Expanded PrEP Implementation in Communities in NSW
NCT02870790 · Status: COMPLETED · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 9733
Last updated 2021-02-17
Summary
A new NSW Ministry of Health HIV Strategy released on 1 December 2015 aims for the virtual elimination of HIV transmission in NSW by 2020. Critical to the new strategy's success is the population-based, targeted roll-out of HIV PrEP. PrEP involves taking one pill daily of co-formulated tenofovir disoproxil fumarate (TDF)/ emtricitabine (FTC). This large-scale study aims for the rapid roll-out of TDF/FTC to individuals at high risk of HIV, who will comprise mostly gay and bisexual men (GBM) but will also include small numbers of heterosexuals, injecting drug users, and transgender men and women. The drug will be used according to existing NSW Ministry of Health Guidelines. By rapidly rolling out this new intervention over a 12 month period, and following participants for two years on treatments, a reduction of about 50% in new HIV diagnoses in NSW is expected.
The study aims to assess the incidence of HIV among PrEP study participants and measure the population-level impact of the rapid roll-out of PrEP on HIV diagnoses among GBM in NSW over a two-year period.
It will also evaluate the rate of PrEP uptake among high risk GBM in NSW, assess the incidence of STI (gonorrhoea, chlamydia and infectious syphilis) among people prescribed PrEP and measure the effect of the rapid roll-out of PrEP on the overall number of notifications of gonorrhoea, chlamydia and infectious syphilis in NSW, describe patterns of PrEP use and medication adherence, and monitor behavioural risk practices among PrEP users.
The main population group will be more than 3700 gay men at high risk of HIV infection. All procedures of this study are guided by the NSW Guidelines on PrEP.
Protocol Co-Chairs Professor David Cooper, Professor Andrew Grulich. Project Manager: Barbara Yeung
Conditions
- HIV
- STI
Interventions
- DRUG
-
TDF/FTC
one pill daily
Sponsors & Collaborators
-
Kirby Institute
lead OTHER_GOV
Principal Investigators
-
David Cooper, MD, PhD · The Kirby Institute, UNSW Sydney
-
Andrew Grulich, MD, PhD · The Kirby Institute, UNSW Sydney
Study Design
- Allocation
- NA
- Purpose
- PREVENTION
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- MALE
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2016-03-31
- Primary Completion
- 2019-03-31
- Completion
- 2020-10-31
Countries
- Australia
Study Locations
More Related Trials
-
Trial to Assess the Impact of PrEP to Tenofovir Gel on the Efficacy of Tenofovir-containing ART on Viral Suppression
NCT01387022 ·Status: COMPLETED ·Phase: NA
-
Biomarkers for Event-driven PrEP Adherence
NCT04298697 ·Status: COMPLETED ·Phase: PHASE4
-
HIV Pre-exposure Prophylaxis Implementation Hong Kong Study
NCT04367688 ·Status: COMPLETED
-
Study to Evaluate Switching From a Regimen Consisting of the Efavirenz/Emtricitabine/Tenofovir Disoproxil Fumarate Single-Tablet Regimen (STR) to the Emtricitabine/Rilpivirine/Tenofovir Disoproxil Fumarate STR
NCT01286740 ·Status: COMPLETED ·Phase: PHASE2
-
A Pilot Study of Pre-Exposure Prophylaxis (PrEP) to Evaluate Safety, Acceptability, and Adherence in At-Risk Populations in Kenya, Africa
NCT00971230 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Evaluation of the Cellular Pharmacology of Tenofovir and Emtricitabine According to HIV Infection Status
NCT01040091 ·Status: COMPLETED ·Phase: PHASE1
-
Single Tablet Regimen (STR) Simplification Study for HIV-1 Infected Patients
NCT00365612 ·Status: COMPLETED ·Phase: PHASE4
-
Dose-Proportionality and Intra-Individual Variability of Intracellular TFV-DP and FTC-TP in Healthy Volunteers
NCT01276600 ·Status: COMPLETED ·Phase: PHASE1
-
The Tolerability of, and Adherence to, Dolutegravir With Co-formulated Tenofovir-emtricitabine for HIV Non-occupational Post-exposure Prophylaxis
NCT02211690 ·Status: COMPLETED ·Phase: PHASE4
-
The Women TDF-FTC Benchmark Study
NCT05057858 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Implementation of PrEP to HIV in Brazilian Transgender Women
NCT03220152 ·Status: UNKNOWN ·Phase: PHASE4
-
Rapid Antiretroviral Treatment Initiation With BIC/FTC/TAF in HIV-infected People Who Inject Drugs (PWID)
NCT07004933 ·Status: COMPLETED
-
A Study to Evaluate the Efficacy and Safety of (D/C/F/TAF) Once Daily Fixed Dose Combination (FDC) Regimen in Newly Diagnosed, Antiretroviral Treatment-naive Human Immunodeficiency Virus Type 1 (HIV-1) Infected Participants Receiving Care in a Test and Treat Model of Care
NCT03227861 ·Status: COMPLETED ·Phase: PHASE3
-
A Pharmacokinetic Evaluation of Tenofovir/Emtricitabine as HIV Pre-Exposure Prophylaxis in Transgender Women
NCT03270969 ·Status: COMPLETED ·Phase: PHASE1
-
Validation of a Urine Assay to Measure Tenofovir Levels in Patients Taking Tenofovir Alafenamide
NCT03350672 ·Status: COMPLETED ·Phase: PHASE4
-
The Stay Study: A Demonstration Project Advancing PrEP Delivery in the San Francisco Bay Area Transgender Community
NCT03120936 ·Status: COMPLETED ·Phase: PHASE4
-
Pre-Exposure Prophylaxis in the Emergency Department
NCT04429971 ·Status: COMPLETED ·Phase: NA
-
Effect of Tenofovir/Emtricitabine in Patients Recently Infected With SARS-COV2 (Covid-19) Discharged Home
NCT04685512 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Switch Study to Evaluate F/TAF in HIV-1 Positive Participants Who Are Virologically Suppressed on Regimens Containing FTC/TDF
NCT02121795 ·Status: COMPLETED ·Phase: PHASE3
-
PrEPception: Expanding Assisted Reproductive Options for Serodiscordant Couples
NCT02233192 ·Status: COMPLETED
-
A Pharmacist-run PrEP Program for Women
NCT05755204 ·Status: TERMINATED
-
A Pilot Study on Raltegravir, Tenofovir and Emtricitabine for Peri-exposure Prophylaxis for HIV Infection
NCT01697046 ·Status: UNKNOWN ·Phase: PHASE3
-
A Study Evaluating Implementation Strategies for the Delivery of APRETUDE for Black cis-and Transgender Women in United States EHE Territories
NCT05514509 ·Status: COMPLETED ·Phase: PHASE4
-
Study to Evaluate Switching From Regimens Consisting of a Ritonavir-boosted Protease Inhibitor (PI) and Two Nucleoside Reverse Transcriptase Inhibitors (NRTIs) to a Fixed-dose Tablet Containing Emtricitabine/Rilpivirine/Tenofovir DF
NCT01252940 ·Status: COMPLETED ·Phase: PHASE3
-
Efficacy of Tenofovir Alafenamide Versus Placebo Added to a Failing Regimen Followed by Treatment With Elvitegravir/Cobicistat/Emtricitabine/Tenofovir Alafenamide Plus Atazanavir in HIV-1 Positive, Antiretroviral Treatment-Experienced Adults
NCT01967940 ·Status: COMPLETED ·Phase: PHASE3