Electronic Pillbox-enabled SAT Versus DOT for TB Medication Adherence and Treatment Outcomes

NCT04216420 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 114

Last updated 2022-07-12

No results posted yet for this study

Summary

To address the multifaceted challenges associated with tuberculosis (TB) in-person directly observed therapy (DOT), the World Health Organization recently recommended countries maximize the use of digital adherence technologies. Sub-Saharan Africa needs to investigate the effectiveness of such technologies in local contexts and proactively contribute to global decisions around patient-centered TB care. This study aims to evaluate the effectiveness of pillbox-enabled self-administered therapy (SAT) compared to standard DOT on adherence to TB medication and treatment outcomes in Ethiopia. It also aims to assess the usability, acceptability, and cost-effectiveness (health-related quality of life and catastrophic costs) of the intervention from the patient and provider perspectives. It is designed as a multicenter, randomized, controlled, open-label, non-inferiority, effectiveness-implementation hybrid, mixed-methods, two-arm trial.

Conditions

Interventions

DEVICE

MERM-observed self-administered therapy

The MERM device has an electronic module and a medication container that records adherence, stores medication, emits audible and visual on-board alarms to remind patients to take their medications on time and refill, and enables providers to download the data and monitor adherence. It is manufactured by Wisepill Technologies, South Africa.

Sponsors & Collaborators

  • Emory University School of Medicine, US

    collaborator UNKNOWN
  • Armauer Hansen Research Institute, Ethiopia

    collaborator OTHER
  • Fogarty International Center of the National Institute of Health

    collaborator NIH
  • Addis Ababa University

    lead OTHER

Principal Investigators

  • Henry M Blumberg, MD · Emory University School of Medicine and Rollins School of Public Health

Study Design

Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Model
PARALLEL

Eligibility

Min Age
18 Years
Sex
ALL
Healthy Volunteers
No

Timeline & Regulatory

Start
2020-06-01
Primary Completion
2021-07-31
Completion
2021-08-31

Countries

  • Ethiopia

Study Locations

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Entities

Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT04216420 on ClinicalTrials.gov