- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04264221
Promoting Overall Care and Management Related to Tuberculosis Infection Through Pharmaceutical Care and Text Messaging
Randomized Trial of Pharmaceutical Care and Text Messaging Intervention to Improve Tuberculosis Care and Management Among Drug-susceptible Patients in Pakistan.
Study Overview
Detailed Description
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Farman Ull ah Khan, Phd
- Phone Number: +0092331-9443131
- Email: farmankhan@bs.qau.edu.pk
Study Locations
-
-
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Islamabad, Pakistan, 46000
- Active, not recruiting
- Pakistan Institute of Medical Sciences Islamabad
-
-
Islammabd
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Islamabad, Islammabd, Pakistan, 46000
- Recruiting
- National TB Control Program
-
Contact:
- Farman Ull ah Khan
- Phone Number: +92331-3319443131
- Email: farmankhan@bs.qau.pk
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Men and women
- Newly bacteriologically confirmed TB case (less than a month since diagnosis). This restriction (not more than one-month treatment) does not refer to patients whose most recent treatment outcome was a failure and who were assigned to a new treatment regimen.
- Own a mobile phone which operates on a telecom provider supported by our SMS platform
- Know how to and are able to receive SMS messages or Phone Call (Caretaker want to participate in case original patient do not participate)
- An address or residence location that is readily accessible for visiting, and willingness to inform the study team of any change of address during the treatment and follow-up period.
- No plans to move out of the catchment areas of the participating TB program sites within 9 months of enrollment.
- Facilities must have at least one TB doctor and one TB nurse available within the facility.
- Willingness to comply with study procedures and provide written informed consent prior to study enrollment.
Exclusion Criteria:
- Diagnosis is extra-pulmonary TB
- Currently enrolled in a clinical trial that prohibits enrollment in another study. Patients are leaving the area within the next six months.
- Patients are known at the start of treatment to require the treatment longer than it is recommended TB Management Guidelines for the appropriate type of TB.
- Previous history of TB, multidrug-resistant (MDR) or extensively drug-resistant (XDR) TB.
- Very ill patient's cognitive or physical disability that prevents full participation in the study such as vision, hearing, physically challenged, inability to swallow medications and unconscious Unable to answer questions.
- Pregnant females (treatment of TB infection will be deferred)
- Patients who are receiving treatment from private clinics (Who are not registered in the government TB sectors and they seek are form private health care facilities.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Health Services Research
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Intervention Group
New management mode intervention: Pharmaceutical care A more recent strategy is pharmaceutical care, where a hospital provides timely patient education, monitoring and management of adverse drug reactions, identifying other drug-related problems, and an evaluation of treatment adherence by a clinical pharmacist. At the first visit, the clinical pharmacist provides a mobile phone number and encourages patients to contact them anytime if they need any consultation on the TB treatment. Short Message Service and Phone calls daily use of the mobile phone for a TB treatment will support pharmaceutical care. TB patients or family members will receive phone calls every evening (except Sunday) during the whole ambulatory TB treatment phase to assure that the patient takes the medication prescribed and provided by the TB physician and to collect information on treatment adherence and possible side effects. |
Other Names:
|
No Intervention: No Intervention Group.
Treatment Group included in the control arm will receive traditional - clinical Directly Observed Therapy (DOT) as recommended by World Health Organization and routine treatment group (6 months treatment regimen); Routine health education provided by health care professionals.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
TB treatment success rates
Time Frame: 24 Months
|
TB treatment success rates defined by the World Health Organization.
The investigators will compare clinically reported treatment outcomes between the intervention and control groups.
|
24 Months
|
Lost to follow-up among adult drug-sensitive tuberculosis patients.
Time Frame: 24 \months
|
Lost to follow-up is defined as the difference between the two interventions arms in the proportion of patients who did not start treatment after diagnosis or whose treatment was interrupted for 2 consecutive months or more.
|
24 \months
|
Patient satisfaction questionnaire (usually after treatment time period or 6 to 12 months).
Time Frame: 12 Months
|
Through Questionnaire before and at the end of treatment from both groups
|
12 Months
|
Quality of life of TB patients
Time Frame: 24 months
|
At baseline and upon completion of the treatment initial phase and after starting the continuous phase of the treatment Quality of life of TB patients will be measured by surveys.Whether the disease-specific patient quality of life scores improved in investigational arm patients from baseline to successful completion of treatment By using pre and post data of quality of life questionnaire
|
24 months
|
The Knowledge, Attitude and Practices (KAP) of the patients about tuberculosis
Time Frame: 24 months
|
A Knowledge, Attitude and Practices (KAP) survey is a quantitative method (predefined questions formatted in standardized questionnaires) that provides access to quantitative and qualitative information.The KAP of the patients about tuberculosis will be compared at the end of the intervention in the two groups on basis of information about TB prevention and treatment.
|
24 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Adherence to treatment among drug-sensitive tuberculosis patients self reported and clinical record will checked for the follow up visits and drug taken
Time Frame: 24 Months
|
Adherence [ Time Frame: Assessed daily from date of randomization until the date of a documented treatment outcome, up to 24 months after study enrollment date.Counting the number of administered pills, adequate adherence is more than 80% of administered pills.
|
24 Months
|
The patient-level percentage of total doses
Time Frame: 24 Months
|
Each patient based on the total number of doses missed out of the total possible number of doses), measured using treatment adherence records reported by triangulated by pill count after 6 months.
|
24 Months
|
Patient satisfaction questionnaire
Time Frame: 6-12 months
|
Perceptions and opinions (if the intervention was helpful, non-helpful, effectiveness) in the intervention arm will be assessed after the study follow-up through a questionnaire of a subset of enrolled individuals at the completion of the participant's treatment.
|
6-12 months
|
The proportion of patients improving clinically through questionnaire
Time Frame: 24 months
|
Proportion of patients improving clinically (cough, weight gain, night sweats, fever, appetite to compare the treatment completion rates between participants randomized to intervention without intervention with weekly SMS reminders and pharmaceutical care.
|
24 months
|
Perceptions of Intervention through a questionnaire
Time Frame: 24 months
|
Perceptions and opinions (if the intervention was helpful, non-helpful, effectiveness) in the intervention arm will be assessed after the study follow-up through a questionnaire of a subset of enrolled individuals at the completion of the participant's treatment.
|
24 months
|
Semi-structured interview to check the Feasibility of implementation of the intervention and challenges.
Time Frame: 24 Months
|
Semi-structured interview with participants to understand challenges, recommendations for improvement.
Feasibility of implementation of the intervention and challenges.
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24 Months
|
To collect patient-specific cost data related to the successfully treated
Time Frame: 24 Months
|
To collect patient-specific cost data related to the treatment of arms with the intervention.
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24 Months
|
Psychological Impacts Mental Health Inventory (MHI)-5; well-demonstrated reliability for detecting psychological disorders also mental health screening tool for TB patients will be used
Time Frame: 6-12 months
|
In order to gauge the psychological impacts of the system, the investigators will be looking at participants' perceptions on the likelihood of being cured, how they feel on a given day using the pain scale, and how supported they feel.
This data will be collected through questionnaires conducted at each monthly mid-line visit.
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6-12 months
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Study Chair: Yu Fang, Phd, Xian Jiaotong University China
- Study Director: Asim ur Re, Phd, Quaid i Azam University Islamabad Pakistan
- Principal Investigator: Farman Ull ah Khan, Phd, Jiaotong University Islamabad Pakistan
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- F,1-1/2015/ERB/SZABMU/359
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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