The TISA Trial - Senegal
TISA
TISA (Traitement Intégré de la Sous-Nutrition Aiguë) Trial : A Cluster Randomized Controlled Trial for the Effect of a WASH Kit Combined With Standard Outpatient Treatment on Severe Acute Malnutrition Recovery in Senegal
1 other identifier
interventional
2,411
1 country
1
Brief Summary
This study evaluates the addition of a simple, scalable "WASH kit", including household water treatment products, a safe water storage container, and hygiene promotion, to the standard national protocol for outpatient treatment of uncomplicated severe acute malnutrition among children aged 6-59 months of age in northern Senegal.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Dec 2020
Typical duration for not_applicable
1 active site
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
First Submitted
Initial submission to the registry
December 8, 2020
CompletedFirst Posted
Study publicly available on registry
December 16, 2020
CompletedStudy Start
First participant enrolled
December 22, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 27, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
April 27, 2023
CompletedJanuary 25, 2024
January 1, 2024
2.3 years
December 8, 2020
January 24, 2024
Conditions
Outcome Measures
Primary Outcomes (1)
Rate of recovery
Recovery defined as two consecutive weeks with weight-for-height z-scores ≥ -1.5, if admitted based on weight-for-height z-score, or brachial perimeter (mid-upper arm circumference) ≥ 125 mm, if admitted based on brachial perimeter, and no oedema.
8 weeks
Secondary Outcomes (5)
Weight gain
8 weeks
Rate of referral
8 weeks
Longitudinal prevalence of diarrhoea
8 weeks
Prevalence of enteric pathogen detection
8 weeks
All cause mortality
8 weeks
Study Arms (2)
Intervention
EXPERIMENTALIn addition to the national standard outpatient treatment for uncomplicated severe acute malnutrition, caregivers of participants will receive a "WASH kit" containing a plastic container, a supply of Aquatabs® (effervescent chlorine tablets), and training in their use and associated hygiene practices.
Control
ACTIVE COMPARATORNational standard outpatient treatment for uncomplicated severe acute malnutrition
Interventions
WASH kit containing a plastic container and a supply of Aquatabs® (effervescent chlorine tablets) and training in their use and associated hygiene practices.
National standard outpatient treatment for uncomplicated severe acute malnutrition
Eligibility Criteria
You may qualify if:
- Weight-for-height z-score \<-3; or
- Brachial perimeter (mid-upper arm circumference) \<115; or
- Bilateral oedema
You may not qualify if:
- Not able and/or willing to participate for up to 8-weeks
- Clinical complications requiring referral and/or inpatient treatment
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- London School of Hygiene and Tropical Medicinelead
- Action Contre la Faimcollaborator
- Cheikh Anta Diop University, Senegalcollaborator
Study Sites (1)
ACF Senegal
Louga, Senegal
Related Publications (1)
N'Diaye DS, Frison S, Ba M, Le ML, Cabo AE, Siroma F, Devort A, MacLeod C, Lapegue J, Seye M, Traore AB, Cerveau T, Leger D, Gallandat K, Gnokane Y, Brizuela AV, Stern S, Braun L, Cumming O. Implementing a pragmatic randomised controlled trial in a humanitarian setting: lessons learned from the TISA trial. Trials. 2024 Sep 19;25(1):620. doi: 10.1186/s13063-024-08459-1.
PMID: 39300465DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Oliver Cumming, MSc
London School of Hygiene and Tropical Medicine
- PRINCIPAL INVESTIGATOR
Dieynaba N'Diaye, PhD
Action Contre La Faim - France
- PRINCIPAL INVESTIGATOR
Moustapha Seye, PhD
Université Cheikh Anta Diop de Dakar
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 8, 2020
First Posted
December 16, 2020
Study Start
December 22, 2020
Primary Completion
April 27, 2023
Study Completion
April 27, 2023
Last Updated
January 25, 2024
Record last verified: 2024-01
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, SAP, ICF
- Time Frame
- December 2022
- Access Criteria
- All IPD that underlie results will be made publicly available
All IPD that underlie results in a publication will be shared