Trial Outcomes & Findings for Call for Life Youth ART Adherence Study (NCT NCT04718974)

NCT ID: NCT04718974

Last Updated: 2024-02-21

Results Overview

Viral load suppression as per Blood draws at 6 months for those on intervention and those on standard of care arm will be used to measure viral load at these time points

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

206 participants

Primary outcome timeframe

• Viral load suppression at 6 months

Results posted on

2024-02-21

Participant Flow

Recruitment started on 12th Aug 2020. Reccruitment was from three HIV/ART clinics in Kiryandongo District

The participants must have registered in either of the three study site. They should have been between 15-24 years and on ART for 6 months or less.

Participant milestones

Participant milestones
Measure
Intervention " Call for Life- mHealth Tool" With Standard of Care for PLHIV
The system has options to either use interactive voice response or short message service and the user has to make a choice, get a secret pin code which ensures privacy to end user. The mHealth tool/system offers personalised pill reminder calls, health tip messages, clinic appointment reminders and remote symptom reporting mHealth call for life system/ tool using IVR ( interactive voice response): The tool capitalises on a basic mobile phone's core utilities of voice and short messaging services. The system design, development, testing and evaluation was done by Janssen and the Grameen Foundation (http://motechsuite.org/index.php/implementations). In 2015, Janssen Global Public Health Research and Development, in close collaboration with the Infectious Diseases Institute Kampala (IDI), developed Call for Life Uganda (CFLU) tailored to the needs of PLHIV in Uganda
Standard of Care "Usual Care"
Standard • Care and support for people living with HIV, and the first line ART regimen is based on the Apr 2018, consolidated guidelines for prevention and treatment of HIV in Uganda (MoH, 2018), and will also follow the healthcare services package for PLHIV including the Adult Care and Treatment Package.
Overall Study
STARTED
103
103
Overall Study
COMPLETED
91
77
Overall Study
NOT COMPLETED
12
26

Reasons for withdrawal

Reasons for withdrawal
Measure
Intervention " Call for Life- mHealth Tool" With Standard of Care for PLHIV
The system has options to either use interactive voice response or short message service and the user has to make a choice, get a secret pin code which ensures privacy to end user. The mHealth tool/system offers personalised pill reminder calls, health tip messages, clinic appointment reminders and remote symptom reporting mHealth call for life system/ tool using IVR ( interactive voice response): The tool capitalises on a basic mobile phone's core utilities of voice and short messaging services. The system design, development, testing and evaluation was done by Janssen and the Grameen Foundation (http://motechsuite.org/index.php/implementations). In 2015, Janssen Global Public Health Research and Development, in close collaboration with the Infectious Diseases Institute Kampala (IDI), developed Call for Life Uganda (CFLU) tailored to the needs of PLHIV in Uganda
Standard of Care "Usual Care"
Standard • Care and support for people living with HIV, and the first line ART regimen is based on the Apr 2018, consolidated guidelines for prevention and treatment of HIV in Uganda (MoH, 2018), and will also follow the healthcare services package for PLHIV including the Adult Care and Treatment Package.
Overall Study
Death
0
2
Overall Study
Lost to Follow-up
10
20
Overall Study
Transferred out
2
4

Baseline Characteristics

Call for Life Youth ART Adherence Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Intervention " Call for Life- mHealth Tool" With Standard of Care for PLHIV
n=103 Participants
The system has options to either use interactive voice response or short message service and the user has to make a choice, get a secret pin code which ensures privacy to end user. The mHealth tool/system offers personalised pill reminder calls, health tip messages, clinic appointment reminders and remote symptom reporting mHealth call for life system/ tool using IVR ( interactive voice response): The tool capitalises on a basic mobile phone's core utilities of voice and short messaging services. The system design, development, testing and evaluation was done by Janssen and the Grameen Foundation (http://motechsuite.org/index.php/implementations). In 2015, Janssen Global Public Health Research and Development, in close collaboration with the Infectious Diseases Institute Kampala (IDI), developed Call for Life Uganda (CFLU) tailored to the needs of PLHIV in Uganda
Standard of Care "Usual Care"
n=103 Participants
Standard • Care and support for people living with HIV, and the first line ART regimen is based on the Apr 2018, consolidated guidelines for prevention and treatment of HIV in Uganda (MoH, 2018), and will also follow the healthcare services package for PLHIV including the Adult Care and Treatment Package.
Total
n=206 Participants
Total of all reporting groups
Age, Continuous
22.5 years
STANDARD_DEVIATION 1.9 • n=93 Participants
22.2 years
STANDARD_DEVIATION 2.3 • n=4 Participants
22.3 years
STANDARD_DEVIATION 2.1 • n=27 Participants
Sex: Female, Male
Female
82 Participants
n=93 Participants
85 Participants
n=4 Participants
167 Participants
n=27 Participants
Sex: Female, Male
Male
21 Participants
n=93 Participants
18 Participants
n=4 Participants
39 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
103 Participants
n=93 Participants
103 Participants
n=4 Participants
206 Participants
n=27 Participants
Region of Enrollment
Uganda
103 Participants
n=93 Participants
103 Participants
n=4 Participants
206 Participants
n=27 Participants
Viral load detection at baseline
46 Participants
n=93 Participants
32 Participants
n=4 Participants
78 Participants
n=27 Participants

