Trial Outcomes & Findings for A Peer-Driven Intervention to Increase PrEP Uptake Among Minority MSM (NCT NCT05161663)

NCT ID: NCT05161663

Last Updated: 2026-05-19

Results Overview

Participant self-report of having initiated PrEP medication at any point between the baseline visit and the 6-month follow-up. Data represent the number of participants who provided a 'Yes' response to the assessment question: 'Have you started taking PrEP since your last visit?

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

98 participants

Primary outcome timeframe

0-6 months

Results posted on

2026-05-19

Participant Flow

Recruitment Period Dates: July 2022 - September 2024. Recruitment Methods The study used a two-arm recruitment strategy: Venue-Based (Control): In-person recruitment at an outpatient STI clinic in Rhode Island. Outreach at LGBTQ+ nightlife venues (bars, clubs) and a university LGBTQ+ center. Distribution of flyers and coasters with QR codes. Peer-Driven Intervention (PDI): Peer Educators recruited members of their social networks. Five electronic referral cards per peer educator.

No significant events or deviations occurred between enrollment and group assignment; all participants proceeded directly to baseline assessments and standardized PrEP counseling as per protocol.

Participant milestones

Participant milestones
Measure
PDI Group
In this group, participants will receive education about HIV and pre-exposure prophylaxis (PrEP) and be referred to our study by peer educators. Referred participants will have free PrEP counseling and receive referrals if interested. We will follow up at three and six months and check participants' PrEP status.
Control Group
In the control group, participants do not receive any education from peers and will be directly recruited by research assistants from venues (e.g. gay bars, LGBTQ communities, LGBTQ events, and social media advertisements). Participants will receive PrEP counseling and referral if interested. We will follow up at three and six months and check participants' PrEP status.
Peer Educator
Peer Educators attended a 1-hour virtual health education session 1 .
Overall Study
STARTED
13
46
39
Overall Study
COMPLETED
13
46
39
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Gender identity was self-reported by participants during the baseline assessment. Per the study's eligibility criteria, all participants were required to be assigned male at birth.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
PDI Group
n=13 Participants
In this group, participants will receive education about HIV and pre-exposure prophylaxis (PrEP) and be referred to our study by peer educators. Referred participants will have free PrEP counseling and receive referrals if interested. We will follow up at three and six months and check participants' PrEP status.
Control Group
n=46 Participants
In the control group, participants do not receive any education from peers and will be directly recruited by research assistants from venues (e.g. gay bars, LGBTQ communities, LGBTQ events, and social media advertisements). Participants will receive PrEP counseling and referral if interested. We will follow up at three and six months and check participants' PrEP status.
Peer Educator
n=39 Participants
Peer Educators attended a 1-hour virtual health education session 1 .
Total
n=98 Participants
Total of all reporting groups
Age, Continuous
24 Years
n=30 Participants
27 Years
n=30 Participants
30 Years
n=60 Participants
28 Years
n=133 Participants
Sex/Gender, Customized
Male assigned at birth only
13 Participants
n=30 Participants • Gender identity was self-reported by participants during the baseline assessment. Per the study's eligibility criteria, all participants were required to be assigned male at birth.
46 Participants
n=30 Participants • Gender identity was self-reported by participants during the baseline assessment. Per the study's eligibility criteria, all participants were required to be assigned male at birth.
39 Participants
n=60 Participants • Gender identity was self-reported by participants during the baseline assessment. Per the study's eligibility criteria, all participants were required to be assigned male at birth.
98 Participants
n=133 Participants • Gender identity was self-reported by participants during the baseline assessment. Per the study's eligibility criteria, all participants were required to be assigned male at birth.
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=30 Participants • The analysis population includes all 59 PrEP-naive participants and 39 Peer Educators who provided race information at baseline. The numbers reported in each category reflect the total count for each arm. In cases where participants identified with multiple races, they are counted within the 'More than one race' category to ensure the total count matches the number of participants assigned to each arm.
0 Participants
n=30 Participants • The analysis population includes all 59 PrEP-naive participants and 39 Peer Educators who provided race information at baseline. The numbers reported in each category reflect the total count for each arm. In cases where participants identified with multiple races, they are counted within the 'More than one race' category to ensure the total count matches the number of participants assigned to each arm.
0 Participants
