ClinicalTrials.gg
CompletedNCT03304912Updated Jul 12, 2023Results posted

Packaging PrEP to Prevent HIV Among WWID

An observational study in HIV/AIDS, sponsored by Drexel University. Completed at 1 site in United States. Open to female participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-07-12.

Sponsored by Drexel University · Observational

Help build ClinicalTrials.gg — short surveys, remote interviews or testing, in your language. Take part →

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
105
Ages
18 Years and older
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 1,670 studies in Acquired Immunodeficiency Syndrome with a site in United States — 111 open to participants now, 153 under way, 9 of them phase 3. Acquired Immunodeficiency Syndrome · United States.

Enrollment
113th of 195
105 · median 154
Started
2018
with 67 others
Observational
196 of 1,670
18 open now
Registered
1,212th of 1,670
by date

Among the 1,670 studies in Acquired Immunodeficiency Syndrome with a site in United States, this one is the 113th largest by enrollment of the 195 observational ones that give a count, is one of 68 that started in 2018, is one of 196 observational ones, and was the 1,212th registered.

Acquired Immunodeficiency Syndrome

3,037 studies on the registry are indexed under Acquired Immunodeficiency Syndrome; 307 are open to participants now.

Browse Acquired Immunodeficiency Syndrome studies →

Open to participants now

111 of the 1,670 studies in Acquired Immunodeficiency Syndrome with a site in United States are open now. Recruiting first, the newest first:

106 more — sign in →

All 111 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 198 Acquired Immunodeficiency Syndrome studies recruiting now, 118 (60%) set no upper age limit and 67 (34%) stop at 75 or younger; 43 take children under 18; 68 take healthy volunteers.

This study: 18 Years and older · female · healthy volunteers too.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

Was this useful?
Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 1,670 studies in Acquired Immunodeficiency Syndrome with a site in United States, or all of them as a file.
02

Study summary

Evidence suggests women who inject drugs (WWID) are disproportionately vulnerable to HIV. If HIV incidence continues unchecked, 1 in 23 WWID in the United States will acquire HIV. This observational study will evaluate a novel approach for the delivery of pre-exposure prophylaxis (PrEP) care: pairing PrEP with community-based syringe exchange program (SEP) services. The rationale is that (1) SEPs may currently provide prescription medications and long-term monitoring for other conditions such as buprenorphine for opioid dependence, so providing PrEP care is a natural extension of what is already being done successfully; (2) SEPs are a viable access point for many HIV-uninfected WWID who would be considered eligible for PrEP under current clinical guidelines; and (3) PrEP interventions, delivered in settings already utilized and trusted by WWID, will increase uptake, adherence and retention in PrEP. We will enroll a cohort of 125 women and follow-them over six months. At their first study visit, they will educated about and offered a prescription for PrEP. Those who indicate an interest in PrEP will be able to return to the SEP one week later to obtain a paper PrEP prescription or medication. All participants will be followed for six months using qualitative interviews and surveys to understand facilitators and barriers to PrEP uptake and engagement over time. In addition, we will collect urine and test it to detect the level of drug concentration among women who initiate PrEP. This will allow us to know whether their level of adherence translated to prevention effective drug levels.

Read the detailed description

This prospective mixed methods study will be initiated within the largest SEP in the mid-Atlantic region. Over six months, we will use semi-structured and in-depth interviews based on the Behavioral Model for Vulnerable Populations, and drug-level monitoring for emtricitabine (FTC)/tenofovir disoproxil fumarate (TDF) adherence, to address the following specific aims: (1) Describe WWID's engagement in the PrEP care continuum (focusing on critical moments when women could disengage or need additional support to remain in care). (2) Identify factors from the Behavioral Model for Vulnerable Populations that are associated with WWID's engagement in the PrEP care continuum. (3) Explore how and why model factors are associated with WWID's decisions and ability to engage in PrEP care. A paired model of PrEP and SEP services has yet to be tested.

03

Conditions studied

  • HIV/AIDS

Keywords

  • Pre-Exposure Prophylaxis
  • Injection Drug Use
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Community sample to be recruited from a syringe exchange program.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • sero-negative
  • Females
  • Age ≥18 years
  • Reporting non-prescription injection drug use and any of the following:

    1. Syringe sharing
    2. Injecting drugs with a HIV-positive partner
    3. Recent opioid agonist treatment but still injecting drugs
    4. Sex exchange
    5. Inconsistent condom use
    6. Recent bacterial sexually transmitted infection (STI)
    7. and/or sex with a HIV-positive partner

Exclusion criteria

Exclusion Criteria:

  • seropositivity
  • Currently taking PrEP
  • Pregnant, breastfeeding or trying to become pregnant
  • Previous enrollment in the study
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
105 participants (actual)
Patient registry
No

Groups and cohorts

  • Women who inject drugs who are eligible for PrEP

    Women who inject drugs who are eligible for PrEP are provided PrEP Education and option to accept a PrEP prescription.

