Evidence map›Paper›PMID 38243223›Full record

ArticleBMC infectious diseases2024

Study protocol: a pragmatic, cluster-randomized controlled trial to evaluate the effect of implementation of the Truenat platform/MTB assays at primary health care clinics in Mozambique and Tanzania (TB-CAPT CORE).

V N Leukes, J Hella, I Sabi, M Cossa, C Khosa, B Erkosar, C Mangu, E Siyame, B Mtafya, A Lwilla and 24 more

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMC infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04568954 (Molbio Truenat TB Platform Combined With the Truenat TB Assays for Detection of Tuberculosis and Rifampicin Resistance in Adults With Presumptive Pulmonary Tuberculosis at Primary-level Diagnostic Centres in Tanzania and Mozambique), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04568954 nacompletednot on this map

Molbio Truenat TB Platform Combined With the Truenat TB Assays for Detection of Tuberculosis and Rifampicin Resistance in Adults With Presumptive Pulmonary Tuberculosis at Primary-level Diagnostic Centres in Tanzania and Mozambique: a Pragmatic, Cluster-randomized Controlled Trial

TypeinterventionalSponsorFoundation for Innovative New Diagnostics, SwitzerlandRan2022 to 2024Enrolled3,987ConditionsTuberculosis, Diagnoses DiseaseArmsTruenat TB platform/TB assays
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

34 authors at 13 institutions in 8 countries.

V N Leukes *FIND, Geneva, Switzerland.
J Hella *Ifakara Health Institute, Dar Es Salaam, Tanzania.
I Sabi *Mbeya Medical Research Centre, National Institute for Medical Research (NIMR), Mbeya, Tanzania.
M Cossa *Centro de Investigação Em Saúde de Manhiça (CISM), Manhica, Mozambique.
C Khosa *Instituto Nacional de Saúde (INS), Marracuene, Mozambique.
B ErkosarFIND, Geneva, Switzerland.
C ManguMbeya Medical Research Centre, National Institute for Medical Research (NIMR), Mbeya, Tanzania.
E SiyameMbeya Medical Research Centre, National Institute for Medical Research (NIMR), Mbeya, Tanzania.
B MtafyaMbeya Medical Research Centre, National Institute for Medical Research (NIMR), Mbeya, Tanzania.
A LwillaMbeya Medical Research Centre, National Institute for Medical Research (NIMR), Mbeya, Tanzania.
S ViegasInstituto Nacional de Saúde (INS), Marracuene, Mozambique.
C MadeiraInstituto Nacional de Saúde (INS), Marracuene, Mozambique.
A MachianaInstituto Nacional de Saúde (INS), Marracuene, Mozambique.
J RibeiroInstituto Nacional de Saúde (INS), Marracuene, Mozambique.
A L Garcia-BasteiroCentro de Investigação Em Saúde de Manhiça (CISM), Manhica, Mozambique.
F RiessDivision of Infectious Diseases and Tropical Medicine, Ludwig Maximilian University Hospital, Munich, Germany.
D ElísioCentro de Investigação Em Saúde de Manhiça (CISM), Manhica, Mozambique.
M SasamaloIfakara Health Institute, Dar Es Salaam, Tanzania.
G MhaluIfakara Health Institute, Dar Es Salaam, Tanzania.
C M DenkingerDivision of Infectious Disease and Tropical Medicine and German Centre for Infection Research, Heidelberg University Hospital, Heidelberg, Germany.
M D M CastroDivision of Infectious Disease and Tropical Medicine and German Centre for Infection Research, Heidelberg University Hospital, Heidelberg, Germany.
S BashirDivision of Infectious Disease and Tropical Medicine and German Centre for Infection Research, Heidelberg University Hospital, Heidelberg, Germany.
S G SchumacherFIND, Geneva, Switzerland.
E TaglianiEmerging Bacterial Pathogens Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
A MalhotraJohns Hopkins University (JHU), Baltimore, MD, USA.
D DowdyJohns Hopkins University (JHU), Baltimore, MD, USA.
C SchachtLINQ Management, Berlin, Germany.
J BuechLINQ Management, Berlin, Germany.
D NguenhaCentro de Investigação Em Saúde de Manhiça (CISM), Manhica, Mozambique.
N NtinginyaMbeya Medical Research Centre, National Institute for Medical Research (NIMR), Mbeya, Tanzania.
M RuhwaldFIND, Geneva, Switzerland.
A Penn-Nicholson *FIND, Geneva, Switzerland. Adam.penn-nicholson@finddx.org.
K Kranzer *Division of Infectious Diseases and Tropical Medicine, Ludwig Maximilian University Hospital, Munich, Germany. Katharina.kranzer@lshtm.ac.uk.
TB-CAPT Consortium
National Institute for Medical Research · TZFoundation for Innovative New Diagnostics · CHInstituto Nacional de Saúde · MZIfakara Health Institute · TZManhiça Health Research Centre · MZGerman Agency for Quality in Medicine · DEJohns Hopkins University · USUniversity Hospital Heidelberg · DEBarcelona Institute for Global Health · ESHeidelberg University · DEIstituti di Ricovero e Cura a Carattere Scientifico · ITLondon School of Hygiene & Tropical Medicine · GBLudwig-Maximilians-Universität München · DE

Funding

European and Developing Countries Clinical Trials Partnership RIA2017S-2007
6 · The paper itself

Abstract

backgroundIn 2020, the WHO-approved Molbio Truenat platform and MTB assays to detect Mycobacterium tuberculosis complex (MTB) and resistance to rifampicin directly on sputum specimens. This primary health care center-based trial in Mozambique and Tanzania investigates the effect of Truenat platform/MTB assays (intervention arm) combined with rapid communication of results compared to standard of care on TB diagnosis and treatment initiation for microbiologically confirmed TB at 7 days from enrolment.

methodsThe Tuberculosis Close the Gap, Increase Access, and Provide Adequate Therapy (TB-CAPT) CORE trial employs a pragmatic cluster randomized controlled design to evaluate the impact of a streamlined strategy for delivery of Truenat platform/MTB assays testing at primary health centers. Twenty-nine centers equipped with TB microscopy units were selected to participate in the trial. Among them, fifteen health centers were randomized to the intervention arm (which involves onsite molecular testing using Truenat platform/MTB assays, process process optimization to enable same-day TB diagnosis and treatment initiation, and feedback on Molbio platform performance) or the control arm (which follows routine care, including on-site sputum smear microscopy and the referral of sputum samples to off-site Xpert testing sites). The primary outcome of the study is the absolute number and proportion of participants with TB microbiological confirmation starting TB treatment within 7 days of their first visit. Secondary outcomes include time to bacteriological confirmation, health outcomes up to 60 days from first visit, as well as user preferences, direct cost, and productivity analyses. ETHICS AND DISSEMINATION: TB-CAPT CORE trial has been approved by regulatory and ethical committees in Mozambique and Tanzania, as well as by each partner organization. Consent is informed and voluntary, and confidentiality of participants is maintained throughout. Study findings will be presented at scientific conferences and published in peer-reviewed international journals.

trial registrationUS National Institutes of Health's ClinicalTrials.gov, NCT04568954. Registered 23 September 2020.

Indexed as

Mycobacterium tuberculosisTuberculosisHumansMozambiquePragmatic Clinical Trials as TopicPrimary Health CareRandomized Controlled Trials as TopicRifampinSensitivity and SpecificitySputumTanzaniaRifampinClinical trialDiagnosticsEfficacyImplementationTruenatTuberculosis

Identifiers

PMID38243223
PMCPMC10797907
OpenAlexW4391028823

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.