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Hybrid Evaluation of a Home-based HIV Pre-exposure Prophylaxis Program

NCT05856942 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 458

Last updated 2024-05-10

No results posted yet for this study

Summary

The study's aim is to implement a home-based PrEP (HB-PrEP) monitoring system (self-collected blood and extragenital specimens at home and telehealth follow-up) into a large, urban sexual health clinic while also evaluating the program's clinical effectiveness. Study participants will self-collect blood specimens using Tasso devices, which are currently designated as FDA Class 2 exempt medical devices (similar to a medical lancet). This study will be integrated into King County's Ending the HIV Epidemic plan and generate data to inform refinement, adaptation and scale-up of future HB-PrEP programs.

Specific research aims are to:

1. Conduct a hybrid randomized trial to compare the impact of a HB-PrEP program versus standard of care (routine in-clinic monitoring) on PrEP retention over time and use mixed-methods assessments to define the factors that influence HB-PrEP implementation. Hypothesis: HB-PrEP will increase PrEP retention rates by \>10% at 18 months and 60% of those offered HB-PrEP will use it for over half of visits.
2. Perform a cost analysis of the HB-PrEP implementation strategy compared to standard care. Hypothesis: HB-PrEP cost will fall within the HIV prevention budget and be affordable with comparable costs to SOC.
3. Develop a qualitative tool to engage healthcare stakeholders and determine the wider scalability of HB-PrEP.

Conditions

  • HIV Prevention
  • Pre-exposure Prophylaxis
  • STI

Interventions

OTHER

Health service - home-based PrEP monitoring

Home-based PrEP care

Sponsors & Collaborators

Principal Investigators

  • Chase Cannon, MD, MPH · University of Washington

Study Design

Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Model
PARALLEL

Eligibility

Min Age
18 Years
Sex
ALL
Healthy Volunteers
Yes

Timeline & Regulatory

Start
2022-03-08
Primary Completion
2025-03-08
Completion
2025-09-08

Countries

  • United States

Study Locations

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Entities

Companies

Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT05856942 on ClinicalTrials.gov