Trial Outcomes & Findings for Effect of U=U Messaging on HIV in South Africa (NCT NCT04364165)

NCT ID: NCT04364165

Last Updated: 2024-02-26

Results Overview

Number of Participants that were Invited and Came for HIV Testing

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

1048 participants

Primary outcome timeframe

Recruitment took place over 12 days.

Results posted on

2024-02-26

Participant Flow

Peer promoters were trained to deliver brief messages to men at selected high foot-traffic sites in the KMP community. Males ≥ 18 years of age within the vicinity of the mobile Tutu Tester HIV testing van and willing to consent to participate in the study were eligible for inclusion.

Unit of analysis: Mobile clinic days

Participant milestones

Participant milestones
Measure
Standard of Care Messaging
On mobile clinic days randomized to standard of care messaging, participants will receive standard invitation cards distributed at the Tutu Tester containing basic information encouraging HIV testing. Messages will encourage men to come in for HIV testing at the mobile clinic on the same day. A mobile clinic recruiter will deliver the standard invitation card and share a brief script including the standard Tutu Tester message that free HIV testing is available at the Tutu Tester, with no further information or motivation to test. Standard invitation to free HIV testing at mobile clinic: Participants receive standard invitation to same day HIV testing at mobile clinic.
U=U Messaging
On mobile clinic days randomized to U=U messaging, participants will receive the U=U invitation cards distributed at the Tutu Tester that will seek to assuage the fears of testing HIV positive by conveying the message that HIV treatment makes it possible for HIV positive people to be untransmittable and to live normal lives. Messages will encourage men to come in for HIV testing at the mobile clinic on the same day. A mobile clinic recruiter will deliver the U=U invitation card and share a brief script asking people if they knew they could control HIV and that pills exist that can keep them healthy and ensure they don't transmit the virus to their sex partners, and that free HIV testing is available at the Tutu Tester. U=U messaging and invitation to free HIV testing at mobile clinic: Participants receive messaging about being undetectable equals untransmittable (U=U) and invitation to same day HIV testing at mobile clinic.
Overall Study
STARTED
544 20
504 20
Overall Study
COMPLETED
68 5
112 7
Overall Study
NOT COMPLETED
476 15
392 13

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Effect of U=U Messaging on HIV in South Africa

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Standard of Care Messaging
n=68 Participants
Participants randomized into this arm will receive standard invitation cards distributed at the Tutu Tester containing basic information encouraging HIV testing. Messages will encourage men to come in for HIV testing at the mobile clinic on the same day. A mobile clinic recruiter will deliver the standard invitation card and share a brief script including the standard Tutu Tester message that free HIV testing is available at the Tutu Tester, with no further information or motivation to test. Standard invitation to free HIV testing at mobile clinic: Participants receive standard invitation to same day HIV testing at mobile clinic.
U=U Messaging
n=112 Participants
Participants randomized into this arm will receive the U=U invitation cards distributed at the Tutu Tester that will seek to assuage the fears of testing HIV positive by conveying the message that HIV treatment makes it possible for HIV positive people to be untransmittable and to live normal lives. Messages will encourage men to come in for HIV testing at the mobile clinic on the same day. A mobile clinic recruiter will deliver the U=U invitation card and share a brief script asking people if they knew they could control HIV and that pills exist that can keep them healthy and ensure they don't transmit the virus to their sex partners, and that free HIV testing is available at the Tutu Tester. U=U messaging and invitation to free HIV testing at mobile clinic: Participants receive messaging about being undetectable equals untransmittable (U=U) and invitation to same day HIV testing at mobile clinic.
Total
n=180 Participants
Total of all reporting groups
Age, Continuous
34 years
n=5 Participants
35 years
n=7 Participants
35 years
n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Male
68 Participants
n=5 Participants
112 Participants
n=7 Participants
180 Participants
n=5 Participants
Race/Ethnicity, Customized
Black or mixed race
68 Participants
n=5 Participants
112 Participants
n=7 Participants
180 Participants
n=5 Participants
Region of Enrollment
South Africa
68 participants
n=5 Participants
112 participants
n=7 Participants
180 participants
n=5 Participants

PRIMARY outcome

Timeframe: Recruitment took place over 12 days.