PRIMARY outcome

Timeframe: • Viral load suppression at 6 months

Viral load suppression as per Blood draws at 6 months for those on intervention and those on standard of care arm will be used to measure viral load at these time points

Outcome measures

Outcome measures
Measure
Intervention " Call for Life- mHealth Tool" With Standard of Care for PLHIV
n=96 Participants
The system has options to either use interactive voice response or short message service and the user has to make a choice, get a secret pin code which ensures privacy to end user. The mHealth tool/system offers personalised pill reminder calls, health tip messages, clinic appointment reminders and remote symptom reporting mHealth call for life system/ tool using IVR ( interactive voice response): The tool capitalises on a basic mobile phone's core utilities of voice and short messaging services. The system design, development, testing and evaluation was done by Janssen and the Grameen Foundation (http://motechsuite.org/index.php/implementations). In 2015, Janssen Global Public Health Research and Development, in close collaboration with the Infectious Diseases Institute Kampala (IDI), developed Call for Life Uganda (CFLU) tailored to the needs of PLHIV in Uganda
Standard of Care "Usual Care"
n=87 Participants
Standard • Care and support for people living with HIV, and the first line ART regimen is based on the Apr 2018, consolidated guidelines for prevention and treatment of HIV in Uganda (MoH, 2018), and will also follow the healthcare services package for PLHIV including the Adult Care and Treatment Package.
• Viral Load Suppression
61 Participants
46 Participants

PRIMARY outcome

Timeframe: • Viral load suppression at 12 months

Viral load suppression as per Blood draws at 12 months for those on intervention and those on standard of care arm will be used to measure viral load status at these time points

Outcome measures

Outcome measures
Measure
Intervention " Call for Life- mHealth Tool" With Standard of Care for PLHIV
n=91 Participants
The system has options to either use interactive voice response or short message service and the user has to make a choice, get a secret pin code which ensures privacy to end user. The mHealth tool/system offers personalised pill reminder calls, health tip messages, clinic appointment reminders and remote symptom reporting mHealth call for life system/ tool using IVR ( interactive voice response): The tool capitalises on a basic mobile phone's core utilities of voice and short messaging services. The system design, development, testing and evaluation was done by Janssen and the Grameen Foundation (http://motechsuite.org/index.php/implementations). In 2015, Janssen Global Public Health Research and Development, in close collaboration with the Infectious Diseases Institute Kampala (IDI), developed Call for Life Uganda (CFLU) tailored to the needs of PLHIV in Uganda
Standard of Care "Usual Care"
n=77 Participants
Standard • Care and support for people living with HIV, and the first line ART regimen is based on the Apr 2018, consolidated guidelines for prevention and treatment of HIV in Uganda (MoH, 2018), and will also follow the healthcare services package for PLHIV including the Adult Care and Treatment Package.
• Viral Load Suppression
67 Participants
40 Participants

PRIMARY outcome

Timeframe: 12 months

Proportions of youth retained in care at 12 months for those on intervention in comparison to those on standard of care arm

