Male Partner-assisted Contact Tracing for HIV and Tuberculosis in Malawi

NCT ID: NCT04285905

Last Updated: 2021-02-25

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

TERMINATED

Clinical Phase

PHASE2/PHASE3

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-04-10

Study Completion Date

2020-03-28

Brief Summary

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The overall aim of the mPATCH-TB Study is to identify potentially cost-effective, feasible and scalable interventions that could increase rates of completion of screening for tuberculosis and HIV among male partners of women attending primary health care in Blantyre, Malawi.

Eligible women who consent to participate - and who have a primary male partner with cough at home -will be randomly allocated, by day of clinic attendance, into a standard of care group or one of up to four intervention groups. They will be asked to identify their primary male partner and will be offered interventions according to their allocated group.

The primary outcome will compare the proportion of primary male partner that complete TB screening (defined as receipt of result of a sputum Xpert or smear result) within 14 days of recruitment in each intervention group compared to the enhanced standard of care group.

Detailed Description

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Conditions

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Tuberculosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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Enhanced standard of care

* Access to Fast Track TB Clinic
* Information leaflet for primary male partner

Group Type ACTIVE_COMPARATOR

Access to Fast Track TB clinic

Intervention Type OTHER

Male partner can attend clinic with dedicated services for men

Information leaflet for male partner

Intervention Type OTHER

Female participants will be provided with a letter asking their male partner to attend the clinic for tuberculosis screening

Group 2

* Access to Fast Track TB Clinic
* Information leaflet for primary male partner
* Female participant sputum collection from male partners

Group Type ACTIVE_COMPARATOR

Access to Fast Track TB clinic

Intervention Type OTHER

Male partner can attend clinic with dedicated services for men

Information leaflet for male partner

Intervention Type OTHER

Female participants will be provided with a letter asking their male partner to attend the clinic for tuberculosis screening

Home sputum collection

Intervention Type OTHER

Female participants will be provided with sputum cups to take home and collect a sample of sputum from their male partner

Group 3

* Access to Fast Track TB Clinic
* Information leaflet for primary male partner
* Female participant sputum collection from male partners
* Voucher for financial incentive (MKW 5000) that can be collected by the male partner upon attendance at the Fast Track Clinic

Group Type ACTIVE_COMPARATOR

Access to Fast Track TB clinic

Intervention Type OTHER

Male partner can attend clinic with dedicated services for men

Information leaflet for male partner

Intervention Type OTHER

Female participants will be provided with a letter asking their male partner to attend the clinic for tuberculosis screening

Home sputum collection

Intervention Type OTHER

Female participants will be provided with sputum cups to take home and collect a sample of sputum from their male partner

Financial incentive

Intervention Type OTHER

Female participants will be provided with a voucher for MKW5000 which can be redeemed when the male partner attends the clinic for TB testing

Group 4

* Access to Fast Track TB Clinic
* Information leaflet for primary male partner
* Female participant sputum collection from male partners
* Female partner delivered oral HIV self-testing kits for primary male partner

Group Type ACTIVE_COMPARATOR

Access to Fast Track TB clinic

Intervention Type OTHER

Male partner can attend clinic with dedicated services for men

Information leaflet for male partner

Intervention Type OTHER

Female participants will be provided with a letter asking their male partner to attend the clinic for tuberculosis screening

Home sputum collection

Intervention Type OTHER

Female participants will be provided with sputum cups to take home and collect a sample of sputum from their male partner

Home HIV testing

Intervention Type OTHER

Female participants will be provided with an oral HIV self-test kit to be given to their male partner with instructions for use

Group 5

* Access to Fast Track TB Clinic
* Information leaflet for primary male partner
* Female participant sputum collection from male partners
* Female partner delivered oral HIV self-testing kits for primary male partner
* Voucher for financial incentive (MKW 5000) that can be collected by the male partner upon attendance at the Fast Track Clinic

Group Type ACTIVE_COMPARATOR

Access to Fast Track TB clinic

Intervention Type OTHER

Male partner can attend clinic with dedicated services for men

Information leaflet for male partner

Intervention Type OTHER

Female participants will be provided with a letter asking their male partner to attend the clinic for tuberculosis screening

Home sputum collection

Intervention Type OTHER

Female participants will be provided with sputum cups to take home and collect a sample of sputum from their male partner

Home HIV testing

Intervention Type OTHER

Female participants will be provided with an oral HIV self-test kit to be given to their male partner with instructions for use

Financial incentive

Intervention Type OTHER

Female participants will be provided with a voucher for MKW5000 which can be redeemed when the male partner attends the clinic for TB testing

Interventions

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Access to Fast Track TB clinic

Male partner can attend clinic with dedicated services for men

Intervention Type OTHER

Information leaflet for male partner

Female participants will be provided with a letter asking their male partner to attend the clinic for tuberculosis screening

Intervention Type OTHER

Home sputum collection

Female participants will be provided with sputum cups to take home and collect a sample of sputum from their male partner

Intervention Type OTHER

Home HIV testing

Female participants will be provided with an oral HIV self-test kit to be given to their male partner with instructions for use

Intervention Type OTHER

Financial incentive

Female participants will be provided with a voucher for MKW5000 which can be redeemed when the male partner attends the clinic for TB testing

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Female
* Attends study health centre with an acute care episode
* 18 years of age or older on the day of clinic attendance
* Has a primary male partner living within their household
* Reports that primary male partner has symptoms of pulmonary tuberculosis (cough)
* Is resident within urban Blantyre


* Male
* Aged 18 years of age or older on the day of clinic attendance
* Has cough
* Is living with the female participant (defined as sleeping in the same dwelling on most nights during the previous 14 days)

Exclusion Criteria

* Currently taking treatment for tuberculosis
* Has taken any treatment for tuberculosis in the 6-months prior to the female participant's clinic attendance
* Is taking isoniazid preventive therapy
* Plans to move out of Blantyre to live elsewhere in the following 2-months
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Malawi-Liverpool-Wellcome Trust Clinical Research Programme

OTHER

Sponsor Role collaborator

London School of Hygiene and Tropical Medicine

OTHER

Sponsor Role collaborator

University of Liverpool

OTHER

Sponsor Role collaborator

Liverpool School of Tropical Medicine

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Bangwe Health Centre

Blantyre, Southern Region, Malawi

Site Status

Countries

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Malawi

Other Identifiers

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18-020

Identifier Type: -

Identifier Source: org_study_id

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