Status:
RECRUITING
Promoting HIV Risk Reduction Among People Who Inject Drugs: A Stepped Care Approach Using Contingency Management With PrEP Adherence and Support Services
Lead Sponsor:
Yale University
Collaborating Sponsors:
National Institute on Drug Abuse (NIDA)
Conditions:
Opioid-use Disorder
HIV Prevention Program
Eligibility:
All Genders
18+ years
Phase:
NA
Brief Summary
The proposed study will be a 24-week intervention with a 12-month follow-up period to evaluate the impact of contingency management with stepped care to pre-exposure prophylaxis (PrEP) adherence and s...
Detailed Description
Consistent with a Hybrid Effectiveness-Implementation Type 1 design, this is a multi-site randomized clinical trial designed to evaluate the effectiveness of Contingency Management with stepped care t...
Eligibility Criteria
Inclusion
- Inclusion Criteria:
- Aims 1 and 2:
- Receive or willing to receive care at one of the participating study sites
- Have a recent negative HIV test with no concern for acute HIV
- Report injection drug use in their lifetime
- Meet PrEP eligibility criteria by either a) sharing of injection or drug preparation equipment; b) sexual risk behaviors (i.e. condomless sex or STI) in the past 6 months
- Meet Diagnostic and Statistical Manual of Mental Disorders - 5th edition (DSM5) criteria for opioid use disorder
- Have a phone or use of a household member's phone
- Provide written informed consent
- Aim 3:
- Currently employed at one of the participating study sites
- Willing to complete a web-based survey
- Exclusion criteria:
- Aims 1 and 2:
- Currently prescribed PrEP
- Self-report or urine test confirming pregnancy, breastfeeding, or trying to conceive
- Any plans that would preclude study completion (surgery, major medical treatment or conditions, incarceration, travel out of state or country.)
- Inability to provide at least one collateral contact for a friend or family member.
- Non-English speaking (for sites without Spanish-speaking staff)
- Have kidney disease (a contraindication to PrEP)
- Aim 3:
- 1\. Non-English speaking
Exclusion
Key Trial Info
Start Date :
October 4 2021
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
June 30 2026
Estimated Enrollment :
526 Patients enrolled
Trial Details
Trial ID
NCT04738825
Start Date
October 4 2021
End Date
June 30 2026
Last Update
June 13 2025
Active Locations (6)
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1
Recovery Network of Programs, Inc
Bridgeport, Connecticut, United States, 06484
2
Liberations Program, Inc
Bridgeport, Connecticut, United States, 06604
3
Apex Community Care. Inc.
Danbury, Connecticut, United States, 06810
4
Greater Hartford Harm Reduction Coalition- SWAN
New Haven, Connecticut, United States, 06511