AzTrials
AzTrials

HIV (Human Immunodeficiency Virus)RKPK: Phase IINCT05373095

Rudi Kundini, Pamoja Kundini

A study testing PKC (adapted adherence counseling) and Conditional Cash Transfers in people with HIV (Human Immunodeficiency Virus), run by University of California, Berkeley at 4 sites in Tanzania.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This protocol describes an individually randomized trial that will include adult people living with HIV (PLHIV) currently receiving HIV care at one of two participating health facilities and identified as high risk for disengagement from care by a machine learning algorithm. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
HIV (Human Immunodeficiency Virus)
What is being tested?
PKC (adapted adherence counseling) and Conditional Cash Transfers
Could I receive a placebo?
No, everyone receives an active treatment
How many people
692 participants
Where
4 sitesTanzania
Study dates
23 Oct 2023to 10 Apr 2026
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • PLHIV on ART;
  • Age 18 years or older;
  • Phone ownership OR consistent phone access;
  • Not already enrolled in/currently attending enhanced adherence counseling sessions at the facility
  • Living in Geita Region and intends to receive care at a study facility for the next 12 months;
  • Classified as "high-risk" for loss to follow-up (LTFU) from HIV care, and
  • Provides written informed consent for participation

Who cannot join

None listed.

Trial locations and contacts

4 sites in 1 country.

Tanzania4 sites
  • Geita Regional Referral Hospital

    Geita

  • Geita Town Council Hospital

    Geita

  • Nyankumbu Health Center

    Geita

  • Katoro Health Center

    Katoro

Other trials in Tanzania

About this study

Official title: Strengthening the Continuity of HIV Care in Tanzania With Economic Support: Phase II

This protocol describes an individually randomized trial that will include adult people living with HIV (PLHIV) currently receiving HIV care at one of two participating health facilities and identified as high risk for disengagement from care by a machine learning algorithm. Participants randomized to the control arm will receive standard of care HIV clinical services according to Tanzania's National Guidelines for the management of HIV. For those who meet clinic eligibility criteria for enhanced adherence counseling, which at the included study sites is when client's viral load reaches a detectable level (>1000 copies/ml), this includes the standard provision of three, once-monthly, 60-minute nurse-led individual, enhanced adherence counseling sessions, starting on the day of the result and for two months after. Intervention arm participants will receive the same standard HIV care services plus the offer of a cash transfer paired with visit attendance and attendance at each of the three adapted enhanced adherence counseling sessions (referred to as PKC sessions).

Read the detailed description

This protocol describes a 2-armed parallel individually randomized controlled trial for which 692 PLHIV who meet eligibility criteria, are currently accessing care at a participating health facility (Katoro Health Center, Geita Town Council Hospital, Geita Regional Referral Hospital, or Nyankumbu Health Center), and have provided informed consent to be part of the study will be randomized in a 1:1 ratio (n=346 PLHIV in each arm), stratified by site, to the control or intervention group. The investigators will use machine learning to finalize a predictive model based on routinely collected medical and pharmacy record data to identify and recruit PLHIV for participation at participating facilities who are at high-risk for disengaging from HIV care.

Eligible and consenting participants randomized to the control arm will receive standard of care HIV clinical services according to Tanzania's National Guidelines for the Management of HIV. Criteria for enrollment into enhanced adherence counseling sessions includes when client's viral load reaches a detectable level (>1000 copies/ml). Enhanced adherence counseling includes the standard provision of three, once-monthly, 60-minute nurse-led individual, enhanced adherence counseling sessions, starting on the day of the result and for two months after. Counseling focuses on the meaning of viral loads and supportive, non-judgmental strategies for adherence and visit attendance. Sessions are conducted in an individual, 1:1 setting with a trained counselor who is on the clinical staff, or in a group setting with a trained counselor who is on the clinical staff. A minimum of three sessions are required. Eligible and consenting participants randomized to the intervention arm will receive the same standard HIV care services plus the offer of a cash transfer paired with visit attendance and attendance at each of the three adapted enhanced adherence counseling sessions (PKC sessions). The first payment will occur at enrollment; the next two cash transfers are payable upon visit attendance and attendance of the two remaining enhanced adherence counseling sessions. Due to the nature of the intervention, participants will not be blinded to intervention assignment. The primary endpoint is viral load suppression (<1000 copies/ml) at 12 months following study enrollment.

