Coach Mpilo peer support for men with TB and HIV
Official title: Assessing the Feasibility of Coach Mpilo for Men With TB and HIV in Eastern Cape, South Africa
Run by Arizona State University · NCT07117370 · Data updated 2026-11-12
We will test whether Coach Mpilo, a peer-support program developed by men, helps men starting TB treatment — including those with HIV — complete TB therapy and achieve better HIV viral suppression.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | Men only |
| Enrollment | 240 (estimated) |
| Sponsor | Arizona State University Academic / other |
| Locations | 1 site (East London) |
| Status | Recruiting |
| Started | June 1, 2024 |
| Main results expected | August 31, 2026 |
| Study ends | August 31, 2026 |
| Registry record updated | August 12, 2025 |
| Trial ID | NCT07117370 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Men aged 18 or older who live in BCM Health Districts and are newly starting or re-starting TB treatment, and for the HIV-focused arm those who are HIV-positive and not yet on ART, are the ideal candidates.
✕Probably not a fit
Women, people under 18, those living outside the BCM districts, and people who are not initiating or re-initiating TB treatment (or who are already on ART for the HIV arm) are not eligible and are unlikely to benefit from this intervention.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This project will adapt the Coach Mpilo peer-support model for men initiating TB treatment and for men with TB/HIV co-infection, creating CM-TB and CM-TB/HIV versions. Using the ADAPT-IIT model and a mixed-methods approach, investigators will conduct interviews, role simulations, and a small pre-test/pilot to refine the intervention. Subsequent implementation will enroll men initiating or re-initiating TB therapy in Buffalo City Metro (BCM) Health Districts to measure feasibility and collect secondary outcomes on TB treatment completion and HIV viral suppression. Findings will inform a later Hybrid Type I implementation-effectiveness effort.
Why it matters
Potential benefit: If successful, this peer-support approach could increase TB treatment completion and improve HIV viral suppression among men, reducing morbidity and onward transmission.
How similar studies have gone: Coach Mpilo has been used as a peer-support HIV treatment intervention for men in South Africa with prior positive signals for improving HIV outcomes, but its adaptation specifically for TB/HIV is novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: Aim 2: 1) men; 2) aged ≥18 years; 3) newly initiating (i.e., treatment naive) or re-initiating TBT after being loss-from-care per South African national guidelines; 4) live in BCM Health Districts; and 5) provide written informed consent. Aim 3: 1) men; 2) aged ≥18 years; 3) newly initiating (i.e., treatment naive) or re-initiating TBT after being loss-from-care per South African national guidelines; 4) HIV-positive; 5) Not on ART, 6) live in BCM Health Districts; and 7) provide written informed consent. Exclusion Criteria: Aim 2: 1) Not a man; 2) aged \< 18 years; 3) not initiating (i.e., treatment naive) or not re-initiating TBT after being loss-from-care per South African national guidelines; 4) not live in BCM Health Districts; and 5) cannot provide written informed consent. Aim 3: 1) Not a man; 2) aged \< 18 years; 3) not initiating (i.e., treatment naive) or not re-initiating TBT after being loss-from-care per South African national guidelines; 4) not HIV-positive; 5) on ART, 6) not live in BCM Health Districts; and 7) cannot provide written informed consent.
Where it's running
-
Desmond Tutu Health Foundation
East London, South Africa Recruiting
Study contacts
- Study coordinator: Joseph Daniels
- Email: Joseph.A.Daniels@asu.edu
- Phone: 206-459-5777
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.