n=60 Participants • The analysis population includes all 59 PrEP-naive participants and 39 Peer Educators who provided race information at baseline. The numbers reported in each category reflect the total count for each arm. In cases where participants identified with multiple races, they are counted within the 'More than one race' category to ensure the total count matches the number of participants assigned to each arm.
0 Participants
n=133 Participants • The analysis population includes all 59 PrEP-naive participants and 39 Peer Educators who provided race information at baseline. The numbers reported in each category reflect the total count for each arm. In cases where participants identified with multiple races, they are counted within the 'More than one race' category to ensure the total count matches the number of participants assigned to each arm.
Race (NIH/OMB)
Asian
0 Participants
n=30 Participants • The analysis population includes all 59 PrEP-naive participants and 39 Peer Educators who provided race information at baseline. The numbers reported in each category reflect the total count for each arm. In cases where participants identified with multiple races, they are counted within the 'More than one race' category to ensure the total count matches the number of participants assigned to each arm.
3 Participants
n=30 Participants • The analysis population includes all 59 PrEP-naive participants and 39 Peer Educators who provided race information at baseline. The numbers reported in each category reflect the total count for each arm. In cases where participants identified with multiple races, they are counted within the 'More than one race' category to ensure the total count matches the number of participants assigned to each arm.
5 Participants
n=60 Participants • The analysis population includes all 59 PrEP-naive participants and 39 Peer Educators who provided race information at baseline. The numbers reported in each category reflect the total count for each arm. In cases where participants identified with multiple races, they are counted within the 'More than one race' category to ensure the total count matches the number of participants assigned to each arm.
8 Participants
n=133 Participants • The analysis population includes all 59 PrEP-naive participants and 39 Peer Educators who provided race information at baseline. The numbers reported in each category reflect the total count for each arm. In cases where participants identified with multiple races, they are counted within the 'More than one race' category to ensure the total count matches the number of participants assigned to each arm.
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=30 Participants • The analysis population includes all 59 PrEP-naive participants and 39 Peer Educators who provided race information at baseline. The numbers reported in each category reflect the total count for each arm. In cases where participants identified with multiple races, they are counted within the 'More than one race' category to ensure the total count matches the number of participants assigned to each arm.
0 Participants
n=30 Participants • The analysis population includes all 59 PrEP-naive participants and 39 Peer Educators who provided race information at baseline. The numbers reported in each category reflect the total count for each arm. In cases where participants identified with multiple races, they are counted within the 'More than one race' category to ensure the total count matches the number of participants assigned to each arm.
0 Participants
n=60 Participants • The analysis population includes all 59 PrEP-naive participants and 39 Peer Educators who provided race information at baseline. The numbers reported in each category reflect the total count for each arm. In cases where participants identified with multiple races, they are counted within the 'More than one race' category to ensure the total count matches the number of participants assigned to each arm.
0 Participants
n=133 Participants • The analysis population includes all 59 PrEP-naive participants and 39 Peer Educators who provided race information at baseline. The numbers reported in each category reflect the total count for each arm. In cases where participants identified with multiple races, they are counted within the 'More than one race' category to ensure the total count matches the number of participants assigned to each arm.
Race (NIH/OMB)
Black or African American
0 Participants
n=30 Participants • The analysis population includes all 59 PrEP-naive participants and 39 Peer Educators who provided race information at baseline. The numbers reported in each category reflect the total count for each arm. In cases where participants identified with multiple races, they are counted within the 'More than one race' category to ensure the total count matches the number of participants assigned to each arm.
1 Participants
n=30 Participants • The analysis population includes all 59 PrEP-naive participants and 39 Peer Educators who provided race information at baseline. The numbers reported in each category reflect the total count for each arm. In cases where participants identified with multiple races, they are counted within the 'More than one race' category to ensure the total count matches the number of participants assigned to each arm.
1 Participants
