Clinical trial Recruiting at 1 site Interventional Ages 18 and up

Using video therapy and financial incentives to improve treatment for latent tuberculosis

Official title: Economic Incentives and Video Directly Observed Therapy to Promote Adherence to Latent Tuberculosis Infection

Run by Johns Hopkins University · NCT05022862 · Data updated 2026-11-12

This study is testing whether combining video therapy with financial rewards can help adults with latent tuberculosis stick to their treatment better than standard care.

More Latent Tuberculosis trials

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment399 (estimated)
SponsorJohns Hopkins University
Academic / other
Locations1 site (Baltimore, Maryland)
StatusRecruiting
StartedFebruary 7, 2022
Main results expectedJune 1, 2027
Study endsDecember 1, 2027
Registry record updatedMay 4, 2026
Trial IDNCT05022862 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18 and older diagnosed with latent tuberculosis who reside in the Baltimore metro area and can communicate in English or Spanish.

Probably not a fit

Patients with active tuberculosis, those under 18 years old, or individuals prescribed alternative treatment regimens for latent TB may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study evaluates a new approach that combines Video Directly Observed Therapy (vDOT) with financial incentives to enhance treatment completion rates for latent tuberculosis (LTBI). Adult participants diagnosed with LTBI will be recruited from the Baltimore City Health Department. The study aims to compare the effectiveness of vDOT alone and vDOT with financial incentives against usual care in promoting adherence to LTBI treatment. The intervention addresses barriers such as socioeconomic factors and competing health priorities that often hinder treatment completion.

Why it matters

Potential benefit: If successful, this approach could significantly increase the number of patients completing treatment for latent tuberculosis, thereby contributing to TB elimination efforts.

How similar studies have gone: Previous studies have shown that financial incentives can effectively promote adherence to treatment in various populations, suggesting potential success for this novel approach.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* 18 years old or older,
* diagnosed with latent TB and determined to be appropriate for latent TB treatment by participants clinicians
* reside in Baltimore metro area
* speaks English or Spanish, or a language for which there is a short form available via the Johns Hopkins Medicine Institutional Review Board
* prescribed 3 months Isoniazid/Rifapentine, prescribed 3 months Isoniazid/Rifampin, or 4 months Rifampin

Exclusion Criteria:

* younger than 18 years old
* diagnosed with active TB
* prescribed an alternative treatment regimen for latent TB
* pregnant women (as determined by non-study directed clinical evaluation; BCHD performs urine pregnancy testing on women of child bearing age when indicated)
* participant's spoken language does not have a translated long or short consent form

Where it's running

  • Baltimore City Health Department, and Baltimore metropolitan area clinics and health departments
    Baltimore, Maryland, United States
    Recruiting

Study contacts

  • Principal investigator: Maunank Shah, MD, PhD — Johns Hopkins University
  • Study coordinator: Principal Investigator
  • Email: mshah28@jhmi.edu
  • Phone: 443-287-0401

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.