Trial Outcomes & Findings for The Outreach and Prevention at ALcohol Venues in East Africa Study (OPAL-East Africa- Aim 1) (NCT NCT05862857)

NCT ID: NCT05862857

Last Updated: 2026-03-11

Results Overview

The proportion of HIV-negative adults, receiving an Aim 1 mobilization card, who initiate PrEP or PEP after mobilization. This outcome will be measured by pill dispensing records and Ministry of Health (MoH) PrEP and PEP registry records. Mean was calculated as the average percentage across the clusters (groups of nearby alcohol-serving venues).

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

9375 participants

Primary outcome timeframe

Measured 4 weeks after clinic screening visit

Results posted on

2026-03-11

Participant Flow

Unit of analysis: Drinking Venue Clusters

Participant milestones

Participant milestones
Measure
Intervention Clusters
Patrons and workers at drinking venues were given a mobilization card for free multi-disease testing at the local clinic, including: diabetes, hypertension, HIV, malaria, TB, pregnancy.
Control Clusters
Patrons and workers at drinking venues were given a mobilization card for free HIV testing at the local clinic.
Overall Study
STARTED
4927 32
4448 32
Overall Study
COMPLETED
4927 32
4448 32
Overall Study
NOT COMPLETED
0 0
0 0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Variable was added after study launch; therefore Data are missing from 705 participants - 415 in intervention group, 290 in control group

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Intervention Clusters
n=4916 Participants
Patrons and workers at drinking venues were given a mobilization card for free multi-disease testing at the local clinic, including: diabetes, hypertension, HIV, malaria, TB, pregnancy.
Control Clusters
n=4432 Participants
Patrons and workers at drinking venues were given a mobilization card for free HIV testing at the local clinic.
Total
n=9348 Participants
Total of all reporting groups
Age, Continuous
32 years
n=4916 Participants
32 years
n=4432 Participants
32 years
n=9348 Participants
Sex: Female, Male
Female
1621 Participants
n=4916 Participants
1714 Participants
n=4432 Participants
3335 Participants
n=9348 Participants
Sex: Female, Male
Male
3295 Participants
n=4916 Participants
2718 Participants
n=4432 Participants
6013 Participants
n=9348 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=4916 Participants
0 Participants
n=4432 Participants
0 Participants
n=9348 Participants
Race (NIH/OMB)
Asian
0 Participants
n=4916 Participants
0 Participants
n=4432 Participants
0 Participants
n=9348 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=4916 Participants
0 Participants
n=4432 Participants
0 Participants
n=9348 Participants
Race (NIH/OMB)
Black or African American
4916 Participants
n=4916 Participants
4432 Participants
n=4432 Participants
9348 Participants
n=9348 Participants
Race (NIH/OMB)
White
0 Participants
n=4916 Participants
0 Participants
n=4432 Participants
0 Participants
n=9348 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=4916 Participants
0 Participants
n=4432 Participants
0 Participants
n=9348 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=4916 Participants
0 Participants
n=4432 Participants
0 Participants
n=9348 Participants
Region of Enrollment
Kenya
2355 Participants
n=4916 Participants
2241 Participants
n=4432 Participants
4596 Participants
n=9348 Participants
Region of Enrollment
Uganda
2561 Participants
n=4916 Participants
2191 Participants
n=4432 Participants
4752 Participants
n=9348 Participants
Patron or worker
Patron
4028 Participants
n=4501 Participants • Variable was added after study launch; therefore Data are missing from 705 participants - 415 in intervention group, 290 in control group
3753 Participants
n=4142 Participants • Variable was added after study launch; therefore Data are missing from 705 participants - 415 in intervention group, 290 in control group
7781 Participants
n=8643 Participants • Variable was added after study launch; therefore Data are missing from 705 participants - 415 in intervention group, 290 in control group
Patron or worker
Worker
473 Participants
n=4501 Participants • Variable was added after study launch; therefore Data are missing from 705 participants - 415 in intervention group, 290 in control group
389 Participants
n=4142 Participants • Variable was added after study launch; therefore Data are missing from 705 participants - 415 in intervention group, 290 in control group
862 Participants
n=8643 Participants • Variable was added after study launch; therefore Data are missing from 705 participants - 415 in intervention group, 290 in control group

PRIMARY outcome

Timeframe: Measured 4 weeks after clinic screening visit

Population: Population includes persons who received a mobilization card and contributed to the pre-specified, primary analysis, which excluded two clusters where \<18 cards were distributed

The proportion of HIV-negative adults, receiving an Aim 1 mobilization card, who initiate PrEP or PEP after mobilization. This outcome will be measured by pill dispensing records and Ministry of Health (MoH) PrEP and PEP registry records. Mean was calculated as the average percentage across the clusters (groups of nearby alcohol-serving venues).

