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NCT03086655

Tel-Me-Box: Testing a New, Real-time Strategies for Monitoring HIV Medication Adherence in India

Completed NA Results posted Last updated 22 August 2025
What this trial tests

NA trial testing Tel-me-box with reminder features in HIV in 131 participants. Completed in 11 January 2023.

Timeline
13 August 2021
Primary endpoint
11 January 2023
11 January 2023

Quick facts

Lead sponsorUniversity of California, San Francisco
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingsingle
Primary purposeother
Enrollment131
Start date13 August 2021
Primary completion11 January 2023
Estimated completion11 January 2023
Sites1 location across India

Drugs / interventions tested

Conditions studied

Sponsor

University of California, San Francisco

Who can join

18 and older, any sex, with HIV or Medication Adherence. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Tel-me-box Adherence Primary · 30 days prior to each follow-up assessment (3, 6, 9 and 12 months post baseline).

Number of days over past 30 days with at least one device-recorded pill box opening.

No. days box opened (0-30) at 3 mo. follow-up
GroupValue95% CI
Pillbox ('Tel-me-box') With Reminder Features101 – 24
Pillbox ('Tel-me-box') Without Reminder Features16.52 – 25
No. days box opened (0-30) at 6 mo. follow-up
GroupValue95% CI
Pillbox ('Tel-me-box') With Reminder Features1.50 – 12
Pillbox ('Tel-me-box') Without Reminder Features70 – 17
No. days box opened (0-30) at 9 mo. follow-up
GroupValue95% CI
Pillbox ('Tel-me-box') With Reminder Features00 – 2.5
Pillbox ('Tel-me-box') Without Reminder Features10 – 13
No. days box opened (0-30) at 12 mo. follow-up
GroupValue95% CI
Pillbox ('Tel-me-box') With Reminder Features00 – 1
Pillbox ('Tel-me-box') Without Reminder Features00 – 8
HIV Viral Load (VL) Primary · Baseline, and 6 and 12 month follow-up

HIV viral load (number of copies/ml of blood), dichotomized as undetectable VL (= suppressed, meaning \<50 copies/ml detected) vs. detectable (or unsuppressed, meaning \>= 50 copies/ml detected)

Undetectable VL at Baseline
GroupValue95% CI
Pillbox ('Tel-me-box') With Reminder Features37
Pillbox ('Tel-me-box') Without Reminder Features34
Undetectable VL at 6mo FU
GroupValue95% CI
Pillbox ('Tel-me-box') With Reminder Features34
Pillbox ('Tel-me-box') Without Reminder Features45
Undetectable VL at 12 mo FU
GroupValue95% CI
Pillbox ('Tel-me-box') With Reminder Features34
Pillbox ('Tel-me-box') Without Reminder Features44
Hair Concentrations of Anti-retroviral Medications (ARV), in ng/mg Primary · 12 month follow-up

Hair concentrations of Efavirenz (EFV) or Dolutegravir (DTG) in ng/mg, and log transformed to improve normality of the distribution if necessary. The vast majority of participants were on an ARV regimen that included either EFV or DTG at the time of the study.

GroupValue95% CI
Pillbox ('Tel-me-box') With Reminder Features0.12± 0.71
Pillbox ('Tel-me-box') Without Reminder Features0.28± 0.64
Self-reported Adherence in the Past Month Secondary · 30 days prior to baseline and 3, 6, 9, and 12 month follow-up

Participant self-report measured using the visual analogue scale to assess percent of pills taken in the past month, further dichotomized into optimal (100%) vs. suboptimal adherence (\<100%)

Optimally adherent at baseline
GroupValue95% CI
Pillbox ('Tel-me-box') With Reminder Features4
Pillbox ('Tel-me-box') Without Reminder Features5
Optimally adherent at 3 month follow up
GroupValue95% CI
Pillbox ('Tel-me-box') With Reminder Features49
Pillbox ('Tel-me-box') Without Reminder Features37
Optimally adherent at 6 month follow up
GroupValue95% CI
Pillbox ('Tel-me-box') With Reminder Features44
Pillbox ('Tel-me-box') Without Reminder Features35
Optimally adherent at 9 month follow up
GroupValue95% CI
Pillbox ('Tel-me-box') With Reminder Features45
Pillbox ('Tel-me-box') Without Reminder Features40
Optimally adherent at 12 month follow up
GroupValue95% CI
Pillbox ('Tel-me-box') With Reminder Features45
Pillbox ('Tel-me-box') Without Reminder Features50
Presence of Tel-me-box Adherence Data (>0) in Past 30 Days Secondary · 30 days prior to assessment at 3, 6, 9, and 12 mo follow-up

The number of participants for whom at least 1 pill box opening was registered in the 30 days before an assessment

any box use data at 3 mo FU
GroupValue95% CI
Pillbox ('Tel-me-box') With Reminder Features47
Pillbox ('Tel-me-box') Without Reminder Features48
any box use data at 6 mo FU
GroupValue95% CI
Pillbox ('Tel-me-box') With Reminder Features38
Pillbox ('Tel-me-box') Without Reminder Features41
any box use data at 9 mo FU
GroupValue95% CI
Pillbox ('Tel-me-box') With Reminder Features26
Pillbox ('Tel-me-box') Without Reminder Features31
any box use data at 12 mo FU
GroupValue95% CI
Pillbox ('Tel-me-box') With Reminder Features16
Pillbox ('Tel-me-box') Without Reminder Features22

Sponsor's own description

Currently available methods to monitor antiretroviral (ARV) adherence to HIV treatment and prevention, such as self-report, pill counts, medication electronic monitoring system (MEMS), and devices which wirelessly monitor adherence in real-time, have multiple limitations, including over-reporting, inability to assess pill ingestion, and size/expense. Our multidisciplinary research team at the University of California, San Francisco (UCSF) and in India has designed a new adherence-monitoring device called "Tel-Me-Box" which is small, low-cost, rechargeable, inconspicuous, and could be programmed to deliver tailored real-time adherence reminders following additional hardware modifications. The aim of this study is to modify and validate this discreet Tel-Me-Box (TMB) adherence monitoring and reminder device against hair ARV concentrations as a pharmacologic measure of drug ingestion/adherence, a measure pioneered and validated by our team, with the expectation that this device and intermittent hair monitoring could have widespread utility for HIV and non-HIV adherence science, both in India and globally.

Publications & conference data

4 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Adherence Measurements in HIV: New Advancements in Pharmacologic Methods and Real-Time Monitoring.
    Castillo-Mancilla JR, Haberer JE. · · 2018 · cited 116× · PMID 29380227 · DOI 10.1007/s11904-018-0377-0
  2. Accuracy of measures for antiretroviral adherence in people living with HIV.
    Smith R, Villanueva G, Probyn K, Sguassero Y, et al · · 2022 · cited 34× · PMID 35871531 · DOI 10.1002/14651858.cd013080.pub2
  3. Actionable Adherence Monitoring: Technological Methods to Monitor and Support Adherence to Antiretroviral Therapy.
    Bell KM, Haberer JE. · · 2018 · cited 18× · PMID 30232578 · DOI 10.1007/s11904-018-0413-0
  4. Scaling up delivery of HIV services in Africa through harnessing trends across global emerging innovations.
    Chibi M, Wasswa W, Ngongoni CN, Lule F. · · 2023 · cited 1× · PMID 38028944 · DOI 10.3389/frhs.2023.1198008

Verify or expand the search:

Other recruiting trials for HIV

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03086655.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing