Protecting chemotherapy drug quality in sub-Saharan Africa with a paper test card and phone app

Adapting a point of use test card, the chemoPAD, for protecting chemotherapy drug quality in sub-Saharan Africa

NIH-funded research University of Notre Dame · NIH-11146453

This project checks injectable chemotherapy medicines with a low-cost paper test card and a phone app to spot fake or weak drugs used by hospitals and pharmacies in parts of sub-Saharan Africa.

Quick facts

Grant typeU01 cooperative agreement
Study typeNIH-funded research
Funding institutionUniversity of Notre Dame NIH-funded
Lab location1 site (Notre Dame, United States)
Project IDNIH-11146453 on NIH RePORTER

What this research studies

If I were a cancer patient in one of the partner countries, researchers would adapt a simple paper test card called the chemoPAD to screen eight common injectable chemotherapy drugs and pair it with a phone app that reads the results. The app’s neural network will be trained to flag products that are falsified or contain less than about two-thirds of the expected active drug. Clinical, academic, and supply-chain partners in Ethiopia, Malawi, Cameroon, and Kenya will collect and test hundreds of chemotherapy samples each year. A US research team will use those results to model local drug markets and estimate whether the SpotCheck system is cost-effective and practical to use more broadly.

Who could benefit from this research

Good fit: Ideal participants are hospitals, clinics, pharmacies, and patients receiving injectable chemotherapy in Ethiopia, Malawi, Cameroon, or Kenya who can allow drug samples to be tested at the point of use.

Not a fit: Patients who receive chemotherapy types not covered by the eight drugs in this project or who live outside the participating countries are unlikely to benefit directly from this work.

Why it matters

Potential benefit: If successful, this could help patients get authentic, effective chemotherapy and reduce harm from counterfeit or substandard medicines.

How similar studies have performed: Paper-based and phone-read rapid tests have worked for other medicines like antimalarials, but applying this approach specifically to injectable chemotherapy is relatively new.

Where this research is happening

Notre Dame, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
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Last reviewed 2026-06-10 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.