Being tested
PKC (adapted adherence counseling) and Conditional Cash Transfers
Keywords
Tanzania, Conditional Cash Transfers, People Living With HIV, Machine Learning
Medical subject headings
Acquired Immunodeficiency Syndrome

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PKC (adapted adherence counseling) and Conditional Cash TransfersBehavioural

    The intervention includes up to 3 cash transfers of 22,500 Tanzanian Shillings (~$10) paired with attendance at each of the three adapted enhanced adherence counseling sessions (PKC sessions). The first cash transfer will occur at enrollment; the next two cash transfers are payable upon visit attendance and attendance of the two remaining PKC sessions. The cash transfers will include extra funds for transaction fees, typically <$1.

Study groups in NCT05373095
Study groupRoleWhat they receive
Adapted Adherence Counseling (PKC) and Conditional Cash TransfersExperimentalEligible and consenting participants randomized to the intervention arm will receive the same standard HIV clinical services according Tanzania's National Guidelines for the Management of HIV as the comparison arm, which includes provision of three, once-monthly, 60-minute nurse-led individual, enhanced adherence counseling sessions adapted for study purposes (PKC sessions). Counseling focuses on the meaning of viral loads and supportive, non-judgmental strategies for adherence and visit attendance. A minimum of three sessions are required. In addition to enhanced adherence counseling, intervention participants will receive the offer of a cash transfer paired with attendance at each of the three enhanced adherence counseling sessions. The first payment will occur at enrollment; the next two cash transfers are payable upon visit attendance and attendance of the two remaining enhanced adherence counseling sessions.
Receives: Behavioral: PKC (adapted adherence counseling) and Conditional Cash Transfers
Enhanced Adherence Counseling only for those who qualifyNo interventionEligible and consenting participants randomized to the control arm will receive standard of care HIV clinical services according to Tanzania's National Guidelines for the Management of HIV. For those who meet clinic eligibility criteria for enhanced adherence counseling, this includes the standard provision of three, once-monthly, 60-minute nurse-led individual, enhanced adherence counseling sessions, starting on the day of a detectable viral load result and for two months after. Counseling focuses on the meaning of viral loads and supportive, non-judgmental strategies for adherence and visit attendance. A minimum of three sessions are required.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. 12-Month Viral Suppression

    The proportion of people living with HIV (PLHIV) and on ART with suppressed HIV viral load ( <1000 copies/ml) at 12 months after study enrollment.

    Measured: 12 months

Secondary outcomes (19)
  1. 6-month retention in care

    The proportion of people living with HIV (PLHIV) on ART at 6 months after study enrollment (PEPFAR considers those not retained on ART to include those who died, disengaged from care, stopped ART, or had no evidence of care for ≥28 days after a missed visit. Participants not found after exhaustive tracing efforts to rule out silent transfers will be classified as not retained on ART)

    Measured: 6 months

  2. 12-month retention in care

    The proportion of people living with HIV (PLHIV) on ART at 12 months after study enrollment (PEPFAR considers those not retained on ART to include those who died, disengaged from care, stopped ART, or had no evidence of care for ≥28 days after a missed visit. Participants not found after exhaustive tracing efforts to rule out silent transfers will be classified as not retained on ART)

    Measured: 12 months

  3. 12-month durable viral load

    Proportion with durable HIV viral suppression 12 months after enrollment: at least 2 viral load measurements taken from up to 6 months prior to study enrollment and up to and including 12 months following study enrollment and all are undetectable (<1000 copies/ml) will have met criteria for durable viral suppression at 12 months.

    Measured: 12 months

  4. 12-month Appointment Attendance

    The proportion of scheduled visits that were completed during the 0-12 month period

    Measured: 12 months

  5. 6-month Appointment Attendance

    The proportion of scheduled visits that were completed during the 0-6 month period

    Measured: 6 months

  6. 12-month Mortality

    The cumulative incidence of mortality at 12 months after study enrollment

    Measured: 12 months

  7. 6-month Predictive value positive (PVP) of machine learning algorithm

    Predictive value positive (PVP) of the machine learning algorithm in identifying PLHIV at-risk of disengagement from HIV care within 6 months

    Measured: 6 months

  8. 12-month Predictive value positive (PVP) of machine learning algorithm

    Predictive value positive (PVP) of the machine learning algorithm in identifying PLHIV at-risk of disengagement from HIV care within 12 months

