Trial Outcomes & Findings for Drinkers' Intervention to Prevent Tuberculosis (DIPT Study) (NCT NCT03492216)

NCT ID: NCT03492216

Last Updated: 2025-01-13

Results Overview

Non-hazardous drinking is a composite outcome, measured at both 3 and 6 months. An individual must meet criteria for non-hazardous drinking (Alcohol Use Disorders Identification Test - Consumption \[AUDIT-C\], prior 3 months, negative) and phosphatidylethanol (PEth) \<35 ng/mL) at both time-points (3- and 6-months) in order to achieve the outcome.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

680 participants

Primary outcome timeframe

Both 3 months and 6 months (composite measure)

Results posted on

2025-01-13

Participant Flow

Study recruitment occurred from April 2018 through July 2021. 5,508 persons were screened and 680 persons were enrolled and randomized.

Participant milestones

Participant milestones
Measure
Control
All participants will receive brief alcohol and adherence counseling according to Uganda Ministry of Health guidelines.
Escalating Incentives (Ethyl Glucuronide [EtG] Tests)
Escalating incentives for ethyl glucuronide (EtG) negative urine test (Intervention: Incentives for negative EtG test). Incentives for negative EtG test: Economic incentives are given to the study participant contingent on point-of-care (POC) urine EtG \<300 ng/mL with the amount of the incentive escalating with each subsequent negative EtG test.
Escalating Incentives (IsoScreen Tests)
Escalating incentives for IsoScreen positive urine tests (Intervention: Incentives for positive IsoScreen test). Incentives for positive IsoScreen test: Economic incentives contingent on point-of-care IsoScreen (Isoniazid, INH) urine positive tests with the amount of the incentive escalating with each subsequent positive IsoScreen test.
Escalating Incentives (Ethyl Glucuronide [EtG] + IsoScreen)
Escalating incentives for ethyl glucuronide (EtG) negative tests and for IsoScreen positive urine tests, with the incentives rewarded separately (Interventions: Incentives for negative EtG test and Incentives for positive IsoScreen test). Incentives for negative EtG test: Economic incentives are given to the study participant contingent on point-of-care (POC) urine ethyl glucuronide (EtG) \<300 ng/mL with the amount of the incentive escalating with each subsequent negative EtG test. Incentives for positive IsoScreen test: Economic incentives contingent on POC (IsoScreen) INH urine positive tests with the amount of the incentive escalating with each subsequent positive IsoScreen test.
Overall Study
STARTED
169
169
170
172
Overall Study
3 Month Visit
158
162
166
168
Overall Study
6 Month Visit
154
164
162
165
Overall Study
COMPLETED
149
160
153
158
Overall Study
NOT COMPLETED
20
9
17
14

Reasons for withdrawal

Reasons for withdrawal
Measure
Control
All participants will receive brief alcohol and adherence counseling according to Uganda Ministry of Health guidelines.
Escalating Incentives (Ethyl Glucuronide [EtG] Tests)
Escalating incentives for ethyl glucuronide (EtG) negative urine test (Intervention: Incentives for negative EtG test). Incentives for negative EtG test: Economic incentives are given to the study participant contingent on point-of-care (POC) urine EtG \<300 ng/mL with the amount of the incentive escalating with each subsequent negative EtG test.
Escalating Incentives (IsoScreen Tests)
Escalating incentives for IsoScreen positive urine tests (Intervention: Incentives for positive IsoScreen test). Incentives for positive IsoScreen test: Economic incentives contingent on point-of-care IsoScreen (Isoniazid, INH) urine positive tests with the amount of the incentive escalating with each subsequent positive IsoScreen test.
Escalating Incentives (Ethyl Glucuronide [EtG] + IsoScreen)
Escalating incentives for ethyl glucuronide (EtG) negative tests and for IsoScreen positive urine tests, with the incentives rewarded separately (Interventions: Incentives for negative EtG test and Incentives for positive IsoScreen test). Incentives for negative EtG test: Economic incentives are given to the study participant contingent on point-of-care (POC) urine ethyl glucuronide (EtG) \<300 ng/mL with the amount of the incentive escalating with each subsequent negative EtG test. Incentives for positive IsoScreen test: Economic incentives contingent on POC (IsoScreen) INH urine positive tests with the amount of the incentive escalating with each subsequent positive IsoScreen test.
Overall Study
Death
1
0
4
0
Overall Study
Withdrawal by Subject
5
3
1
1
Overall Study
Lost to Follow-up
9
2
7
8
Overall Study
Moved
5
3
3
5
Overall Study
Too ill
0
1
0
0
Overall Study
Incarcerated
0
0
2
0

