Trial Outcomes & Findings for PrEP iT! Mobile App Intervention (NCT NCT04509076)

NCT ID: NCT04509076

Last Updated: 2023-07-07

Results Overview

Adherence thresholds estimated through analysis of tenofovir diphosphate (TVF-DP) levels from dried blood spot (DBS) specimens were used to categorize each participant as having a high protective level (i.e., a high likelihood of protection from HIV) of PrEP (800 or greater of emtricitabine-tenofovir disoproxil fumarate \[FTC-TDF\] and 950 or greater of FTC-tenofovir alafenamide \[FTC-TAF\]) or not. Results reported here are for high protective levels of PrEP.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

80 participants

Primary outcome timeframe

6-month follow up assessment

Results posted on

2023-07-07

Participant Flow

Participant milestones

Participant milestones
Measure
PrEP iT! (Plus Usual PrEP Care)
The PrEP iT! intervention is a mobile-optimized website with components tailored for young men who have sex with men on PrEP. PrEP iT! (plus usual PrEP care): The PrEP iT! intervention is a mobile-optimized website, with the following components: * PrEP Adherence, PrEP Appointment, and Sexual Activity Self-Monitoring * Tailored feedback on PrEP adherence/non-adherence * PrEP and sexual health information tailored for YMSM * Text message reminders for PrEP adherence and healthcare appointments * An "ask the expert" feature
Usual PrEP Care Only
Clinic visits every 3 months in the initial period following PrEP initiation, including HIV/STI screening and laboratory toxicity testing Usual PrEP care: Clinic visits every 3 months in the initial period following PrEP initiation, including HIV/STI screening and laboratory toxicity testing
Overall Study
STARTED
40
40
Overall Study
COMPLETED
38
36
Overall Study
NOT COMPLETED
2
4

Reasons for withdrawal

Reasons for withdrawal
Measure
PrEP iT! (Plus Usual PrEP Care)
The PrEP iT! intervention is a mobile-optimized website with components tailored for young men who have sex with men on PrEP. PrEP iT! (plus usual PrEP care): The PrEP iT! intervention is a mobile-optimized website, with the following components: * PrEP Adherence, PrEP Appointment, and Sexual Activity Self-Monitoring * Tailored feedback on PrEP adherence/non-adherence * PrEP and sexual health information tailored for YMSM * Text message reminders for PrEP adherence and healthcare appointments * An "ask the expert" feature
Usual PrEP Care Only
Clinic visits every 3 months in the initial period following PrEP initiation, including HIV/STI screening and laboratory toxicity testing Usual PrEP care: Clinic visits every 3 months in the initial period following PrEP initiation, including HIV/STI screening and laboratory toxicity testing
Overall Study
Withdrawal by Subject
1
2
Overall Study
Lost to Follow-up
1
2

Baseline Characteristics

PrEP iT! Mobile App Intervention

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
PrEP iT! (Plus Usual PrEP Care)
n=40 Participants
The PrEP iT! intervention is a mobile-optimized website with components tailored for young men who have sex with men on PrEP. PrEP iT! (plus usual PrEP care): The PrEP iT! intervention is a mobile-optimized website, with the following components: * PrEP Adherence, PrEP Appointment, and Sexual Activity Self-Monitoring * Tailored feedback on PrEP adherence/non-adherence * PrEP and sexual health information tailored for YMSM * Text message reminders for PrEP adherence and healthcare appointments * An "ask the expert" feature
Usual PrEP Care Only
n=40 Participants
Clinic visits every 3 months in the initial period following PrEP initiation, including HIV/STI screening and laboratory toxicity testing Usual PrEP care: Clinic visits every 3 months in the initial period following PrEP initiation, including HIV/STI screening and laboratory toxicity testing
Total
n=80 Participants
Total of all reporting groups
Age, Continuous
24.9 years
STANDARD_DEVIATION 2.70 • n=99 Participants
25.3 years
STANDARD_DEVIATION 2.62 • n=107 Participants
25.1 years
STANDARD_DEVIATION 2.65 • n=206 Participants
Sex/Gender, Customized
Male
39 Participants
n=99 Participants
39 Participants
n=107 Participants
78 Participants
n=206 Participants
Sex/Gender, Customized
Gender nonbinary
1 Participants
n=99 Participants
1 Participants
n=107 Participants
2 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
9 Participants
n=99 Participants
9 Participants
n=107 Participants
18 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
31 Participants
n=99 Participants
31 Participants
n=107 Participants
62 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Asian
8 Participants
n=99 Participants
8 Participants
n=107 Participants
16 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
7 Participants
n=99 Participants
6 Participants
n=107 Participants
13 Participants
n=206 Participants
Race (NIH/OMB)
White
25 Participants
n=99 Participants
26 Participants
n=107 Participants
51 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Region of Enrollment
United States
40 participants
n=99 Participants
40 participants
n=107 Participants
80 participants
n=206 Participants

