[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"cryptococcal-antigenemia\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:cryptococcal-antigenemia":25},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,1,0,[8],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":13,"acronym":4,"eligibilityCriteria":14,"healthyVolunteers":11,"sex":15,"minAge":16,"maxAge":4,"enrollmentInfo":17,"targetDuration":4,"studyType":20,"phases":21,"briefSummary":23,"conditions":24,"keywords":29,"overallStatus":42,"whyStopped":4,"lastUpdateSubmitDate":43,"lastUpdatePostDateStruct":44,"startDateStruct":47,"completionDateStruct":49,"leadSponsor":51,"locationsCount":5},"100650292","phase-3-optimizing-care-for-cryptococcal-antigenemia-evaluation-of-short-course-fluconazole-and-art-timing-among-crag-persons-with-low-titers-100650292",false,"NCT07743593","Optimizing Care for Cryptococcal Antigenemia: Evaluation of Short Course Fluconazole and ART Timing Among CrAg+ Persons With Low Titers","Inclusion Criteria:\n\n* HIV-1 infection\n* Age greater than 18 years\n* Ability and willingness to give informed consent\n* Plasma or serum cryptococcal antigen positive with titer less than 1:160\n\nExclusion Criteria:\n\n* Cannot or unlikely to attend regular clinic visits\n* History of cryptococcal infection\n* Symptomatic meningitis confirmed by cerebrospinal fluid cryptococcal antigen positivity\n* More than 10 weeks of fluconazole therapy\n* Pregnancy confirmed by urinary or serum pregnancy test\n* Current breastfeeding","ALL","18 Years",{"count":18,"type":19},505,"ESTIMATED","INTERVENTIONAL",[22],"PHASE3","This randomized clinical trial will evaluate the optimal duration of fluconazole therapy and timing of antiretroviral therapy initiation among HIV-infected persons with asymptomatic cryptococcal antigenemia and low cryptococcal antigen titers in Uganda.\n\nParticipants with low-titer cryptococcal antigenemia will be followed to assess whether a shorter 10-week course of fluconazole is non-inferior to the standard 24-week fluconazole regimen for 24-week cryptococcal meningitis-free survival. Among participants eligible for antiretroviral therapy timing randomization, the study will also compare immediate antiretroviral therapy initiation with delayed initiation after 14 days to evaluate 10-week hospitalization-free survival.\n\nParticipants will be followed for up to 24 weeks, with study visits and contacts to assess survival, cryptococcal meningitis, hospitalizations, adverse events, and fluconazole adherence.",[25,26,27,28],"Cryptococcal Antigenemia","HIV-1-infection","Cryptococcal Infection","Cryptococcal Meningitis",[30,31,32,33,34,35,36,37,38,39,40,41],"Cryptococcal antigen","CrAg","Fluconazole","Fluconazole Short-course fluconazole","Low CrAg titer","Immediate ART","Advanced HIV disease","Cryptococcal meningitis-free survival","Hospitalization-free survival","Uganda","ART initiation","Antiretroviral therapy","NOT_YET_RECRUITING","2026-07-30",{"date":45,"type":46},"2026-08-04","ACTUAL",{"date":48,"type":19},"2026-09-01",{"date":50,"type":19},"2031-08-30",{"name":52,"class":53},"University of Minnesota","OTHER"]