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Control
n=169 Participants
All participants will receive brief alcohol and adherence counseling according to Uganda Ministry of Health guidelines.
Escalating Incentives (Ethyl Glucuronide [EtG] Tests)
n=169 Participants
Escalating incentives for ethyl glucuronide (EtG) negative urine test (Intervention: Incentives for negative EtG test). Incentives for negative EtG test: Economic incentives are given to the study participant contingent on point-of-care urine EtG \<300 ng/mL with the amount of the incentive escalating with each subsequent negative EtG test.
Escalating Incentives (IsoScreen Tests)
n=170 Participants
Escalating incentives for IsoScreen positive urine tests (Intervention: Incentives for positive IsoScreen test). Incentives for positive IsoScreen test: Economic incentives contingent on point-of-care IsoScreen (Isnoiazid, INH) urine positive tests with the amount of the incentive escalating with each subsequent positive IsoScreen test.
Escalating Incentives (Ethyl Glucuronide [EtG] + IsoScreen)
n=172 Participants
Escalating incentives for ethyl glucuronide (EtG) negative tests and for IsoScreen positive urine tests with the incentives rewarded separately (Interventions: Incentives for negative EtG test and Incentives for positive IsoScreen test). Incentives for negative EtG test: Economic incentives are given to the study participant contingent on point-of-care (POC) urine EtG \<300 ng/mL with the amount of the incentive escalating with each subsequent negative EtG test. Incentives for positive IsoScreen test: Economic incentives contingent on POC (IsoScreen) INH urine positive tests with the amount of the incentive escalating with each subsequent positive IsoScreen test.
Total
n=680 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=169 Participants
0 Participants
n=169 Participants
0 Participants
n=170 Participants
0 Participants
n=172 Participants
0 Participants
n=680 Participants
Age, Categorical
Between 18 and 65 years
167 Participants
n=169 Participants
164 Participants
n=169 Participants
167 Participants
n=170 Participants
169 Participants
n=172 Participants
667 Participants
n=680 Participants
Age, Categorical
>=65 years
2 Participants
n=169 Participants
5 Participants
n=169 Participants
3 Participants
n=170 Participants
3 Participants
n=172 Participants
13 Participants
n=680 Participants
Age, Continuous
40 years
n=169 Participants
38 years
n=169 Participants
40 years
n=170 Participants
39 years
n=172 Participants
39 years
n=680 Participants
Sex: Female, Male
Female
51 Participants
n=169 Participants
53 Participants
n=169 Participants
53 Participants
n=170 Participants
53 Participants
n=172 Participants
210 Participants
n=680 Participants
Sex: Female, Male
Male
118 Participants
n=169 Participants
116 Participants
n=169 Participants
117 Participants
n=170 Participants
119 Participants
n=172 Participants
470 Participants
n=680 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
Uganda
169 participants
n=169 Participants
169 participants
n=169 Participants
170 participants
n=170 Participants
172 participants
n=172 Participants
680 participants
n=680 Participants

PRIMARY outcome

Timeframe: Both 3 months and 6 months (composite measure)

Population: As pre-specified in the Study Protocol, participants in the EtG incentive arms (2 + 4) were compared to those in the no EtG incentive arms (1 + 3). EtG incentives (arms 2 + 4): 323/341 participants included; 18/341 participants excluded. No EtG incentives (arms 1 + 3): 313/339 participants included; 26/339 participants excluded.

Non-hazardous drinking is a composite outcome, measured at both 3 and 6 months. An individual must meet criteria for non-hazardous drinking (Alcohol Use Disorders Identification Test - Consumption \[AUDIT-C\], prior 3 months, negative) and phosphatidylethanol (PEth) \<35 ng/mL) at both time-points (3- and 6-months) in order to achieve the outcome.

