NCT06593080Recruiting
The DECIDE-TB Trial; Validation of Treatment Decision Algorithms for Childhood Tuberculosis
Validation of Treatment Decision Algorithms for Childhood Tuberculosis at District Health Care Levels in Mozambique and Zambia - the Decide-TB Cluster-randomized Pragmatic Trial
Source: ClinicalTrials.gov · Last updated 24 Mar 2026
Brief summary (registry, in English)
The Decide-TB project aims to generate evidence for the implementation of a comprehensive Treatment Decision Algorithms (TDA) based approach for TB in children living in high TB burden and resource-limited countries, at District Hospital (DH) and Primary Health Centre (PHC) levels, and to facilitate the integration of this evidence within practices and policies. This programmatic pilot led by the National TB Programs (NTP) will test a TDA-based approach integrating TB screening, diagnosis, treatment decision-making, and disease severity assessment for shorter treatment eligibility, for use at a lower level of healthcare. This TDA-based approach will be evaluated in a hybrid effectiveness implementation study based on a pragmatic stepped wedge cluster-randomized trial. The Decide TB project will be implemented at the district level, targeting five districts in each country. Each cluster in a district will be made up of one district hospital and six primary health centers. The study will develop a Clinical Decision Support System (CDSS) to operationalize the use of TDAs, and strengthen District Health Information Systems (DHIS2) to collect individual data, which will contribute to monitoring and evaluation, clinical mentoring, and supervision by the country's NTPs.
- Status (registry)
- Recruiting
- Study type
- Interventional
- Enrollment
- 30240 (estimated)
- First submitted
- 1 Aug 2024
- Start date
- 1 Jun 2024
- Primary completion date
- 31 Aug 2027
- Lead sponsor
- Chishala Chabala
- Diseases
- Tuberculosis, HIV
- NCT number
- NCT06593080
What you commit to
- Study type: Interventional
- Planned participants: 30240
- From 1 Jun 2024 to the primary completion date, 31 Aug 2027
- 29 sites in 1 country
- 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.
Other
- There will be no exclusion criteria for the programmatic pilot: all children will be offered the intervention.
Who the study is looking for
- The effectiveness assessment will be conducted using aggregated or individual data from direct beneficiaries of the intervention:
- All sick children aged below 15 years entering the selected health facilities (DH and PHC) at either outpatient (OPD) or inpatient (IPD) departments, including children from high-risk groups, as well as children identified as contact of TB cases through community- or facility-based household contact tracing.
- Children with presumptive TB.
- The WHO definition of presumptive TB will be used, as defined in the 2022 WHO Operational Handbook, namely: children are classified as having presumptive TB if they have unremitting symptoms lasting more than 2 weeks (any one of cough, fever, not eating well or anorexia, weight loss or failure to thrive, fatigue, reduced playfulness or decreased activity) .
- The definitions of presumptive TB have been adapted locally for the programmatic pilot. All children with presumptive TB as defined locally will be considered in the intervention and in secondary effectiveness and sub-group analyses.
- High-risk group will be defined using the definition in WHO-suggested TDAs A\&B as children younger than 2 years, CLHIV or children with SAM. CLHIV will be defined per national testing strategy including positive PCR test for children below the age of 18 months. Children will be considered to have SAM (and thereby be eligible for the TB-Speed SAM algorithm) using WHO criteria. These include being \<5 years with a weight-for-height Z score (WHZ) \< -3 SDs or mid-upper arm circumference (MUAC) \< 115 mm (in children over 6 months) or clinical signs of bilateral pitting oedema, and being aged ≥5 years with a body mass index (BMI) for age Z-score \< -3SD.
Age in the registry: - to 14 years · Sex: All · Accepts healthy volunteers
Sites (29)
Sites in registry order. Pick your city on the disease page to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| Chiwempala Urban Health Centre Coordinator of this site? Confirm its status | Chingola | Zambia | Recruiting |
| Kabundi East Urban Health Clinic Coordinator of this site? Confirm its status | Chingola | Zambia | Recruiting |
| Nchanga 1 Urban Health Centre Coordinator of this site? Confirm its status | Chingola | Zambia | Recruiting |
| Nchanga North Referal Hospital Coordinator of this site? Confirm its status | Chingola | Zambia | Recruiting |
| Chawama Urban Health Centre Coordinator of this site? Confirm its status | Chingola | Zambia | Recruiting |
| Kasompe Urban Health Centre Coordinator of this site? Confirm its status | Chingola | Zambia | Recruiting |
| Muchinshi Rural Health Centre Coordinator of this site? Confirm its status | Chingola | Zambia | Recruiting |
| Lusitu Rural Health Centre Coordinator of this site? Confirm its status | Chirundu | Zambia | Recruiting |
| Jamba Rural Health Centre Coordinator of this site? Confirm its status | Chirundu | Zambia | Recruiting |
| Chipepo Rural Health Centre Coordinator of this site? Confirm its status | Chirundu | Zambia | Recruiting |
| Sikoongo Rural Health Centre Coordinator of this site? Confirm its status | Chirundu | Zambia | Recruiting |
| Mtendere Mission Referal hospital Coordinator of this site? Confirm its status | Chirundu | Zambia | Recruiting |
| Hachipilika Rural Health Centre Coordinator of this site? Confirm its status | Chirundu | Zambia | Recruiting |
| Kapululira Rural Health Centre Coordinator of this site? Confirm its status | Chirundu | Zambia | Recruiting |
| Namwianga Urban Health Centre Coordinator of this site? Confirm its status | Kalomo | Zambia | Recruiting |
| Habulile Rural Health Centre Coordinator of this site? Confirm its status | Kalomo | Zambia | Recruiting |
| Kalomo District Hospital Coordinator of this site? Confirm its status | Kalomo | Zambia | Recruiting |
| Kalomo Urban Health Centre Coordinator of this site? Confirm its status | Kalomo | Zambia | Recruiting |
| Siachitema Rural Health Centre Coordinator of this site? Confirm its status | Kalomo | Zambia | Recruiting |
| Mawaya Urban Health Centre Coordinator of this site? Confirm its status | Kalomo | Zambia | Recruiting |
| Nkandanzovu Rural Health Centre Coordinator of this site? Confirm its status | Kalomo | Zambia | Recruiting |
| Roan Antelope General Hospital Coordinator of this site? Confirm its status | Luanshya | Zambia | Recruiting |
| Malaika Urban Health Centre Coordinator of this site? Confirm its status | Luanshya | Zambia | Recruiting |
| Chaisa Urban Health Centre Coordinator of this site? Confirm its status | Luanshya | Zambia | Recruiting |
| Fisenge Urban Health Centre Coordinator of this site? Confirm its status | Luanshya | Zambia | Recruiting |
| Thomson District Hospital Coordinator of this site? Confirm its status | Luanshya | Zambia | Recruiting |
| Kawama Urban Health Centre Coordinator of this site? Confirm its status | Luanshya | Zambia | Recruiting |
| Allessandras Urban Health Centre Coordinator of this site? Confirm its status | Luanshya | Zambia | Recruiting |
| Mikomfwa Urban Health Centre Coordinator of this site? Confirm its status | Luanshya | Zambia | Recruiting |
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This page is information, not medical advice. Discuss any trial with your doctor.