CClinicalTrials.gg
CompletedNCT02515149CD4-POCUpdated Apr 8, 2025

Impact on Linkage to HIV Care With Point of Care CD4 Testing and Home-based HIV Testing in Kenya

An interventional study of Point of care CD4 device (Alere PIMA) in HIV, sponsored by Centers for Disease Control and Prevention. Completed at 1 site in Kenya. Per ClinicalTrials.gov, last updated 2025-04-08.

Sponsored by Centers for Disease Control and Prevention · Not applicable, Interventional, and Health services research

Phase
Not applicable
Study type
Interventional
Enrollment
770
Allocation
Randomized
Sex
All
01

Study summary

Randomised Controlled Trial to Assess Accuracy, Feasibility, Acceptability, Cost Effectiveness and Impact of Point of Care CD4 Testing on HIV Diagnosis, Linkage to Care and Time to Antiretroviral Therapy Initiation among HIV Infected Patients in Rural Western Kenya.

02

Conditions studied

  • HIV

Keywords

  • linkage to care
  • point of care diagnostics
  • point of care CD4
  • HIV care cascade
  • Kenya
03

In context

Lead sponsor

Centers for Disease Control and Prevention is the lead sponsor of 273 studies on the registry; 2 are open to participants now.

Of its 11 completed or terminated interventional studies of FDA-regulated products, 8 (73%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria: adults living in the study catchment area (Gem Village, Nyanza province Western Kenya) served by one of 23 HIV clinics and 3 referral labs

  • Not having received HIV care in prior 6 months if known HIV+

Exclusion Criteria:

  • current HIV care or HIV care within last six months
05

Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
770 participants (actual)

Study arms

  • No intervention
    Standard of care

    Referral laboratory based CD4 measurement after home-based HIV testing

  • Experimental
    Point of care

    POC CD4 testing after home-based HIV testing

    Device: Point of care CD4 device (Alere PIMA)

Interventions

  • DevicePoint of care CD4 device (Alere PIMA)

    for persons testing + with home-based HIV testing using Kenya's two rapid test algorithm, intervention arm participants received point of care CD4 testing followed by counseling on results which included their treatment eligibility

    Also known as: Alere Pima

06

What researchers measure

Primary outcomes

  1. Linkage to HIV care

    As ascertained from clinic charts

    Time frame: Within six months from date of study enrollment

  2. ART initiation

    As ascertained from clinic charts

    Time frame: Within six months from date of study enrollment

07

Study locations

1 site
  • CDC - KEMRI Field Research Station
    Kisumu, Nyanza, Kenya
08

References and documents

Publications

  • Desai MA, Okal DO, Rose CE, Ndivo R, Oyaro B, Otieno FO, Williams T, Chen RT, Zeh C, Samandari T. Effect of point-of-care CD4 cell count results on linkage to care and antiretroviral initiation during a home-based HIV testing campaign: a non-blinded, cluster-randomised trial. Lancet HIV. 2017 Sep;4(9):e393-e401. doi: 10.1016/S2352-3018(17)30091-7. Epub 2017 May 31. PubMed 28579225 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 8, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02515149
Lead sponsor
Centers for Disease Control and Prevention
Collaborators
Kenya Medical Research Institute, United States President's Emergency Plan for AIDS Relief
Responsible party
Sponsor
First posted
Aug 4, 2015
Start date
Jul 2013
Primary completion
Sep 2014
Completion
Dec 2014
Last update
Apr 8, 2025

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2025. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion