Début de la recherche sur de nouveaux outils numériques pour soutenir les patients et les travailleurs de la santé dans le traitement de la tuberculose
The Hague / Geneva, 4 August 2021 – A large global study which aims to determine if digital adherence technologies (DATs) can provide more patient-friendly approaches to improve tuberculosis (TB) treatment outcomes launches in Ethiopia, Tanzania, South Africa, the Philippines and Ukraine, as part of the ASCENT project.
The digital adherence technologies studied include medication labels and sleeves, smart pill boxes and video supported treatment that allow for remote communication between patients and healthcare centers.
These technologies respond to a key challenge in TB treatment: treatment is long and difficult to complete, lasting anywhere from six months to two years. Because of this, public health strategies have historically relied on Directly Observed Therapy (DOT), in which a clinician observes a patient taking their medicine each day to ensure adherence. These technologies aim to reduce or remove regular in-person visits required under the DOT model and enable healthcare workers to intervene only when necessary.
After COVID-19, TB is the deadliest infectious disease in the world, leading to 1.5 million deaths every year, despite being a curable disease.
The technologies are expected to improve experiences for TB patients and increase treatment completion rates by removing the heavy logistical, financial and time burdens that DOT places on both patients and health systems. Additionally, removing the need for DOT would make TB care significantly more efficient and represent huge savings to public health programmes.
The main research phase, now launched in all countries, evaluates three digital adherence technologies:
- Smart pillboxes that send a message to the clinic every time the patient opens it up to take their medicine.
- Medication labels or sleeves that help patients to send a code via SMS to the clinic every time they take their dose.
- A video application that helps patients film themselves taking their medicine, and then securely sends the video to the clinic.
Wide reaching applications
ASCENT aims to enroll thousands of TB patients by the end of 2022. If proven effective, these tools could have wide-reaching applications to support patients undergoing treatment for any disease which requires them to take medication over an extended period.
“Practical, patient-centered solutions are essential in developing public health strategies that work. Digital adherence technologies are designed to support people in taking their medication while providing information that helps healthcare workers give more tailored care. These innovations, when coupled with advances in treatment and prevention, could modernize and accelerate global efforts against TB,” said Janet Ginnard, Director of Strategy at Unitaid, global health agency and funder of the ASCENT project.
Research phase
ASCENT facilitates adoption and uptake of DATs in the five project countries in partnership with the national TB programs. The research component generates evidence for the proper use and scale-up of these innovations. The results are expected to offer guidance to the World Health Organization (WHO) and national TB programs.
“We are trying to effectively evaluate whether health facilities that utilize DATs do better in terms of treatment outcomes than facilities that do not and why. We are also focused on understanding the acceptability of DAT and the social and financial benefits to both the patients and the health facilities,” said Jens Levy, chief researcher of the ASCENT project at the KNCV Tuberculosis Foundation.
In the Philippines, Ukraine, Tanzania and South Africa treatment outcomes will be reviewed during the six months of treatment. In Ethiopia the study includes a six-month follow-up beyond treatment to see if there is recurrence of TB. Study protocols are nearly identical in each country, allowing researchers to evaluate the effectiveness of DATs in a variety of healthcare settings and circumstances.
TB policy
“For everyone working with these interventions and for those who want to in the future, scientific evidence is crucial. We are honored to lead this research. Contributing to the fight against TB in a patient friendly way”, said Mustapha Gidado, executive director of the KNCV Tuberculosis Foundation.
“If it’s shown to be a successful intervention, this could be very beneficial for worldwide TB programmes. It could also change TB treatment policy around the world,” said Katherine Fielding of the London School of Hygiene and Tropical Medicine, who is the co-investigator of the overall project and chief investigator for the Ethiopian study.
The Unitaid-funded and supported ASCENT project is led by the KNCV Tuberculosis Foundation (KNCV) in partnership with the Aurum Institute, the London School of Hygiene & Tropical Medicine (LSHTM), and PATH.
About the ASCENT project
The Unitaid-funded ASCENT project aims to help patients succeed in TB treatment using digital adherence technology, towards reducing TB incidence, mortality and financial consequences.
About Unitaid
Unitaid is a global health agency engaged in finding innovative solutions to prevent, diagnose, and treat diseases more quickly, cheaply, and effectively, in low- and middle-income countries. Its work includes funding initiatives to address major diseases such as HIV/AIDS, malaria, and tuberculosis, as well as HIV co-infections and co-morbidities such as cervical cancer and hepatitis C, and cross-cutting areas, such as fever management. Unitaid is now applying its expertise to address challenges in advancing new therapies and diagnostics for the COVID-19 pandemic, serving as a key member of the Access to COVID-19 Tools (ACT) Accelerator. Unitaid is hosted by the World Health Organization.
Media contacts
For more information and media requests
KNCV Tuberculosis Foundation
Laura Goense, Campaign and Media Manager
+31 (0)613 913 577
Laura.goense@kncvtbc.org
Unitaid
Hervé Verhoosel, Director, External Relations and Communication a.i.
+44 77 29 618 634
verhooselh@unitaid.who.int
Unitaid réaffirme son engagement à lutter contre la tuberculose dans le contexte de la crise COVID-19
Geneva – On World Tuberculosis Day 2021, Unitaid renews its strong commitment to fight one the world’s deadliest infectious killers.
