Operational Research for Cryptococcal Antigen Screening
NCT01535469 · Status: COMPLETED · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 3049
Last updated 2020-06-04
Summary
This will be a stepped wedge randomized trial design to evaluate the implementation of cryptococcal antigen (CRAG) screening and preemptive anti-fungal therapy of HIV-infected persons entering antiretroviral therapy (ART) outpatient treatment in Uganda. Those who are ART eligible with a CD4≤100 cells/mcL will have a serum/plasma CRAG performed by lateral flow assay. Those who are CRAG-positive and asymptomatic will be treated with high dose fluconazole. After 6 months survival with retention-in-care will be compared between those who are CRAG+ and CRAG negative
Conditions
- Cryptococcal Meningitis
- Cryptococcus Neoformans
- Cryptococcosis
Interventions
- DRUG
-
Fluconazole
Fluconazole 800mg orally daily for 2 weeks, then 400mg daily for 8 weeks
Sponsors & Collaborators
-
Infectious Diseases Institute, Uganda
collaborator OTHER -
Makerere University
collaborator OTHER -
Centers for Disease Control and Prevention
collaborator FED - lead OTHER
Principal Investigators
-
David B Meya, MMed · Makerere University
-
Radha Rajasingham, MD · Infectious Disease Institute
Study Design
- Allocation
- NA
- Purpose
- PREVENTION
- Masking
- SINGLE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 14 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2012-07-01
- Primary Completion
- 2015-06-30
- Completion
- 2015-06-30
Countries
- Uganda
Study Locations
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