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NCT05452616Completed

Same-day Versus Rapid ART Initiation in HIV-positive Individuals Presenting With Symptoms of Tuberculosis

Same-day Versus Rapid ART Initiation in HIV-positive Individuals Presenting With Symptoms of Tuberculosis: an Open-label Randomized Non-inferiority Trial in Lesotho and Blantyre District, Malawi

Source: ClinicalTrials.gov · Last updated 4 Apr 2025

Brief summary (registry, in English)

SaDAPT is a pragmatic, randomized, therapeutic-use trial comparing two approaches ("ART first" versus "TB results first") for the timing of ART initiation in PLHIV with presumptive TB, but no signs of central nervous system (CNS) disease, in a routine primary and secondary care setting in southern Africa with regard to HIV viral suppression (VL \<400 copies/mL) 26 weeks after enrolment.

Status (registry)
Completed
Study type
Interventional
Enrollment
610 (actual)
First submitted
6 Jul 2022
Start date
19 Oct 2022
Primary completion date
26 Nov 2024
Lead sponsor
University Hospital, Basel, Switzerland
Diseases
Tuberculosis, HIV
NCT number
NCT05452616

What you commit to

  • Study type: Interventional
  • Participants enrolled: 610
  • From 19 Oct 2022 to the primary completion date, 26 Nov 2024
  • 2 sites in 2 countries
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Taking TB treatment, TB preventive therapy (TPT) or treatment against cryptococcal meningitis

Other illness

  • Medical condition requiring admission or referral to a higher level health facility at enrolment
  • Symptoms or clinical signs suggestive for diseases of the CNS

Other

  • Positive cryptococcal antigen test (CrAg)
  • Reporting to be pregnant

Who the study is looking for

  • 12 years or older
  • HIV-positive
  • Not taking ART (naïve or reported no ART intake since 90 days or more)
  • Presenting with one or more TB symptoms according to W4SS
  • Unknown TB status
  • Planning to continue care at the study facility for at least 30 weeks
  • Willing and able to consent (age 18 years or older) or assent with guardian consent (age 12 to 17 years)

Age in the registry: 12 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (2)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
SolidarMed Lesotho, Premium House #224, Kingsway, Maseru West
Coordinator of this site? Confirm its status
MaseruLesothoUnknown status
Kamuzu University of Health Sciences, Helse Nord Tuberculosis Initiative
Coordinator of this site? Confirm its status
BlantyreMalawiUnknown status

Related publications

This page is information, not medical advice. Discuss any trial with your doctor.