Enhanced TB Screening to Determine the Prevalence and Incidence of TB in Patients With HIV

NCT ID: NCT02043067

Last Updated: 2017-09-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

400 participants

Study Classification

OBSERVATIONAL

Study Start Date

2011-10-31

Study Completion Date

2013-05-31

Brief Summary

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This study will examine an enhanced protocol to systematically screen a cohort of 400 new HIV clinic enrollees for prevalence and 1-year incidence of tuberculosis (TB).

Detailed Description

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Zambia is a high burden country for both HIV and TB infection and HIV clinic enrollees are a high-risk group for active TB. Current Zambian Ministry of Health screening protocols are symptom-based even though active case-finding studies in HIV-infected populations have shown that symptoms are not always predictive of active TB. As a result, there may be a significant amount of un-diagnosed TB among HIV-infected Zambians even in the context of accessing HIV care. This study will examine an enhanced protocol to systematically screen a cohort of 400 new HIV clinic enrollees for prevalence and 1-year incidence of TB using symptoms, light and fluorescence microscopy, chest radiography and TB culture of sputum and extra-pulmonary fluids (when indicated). In addition, the sensitivity, specificity and cost-effectiveness of each diagnostic tool will be evaluated.

Conditions

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Tuberculosis

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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new HIV clinic enrollees

All new enrollees to a Lusaka HIV clinic will receive a full TB work-up.

Comprehensive TB screening

Intervention Type OTHER

All enrollees will receive a comprehensive TB screening regardless of symptom presentation.

Interventions

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Comprehensive TB screening

All enrollees will receive a comprehensive TB screening regardless of symptom presentation.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Persons with HIV/AIDS, 16 years of age or older, who are enrolling at the Kalingalinga ART clinic and are able and willing to provide informed consent
* Antiretroviral therapy-naïve except for short-course therapy through prevention of mother-to-child-transmission programs
* Not have taken any TB treatment in the past 3 months
* Willing to provide locator information and allow study staff to contact by phone or visit them at home if required

Exclusion Criteria

* Any condition, including active drug or alcohol use, which in the opinion of the investigators, would interfere with adherence to study requirements
Minimum Eligible Age

16 Years

Maximum Eligible Age

99 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centre for Infectious Disease Research in Zambia

OTHER

Sponsor Role collaborator

Centers for Disease Control and Prevention

FED

Sponsor Role collaborator

University of North Carolina, Chapel Hill

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Stewart Reid, MD

Role: PRINCIPAL_INVESTIGATOR

CIDRZ; University of North Carolina at Chapel Hill

Locations

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Kalingalinga HIV Care and Treatment Clinic

Lusaka, , Zambia

Site Status

Countries

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Zambia

References

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Related Links

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http://www.unc.edu

University of North Carolina website

Other Identifiers

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CIDRZ 1226/IRB12-0416

Identifier Type: -

Identifier Source: org_study_id