Table 1.
Study visit | Screening | Enrollment | Wk 0 | Wk 1 | Wk 2 | Wk 4 | Wk 8 | Wk 12 | Unscheduled visit |
ARTa day | Not specified | Aim for −7 to 0 | 0 | 7±4 | 14±4 | 28±4 | 56±4 | 84±7 | Not specified |
Document HIV status | x |
|
|
|
|
|
|
|
|
Screening ICFb | x |
|
|
|
|
|
|
|
|
Enrollment ICF |
|
x |
|
|
|
|
|
|
|
Study drug dispensed |
|
|
x |
|
x |
|
|
|
|
Symptomsc | x | x | x | x | x | x | x | x | x |
Karnofsky score | x |
|
x | x | x | x | x | x | x |
Pill countd |
|
|
|
x | x | x | x | x | x |
HR-QOLe assessments |
|
|
x |
|
|
x |
|
x |
|
Examination | x | If | x | x | x | x | x | x | x |
Laboratory investigationsg | x | I | x |
|
x | x |
|
x | I |
CD4 count, HIV viral load | x |
|
|
|
|
|
|
x |
|
Serum HBsAgh | x |
|
|
|
|
|
|
|
|
Serum CrAgi | x |
|
|
|
|
|
|
|
|
Urinary pregnancy test | x | I | I | I | I | I | I | I | I |
Storage bloods and immunology assays |
|
|
x |
|
x | x |
|
x | If IRIS suspected |
Storage urine |
|
|
x |
|
|
|
|
x | If IRIS suspected |
Chest radiograph | I |
|
x |
|
|
|
|
|
If IRIS suspected |
Sputum Xpert MTB/RIFj, TB culture, and DSTk | x |
|
|
|
|
x |
|
x |
|
Initiate ART |
|
|
x |
|
|
|
|
|
|
aART: antiretroviral therapy.
bICF: informed consent form.
cSymptoms and specific screening for adverse events and TB-IRIS.
dPill count: ART and study drug week 1-4.
eHR-QOL: health-related quality of life.
fI: if clinically indicated.
gLaboratory investigations: full blood count with leucocyte differentiation, sodium, potassium, creatinine, glucose, bilirubin, alanine aminotransferase, alkaline phosphatase, C-reactive protein.
hHBsAg: hepatitis B surface antigen.
iCrAg: cryptococcal antigen.
jMTB/RIF: Mycobacterium tuberculosis, resistance to rifampicin.
kDST: drug sensitivity testing.