Trial Outcomes & Findings for Innovative Approach in Tuberculosis Care in Armenia (NCT NCT02082340)

NCT ID: NCT02082340

Last Updated: 2020-02-18

Results Overview

The sum of cured (TB patients with bacteriologically confirmed TB at the beginning of treatment who were smear- or culture-negative in the last month of treatment and on at least one previous occasion) and treatment completed (TB patients who completed treatment without evidence of failure but with no record to show that sputum smear or culture results in the last month of treatment and on at least one previous occasion were negative,either because tests were not done or because results are unavailable).

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

392 participants

Primary outcome timeframe

Patients were followed for the duration of ambulatory phase of treatment, an average of 4.2 months

Results posted on

2020-02-18

Participant Flow

Between 12 March and 26 December 2014, we identified and contacted eligible TB patients from the intervention TB out-patient clinics as well as the control TB out-patient clinics.

Participant milestones

Participant milestones
Measure
Intervention Arm
The intervention included the following components: self-administered drug intake strategy, TB knowledge and socio-psychological counseling session, SMS text messages, phone calls, educational leaflet.
Control Arm
Patients included in the control arm received traditional - clinical Directly Observed Therapy (DOT) as recommended by WHO.
Overall Study
STARTED
194
198
Overall Study
COMPLETED
193
197
Overall Study
NOT COMPLETED
1
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Intervention Arm
The intervention included the following components: self-administered drug intake strategy, TB knowledge and socio-psychological counseling session, SMS text messages, phone calls, educational leaflet.
Control Arm
Patients included in the control arm received traditional - clinical Directly Observed Therapy (DOT) as recommended by WHO.
Overall Study
Lost to Follow-up
1
1

Baseline Characteristics

Innovative Approach in Tuberculosis Care in Armenia

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Intervention Arm
n=194 Participants
The intervention included the following components: self-administered drug intake strategy, TB knowledge and socio-psychological counseling session, SMS text messages, phone calls, educational leaflet.
Control Arm
n=198 Participants
Patients included in the control arm received traditional - clinical Directly Observed Therapy (DOT) as recommended by WHO.
Total
n=392 Participants
Total of all reporting groups
Age, Continuous
45.9 years
STANDARD_DEVIATION 15.9 • n=5 Participants
47.8 years
STANDARD_DEVIATION 14.9 • n=7 Participants
46.8 years
STANDARD_DEVIATION 15.4 • n=5 Participants
Sex: Female, Male
Female
39 Participants
n=5 Participants
48 Participants
n=7 Participants
87 Participants
n=5 Participants
Sex: Female, Male
Male
155 Participants
n=5 Participants
150 Participants
n=7 Participants
305 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Patients were followed for the duration of ambulatory phase of treatment, an average of 4.2 months

The sum of cured (TB patients with bacteriologically confirmed TB at the beginning of treatment who were smear- or culture-negative in the last month of treatment and on at least one previous occasion) and treatment completed (TB patients who completed treatment without evidence of failure but with no record to show that sputum smear or culture results in the last month of treatment and on at least one previous occasion were negative,either because tests were not done or because results are unavailable).

Outcome measures

Outcome measures
Measure
Control Arm
n=198 Participants
patients included in the control arm will receive traditional - clinical Directly Observed Therapy (DOT) as recommended by WHO
Intervention Arm
n=194 Participants
The intervention includes the following components: self-administered drug intake strategy, TB knowledge and socio-psychological counseling session, SMS text messages, phone calls, educational leaflet
TB Treatment Success Rates Defined by the World Health Organization (WHO)
184 Participants
176 Participants

SECONDARY outcome

Timeframe: At baseline and upon completion of the treatment (an expected average of 4.5 months after starting the ambulatory phase of the treatment)

Knowledge about TB infection will be measured by surveys

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: At baseline and upon completion of the treatment (an expected average of 4.5 months after starting the ambulatory phase of the treatment)

Stigma level towards TB patients will be measured by surveys

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: At baseline and upon completion of the treatment (an expected average of 4.5 months after starting the ambulatory phase of the treatment)

Change in family support towards TB patients will be measured by surveys

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: At baseline and upon completion of the treatment (an expected average of 4.5 months after starting the ambulatory phase of the treatment)

TB treatment adherence will be measured by surveys

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: At baseline and upon completion of the treatment (an expected average of 4.5 months after starting the ambulatory phase of the treatment)

Depression status of TB patients will be measured by surveys

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: At baseline and upon completion of the treatment (an expected average of 4.5 months after starting the ambulatory phase of the treatment)

Quality of life of TB patients will be measured by surveys

Outcome measures

Outcome data not reported

Adverse Events

Intervention Arm

Serious events: 3 serious events
Other events: 0 other events
Deaths: 0 deaths

Control Arm

Serious events: 3 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Intervention Arm
n=194 participants at risk
The intervention includes the following components: self-administered drug intake strategy, TB knowledge and socio-psychological counseling session, SMS text messages, phone calls, educational leaflet.
Control Arm
n=198 participants at risk
Patients included in the control arm received traditional - clinical Directly Observed Therapy (DOT) as recommended by WHO.
Respiratory, thoracic and mediastinal disorders
Death
1.0%
2/194 • Number of events 2 • Throughout the study period (average 4.2 months)
1.5%
3/198 • Number of events 3 • Throughout the study period (average 4.2 months)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Death
0.52%
1/194 • Number of events 1 • Throughout the study period (average 4.2 months)
0.00%
0/198 • Throughout the study period (average 4.2 months)

Other adverse events

Adverse event data not reported

Additional Information

Dr. Harutyunyan

American University of Armenia

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place