Oxford, UKInfectious Disease Research Laboratory, Department of Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi, IndiaIntroduction Visceral leishmaniasis (VL) is a parasitic disease with an estimated 30 000 new cases occurring annually. Despite anaemia being a common haematological manifestation of VL, the evolution of different haematological characteristics following treatment remains poorly understood. An individual participant data meta-analysis (IPD-MA) is planned to characterise the haematological dynamics in patients with VL.Methods and analysis The Infectious Diseases Data Observatory (IDDO) VL data platform is a global repository of IPD from therapeutic studies identified through a systematic search of published literature (PROSPERO registration: CRD42021284622). The platform currently holds datasets from clinical trials standardised to a common data format. Corresponding authors and principal investigators of the studies indexed in the IDDO VL data platform meeting the eligibility criteria for inclusion were invited to be part of the collaborative IPD-MA. Mixed-effects multivariable regression models will be constructed to identify determinants of haematological parameters by taking clustering within study sites into account.Ethics and dissemination This IPD-MA meets the criteria for waiver of ethical review as defined by the Oxford Tropical Research Ethics Committee (OxTREC) granted to IDDO, as the research consists of secondary analysis of existing anonymised data (exempt granted on 29 March 2023, OxTREC REF: IDDO). Ethics approval was granted by the ICMR-Rajendra Memorial Research Institute of Medical Sciences ethics committee (letter no.: RMRI/EC/30/2022) on 4 July 2022. The results of this analysis will be disseminated at conferences, the IDDO website and peer-reviewed publications in open-access journals. The findings of this research will be critically important for control programmes at regional and global levels, policymakers and groups developing new VL treatments.PROSPERO registration number CRD42021284622.https://bmjopen.bmj.com/content/13/12/e074841.full
spellingShingle James Wilson
Koert Ritmeijer
Fabiana Alves
Prabin Dahal
Kasia Stepniewska
Shyam Sundar
Philippe J Guérin
Manju Rahi
Ahmed Musa
Krishna Pandey
Rishikesh Kumar
Sauman Singh-Phulgenda
Niyamat Ali Siddiqui
Abdalla Munir
Caitlin Naylor
Gemma Buck
Paritosh Malaviya
Haematological dynamics following treatment of visceral leishmaniasis: a protocol for systematic review and individual participant data (IPD) meta-analysis
BMJ Open
title Haematological dynamics following treatment of visceral leishmaniasis: a protocol for systematic review and individual participant data (IPD) meta-analysis
title_full Haematological dynamics following treatment of visceral leishmaniasis: a protocol for systematic review and individual participant data (IPD) meta-analysis
title_fullStr Haematological dynamics following treatment of visceral leishmaniasis: a protocol for systematic review and individual participant data (IPD) meta-analysis
title_full_unstemmed Haematological dynamics following treatment of visceral leishmaniasis: a protocol for systematic review and individual participant data (IPD) meta-analysis
title_short Haematological dynamics following treatment of visceral leishmaniasis: a protocol for systematic review and individual participant data (IPD) meta-analysis
title_sort haematological dynamics following treatment of visceral leishmaniasis a protocol for systematic review and individual participant data ipd meta analysis
url https://bmjopen.bmj.com/content/13/12/e074841.full
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