Outcome measures

Outcome measures
Measure
Alcohol Incentives
n=323 Participants
Escalating incentives for ethyl glucuronide (EtG) negative urine test (Intervention: Incentives for negative EtG test). (Arms 2 + 4)
No Alcohol Incentives
n=313 Participants
No ethylglucuronide (EtG) testing; no incentives for EtG negative urine test. (Arms 1 + 3)
Escalating Incentives (IsoScreen Tests)
Escalating incentives for IsoScreen positive urine tests (Intervention: Incentives for positive IsoScreen test). Incentives for positive IsoScreen test: Economic incentives contingent on point-of-care IsoScreen (Isnoiazid, INH) urine positive tests with the amount of the incentive escalating with each subsequent positive IsoScreen test.
Escalating Incentives (Ethyl Glucuronide [EtG] + IsoScreen)
Escalating incentives for ethyl glucuronide (EtG) negative tests and for IsoScreen positive urine tests with the incentives rewarded separately (Interventions: Incentives for negative EtG test and Incentives for positive IsoScreen test). Incentives for negative EtG test: Economic incentives are given to the study participant contingent on point-of-care (POC) urine EtG \<300 ng/mL with the amount of the incentive escalating with each subsequent negative EtG test. Incentives for positive IsoScreen test: Economic incentives contingent on POC IsoScreen (Inosiazid, INH) urine positive tests with the amount of the incentive escalating with each subsequent positive IsoScreen test.
Number of Participants With and Without Non-hazardous Drinking, as Determined by Self-report and the Biomarker Phosphatidylethanol, at 3- and 6-months.
Non-hazardous alcohol use at 3 and 6 months = yes
57 Participants
31 Participants
Number of Participants With and Without Non-hazardous Drinking, as Determined by Self-report and the Biomarker Phosphatidylethanol, at 3- and 6-months.
Non-hazardous alcohol use at 3 and 6 months = no
266 Participants
282 Participants

PRIMARY outcome

Timeframe: 6 months

Population: As pre-specified in the Study Protocol, participants in the INH incentive arms (3 + 4) were compared to those in the no INH incentive arms (1 + 2). INH incentive group (arms 3 + 4): 335/342 participants are included; 7 are excluded. No INH incentive group (arms 1 + 2): 321/338 participants are included; 17 are excluded.

Isoniazid (INH) adherence percentage is defined as the number of days with \>0 pill bottle openings divided by the number of prescribed doses, times 100. Pill bottle openings are captured by the Medication Event Monitoring System (MEMS) pill cap, with no more than 1 opening per day counted. The INH adherence outcome is INH adherence percentage, dichotomized as \>90% versus \<= 90%.

Outcome measures

Outcome measures
Measure
Alcohol Incentives
n=335 Participants
Escalating incentives for ethyl glucuronide (EtG) negative urine test (Intervention: Incentives for negative EtG test). (Arms 2 + 4)
No Alcohol Incentives
n=321 Participants
No ethylglucuronide (EtG) testing; no incentives for EtG negative urine test. (Arms 1 + 3)
Escalating Incentives (IsoScreen Tests)
Escalating incentives for IsoScreen positive urine tests (Intervention: Incentives for positive IsoScreen test). Incentives for positive IsoScreen test: Economic incentives contingent on point-of-care IsoScreen (Isnoiazid, INH) urine positive tests with the amount of the incentive escalating with each subsequent positive IsoScreen test.
Escalating Incentives (Ethyl Glucuronide [EtG] + IsoScreen)
Escalating incentives for ethyl glucuronide (EtG) negative tests and for IsoScreen positive urine tests with the incentives rewarded separately (Interventions: Incentives for negative EtG test and Incentives for positive IsoScreen test). Incentives for negative EtG test: Economic incentives are given to the study participant contingent on point-of-care (POC) urine EtG \<300 ng/mL with the amount of the incentive escalating with each subsequent negative EtG test. Incentives for positive IsoScreen test: Economic incentives contingent on POC IsoScreen (Inosiazid, INH) urine positive tests with the amount of the incentive escalating with each subsequent positive IsoScreen test.
Number of Participants With >90% Isoniazid (INH) Adherence During Prescribed Course of INH
<=90% INH adherence
91 Participants
87 Participants
Number of Participants With >90% Isoniazid (INH) Adherence During Prescribed Course of INH
>90% INH adherence
244 Participants
234 Participants

SECONDARY outcome

Timeframe: up to 9 months

Isoniazid (INH) treatment discontinuation due to a Grade 3+ hepatotoxicity at any time during the treatment period. Grade 3 hepatoxicity is defined by lab and/or clinical criteria as alanine transaminase (ALT) or aspartate transaminase (AST) elevation ≥5 (but \<10) times the upper limit of normal and/or symptoms consistent with hepatotoxicity; and Grade 4 as ALT or AST elevation ≥10 times the upper limit of normal or potentially life-threatening symptoms.

