NCT04285905

Brief Summary

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.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
30

participants targeted

Target at P25-P50 for phase_2

Timeline
Completed

Started Apr 2019

Shorter than P25 for phase_2

Geographic Reach
1 country

1 active site

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

April 10, 2019

Completed
11 months until next milestone

First Submitted

Initial submission to the registry

February 24, 2020

Completed
2 days until next milestone

First Posted

Study publicly available on registry

February 26, 2020

Completed
1 month until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 28, 2020

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 28, 2020

Completed
Last Updated

February 25, 2021

Status Verified

February 1, 2021

Enrollment Period

12 months

First QC Date

February 24, 2020

Last Update Submit

February 23, 2021

Conditions

Keywords

Tuberculosis

Outcome Measures

Primary Outcomes (1)

  • TB screening

    The proportion of male partners that complete TB screening

    Within 14 days of recruitment of female participant

Secondary Outcomes (3)

  • TB case detection

    Within 14 days of recruitment of female participant

  • Acceptability

    Within 14 days of recruitment of female participant

  • Completion of HIV testing

    Within 14 days of recruitment of female participant

Study Arms (5)

Enhanced standard of care

ACTIVE COMPARATOR

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

Other: Access to Fast Track TB clinicOther: Information leaflet for male partner

Group 2

ACTIVE COMPARATOR

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

Other: Access to Fast Track TB clinicOther: Information leaflet for male partnerOther: Home sputum collection

Group 3

ACTIVE COMPARATOR

* 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

Other: Access to Fast Track TB clinicOther: Information leaflet for male partnerOther: Home sputum collectionOther: Financial incentive

Group 4

ACTIVE COMPARATOR

* 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

Other: Access to Fast Track TB clinicOther: Information leaflet for male partnerOther: Home sputum collectionOther: Home HIV testing

Group 5

ACTIVE COMPARATOR

* 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

Other: Access to Fast Track TB clinicOther: Information leaflet for male partnerOther: Home sputum collectionOther: Home HIV testingOther: Financial incentive

Interventions

Male partner can attend clinic with dedicated services for men

Enhanced standard of careGroup 2Group 3Group 4Group 5

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

Enhanced standard of careGroup 2Group 3Group 4Group 5

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

Group 2Group 3Group 4Group 5

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

Group 4Group 5

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 3Group 5

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Female
  • Attends study health centre with an acute care episode
  • 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)

You may not qualify if:

  • 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

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Bangwe Health Centre

Blantyre, Southern Region, Malawi

Location

MeSH Terms

Conditions

Tuberculosis

Condition Hierarchy (Ancestors)

Mycobacterium InfectionsActinomycetales InfectionsGram-Positive Bacterial InfectionsBacterial InfectionsBacterial Infections and MycosesInfections

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
NONE
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 24, 2020

First Posted

February 26, 2020

Study Start

April 10, 2019

Primary Completion

March 28, 2020

Study Completion

March 28, 2020

Last Updated

February 25, 2021

Record last verified: 2021-02

Data Sharing

IPD Sharing
Will share

To facilitate reproducibility of analysis, an anonymised minimal final dataset and all code required to reproduce analysis will be published in the trial GitHub repository.

Shared Documents
STUDY PROTOCOL, SAP, ICF, ANALYTIC CODE
Time Frame
As soon as possible

Locations