Skip to main content

Table 2 EMPIRICAL endpoints and outcomes

From: Empirical treatment against cytomegalovirus and tuberculosis in HIV-infected infants with severe pneumonia: study protocol for a multicenter, open-label randomized controlled clinical trial

Variable/outcome

Hypothesis

Outcome measure

Method of analysis

Primary

Intervention improves survival at 15d and 1y

All-cause Mortality rate

Generalized Linear Mixed Models

Mortality (rate incidence/person)

Event mortality

Generalized Linear Mixed Models (Logistic)

Mortality (dichotomous)

Time-to-event

Flexible splines survival analysis and Kaplan Meier

Secondary

Serious adverse events

Non-superiority of treatment arms

Event rate (density incidence person-year)

Chi-squared/Fisher-test

Generalized Linear Mixed Models (Poisson)

Kaplan-Meier

Serious adverse reactions

Non-superiority of treatment arms

Unexpected Serious Adverse reactions

Non-superiority of treatment arms

Withdrawal treatment due to AEs

Occurrence

Proportions of withdrawals of treatment

Chi-squared/ Fisher-test

Cumulative days of hospitalization

Improvement with treatment arms

Days of hospitalization

T-test/Kruskal-test

Duration of oxygen requirements

Improvement with treatment arms

Days with oxygen therapy

T-test/Kruskal-test

Incidence of TB-related immune-reconstitution inflammatory syndrome (IRIS)

Occurrence

Proportions of IRIS cases

Chi-squared/ Fisher-test

CMV prevalence

At least 60% of participants

Proportion of participants with PCR+ in saliva

Chi-squared/ Fisher-test

TB prevalence

At least 15% of participants

Proportion of participants with TB test +

Chi-squared/ Fisher-test

TB incidence

Improvement with treatment arms

Proportion of participants with TB

Chi-squared/ Fisher-test

CMV viral load reduction at 15 days

Improvement with treatment arms

Change in qualitative CMV viral load in urine

Chi-squared/ Fisher-test

TB-LAM accuracy

TB-LAM improve TB diagnosis accuracy compare to GeneXpert Ultra in feces and nasopharyngeal aspirate (NPA).

Sensitivity and specificity of both diagnostic techniques

AUC curves and Kappa Index

Death due to TB

Improvement with TB-T

TB death according to the cause of death test

Chi-squared/ Fisher-test

Death due to CMV

Improvement with CMV

CMV death according to the cause of death test

Chi-squared/ Fisher-test

Quality-adjusted life expectancy

Quality-adjusted life expectancy improvement with treatment arms

Quality-adjusted life expectancy

Chi-squared/ Fisher-test

Per-patient cost

Inferiority with treatment arms

Per-patient cost

T-test/Kruskal-test