Population: The unit of randomization was Mobile Clinic Days; analysis of outcome measures summarizes the individual Number of Participants, or number of men who received the intervention.

Number of Participants that were Invited and Came for HIV Testing

Outcome measures

Outcome measures
Measure
Standard of Care Messaging
n=544 Participants
On mobile clinic days randomized to standard of care messaging, participants will receive standard invitation cards distributed at the Tutu Tester containing basic information encouraging HIV testing. Messages will encourage men to come in for HIV testing at the mobile clinic on the same day. A mobile clinic recruiter will deliver the standard invitation card and share a brief script including the standard Tutu Tester message that free HIV testing is available at the Tutu Tester, with no further information or motivation to test. Standard invitation to free HIV testing at mobile clinic: Participants receive standard invitation to same day HIV testing at mobile clinic.
U=U Messaging
n=504 Participants
On mobile clinic days randomized to U=U messaging, participants will receive the U=U invitation cards distributed at the Tutu Tester that will seek to assuage the fears of testing HIV positive by conveying the message that HIV treatment makes it possible for HIV positive people to be untransmittable and to live normal lives. Messages will encourage men to come in for HIV testing at the mobile clinic on the same day. A mobile clinic recruiter will deliver the U=U invitation card and share a brief script asking people if they knew they could control HIV and that pills exist that can keep them healthy and ensure they don't transmit the virus to their sex partners, and that free HIV testing is available at the Tutu Tester. U=U messaging and invitation to free HIV testing at mobile clinic: Participants receive messaging about being undetectable equals untransmittable (U=U) and invitation to same day HIV testing at mobile clinic.
HIV Testing Uptake
68 Participants
112 Participants

SECONDARY outcome

Timeframe: Recruitment took place over 12 days.

Population: The unit of randomization was Mobile Clinic Days; analysis of outcome measures summarizes the individual Number of Participants, or number of men who received the intervention.

Number of Participants that Came for Testing and Obtained an HIV-Positive Result

Outcome measures

Outcome measures
Measure
Standard of Care Messaging
n=68 Participants
On mobile clinic days randomized to standard of care messaging, participants will receive standard invitation cards distributed at the Tutu Tester containing basic information encouraging HIV testing. Messages will encourage men to come in for HIV testing at the mobile clinic on the same day. A mobile clinic recruiter will deliver the standard invitation card and share a brief script including the standard Tutu Tester message that free HIV testing is available at the Tutu Tester, with no further information or motivation to test. Standard invitation to free HIV testing at mobile clinic: Participants receive standard invitation to same day HIV testing at mobile clinic.
U=U Messaging
n=112 Participants
On mobile clinic days randomized to U=U messaging, participants will receive the U=U invitation cards distributed at the Tutu Tester that will seek to assuage the fears of testing HIV positive by conveying the message that HIV treatment makes it possible for HIV positive people to be untransmittable and to live normal lives. Messages will encourage men to come in for HIV testing at the mobile clinic on the same day. A mobile clinic recruiter will deliver the U=U invitation card and share a brief script asking people if they knew they could control HIV and that pills exist that can keep them healthy and ensure they don't transmit the virus to their sex partners, and that free HIV testing is available at the Tutu Tester. U=U messaging and invitation to free HIV testing at mobile clinic: Participants receive messaging about being undetectable equals untransmittable (U=U) and invitation to same day HIV testing at mobile clinic.
HIV Positivity
3 Participants
7 Participants

Adverse Events

Standard of Care Messaging

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

U=U Messaging

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Philip Smith

Desmond Tutu Health Foundation (DTHF)

Phone: +27 21 650 1895

Results disclosure agreements

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