n=60 Participants • The analysis population includes all 59 PrEP-naive participants and 39 Peer Educators who provided race information at baseline. The numbers reported in each category reflect the total count for each arm. In cases where participants identified with multiple races, they are counted within the 'More than one race' category to ensure the total count matches the number of participants assigned to each arm.
2 Participants
n=133 Participants • The analysis population includes all 59 PrEP-naive participants and 39 Peer Educators who provided race information at baseline. The numbers reported in each category reflect the total count for each arm. In cases where participants identified with multiple races, they are counted within the 'More than one race' category to ensure the total count matches the number of participants assigned to each arm.
Race (NIH/OMB)
White
11 Participants
n=30 Participants • The analysis population includes all 59 PrEP-naive participants and 39 Peer Educators who provided race information at baseline. The numbers reported in each category reflect the total count for each arm. In cases where participants identified with multiple races, they are counted within the 'More than one race' category to ensure the total count matches the number of participants assigned to each arm.
36 Participants
n=30 Participants • The analysis population includes all 59 PrEP-naive participants and 39 Peer Educators who provided race information at baseline. The numbers reported in each category reflect the total count for each arm. In cases where participants identified with multiple races, they are counted within the 'More than one race' category to ensure the total count matches the number of participants assigned to each arm.
28 Participants
n=60 Participants • The analysis population includes all 59 PrEP-naive participants and 39 Peer Educators who provided race information at baseline. The numbers reported in each category reflect the total count for each arm. In cases where participants identified with multiple races, they are counted within the 'More than one race' category to ensure the total count matches the number of participants assigned to each arm.
75 Participants
n=133 Participants • The analysis population includes all 59 PrEP-naive participants and 39 Peer Educators who provided race information at baseline. The numbers reported in each category reflect the total count for each arm. In cases where participants identified with multiple races, they are counted within the 'More than one race' category to ensure the total count matches the number of participants assigned to each arm.
Race (NIH/OMB)
More than one race
2 Participants
n=30 Participants • The analysis population includes all 59 PrEP-naive participants and 39 Peer Educators who provided race information at baseline. The numbers reported in each category reflect the total count for each arm. In cases where participants identified with multiple races, they are counted within the 'More than one race' category to ensure the total count matches the number of participants assigned to each arm.
6 Participants
n=30 Participants • The analysis population includes all 59 PrEP-naive participants and 39 Peer Educators who provided race information at baseline. The numbers reported in each category reflect the total count for each arm. In cases where participants identified with multiple races, they are counted within the 'More than one race' category to ensure the total count matches the number of participants assigned to each arm.
5 Participants
n=60 Participants • The analysis population includes all 59 PrEP-naive participants and 39 Peer Educators who provided race information at baseline. The numbers reported in each category reflect the total count for each arm. In cases where participants identified with multiple races, they are counted within the 'More than one race' category to ensure the total count matches the number of participants assigned to each arm.
13 Participants
n=133 Participants • The analysis population includes all 59 PrEP-naive participants and 39 Peer Educators who provided race information at baseline. The numbers reported in each category reflect the total count for each arm. In cases where participants identified with multiple races, they are counted within the 'More than one race' category to ensure the total count matches the number of participants assigned to each arm.
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=30 Participants • The analysis population includes all 59 PrEP-naive participants and 39 Peer Educators who provided race information at baseline. The numbers reported in each category reflect the total count for each arm. In cases where participants identified with multiple races, they are counted within the 'More than one race' category to ensure the total count matches the number of participants assigned to each arm.
0 Participants
n=30 Participants • The analysis population includes all 59 PrEP-naive participants and 39 Peer Educators who provided race information at baseline. The numbers reported in each category reflect the total count for each arm. In cases where participants identified with multiple races, they are counted within the 'More than one race' category to ensure the total count matches the number of participants assigned to each arm.
0 Participants