Outcome measures

Outcome measures
Measure
Alcohol Incentives
n=169 Participants
Escalating incentives for ethyl glucuronide (EtG) negative urine test (Intervention: Incentives for negative EtG test). (Arms 2 + 4)
No Alcohol Incentives
n=169 Participants
No ethylglucuronide (EtG) testing; no incentives for EtG negative urine test. (Arms 1 + 3)
Escalating Incentives (IsoScreen Tests)
n=170 Participants
Escalating incentives for IsoScreen positive urine tests (Intervention: Incentives for positive IsoScreen test). Incentives for positive IsoScreen test: Economic incentives contingent on point-of-care IsoScreen (Isnoiazid, INH) urine positive tests with the amount of the incentive escalating with each subsequent positive IsoScreen test.
Escalating Incentives (Ethyl Glucuronide [EtG] + IsoScreen)
n=172 Participants
Escalating incentives for ethyl glucuronide (EtG) negative tests and for IsoScreen positive urine tests with the incentives rewarded separately (Interventions: Incentives for negative EtG test and Incentives for positive IsoScreen test). Incentives for negative EtG test: Economic incentives are given to the study participant contingent on point-of-care (POC) urine EtG \<300 ng/mL with the amount of the incentive escalating with each subsequent negative EtG test. Incentives for positive IsoScreen test: Economic incentives contingent on POC IsoScreen (Inosiazid, INH) urine positive tests with the amount of the incentive escalating with each subsequent positive IsoScreen test.
Number of Participants With Hepatotoxicity Resulting in Isoniazid (INH) Discontinuation.
13 Participants
10 Participants
15 Participants
9 Participants

SECONDARY outcome

Timeframe: 3 and 6 months

Population: Only participants in the INH adherence incentive arms had INH concentration in hair analyzed.

Secondary Outcome. INH concentration in hair captures INH adherence over a period of weeks to months. Hair samples collected at the 3- and 6-month study visits will be analyzed for INH concentration.

Outcome measures

Outcome measures
Measure
Alcohol Incentives
Escalating incentives for ethyl glucuronide (EtG) negative urine test (Intervention: Incentives for negative EtG test). (Arms 2 + 4)
No Alcohol Incentives
No ethylglucuronide (EtG) testing; no incentives for EtG negative urine test. (Arms 1 + 3)
Escalating Incentives (IsoScreen Tests)
n=150 Participants
Escalating incentives for IsoScreen positive urine tests (Intervention: Incentives for positive IsoScreen test). Incentives for positive IsoScreen test: Economic incentives contingent on point-of-care IsoScreen (Isnoiazid, INH) urine positive tests with the amount of the incentive escalating with each subsequent positive IsoScreen test.
Escalating Incentives (Ethyl Glucuronide [EtG] + IsoScreen)
n=153 Participants
Escalating incentives for ethyl glucuronide (EtG) negative tests and for IsoScreen positive urine tests with the incentives rewarded separately (Interventions: Incentives for negative EtG test and Incentives for positive IsoScreen test). Incentives for negative EtG test: Economic incentives are given to the study participant contingent on point-of-care (POC) urine EtG \<300 ng/mL with the amount of the incentive escalating with each subsequent negative EtG test. Incentives for positive IsoScreen test: Economic incentives contingent on POC IsoScreen (Inosiazid, INH) urine positive tests with the amount of the incentive escalating with each subsequent positive IsoScreen test.
INH Concentration in Hair
at 3 months
49.4 pmol INH + AcINH / mg hair
Interval 26.8 to 81.3
49.1 pmol INH + AcINH / mg hair
Interval 28.0 to 81.1
INH Concentration in Hair
at 6 months
49.3 pmol INH + AcINH / mg hair
Interval 27.4 to 78.8
57.1 pmol INH + AcINH / mg hair
Interval 31.9 to 84.0

SECONDARY outcome

Timeframe: 12 months

The percentage of study participants with HIV viral load suppression (defined as \<200 copies/ml) at 12 months post-enrollment.