Outcome measures

Outcome measures
Measure
Intervention Clusters
n=31 Venue Clusters
Patrons and workers at drinking venues were given a mobilization card for free multi-disease testing at the local clinic, including: diabetes, hypertension, HIV, malaria, TB, pregnancy.
Control Clusters
n=31 Venue Clusters
Patrons and workers at drinking venues were given a mobilization card for free HIV testing at the local clinic.
Biomedical HIV Prevention Uptake at 4 Weeks
23.7 % of participants
Interval 20.0 to 27.4
24.1 % of participants
Interval 18.7 to 29.5

SECONDARY outcome

Timeframe: Measured 8 weeks after clinic screening visit

Population: Population includes persons who received a mobilization card and contributed to the pre-specified, primary analysis, which excluded two clusters where \<18 cards were distributed

The proportion of HIV-negative adults, receiving an Aim 1 mobilization card, who initiate PrEP or PEP after mobilization. This outcome will be measured by pill dispensing records and Ministry of Health (MoH) PrEP and PEP registry records. Mean was calculated as the average percentage across the clusters (groups of nearby alcohol-serving venues).

Outcome measures

Outcome measures
Measure
Intervention Clusters
n=31 Venue Clusters
Patrons and workers at drinking venues were given a mobilization card for free multi-disease testing at the local clinic, including: diabetes, hypertension, HIV, malaria, TB, pregnancy.
Control Clusters
n=31 Venue Clusters
Patrons and workers at drinking venues were given a mobilization card for free HIV testing at the local clinic.
Biomedical HIV Prevention Uptake at 8 Weeks
23.8 % of participants
Interval 20.0 to 27.5
24.1 % of participants
Interval 18.6 to 29.6

SECONDARY outcome

Timeframe: Measured 12 weeks after clinic screening visit

Population: Population includes persons who received a mobilization card and contributed to the pre-specified, primary analysis, which excluded two clusters where \<18 cards were distributed

The proportion of HIV-negative adults, receiving an Aim 1 recruitment card, who initiate PrEP or PEP after mobilization. This outcome will be measured by pill dispensing records and Ministry of Health (MoH) PrEP and PEP registry records. Mean was calculated as the average percentage across the clusters (groups of nearby alcohol-serving venues).

Outcome measures

Outcome measures
Measure
Intervention Clusters
n=31 Venue Clusters
Patrons and workers at drinking venues were given a mobilization card for free multi-disease testing at the local clinic, including: diabetes, hypertension, HIV, malaria, TB, pregnancy.
Control Clusters
n=31 Venue Clusters
Patrons and workers at drinking venues were given a mobilization card for free HIV testing at the local clinic.
Biomedical HIV Prevention Uptake at 12 Weeks
23.8 % of participants
Interval 20.0 to 27.6
24.1 % of participants
Interval 18.7 to 29.6

SECONDARY outcome

Timeframe: Measured at clinic screening visit

The proportion of HIV-unknown adults, receiving an Aim 1 recruitment card, who accept clinic-based HIV testing at the clinic screening visit. HIV testing will be done in accordance with Kenyan and Ugandan national testing algorithms. Uptake will be recorded on study CRFs.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Measured at clinic screening visit

The proportion of persons accepting HIV screening who are identified with newly diagnosed HIV or those who are self-reported to have known HIV infection but out of care and off of ART. HIV testing will be done in accordance with Kenyan and Ugandan national testing algorithms. Uptake, test results, HIV status, and current ART use will be recorded on study CRFs.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Measured at clinic screening visit

Heavy alcohol use is defined as self-reported AUDIT-C score (a standardized, three question survey) of greater than or equal to 4 for men and greater than or equal to 3 for women. These outcomes will be recorded on study CRFs.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Measured within one week of presenting for clinic-based screening with a recruitment card

The proportion of adults with untreated HIV that initiate ART. Current and prior ART use will be self-reported and recoded on study CRFs. New ART prescriptions will be measured through pill dispensing data and MoH registries.

Outcome measures

Outcome data not reported

Adverse Events

Intervention Clusters

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

Control Clusters

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

Gabriel Chamie

University of California

Phone: 415-476-4082

Results disclosure agreements

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