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Trial · NCT04428385

Malaria Diagnostic Testing and Conditional Subsidies to Target ACTs in the Retail Sector: TESTsmART Aim 2 - Nigeria

NCT04428385, Not applicable, Completed, Duke University; results first posted 2024-05-06

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Malaria Diagnostic Testing and Conditional Subsidies to Target ACTs in the Retail Sector: TESTsmART Aim 2 - Nigeria. Trials, record NCT04428385. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04428385

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Malaria Diagnostic Testing and Conditional Subsidies to Target ACTs in the Retail Sector: TESTsmART Aim 2 - Nigeria
NCT number
NCT04428385
Status
Completed
Phases
Not applicable
Enrollment
2,205 participants, actual
Lead sponsor
Duke University
Conditions
Malaria, Febrile Illness
Interventions
Testing incentive, Conditional artemisinin combination therapy subsidy
First posted
2020-06-11
Last updated
2024-05-06
Results first posted
2024-05-06

Source ClinicalTrials.gov

Registered outcomes5

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryACT (Artemisinin Combination Therapy) Consumption by True Malaria CasesDay of enrollmentThe number of all ACTs that are sold to malaria test-positive clients.
SecondaryUse of Malaria Rapid Diagnostic TestDay of enrollmentNumber of suspected malaria cases presenting to the retail outlet that are tested.
SecondaryAdherence to the RDT Result Among All Those Tested in the ShopDay of enrollment
The number of tested participants who are adherent where adherence to the test result is defined as taking a quality-assured ACT if the RDT is positive or taking another drug (or no drug) if the test is negative
SecondaryAppropriate Case ManagementDay of enrollmentNumber of all suspected malaria cases that are managed appropriately (tested for malaria, use ACT following a positive test, and do not purchase an ACT after a negative test).
SecondaryACT (Artemisinin Combination Therapy) Use Among Untested ParticipantsDay of enrollmentNumber of participants who are not tested for malaria (did not test in the shop or have documentation of a test) and purchased an ACT.

Outcomes5

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYACT (Artemisinin Combination Therapy) Consumption by True Malaria CasesDay of enrollmentOnly participants who purchased ACTs were included in this analysis. Malaria test-positivity was based on mRDT testing testing at the outlet or documented testing brought to the facility.ACTsNUMBER
SECONDARYUse of Malaria Rapid Diagnostic TestDay of enrollmentOnly participants who were suspected of having malaria were included in this analysis. This included anyone who tested for malaria or purchased antimalarials without a test.suspected malaria casesNUMBER
SECONDARYAdherence to the RDT Result Among All Those Tested in the ShopDay of enrollmentOnly participants who tested at the outlet are included.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYAppropriate Case ManagementDay of enrollmentOnly participants who were suspected of having malaria were included in this analysis. This included anyone who tested for malaria or purchased antimalarials without a test.suspected malaria casesNUMBER
SECONDARYACT (Artemisinin Combination Therapy) Use Among Untested ParticipantsDay of enrollmentOnly untested participants are included.ParticipantsCOUNT_OF_PARTICIPANTS

Results by group10

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
ACT (Artemisinin Combination Therapy) Consumption by True Malaria CasesArm 1 (Control)49ACTs
ACT (Artemisinin Combination Therapy) Consumption by True Malaria CasesArm 2 (Consumer-directed and Provider-directed Intervention)49ACTs
Use of Malaria Rapid Diagnostic TestArm 1 (Control)226suspected malaria cases
Use of Malaria Rapid Diagnostic TestArm 2 (Consumer-directed and Provider-directed Intervention)217suspected malaria cases
Adherence to the RDT Result Among All Those Tested in the ShopArm 1 (Control)167Participants
Adherence to the RDT Result Among All Those Tested in the ShopArm 2 (Consumer-directed and Provider-directed Intervention)118Participants
Appropriate Case ManagementArm 1 (Control)167suspected malaria cases
Appropriate Case ManagementArm 2 (Consumer-directed and Provider-directed Intervention)118suspected malaria cases
ACT (Artemisinin Combination Therapy) Use Among Untested ParticipantsArm 1 (Control)462Participants
ACT (Artemisinin Combination Therapy) Use Among Untested ParticipantsArm 2 (Consumer-directed and Provider-directed Intervention)498Participants

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDArm 1 (Control)1,10124
Overall StudySTARTEDArm 2 (Consumer-directed and Provider-directed Intervention)1,10424
Overall StudyCOMPLETEDArm 1 (Control)1,10124
Overall StudyCOMPLETEDArm 2 (Consumer-directed and Provider-directed Intervention)1,10424
Overall StudyNOT COMPLETEDArm 1 (Control)00
Overall StudyNOT COMPLETEDArm 2 (Consumer-directed and Provider-directed Intervention)00

Adverse events0

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

None in this release.

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityArm 1 (Control)01,101
Total, all-cause mortalityArm 2 (Consumer-directed and Provider-directed Intervention)01,104
Total, other adverse eventsArm 1 (Control)01,101
Total, other adverse eventsArm 2 (Consumer-directed and Provider-directed Intervention)01,104
Total, serious adverse eventsArm 1 (Control)01,101
Total, serious adverse eventsArm 2 (Consumer-directed and Provider-directed Intervention)01,104

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
33472650DERIVED

Source PubMed

Grants1

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

ProjectTitlePrincipal investigatorsOrganizationFunderFiscal years
R01AI141444Malaria diagnostic testing and conditional subsidies to target ACTs in the retail sector: the TESTsmART trialPRUDHOMMEOMEARA, WENDYDUKE UNIVERSITYNATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES2018 to 2022

Trial comparisons4

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Arm 1 (Control) vs Arm 2 (Consumer-directed and Provider-directed Intervention): ACT (Artemisinin Combination Therapy) Use Among Untested ParticipantsTrial comparisons
Arm 1 (Control) vs Arm 2 (Consumer-directed and Provider-directed Intervention): Adherence to the RDT Result Among All Those Tested in the ShopTrial comparisons
Arm 1 (Control) vs Arm 2 (Consumer-directed and Provider-directed Intervention): deaths from any causeTrial comparisons
Arm 1 (Control) vs Arm 2 (Consumer-directed and Provider-directed Intervention): serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT04428385

GET https://conductscience.org/api/trials/v1/NCT04428385/registered