Outcome measures

Outcome measures
Measure
Alcohol Incentives
n=148 Participants
Escalating incentives for ethyl glucuronide (EtG) negative urine test (Intervention: Incentives for negative EtG test). (Arms 2 + 4)
No Alcohol Incentives
n=155 Participants
No ethylglucuronide (EtG) testing; no incentives for EtG negative urine test. (Arms 1 + 3)
Escalating Incentives (IsoScreen Tests)
n=149 Participants
Escalating incentives for IsoScreen positive urine tests (Intervention: Incentives for positive IsoScreen test). Incentives for positive IsoScreen test: Economic incentives contingent on point-of-care IsoScreen (Isnoiazid, INH) urine positive tests with the amount of the incentive escalating with each subsequent positive IsoScreen test.
Escalating Incentives (Ethyl Glucuronide [EtG] + IsoScreen)
n=148 Participants
Escalating incentives for ethyl glucuronide (EtG) negative tests and for IsoScreen positive urine tests with the incentives rewarded separately (Interventions: Incentives for negative EtG test and Incentives for positive IsoScreen test). Incentives for negative EtG test: Economic incentives are given to the study participant contingent on point-of-care (POC) urine EtG \<300 ng/mL with the amount of the incentive escalating with each subsequent negative EtG test. Incentives for positive IsoScreen test: Economic incentives contingent on POC IsoScreen (Inosiazid, INH) urine positive tests with the amount of the incentive escalating with each subsequent positive IsoScreen test.
Number of Participants With and Without HIV Viral Suppression at 12 Months
HIV viral suppression = yes
144 Participants
147 Participants
146 Participants
146 Participants
Number of Participants With and Without HIV Viral Suppression at 12 Months
HIV viral suppression = no
4 Participants
8 Participants
3 Participants
2 Participants

SECONDARY outcome

Timeframe: 12 months

Secondary Outcome. Number of participants diagnosed with active TB, within the 12 months of study follow-up.

Outcome measures

Outcome measures
Measure
Alcohol Incentives
n=169 Participants
Escalating incentives for ethyl glucuronide (EtG) negative urine test (Intervention: Incentives for negative EtG test). (Arms 2 + 4)
No Alcohol Incentives
n=169 Participants
No ethylglucuronide (EtG) testing; no incentives for EtG negative urine test. (Arms 1 + 3)
Escalating Incentives (IsoScreen Tests)
n=170 Participants
Escalating incentives for IsoScreen positive urine tests (Intervention: Incentives for positive IsoScreen test). Incentives for positive IsoScreen test: Economic incentives contingent on point-of-care IsoScreen (Isnoiazid, INH) urine positive tests with the amount of the incentive escalating with each subsequent positive IsoScreen test.
Escalating Incentives (Ethyl Glucuronide [EtG] + IsoScreen)
n=172 Participants
Escalating incentives for ethyl glucuronide (EtG) negative tests and for IsoScreen positive urine tests with the incentives rewarded separately (Interventions: Incentives for negative EtG test and Incentives for positive IsoScreen test). Incentives for negative EtG test: Economic incentives are given to the study participant contingent on point-of-care (POC) urine EtG \<300 ng/mL with the amount of the incentive escalating with each subsequent negative EtG test. Incentives for positive IsoScreen test: Economic incentives contingent on POC IsoScreen (Inosiazid, INH) urine positive tests with the amount of the incentive escalating with each subsequent positive IsoScreen test.
Number of Participants With Active Tuberculosis (TB).
0 Participants
1 Participants
2 Participants
1 Participants

Adverse Events

Control

Serious events: 5 serious events
Other events: 64 other events
Deaths: 1 deaths

Escalating Incentives (Ethyl Glucuronide [EtG] Tests)

Serious events: 5 serious events
Other events: 50 other events
Deaths: 0 deaths

Escalating Incentives (IsoScreen Tests)

Serious events: 8 serious events
Other events: 55 other events
Deaths: 4 deaths

Escalating Incentives (Ethyl Glucuronide [EtG] + IsoScreen)

Serious events: 4 serious events
Other events: 39 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Control
n=169 participants at risk
All participants will receive brief alcohol and adherence counseling according to Uganda Ministry of Health guidelines.
Escalating Incentives (Ethyl Glucuronide [EtG] Tests)
n=169 participants at risk
Escalating incentives for ethyl glucuronide (EtG) negative urine test (Intervention: Incentives for negative EtG test). Incentives for negative EtG test: Economic incentives are given to the study participant contingent on point-of-care urine EtG \<300 ng/mL with the amount of the incentive escalating with each subsequent negative EtG test.
Escalating Incentives (IsoScreen Tests)
n=170 participants at risk
Escalating incentives for IsoScreen positive urine tests (Intervention: Incentives for positive IsoScreen test). Incentives for positive IsoScreen test: Economic incentives contingent on point-of-care IsoScreen (Isnoiazid, INH) urine positive tests with the amount of the incentive escalating with each subsequent positive IsoScreen test.
Escalating Incentives (Ethyl Glucuronide [EtG] + IsoScreen)
n=172 participants at risk
Escalating incentives for ethyl glucuronide (EtG) negative tests and for IsoScreen positive urine tests with the incentives rewarded separately (Interventions: Incentives for negative EtG test and Incentives for positive IsoScreen test). Incentives for negative EtG test: Economic incentives are given to the study participant contingent on point-of-care (POC) urine EtG \<300 ng/mL with the amount of the incentive escalating with each subsequent negative EtG test. Incentives for positive IsoScreen test: Economic incentives contingent on POC (IsoScreen) INH urine positive tests with the amount of the incentive escalating with each subsequent positive IsoScreen test.
Injury, poisoning and procedural complications
Physical assault; hospitalization
0.00%
0/169 • Adverse event data were collected over the course of the study follow-up (1 year).
1.2%
2/169 • Number of events 2 • Adverse event data were collected over the course of the study follow-up (1 year).
0.00%
0/170 • Adverse event data were collected over the course of the study follow-up (1 year).
0.00%
0/172 • Adverse event data were collected over the course of the study follow-up (1 year).
Hepatobiliary disorders
Elevated ALT or AST
1.8%
3/169 • Number of events 3 • Adverse event data were collected over the course of the study follow-up (1 year).
1.2%
2/169 • Number of events 2 • Adverse event data were collected over the course of the study follow-up (1 year).
1.8%
3/170 • Number of events 3 • Adverse event data were collected over the course of the study follow-up (1 year).
1.7%
3/172 • Number of events 3 • Adverse event data were collected over the course of the study follow-up (1 year).
Gastrointestinal disorders
Intestinal obstruction
0.59%
1/169 • Number of events 1 • Adverse event data were collected over the course of the study follow-up (1 year).
0.00%
0/169 • Adverse event data were collected over the course of the study follow-up (1 year).
0.00%
0/170 • Adverse event data were collected over the course of the study follow-up (1 year).
0.00%
0/172 • Adverse event data were collected over the course of the study follow-up (1 year).
Nervous system disorders
Alcohol withdrawal
0.00%
0/169 • Adverse event data were collected over the course of the study follow-up (1 year).
0.59%
1/169 • Number of events 1 • Adverse event data were collected over the course of the study follow-up (1 year).
0.00%
0/170 • Adverse event data were collected over the course of the study follow-up (1 year).
0.00%
0/172 • Adverse event data were collected over the course of the study follow-up (1 year).
Injury, poisoning and procedural complications
Road traffic accident; hospitalization
0.00%
0/169 • Adverse event data were collected over the course of the study follow-up (1 year).
0.00%
0/169 • Adverse event data were collected over the course of the study follow-up (1 year).
0.59%
1/170 • Number of events 1 • Adverse event data were collected over the course of the study follow-up (1 year).
0.00%
0/172 • Adverse event data were collected over the course of the study follow-up (1 year).
Respiratory, thoracic and mediastinal disorders
Bronchopneumonia
0.00%
0/169 • Adverse event data were collected over the course of the study follow-up (1 year).
0.00%
0/169 • Adverse event data were collected over the course of the study follow-up (1 year).
0.59%
1/170 • Number of events 1 • Adverse event data were collected over the course of the study follow-up (1 year).
0.00%
0/172 • Adverse event data were collected over the course of the study follow-up (1 year).
Pregnancy, puerperium and perinatal conditions
Hospitalization
0.00%
0/169 • Adverse event data were collected over the course of the study follow-up (1 year).
0.00%
0/169 • Adverse event data were collected over the course of the study follow-up (1 year).
0.00%
0/170 • Adverse event data were collected over the course of the study follow-up (1 year).
0.58%
1/172 • Number of events 1 • Adverse event data were collected over the course of the study follow-up (1 year).
General disorders
Death
0.00%
0/169 • Adverse event data were collected over the course of the study follow-up (1 year).
0.00%
0/169 • Adverse event data were collected over the course of the study follow-up (1 year).
0.59%
1/170 • Number of events 1 • Adverse event data were collected over the course of the study follow-up (1 year).
0.00%
0/172 • Adverse event data were collected over the course of the study follow-up (1 year).
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Death
0.59%
1/169 • Number of events 1 • Adverse event data were collected over the course of the study follow-up (1 year).
0.00%
0/169 • Adverse event data were collected over the course of the study follow-up (1 year).
0.00%
0/170 • Adverse event data were collected over the course of the study follow-up (1 year).
0.00%
0/172 • Adverse event data were collected over the course of the study follow-up (1 year).
Infections and infestations
Death
0.00%
0/169 • Adverse event data were collected over the course of the study follow-up (1 year).
0.00%
0/169 • Adverse event data were collected over the course of the study follow-up (1 year).
0.59%
1/170 • Number of events 1 • Adverse event data were collected over the course of the study follow-up (1 year).
0.00%
0/172 • Adverse event data were collected over the course of the study follow-up (1 year).

