Could a common antibiotic cut deaths in advanced HIV?

NCT ID NCT05580666

First seen Jun 26, 2026 · Last updated Jun 26, 2026

Summary

This study tests whether taking the antibiotic azithromycin can reduce deaths in adults with advanced HIV. Researchers will give either azithromycin or a placebo to 8,000 participants and track who dies over 24 weeks. The goal is to see if this simple, cheap drug can save lives in this high-risk group.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

Azithromycin (an antibiotic)

What this could lead to

If it works, this could provide a simple, low-cost way to reduce early deaths in people with advanced HIV.

What could go wrong

This is a large phase 3 trial, but azithromycin is an antibiotic, not an antiviral, so it may not reduce HIV-related deaths. Risks include antibiotic resistance and side effects like stomach upset.

Disclaimer Read more

This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Conditions

The condition(s) this trial relates to.

AIDS

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Study contacts

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

Locations

  • 34 Military Hospital

    RECRUITING

    Freetown, Sierra Leone

    Contact Email: •••••@•••••

  • Adama Hospital Medical College

    RECRUITING

    Ādama, Ethiopia

    Contact Email: •••••@•••••

  • Africa Health Research Institute (AHRI)- Hluhluwe Clinic

    NOT_YET_RECRUITING

    Hluhluwe, South Africa

    Contact

  • Africa Health Research Institute (AHRI)- KwaMsane Clinic

    NOT_YET_RECRUITING

    Mtubatuba, South Africa

    Contact

  • Africa Health Research Institute (AHRI)- Mpukunyoni Clinic

    NOT_YET_RECRUITING

    Mtubatuba, South Africa

    Contact

  • Africa Health Research Institute (AHRI)- Mtubatuba Clinic

    NOT_YET_RECRUITING

    Mtubatuba, South Africa

    Contact

  • Africa Health Research Institute (AHRI)- Nkundusi Clinic

    NOT_YET_RECRUITING

    Hlabisa, South Africa

    Contact

  • Africa Health Research Institute (AHRI)- Somkhele Clinic

    NOT_YET_RECRUITING

    Mtubatuba, South Africa

    Contact

  • Aminu Kano Teaching Hospital

    NOT_YET_RECRUITING

    Kano, Nigeria

    Contact

  • Asella Referral and Teaching Hospital

    RECRUITING

    Āsela, Ethiopia

    Contact Email: •••••@•••••

  • Centre Hospitalier Universitaire de Kigali (CHUK)

    NOT_YET_RECRUITING

    Kigali, Rwanda

    Contact

  • Centre Intégré de Recherches Biocliniques d'Abidjan (CIRBA)

    NOT_YET_RECRUITING

    Abidjan, Côte d’Ivoire

    Contact

  • Centre médical de suivi des donneurs de sang (CMSDS)

