UK (St George’s University of London) New scientific collaboration to improve treatment and reduce mortality of neonatal sepsis in Africa
A new European-African collaboration to improve the way infections in newborns are treated is launching today. The project, called SNIP-AFRICA, aims to reduce mortality among neonates in hospital with sepsis in Africa, in an era of increasing antimicrobial resistance.
Funded by the European Union under the Global Health EDCTP3 Programme, SNIP-AFRICA will conduct an adaptive trial to identify the best drug regimens and doses for difficult-to-treat infections and sepsis, which threaten the lives of newborns in neonatal units in sub-Saharan African countries.
SNIP-AFRICA will be coordinated by Fondazione Penta ETS, while St George’s, University of London will be responsible for scientific oversight.
“SNIP-AFRICA is a critical step in the fight against newborn sepsis. We are excited to see this project get underway, and we are confident that it will make a significant difference in the lives of newborns in Africa.”
– Dr Julia Bielicki, paediatrician and researcher at the Centre for Neonatal and Paediatric Infection at St George’s, University of London and SNIP-AFRICA scientific coordinator –
Sepsis is a life-threatening condition that occurs when the body’s response to an infection damages its own tissues and organs. In newborns, sepsis is often caused by bacteria that have become resistant to antibiotics, which makes it even more difficult to treat.
Every year, 214,000 newborn babies die of sepsis that has become resistant to antibiotics, making it a major health threat worldwide. Low- and middle-income countries, especially in Africa, are particularly affected by this problem due to the lack of resources for diagnosis and treatment.
Varies from hospital to hospital
What’s more, the heterogeneous nature of sepsis means that relevant research questions may vary greatly from one hospital to another, posing a challenge for traditional clinical trials to comprehensively grasp the complexities and variations of this condition, and to find treatments suitable for multiple settings.
The SNIP-AFRICA trial will use an adaptive platform design, which allows researchers to adjust the trial as it progresses based on the results of early data. In comparison to traditional trial designs, adaptive platform trials can address multiple research questions simultaneously, providing a more personalised approach to researching neonatal sepsis.
“SNIP-AFRICA is a landmark project that will bring together leading scientists from Africa and Europe to address this major global health challenge.”
– Carlo Giaquinto, Professor of Paediatrics at the University of Padova, President of Fondazione Penta ETS and project coordinator –
The trial plans to enroll 1,200 neonates in six neonatal intensive care units in Ghana, Kenya, South Africa and Uganda. The first patients are expected to be enrolled in June 2025.
Building capacity of researchers and clinicians in Africa
To guarantee the sustainability of the SNIP-AFRICA platform, the Consortium will also invest in building the capacity of African researchers and clinicians to develop and implement future adaptive trials, fostering a culture of knowledge-sharing and collaboration.
Overall, ten project partners from European and African countries will come together to constitute a diverse Consortium of partners with extensive experience in neonatology and in designing and conducting randomised controlled trials in Africa, including adaptive trials.
SNIP-AFRICA’s ambition is to innovate research on severe childhood infections, particularly neonatal sepsis. By using novel adaptive trial design elements, the project will generate evidence to improve antibiotic treatment of this deadly condition. This will significantly improve the wellbeing of newborns and infants, who are at the highest risk of infection from difficult-to-treat bacteria.