Ensuring wider access to better, simpler and more affordable solutions to stop the spread of tuberculosis (TB) has always been at the core of Unitaid’s mission. While the world has come together to combat the COVID-19 pandemic, it is now more important than ever to redouble our efforts when it comes to TB.
Every year, about 1.4 million die from TB and 10 million people fall ill with the disease. The COVID-19 pandemic has intensified existing access challenges to efficient prevention, diagnosis and care, threatening to reverse the gains made over recent years.
Disruptions in TB services, diversion of resources and substantial reductions in TB detection have been observed. Between 2020 and 2025, an additional 1.4 million TB deaths could be registered as direct consequence of the pandemic.
Urgent action must be taken to provide wider access to life-saving preventive tools, tests and treatments if we want to reach our objective of ending TB by 2030.
“In these exceptional times, innovation has proven to be even more critical than ever to tackle tuberculosis. We need to redouble our efforts across prevention, diagnosis and treatment to ensure that affordable, simpler and adapted solutions are made available in low- and middle-income countries, particularly for the people who need them the most” said Dr Philippe Duneton, Unitaid Executive Director.
Working closely with strategic partners, Unitaid has been at the forefront of investing in cutting-edge innovative solutions. Those include better treatments for children, better regimens to tackle multi-drug resistant TB, more accurate diagnostics to detect cases, shorter, more affordable regimens for TB prevention and digital technologies to help patients stick to their treatments.
Unitaid’s TB portfolio has nearly doubled over the past two years reaching about US$ 250 million. In 2020, the organization was ranked as one of the world’s largest multilateral funder in TB research and development and first for pediatric TB research.
Unitaid’s work in TB:
Media contact: Maggie Zander | +41 79 593 17 74 | zanderm@unitaid.who.int
Unitaid veut investir dans des outils de diagnostic efficaces pour améliorer le dépistage de la tuberculose
Genève – Unitaid a le plaisir d’annoncer le lancement d’un nouvel appel à propositions dans le domaine des nouveaux outils de diagnostics pour la détection de la tuberculose.
Les progrès réalisés dans la lutte contre la tuberculose ne sont pas suffisants pour atteindre les objectifs mondiaux. Le Rapport mondial de l’OMS sur la tuberculose de 2020 montre peu de changement depuis l’année précédente. En 2019, près de 1,4 million de personnes sont décédées de la tuberculose. Sur les 10 millions de personnes estimées atteintes de tuberculose cette année-là, environ 3 millions d’entre elles n’ont pas été diagnostiquées ou n’ont pas été officiellement déclarées aux autorités nationales. La tuberculose continue d’être l’une des principales maladies infectieuses mortelles dans le monde, touchant en particulier les populations les plus vulnérables. Malgré les progrès récents réalisés en matière de traitement et de diagnostic, les outils existants sont inadéquats et/ou sous-utilisés pour combler l’écart dans l’identification des cas restants.
En outre, la pandémie de COVID-19 a commencé à annuler les progrès réalisés à ce jour. Les programmes de lutte contre la tuberculose et les chaînes d’approvisionnement souffrent de perturbations majeures et l’on observe une réduction substantielle du nombre de personnes diagnostiquées et en demande de soins.
Dans ce contexte, il est nécessaire de disposer d’outils de diagnostic rapide capables de tester de nombreux agents pathogènes et d’être mis en œuvre dans les établissements de soins de santé primaires, y compris les dispensaires locaux, les cabinets médicaux, les centres de santé, ou par des agents de santé communautaires lors de visites à domicile. Les progrès effectués en matière de recherche des contacts et de diagnostic de la COVID-19 offrent des possibilités d’adaptation et de valorisation de ces outils pour la tuberculose.
Sans une intervention conséquente visant à combler le manque de dépistage des cas de tuberculose, la transmission de la tuberculose restera incontrôlable, perpétuant l’épidémie de tuberculose et entraînant une morbidité et une mortalité persistantes.
A travers cet appel à propositions, Unitaid sollicite des projets visant à apporter des solutions de diagnostic innovantes dans la chaîne de soins afin de garantir qu’une personne atteinte de tuberculose reçoive un diagnostic rapide et fiable qui l’oriente vers des soins appropriés, sauvant ainsi des vies et contribuant à atteindre les objectifs mondiaux d’éradication de l’épidémie de tuberculose.
La date limite de réception des propositions complètes est fixée au lundi 24 mai 2021 à 12 h 00 (midi) CET.
A propos des appels à proposition d’Unitaid
Au moyen d’appels à propositions, Unitaid identifie les partenaires les mieux qualifiés pour mettre en œuvre les projets innovants les plus prometteurs. Un comité de revue composé d’experts indépendants en santé mondiale aide à sélectionner les meilleures propositions à travers une procédure compétitive. Ces partenaires reçoivent des subventions de la part d’Unitaid afin d’accélérer l’accès aux médicaments, technologies et systèmes de santé les plus efficaces et d’en réduire leurs coûts. Les investissements d’Unitaid garantissent la viabilité des innovations en matière de santé, permettant ainsi aux organisations partenaires de les rendre accessibles au plus grand nombre.
Contact pour les médias: Maggie Zander | +41 79 593 17 74 | zanderm@unitaid.who.int