    Measured: 12 months

  9. 6-month PVP of routine clinical criteria

    PVP of the routine clinical criteria (i.e. recent missed visit or detectable viral load, >1000 copies/ml) for identifying PLHIV at-risk of disengagement from HIV care within 6 months

    Measured: 6 months

  10. 12-month PVP of routine clinical criteria

    PVP of the routine clinical criteria (i.e. recent missed visit or detectable viral load, >1000 copies/ml) for identifying PLHIV at-risk of disengagement from HIV care within 12 months

    Measured: 12 months

  11. 6-month Predictive value negative (PVN) of the machine learning algorithm

    Predictive value negative (PVN) of the machine learning algorithm in identifying PLHIV not at-risk of disengagement from HIV care within 6 months

    Measured: 6 months

  12. 12-month PVN of the machine learning algorithm

    PVN of the machine learning algorithm in identifying PLHIV not at-risk of disengagement from HIV care within 12 months

    Measured: 12 months

  13. 6-month PVN of routine clinical criteria

    PVN of the routine clinical criteria for identifying PLHIV not at-risk of disengagement from HIV care within 6 months

    Measured: 6 months

  14. 12-month PVN of routine clinical criteria

    PVN of the routine clinical criteria for identifying PLHIV not at-risk of disengagement from HIV care within 12 months

    Measured: 12 months

  15. Enhanced Adherence Counseling Session Attendance

    Proportion of enhanced adherence counseling sessions completed among sessions scheduled

    Measured: 6 months

  16. Viral Suppression with enhanced adherence counseling completion

    Proportion with HIV viral suppression after completion of enhanced adherence counseling sessions

    Measured: 6 months

  17. 6-Month Viral Suppression (<1000 copies/ml)

    The proportion of people living with HIV (PLHIV) and on ART with suppressed HIV viral load ( <1000 copies/ml) at 6 months after study enrollment.

    Measured: 6 months

  18. 6-Month Viral Suppression (<50 copies/ml)

    The proportion of people living with HIV (PLHIV) and on ART with suppressed HIV viral load ( <50 copies/ml) at 6 months after study enrollment.

    Measured: 6 months

  19. 12-Month Viral Suppression (<50 copies/ml)

    The proportion of people living with HIV (PLHIV) and on ART with suppressed HIV viral load ( <50 copies/ml) at 12 months after study enrollment.

    Measured: 12 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted13 May 2022
  2. Study start23 Oct 2023
  3. Primary completion10 Apr 2026
  4. Study completion10 Apr 2026

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Other
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
692 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05373095
Sponsor's protocol ID
R01MH125746 - Phase II
Other IDs
R01MH125746
Acronym
RKPK: Phase II
Status last verified
Aug 2026
First submitted
9 May 2022
Last updated
14 Aug 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes

Publications

  • Kadota JL, Packel LJ, Mlowe M, Ulenga N, Mwenda N, Njau PF, Dow WH, Wang J, Sabasaba A, McCoy SI. Rudi Kundini, Pamoja Kundini (RKPK): study protocol for a hybrid type 1 randomized effectiveness-implementation trial using data science and economic incentive strategies to strengthen the continuity of care among people living with HIV in Tanzania. Trials. 2024 Feb 10;25(1):114. doi: 10.1186/s13063-024-07960-x.

    PubMed 38336793
  • Kadota JL, Packel LJ, Mlowe M, Ulenga N, Mwenda N, Njau PF, Dow WH, Wang J, Sabasaba A, McCoy SI. Rudi Kundini, Pamoja Kundini (RKPK): study protocol for a hybrid type 1 randomized effectiveness-implementation trial using data science and economic incentive strategies to strengthen the continuity of care among people living with HIV in Tanzania. Res Sq [Preprint]. 2023 Dec 20:rs.3.rs-3315136. doi: 10.21203/rs.3.rs-3315136/v1.

    PubMed 38196655

Questions about this trial

What is this clinical trial studying?

A study testing PKC (adapted adherence counseling) and Conditional Cash Transfers in people with HIV (Human Immunodeficiency Virus), run by University of California, Berkeley at 4 sites in Tanzania.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 0 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 14 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites in Tanzania. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

12-Month Viral Suppression (time frame: 12 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05373095, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Aug 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in