Other adverse events

Other adverse events
Measure
Control
n=169 participants at risk
All participants will receive brief alcohol and adherence counseling according to Uganda Ministry of Health guidelines.
Escalating Incentives (Ethyl Glucuronide [EtG] Tests)
n=169 participants at risk
Escalating incentives for ethyl glucuronide (EtG) negative urine test (Intervention: Incentives for negative EtG test). Incentives for negative EtG test: Economic incentives are given to the study participant contingent on point-of-care urine EtG \<300 ng/mL with the amount of the incentive escalating with each subsequent negative EtG test.
Escalating Incentives (IsoScreen Tests)
n=170 participants at risk
Escalating incentives for IsoScreen positive urine tests (Intervention: Incentives for positive IsoScreen test). Incentives for positive IsoScreen test: Economic incentives contingent on point-of-care IsoScreen (Isnoiazid, INH) urine positive tests with the amount of the incentive escalating with each subsequent positive IsoScreen test.
Escalating Incentives (Ethyl Glucuronide [EtG] + IsoScreen)
n=172 participants at risk
Escalating incentives for ethyl glucuronide (EtG) negative tests and for IsoScreen positive urine tests with the incentives rewarded separately (Interventions: Incentives for negative EtG test and Incentives for positive IsoScreen test). Incentives for negative EtG test: Economic incentives are given to the study participant contingent on point-of-care (POC) urine EtG \<300 ng/mL with the amount of the incentive escalating with each subsequent negative EtG test. Incentives for positive IsoScreen test: Economic incentives contingent on POC (IsoScreen) INH urine positive tests with the amount of the incentive escalating with each subsequent positive IsoScreen test.
Cardiac disorders
Hypertension
0.00%
0/169 • Adverse event data were collected over the course of the study follow-up (1 year).
0.59%
1/169 • Number of events 2 • Adverse event data were collected over the course of the study follow-up (1 year).
0.59%
1/170 • Number of events 2 • Adverse event data were collected over the course of the study follow-up (1 year).
0.00%
0/172 • Adverse event data were collected over the course of the study follow-up (1 year).
Eye disorders
Blurry vision
0.00%
0/169 • Adverse event data were collected over the course of the study follow-up (1 year).
0.59%
1/169 • Number of events 1 • Adverse event data were collected over the course of the study follow-up (1 year).
0.00%
0/170 • Adverse event data were collected over the course of the study follow-up (1 year).
0.00%
0/172 • Adverse event data were collected over the course of the study follow-up (1 year).
Blood and lymphatic system disorders
Thrombocytopenia
0.59%
1/169 • Number of events 1 • Adverse event data were collected over the course of the study follow-up (1 year).
0.00%
0/169 • Adverse event data were collected over the course of the study follow-up (1 year).
0.00%
0/170 • Adverse event data were collected over the course of the study follow-up (1 year).
0.00%
0/172 • Adverse event data were collected over the course of the study follow-up (1 year).
Hepatobiliary disorders
Grade 3: elevated AST or ALT
7.1%
12/169 • Number of events 12 • Adverse event data were collected over the course of the study follow-up (1 year).
4.1%
7/169 • Number of events 8 • Adverse event data were collected over the course of the study follow-up (1 year).
8.2%
14/170 • Number of events 14 • Adverse event data were collected over the course of the study follow-up (1 year).
5.2%
9/172 • Number of events 9 • Adverse event data were collected over the course of the study follow-up (1 year).
Hepatobiliary disorders
Grade 2: elevated AST or ALT
30.8%
52/169 • Number of events 66 • Adverse event data were collected over the course of the study follow-up (1 year).
24.9%
42/169 • Number of events 66 • Adverse event data were collected over the course of the study follow-up (1 year).
23.5%
40/170 • Number of events 51 • Adverse event data were collected over the course of the study follow-up (1 year).
18.0%
31/172 • Number of events 43 • Adverse event data were collected over the course of the study follow-up (1 year).
Musculoskeletal and connective tissue disorders
