ongoing

REVIVE is an international multi-centre trial to evaluate azithromycin prophylaxis to reduce excess mortality among people with advanced HIV disease and CD4 count of 100 cells/mm3 or less.

Azithromycin, provided for 4 weeks together with antiretroviral therapy, will be compared with matching placebo and given on a background of standard of care for advanced HIV disease, as determined by relevant local guidelines.

Primary outcome:
All-cause mortality at 24 weeks after randomization

Secondary outcomes:
• All-cause mortality at 12 weeks
• Hospitalization at 24 weeks
• Composite of hospitalization and all-cause mortality at 24 weeks

Sub-studies will evaluate additional outcomes of interest including cause of death and carriage of antimicrobial resistant pathogens, as well cost-effectiveness of azithromycin.

For inquiries about the REVIVE study, please don’t hesitate to reach out to the research team at revive@phri.ca.

REVIVE design and countries
Study Type

Interventional-Drug

Study Design

Double blinded, placebo-controlled

NO. of Countries

6 (vanguard); 13 (main trial)

NO. of Sites

20 (vanguard); 150 (main trial)

NO. of Participants

8000

Study Period

2023-2026

Sponsor

Population Health Research Institute

University of Cape Town

Bill & Melinda Gates Foundation

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