An Adaptive Randomized Controlled Trial
NCT05633056 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 360
Last updated 2025-05-04
Summary
This is a prospective, adaptive, randomized controlled trial comparing the effectiveness of 4 intervention arms on a combined endpoint in adults with confirmed MDR-TB HIV initiating Bedaquiline-containing MDR-TB treatment regimens and on ART (integrase strand transfer inhibitor (INSTI)-based fixed dose combination therapy) in KwaZulu-Natal, South Africa. Interventions arms include: enhanced standard of care; psychosocial support; mHealth using cellular-enabled electronic dose monitoring; combined mHealth psychosocial support. Level of support will be adjusted using a differentiated service delivery (DSD)- informed assessment of treatment support needs.
Conditions
- Multi Drug Resistant Tuberculosis
- HIV Infections
Interventions
- BEHAVIORAL
-
Adherence support intevention
Compare the effects of adherence support interventions on clinical and biological endpoints using an adaptive randomized platform.
Sponsors & Collaborators
-
Centre for the AIDS Programme of Research in South Africa
collaborator NETWORK -
National Institute of Allergy and Infectious Diseases (NIAID)
collaborator NIH - lead OTHER
Principal Investigators
-
Max O'Donnell, Prof · University of Columbia
Study Design
- Allocation
- RANDOMIZED
- Purpose
- SUPPORTIVE_CARE
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2023-03-07
- Primary Completion
- 2027-04-30
- Completion
- 2029-04-30
Countries
- South Africa
Study Locations
More Related Trials
-
Test and Treat TB: A Proof of Concept Trial in South Africa
NCT02298309 ·Status: COMPLETED ·Phase: NA
-
Examining HIV Treatment Adherence During Early Disease
NCT02419066 ·Status: COMPLETED
-
International HIV Antiretroviral Adherence, Resistance and Survival
NCT01596322 ·Status: COMPLETED
-
A Trial of Same-Day Testing and Treatment to Improve Outcomes Among Symptomatic Patients Newly Diagnosed With HIV
NCT03154320 ·Status: COMPLETED ·Phase: NA
-
Scaling up TB and HIV Treatment Integration
NCT02654613 ·Status: COMPLETED ·Phase: NA
-
ENhance Initiation and Retention in Isoniazid Preventive Therapy (IPT) Care for HIV Study (ENRICH Study)
NCT01926379 ·Status: COMPLETED ·Phase: NA
-
Same-day Versus Rapid ART Initiation in HIV-positive Individuals Presenting With Symptoms of Tuberculosis
NCT05452616 ·Status: COMPLETED ·Phase: NA
-
Effectiveness of Anti-HIV Therapy (HAART) in HIV-Infected Patients With Tuberculosis
NCT00004736 ·Status: COMPLETED ·Phase: PHASE1
-
Isoniazid Plus Antiretroviral Therapy to Prevent Tuberculosis in HIV-infected Persons
NCT00463086 ·Status: COMPLETED ·Phase: NA
-
Leveraging mHealth to Enable and Adapt CHW Strategies to Improve TB/HIV Patient Outcomes in SA
NCT04298905 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Comorbidities and Virologic Outcome Among Patients on Anti-retroviral Therapy in Rural Lesotho
NCT02126696 ·Status: COMPLETED
-
Observational Study of Specificity of Mycobacterium Tuberculosis Screening and Diagnostics in HIV-Infected Individuals
NCT00865826 ·Status: COMPLETED
-
Cognitive Behavioral Therapy on Adherence and Depression (CBT-AD) Among HIV/AIDS Patients
NCT06109610 ·Status: RECRUITING ·Phase: NA
-
A Study to Compare Three Existing Starting Points of Anti-Retroviral Therapy (ART) Initiation in HIV/Tuberculosis (TB) Co-infected Patients
NCT00398996 ·Status: COMPLETED ·Phase: PHASE3
-
The Effects of Nutritional Supplementation and Drug Abuse on HIV
NCT00149656 ·Status: COMPLETED ·Phase: NA
-
Tuberculosis Recurrence Upon Treatment With Highly Active Antiretroviral Therapy
NCT01539005 ·Status: COMPLETED
-
An Enhanced Adherence Support Programme for Highly Active Antiretroviral Therapy (HAART)
NCT00408642 ·Status: COMPLETED ·Phase: PHASE3
-
The Adult Antiretroviral Treatment and Resistance Study (Tshepo)
NCT00197613 ·Status: COMPLETED ·Phase: PHASE3
-
Peer-led Implementation of TB-HIV Education and Adherence Counseling in Uganda
NCT05917210 ·Status: RECRUITING ·Phase: NA
-
Optimal Time to Initiate Antiretroviral Therapy in HIV & TB Coinfected Adults Being Treated for Tuberculosis
NCT01315301 ·Status: UNKNOWN ·Phase: NA
-
Closing -TB GAPs - for People Living With HIV: TB Guidance for Adaptable Patient-Centered Service
NCT05342064 ·Status: RECRUITING ·Phase: NA
-
Evaluation of the Effect of 3HP vs Periodic 3HP vs 6H in HIV-Positive Individuals
NCT02980016 ·Status: COMPLETED ·Phase: PHASE3
-
Adapted Physical Activity and Prevention of Cardiovascular Risk in Elderly People Living With HIV:Comparative Study
NCT05201417 ·Status: COMPLETED ·Phase: NA
-
The Effectiveness of a Mobile Interactive Supervised Therapy (MIST) Intervention for Improving Adherence to HIV Medication
NCT03794648 ·Status: COMPLETED ·Phase: NA
-
The Mochudi Prevention Project ART Protocol
NCT01583439 ·Status: TERMINATED ·Phase: NA