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COMPLETED
NCT05090150
NA

The SMART ART Study

Sponsor: Massachusetts General Hospital

View on ClinicalTrials.gov

Summary

The investigators propose A Sequential Multiple Assignment Randomized Trial of scalable interventions for ART delivery in South Africa- the SMART ART study-a randomized study to test adaptive ART delivery for persons with detectable viral load and/or not engaged in care.The types of differentiated service delivery (DSD) that will be examined in this study are incentives, community-based ART, and home delivery. The study plans to enroll up to 900 participants-people living with HIV and who are eligible for ART and living in KwaZulu-Natal, South Africa. The study aims to maximize the proportion of ART eligible persons living with HIV who achieve viral suppression at 18 months. The study will also evaluate the preferences of clients and providers for differentiated service delivery, and evaluate the cost effectiveness of adaptive HIV treatment for those who are not engaged in care.

Official title: A Sequential Multiple Assignment Randomized Trial of Scalable Interventions for ART Delivery in South Africa: the SMART ART Study

Key Details

Gender

All

Age Range

18 Years - Any

Study Type

INTERVENTIONAL

Enrollment

874

Start Date

2021-11-02

Completion Date

2025-07-03

Last Updated

2026-09-24

Healthy Volunteers

No

Conditions

Interventions

OTHER

Home delivery of ART

Home ART refill and monitoring, adherence support

OTHER

Smart Lockers (Pele boxes)

Decentralized ART refills and monitoring, adherence support

OTHER

Best clinic practices + conditional lottery incentives

Conditional lottery incentives Welcome back service (friendly providers, SMS, adherence support) Fast-track ART

OTHER

Best clinic practices

Continue with best clinic practices

Locations (1)

Human Sciences Research Council Sweetwaters

Sweetwaters, KwaZulu-Natal, South Africa