PRIMARY outcome

Timeframe: 6-month follow up assessment

Adherence thresholds estimated through analysis of tenofovir diphosphate (TVF-DP) levels from dried blood spot (DBS) specimens were used to categorize each participant as having a high protective level (i.e., a high likelihood of protection from HIV) of PrEP (800 or greater of emtricitabine-tenofovir disoproxil fumarate \[FTC-TDF\] and 950 or greater of FTC-tenofovir alafenamide \[FTC-TAF\]) or not. Results reported here are for high protective levels of PrEP.

Outcome measures

Outcome measures
Measure
PrEP iT! (Plus Usual PrEP Care)
n=27 Participants
The PrEP iT! intervention is a mobile-optimized website with components tailored for young men who have sex with men on PrEP. PrEP iT! (plus usual PrEP care): The PrEP iT! intervention is a mobile-optimized website, with the following components: * PrEP Adherence, PrEP Appointment, and Sexual Activity Self-Monitoring * Tailored feedback on PrEP adherence/non-adherence * PrEP and sexual health information tailored for YMSM * Text message reminders for PrEP adherence and healthcare appointments * An "ask the expert" feature
Usual PrEP Care Only
n=24 Participants
Clinic visits every 3 months in the initial period following PrEP initiation, including HIV/STI screening and laboratory toxicity testing Usual PrEP care: Clinic visits every 3 months in the initial period following PrEP initiation, including HIV/STI screening and laboratory toxicity testing
High Protective Level of PrEP Adherence From Tenofovir Diphosphate (TVF-DP) Levels
13 Participants
15 Participants

PRIMARY outcome

Timeframe: 6-month follow up assessment

Participants were asked at the month 6 survey to respond to the following item: "In the past 7 days, how many days did you take PrEP?" Response options ranging from 0 days to 7 days, with 1 day increments. Responses of 4, 5, 6, or 7 days were categorized as having a high protective level of PrEP (i.e., a high likelihood of protection from HIV). Results reported here are for high protective levels of PrEP.

Outcome measures

Outcome measures
Measure
PrEP iT! (Plus Usual PrEP Care)
n=38 Participants
The PrEP iT! intervention is a mobile-optimized website with components tailored for young men who have sex with men on PrEP. PrEP iT! (plus usual PrEP care): The PrEP iT! intervention is a mobile-optimized website, with the following components: * PrEP Adherence, PrEP Appointment, and Sexual Activity Self-Monitoring * Tailored feedback on PrEP adherence/non-adherence * PrEP and sexual health information tailored for YMSM * Text message reminders for PrEP adherence and healthcare appointments * An "ask the expert" feature
Usual PrEP Care Only
n=35 Participants
Clinic visits every 3 months in the initial period following PrEP initiation, including HIV/STI screening and laboratory toxicity testing Usual PrEP care: Clinic visits every 3 months in the initial period following PrEP initiation, including HIV/STI screening and laboratory toxicity testing
Proportion of Participants With High Self-reported PrEP Adherence in the Past 7 Days
27 Participants
22 Participants

Adverse Events

PrEP iT! (Plus Usual PrEP Care)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Usual PrEP Care Only

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

D. Keith Horvath, Professor of Psychology

San Diego State University

Phone: 619-594-3346

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place