n=60 Participants • The analysis population includes all 59 PrEP-naive participants and 39 Peer Educators who provided race information at baseline. The numbers reported in each category reflect the total count for each arm. In cases where participants identified with multiple races, they are counted within the 'More than one race' category to ensure the total count matches the number of participants assigned to each arm.
0 Participants
n=133 Participants • The analysis population includes all 59 PrEP-naive participants and 39 Peer Educators who provided race information at baseline. The numbers reported in each category reflect the total count for each arm. In cases where participants identified with multiple races, they are counted within the 'More than one race' category to ensure the total count matches the number of participants assigned to each arm.
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=30 Participants • The analysis population includes all 59 PrEP-naive participants and 39 Peer Educators who provided ethnicity information at baseline. The numbers reported reflect the total count for each arm. There were no missing data points for ethnicity; therefore, the analysis population matches the total number of participants assigned to each group.
9 Participants
n=30 Participants • The analysis population includes all 59 PrEP-naive participants and 39 Peer Educators who provided ethnicity information at baseline. The numbers reported reflect the total count for each arm. There were no missing data points for ethnicity; therefore, the analysis population matches the total number of participants assigned to each group.
7 Participants
n=60 Participants • The analysis population includes all 59 PrEP-naive participants and 39 Peer Educators who provided ethnicity information at baseline. The numbers reported reflect the total count for each arm. There were no missing data points for ethnicity; therefore, the analysis population matches the total number of participants assigned to each group.
18 Participants
n=133 Participants • The analysis population includes all 59 PrEP-naive participants and 39 Peer Educators who provided ethnicity information at baseline. The numbers reported reflect the total count for each arm. There were no missing data points for ethnicity; therefore, the analysis population matches the total number of participants assigned to each group.
Ethnicity (NIH/OMB)
Not Hispanic or Latino
11 Participants
n=30 Participants • The analysis population includes all 59 PrEP-naive participants and 39 Peer Educators who provided ethnicity information at baseline. The numbers reported reflect the total count for each arm. There were no missing data points for ethnicity; therefore, the analysis population matches the total number of participants assigned to each group.
37 Participants
n=30 Participants • The analysis population includes all 59 PrEP-naive participants and 39 Peer Educators who provided ethnicity information at baseline. The numbers reported reflect the total count for each arm. There were no missing data points for ethnicity; therefore, the analysis population matches the total number of participants assigned to each group.
32 Participants
n=60 Participants • The analysis population includes all 59 PrEP-naive participants and 39 Peer Educators who provided ethnicity information at baseline. The numbers reported reflect the total count for each arm. There were no missing data points for ethnicity; therefore, the analysis population matches the total number of participants assigned to each group.
80 Participants
n=133 Participants • The analysis population includes all 59 PrEP-naive participants and 39 Peer Educators who provided ethnicity information at baseline. The numbers reported reflect the total count for each arm. There were no missing data points for ethnicity; therefore, the analysis population matches the total number of participants assigned to each group.
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=30 Participants • The analysis population includes all 59 PrEP-naive participants and 39 Peer Educators who provided ethnicity information at baseline. The numbers reported reflect the total count for each arm. There were no missing data points for ethnicity; therefore, the analysis population matches the total number of participants assigned to each group.
0 Participants
n=30 Participants • The analysis population includes all 59 PrEP-naive participants and 39 Peer Educators who provided ethnicity information at baseline. The numbers reported reflect the total count for each arm. There were no missing data points for ethnicity; therefore, the analysis population matches the total number of participants assigned to each group.
0 Participants
n=60 Participants • The analysis population includes all 59 PrEP-naive participants and 39 Peer Educators who provided ethnicity information at baseline. The numbers reported reflect the total count for each arm. There were no missing data points for ethnicity; therefore, the analysis population matches the total number of participants assigned to each group.
0 Participants
n=133 Participants • The analysis population includes all 59 PrEP-naive participants and 39 Peer Educators who provided ethnicity information at baseline. The numbers reported reflect the total count for each arm. There were no missing data points for ethnicity; therefore, the analysis population matches the total number of participants assigned to each group.
PrEP use at Baseline
0 Participants
n=30 Participants
0 Participants
n=30 Participants
39 Participants
n=60 Participants
39 Participants
n=133 Participants