Myalgia of thighs
0.59%
1/169 • Number of events 1 • Adverse event data were collected over the course of the study follow-up (1 year).
0.00%
0/169 • Adverse event data were collected over the course of the study follow-up (1 year).
0.00%
0/170 • Adverse event data were collected over the course of the study follow-up (1 year).
0.00%
0/172 • Adverse event data were collected over the course of the study follow-up (1 year).
Gastrointestinal disorders
Epigastric pain
0.59%
1/169 • Number of events 1 • Adverse event data were collected over the course of the study follow-up (1 year).
0.00%
0/169 • Adverse event data were collected over the course of the study follow-up (1 year).
0.00%
0/170 • Adverse event data were collected over the course of the study follow-up (1 year).
0.00%
0/172 • Adverse event data were collected over the course of the study follow-up (1 year).
Musculoskeletal and connective tissue disorders
Arthralgia of knees
0.00%
0/169 • Adverse event data were collected over the course of the study follow-up (1 year).
0.00%
0/169 • Adverse event data were collected over the course of the study follow-up (1 year).
0.59%
1/170 • Number of events 1 • Adverse event data were collected over the course of the study follow-up (1 year).
0.00%
0/172 • Adverse event data were collected over the course of the study follow-up (1 year).
Immune system disorders
Drug-induced lupus
0.00%
0/169 • Adverse event data were collected over the course of the study follow-up (1 year).
0.00%
0/169 • Adverse event data were collected over the course of the study follow-up (1 year).
0.59%
1/170 • Number of events 1 • Adverse event data were collected over the course of the study follow-up (1 year).
0.00%
0/172 • Adverse event data were collected over the course of the study follow-up (1 year).
Infections and infestations
Active TB
0.00%
0/169 • Adverse event data were collected over the course of the study follow-up (1 year).
0.59%
1/169 • Number of events 1 • Adverse event data were collected over the course of the study follow-up (1 year).
0.00%
0/170 • Adverse event data were collected over the course of the study follow-up (1 year).
0.00%
0/172 • Adverse event data were collected over the course of the study follow-up (1 year).
Nervous system disorders
Peripheral neuropathy
0.00%
0/169 • Adverse event data were collected over the course of the study follow-up (1 year).
0.00%
0/169 • Adverse event data were collected over the course of the study follow-up (1 year).
1.2%
2/170 • Number of events 2 • Adverse event data were collected over the course of the study follow-up (1 year).
0.00%
0/172 • Adverse event data were collected over the course of the study follow-up (1 year).
Renal and urinary disorders
Elevated creatinine
0.59%
1/169 • Number of events 1 • Adverse event data were collected over the course of the study follow-up (1 year).
0.00%
0/169 • Adverse event data were collected over the course of the study follow-up (1 year).
0.00%
0/170 • Adverse event data were collected over the course of the study follow-up (1 year).
0.00%
0/172 • Adverse event data were collected over the course of the study follow-up (1 year).
Blood and lymphatic system disorders
Anemia
0.00%
0/169 • Adverse event data were collected over the course of the study follow-up (1 year).
0.00%
0/169 • Adverse event data were collected over the course of the study follow-up (1 year).
0.59%
1/170 • Number of events 1 • Adverse event data were collected over the course of the study follow-up (1 year).
0.00%
0/172 • Adverse event data were collected over the course of the study follow-up (1 year).
Blood and lymphatic system disorders
Low platelets
0.00%
0/169 • Adverse event data were collected over the course of the study follow-up (1 year).
0.59%
1/169 • Number of events 1 • Adverse event data were collected over the course of the study follow-up (1 year).
0.00%
0/170 • Adverse event data were collected over the course of the study follow-up (1 year).
0.00%
0/172 • Adverse event data were collected over the course of the study follow-up (1 year).

Additional Information

Dr. Gabriel Chamie

University of California, San Francisco (UCSF)

Phone: 415-476-4082

Results disclosure agreements

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