    NOT_YET_RECRUITING

    Abidjan, Côte d’Ivoire

    Contact

  • College of Medicine and Allied Health Sciences, University of Sierra Leone

    RECRUITING

    Freetown, Sierra Leone

    Contact

  • Desmond Tutu Health Foundation

    NOT_YET_RECRUITING

    Cape Town, South Africa

    Contact

  • Faculty of Medicine, Eduardo Mondlane University

    NOT_YET_RECRUITING

    Maputo, Mozambique

    Contact

  • Federal Medical Center

    NOT_YET_RECRUITING

    Umuahia, Nigeria

    Contact

  • Groote Schuur Hospital -New main building, Infectious Disease Clinic G26

    NOT_YET_RECRUITING

    Cape Town, South Africa

    Contact

  • Jimma University Hospital

    RECRUITING

    Jimma, Ethiopia

    Contact Email: •••••@•••••

  • Jos University Teaching Hospital

    ACTIVE_NOT_RECRUITING

    Jos, Nigeria

  • Kenema Regional Hospital

    RECRUITING

    Kenema, Sierra Leone

    Contact Email: •••••@•••••

  • Koidu Government Hospital

    RECRUITING

    Koidu, Sierra Leone

    Contact Email: •••••@•••••

  • Komfo Anokye Teaching Hospital

    NOT_YET_RECRUITING

    Kumasi, Ghana

    Contact

  • Kumasi South Hospital

    RECRUITING

    Kumasi, Ghana

    Contact Email: •••••@•••••

  • Lagos University Teaching Hospital

    RECRUITING

    Lago, Nigeria

    Contact

  • Lilongwe Medical Relief Fund/UNC Project

    NOT_YET_RECRUITING

    Lilongwe, Malawi

    Contact

  • Livingstone hospital

    RECRUITING

    Port Elizabeth, South Africa

    Contact Email: •••••@•••••

  • MUJHU

    RECRUITING

    Kampala, Uganda

    Contact Email: •••••@•••••

  • Makeni Regional Hospital

    RECRUITING

    Makeni, Sierra Leone

    Contact Email: •••••@•••••

  • Mbarara Regional Referral hospital

    RECRUITING

    Mbarara, Uganda

    Contact

  • New Somerset Hospital

    RECRUITING

    Cape Town, South Africa

    Contact

  • Niger Delta University Teaching Hospital

    NOT_YET_RECRUITING

    Yenagoa, Nigeria

    Contact

  • Right to Care NPC, Esizayo Division

    COMPLETED

    Randburg, South Africa

  • SICRA Kampala

    RECRUITING

    Kampala, Uganda

    Contact Email: •••••@•••••

  • SICRA Lira

    RECRUITING

    Lira, Uganda

    Contact Email: •••••@•••••

  • Steve Biko Academic Hospital, University of Pretoria

    RECRUITING

    Pretoria, South Africa

    Contact

  • Suntreso Government Hospital

    RECRUITING

    Kumasi, Ghana

    Contact Email: •••••@•••••

  • The Aurum Institute

    NOT_YET_RECRUITING

    Klerksdorp, South Africa

    Contact

  • The Aurum Institute

    NOT_YET_RECRUITING

    Rustenburg, South Africa

    Contact

  • The Center for Infectious Disease Research in Zambia (CIDRZ)- George Clinical Research Site

    NOT_YET_RECRUITING

    Lusaka, Zambia

    Contact

  • The Center for Infectious Disease Research in Zambia (CIDRZ)- Matero Clinical Research Site

    NOT_YET_RECRUITING

    Lusaka, Zambia

    Contact

  • The Center for Infectious Disease Research in Zambia (CIDRZ)-Chawama Clinical Research Site (CRS)

    NOT_YET_RECRUITING

    Lusaka, Zambia

    Contact

  • Tigray health research institute (THRI)

    NOT_YET_RECRUITING

    Mek'ele, Ethiopia

    Contact Email: •••••@•••••

  • Ubuntu Clinic, Site B, Khayelitsha, Wellcome Centre

    RECRUITING

    Cape Town, South Africa

    Contact

  • Unité de Soins Ambulatoires et de conseils (USAC)

    NOT_YET_RECRUITING

    Abidjan, Côte d’Ivoire

    Contact

  • University College Hospital

    RECRUITING

    Ibadan, Nigeria

    Contact

  • University of Abuja Teaching Hospital

    NOT_YET_RECRUITING

    Abuja, Nigeria

    Contact

  • University of Calabar Teaching Hospital

    NOT_YET_RECRUITING

    Calabar, Nigeria

    Contact

  • University of Nigeria Teaching Hospital

    RECRUITING

    Enugu, Nigeria

    Contact

  • University of Uyo Teaching Hospital

    ACTIVE_NOT_RECRUITING

    Uyo, Nigeria

  • Usmanu Danfodiyo University Teaching Hos

    ACTIVE_NOT_RECRUITING

    Sokoto, Nigeria

  • Wits Health Consortium (Pty) Ltd

    RECRUITING

    Johannesburg, South Africa

    Contact