PRIMARY outcome

Timeframe: 0-6 months

Population: The analysis population for the primary outcome includes only those participants who were PrEP-naive at baseline (N=59). Peer Educators (n=39) are excluded from this analysis as they were already utilizing PrEP at the time of enrollment and therefore could not meet the criteria for 'PrEP uptake.' The numbers reported for the PDI and Control groups represent all participants assigned to those arms who provided follow-up data regarding their PrEP status.

Participant self-report of having initiated PrEP medication at any point between the baseline visit and the 6-month follow-up. Data represent the number of participants who provided a 'Yes' response to the assessment question: 'Have you started taking PrEP since your last visit?

Outcome measures

Outcome measures
Measure
PDI Group
n=13 Participants
In this group, participants will receive education about HIV and pre-exposure prophylaxis (PrEP) and be referred to our study by peer educators. Referred participants will have free PrEP counseling and receive referrals if interested. We will follow up at three and six months and check participants' PrEP status.
Control Group
n=46 Participants
In the control group, participants do not receive any education from peers and will be directly recruited by research assistants from venues (e.g. gay bars, LGBTQ communities, LGBTQ events, and social media advertisements). Participants will receive PrEP counseling and referral if interested. We will follow up at three and six months and check participants' PrEP status.
Pre-exposure Prophylaxis (PrEP) Uptake
5 Participants
13 Participants

PRIMARY outcome

Timeframe: 0-6 months

Population: The analysis population includes the 59 PrEP-naive participants assigned to the PDI (n=13) and Control (n=46) groups. Peer Educators are excluded from this analysis as they were already on PrEP at baseline. The number of participants analyzed reflects those who initiated PrEP and provided follow-up data at both the 3 and 6-month time points. Any reduction in the number of participants from the total assigned to each arm is due to loss to follow-up or failure to initiate PrEP.

The number of participants who remained on PrEP medication without a gap of more than 30 days throughout the 6-month study period, as reported during follow-up interviews.

Outcome measures

Outcome measures
Measure
PDI Group
n=5 Participants
In this group, participants will receive education about HIV and pre-exposure prophylaxis (PrEP) and be referred to our study by peer educators. Referred participants will have free PrEP counseling and receive referrals if interested. We will follow up at three and six months and check participants' PrEP status.
Control Group
n=13 Participants
In the control group, participants do not receive any education from peers and will be directly recruited by research assistants from venues (e.g. gay bars, LGBTQ communities, LGBTQ events, and social media advertisements). Participants will receive PrEP counseling and referral if interested. We will follow up at three and six months and check participants' PrEP status.
Number of Participants With PrEP Persistence
4 Participants
12 Participants

PRIMARY outcome

Timeframe: 30 days prior to 6-month follow-up visit

Population: The analysis population for this measure is restricted to the subset of participants who initiated PrEP (n=18 total; 5 in the PDI group and 13 in the Control group). Peer Educators and participants who did not start PrEP are excluded. The difference between the numbers reported here and the total assigned to each arm in the Participant Flow represents those individuals who did not initiate PrEP during the 6-month study period.

Participant adherence to the prescribed PrEP regimen over the 30 days prior to the 6-month follow-up visit, measured via self-report. Adherence was calculated based on the frequency of doses taken per week. Participants were considered adherent if they reported taking at least 4 pills per week, which is the threshold associated with high levels of protection against HIV acquisition.

Outcome measures

Outcome measures
Measure
PDI Group
n=5 Participants
In this group, participants will receive education about HIV and pre-exposure prophylaxis (PrEP) and be referred to our study by peer educators. Referred participants will have free PrEP counseling and receive referrals if interested. We will follow up at three and six months and check participants' PrEP status.
Control Group
n=13 Participants
In the control group, participants do not receive any education from peers and will be directly recruited by research assistants from venues (e.g. gay bars, LGBTQ communities, LGBTQ events, and social media advertisements). Participants will receive PrEP counseling and referral if interested. We will follow up at three and six months and check participants' PrEP status.
Pre-exposure Prophylaxis (PrEP) Adherence
5 Participants
13 Participants

Adverse Events

PDI Group

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

Control Group

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

Peer Educator

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

Jun Tao

The Miriam Hospital

Phone: 6157273962

Results disclosure agreements

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