Outcome measures

Outcome measures
Measure
Intervention " Call for Life- mHealth Tool" With Standard of Care for PLHIV
n=103 Participants
The system has options to either use interactive voice response or short message service and the user has to make a choice, get a secret pin code which ensures privacy to end user. The mHealth tool/system offers personalised pill reminder calls, health tip messages, clinic appointment reminders and remote symptom reporting mHealth call for life system/ tool using IVR ( interactive voice response): The tool capitalises on a basic mobile phone's core utilities of voice and short messaging services. The system design, development, testing and evaluation was done by Janssen and the Grameen Foundation (http://motechsuite.org/index.php/implementations). In 2015, Janssen Global Public Health Research and Development, in close collaboration with the Infectious Diseases Institute Kampala (IDI), developed Call for Life Uganda (CFLU) tailored to the needs of PLHIV in Uganda
Standard of Care "Usual Care"
n=103 Participants
Standard • Care and support for people living with HIV, and the first line ART regimen is based on the Apr 2018, consolidated guidelines for prevention and treatment of HIV in Uganda (MoH, 2018), and will also follow the healthcare services package for PLHIV including the Adult Care and Treatment Package.
Proportions Retained in Care
91 Participants
77 Participants

Adverse Events

Intervention " Call for Life- mHealth Tool" With Standard of Care for PLHIV

Serious events: 1 serious events
Other events: 0 other events
Deaths: 0 deaths

Standard of Care "Usual Care"

Serious events: 2 serious events
Other events: 0 other events
Deaths: 2 deaths

Serious adverse events

Serious adverse events
Measure
Intervention " Call for Life- mHealth Tool" With Standard of Care for PLHIV
n=103 participants at risk
The system has options to either use interactive voice response or short message service and the user has to make a choice, get a secret pin code which ensures privacy to end user. The mHealth tool/system offers personalised pill reminder calls, health tip messages, clinic appointment reminders and remote symptom reporting mHealth call for life system/ tool using IVR ( interactive voice response): The tool capitalises on a basic mobile phone's core utilities of voice and short messaging services. The system design, development, testing and evaluation was done by Janssen and the Grameen Foundation (http://motechsuite.org/index.php/implementations). In 2015, Janssen Global Public Health Research and Development, in close collaboration with the Infectious Diseases Institute Kampala (IDI), developed Call for Life Uganda (CFLU) tailored to the needs of PLHIV in Uganda
Standard of Care "Usual Care"
n=103 participants at risk
Standard • Care and support for people living with HIV, and the first line ART regimen is based on the Apr 2018, consolidated guidelines for prevention and treatment of HIV in Uganda (MoH, 2018), and will also follow the healthcare services package for PLHIV including the Adult Care and Treatment Package.
Infections and infestations
Death
0.00%
0/103 • Adverse event data were collected from participant randomization until exit. This period was 1year and 9 months.
ICH E6 Section 1.2. 5. • An adverse event can be any unfavorable and unintended sign, symptom, or disease that occurs to a study participant, even if not related to the intervention under study. An AE becomes serious if it results into: Death. A life-threatening adverse event. Inpatient hospitalization, or prolonged of existing hospitalization. A persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions. A congenital anomaly/birth defect.
1.9%
2/103 • Number of events 2 • Adverse event data were collected from participant randomization until exit. This period was 1year and 9 months.
ICH E6 Section 1.2. 5. • An adverse event can be any unfavorable and unintended sign, symptom, or disease that occurs to a study participant, even if not related to the intervention under study. An AE becomes serious if it results into: Death. A life-threatening adverse event. Inpatient hospitalization, or prolonged of existing hospitalization. A persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions. A congenital anomaly/birth defect.
Musculoskeletal and connective tissue disorders
Road traffic Accident
0.97%
1/103 • Number of events 1 • Adverse event data were collected from participant randomization until exit. This period was 1year and 9 months.
ICH E6 Section 1.2. 5. • An adverse event can be any unfavorable and unintended sign, symptom, or disease that occurs to a study participant, even if not related to the intervention under study. An AE becomes serious if it results into: Death. A life-threatening adverse event. Inpatient hospitalization, or prolonged of existing hospitalization. A persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions. A congenital anomaly/birth defect.
0.00%
0/103 • Adverse event data were collected from participant randomization until exit. This period was 1year and 9 months.
ICH E6 Section 1.2. 5. • An adverse event can be any unfavorable and unintended sign, symptom, or disease that occurs to a study participant, even if not related to the intervention under study. An AE becomes serious if it results into: Death. A life-threatening adverse event. Inpatient hospitalization, or prolonged of existing hospitalization. A persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions. A congenital anomaly/birth defect.

Other adverse events

Adverse event data not reported

Additional Information

Dr. Agnes Bwanika Naggirinya

Infectious Diseases Institute, College of Health Sciences, Makerere University

Phone: +256752521570

Results disclosure agreements

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