    Behavioral: PrEP Education and option to accept a PrEP prescription

Interventions

  • BehavioralPrEP Education and option to accept a PrEP prescription

    Participants will receive educational information about PrEP, be offered a PrEP prescription, and those who choose to initiated PrEP will be monitored for side-effects and adherence at their follow-up visit. There is no group assignment within this study and WWID do not have to choose to initiate PrEP. Rather, the goal of this study is to understand factors that impact PrEP initiation (and engagement in the PrEP care continuum).

06

What researchers measure

Primary outcomes

  1. PrEP Uptake at Week 1

    Number of WWID accepting a paper Truvada prescription to fill at their preferred pharmacy or obtaining Truvada from the SSP among those who returned to care as verified in electronic medical records.

    Time frame: 1 week

Secondary outcomes

  1. PrEP Uptake at Week 12

    Number of WWID accepting a paper Truvada prescription to fill at their preferred pharmacy or obtaining Truvada from the SSP among those who returned to care as verified in electronic medical records.

    Time frame: 12 weeks

  2. PrEP Adherence Based on Urinalysis at 12 Weeks

    Protection effective emtricitabine (FTC) concentration (\>1000 ng/ml) in urine. Analyzed only among women with available urine-analysis data that self-reported PrEP use at 12 weeks

    Time frame: 12 weeks

  3. PrEP Adherence Based on Self-report at 12 Weeks

    Self-reported adherence was assessed with a single item administered on a computer assisted self-interview. The item, "How many PrEP pills have you missed in the past 7 days?," had numerical response options ranging from zero to seven. Responses were recoded into: took zero doses within 7 days (operationalized as non-adherent), took 1-5 doses within 7 days defined as inconsistent operationalized), and took 6-7 doses within 7 days (operationalized as consistent adherence).

    Time frame: 12 weeks

  4. PrEP Uptake at Week 24

    Number of WWID accepting a paper Truvada prescription to fill at their preferred pharmacy or obtaining Truvada from the SSP among those who returned to care as verified in electronic medical records.

    Time frame: 24 weeks

07

Results

Posted Jul 12, 2023

Participant flow

Participant flow — Overall Study
MilestoneWomen Who Inject Drugs (WWID) Who Are Eligible for Pre-exposure Prophylaxis (PrEP)
Started95
Completed42
Not completed53

Outcome measures

PrimaryPrEP Uptake at Week 1

Number of WWID accepting a paper Truvada prescription to fill at their preferred pharmacy or obtaining Truvada from the SSP among those who returned to care as verified in electronic medical records.

Time frame:
1 week
Reported as:
Count of participants · Participants
PrEP Uptake at Week 1
ParticipantsPrEP Education and Option to Accept a PrEP Prescription
PrEP Uptake at Week 163
SecondaryPrEP Uptake at Week 12

Number of WWID accepting a paper Truvada prescription to fill at their preferred pharmacy or obtaining Truvada from the SSP among those who returned to care as verified in electronic medical records.

Time frame:
12 weeks
Reported as:
Count of participants · Participants
PrEP Uptake at Week 12
ParticipantsWWID Who Are Eligible for PrEP
PrEP Uptake at Week 1248
SecondaryPrEP Adherence Based on Urinalysis at 12 Weeks

Protection effective emtricitabine (FTC) concentration (\>1000 ng/ml) in urine. Analyzed only among women with available urine-analysis data that self-reported PrEP use at 12 weeks

Time frame:
12 weeks
Reported as:
Count of participants · Participants
PrEP Adherence Based on Urinalysis at 12 Weeks
ParticipantsWWID Who Are Eligible for PrEP
PrEP Adherence Based on Urinalysis at 12 Weeks1
SecondaryPrEP Adherence Based on Self-report at 12 Weeks

Self-reported adherence was assessed with a single item administered on a computer assisted self-interview. The item, "How many PrEP pills have you missed in the past 7 days?," had numerical response options ranging from zero to seven. Responses were recoded into: took zero doses within 7 days (operationalized as non-adherent), took 1-5 doses within 7 days defined as inconsistent operationalized), and took 6-7 doses within 7 days (operationalized as consistent adherence).

Time frame:
12 weeks
Reported as:
Count of participants · Participants
PrEP Adherence Based on Self-report at 12 Weeks
ParticipantsWWID Who Are Eligible for PrEP
Non-adherence18
Inconsistent-adherence9
Adherence24
SecondaryPrEP Uptake at Week 24

Number of WWID accepting a paper Truvada prescription to fill at their preferred pharmacy or obtaining Truvada from the SSP among those who returned to care as verified in electronic medical records.

Time frame:
24 weeks
Reported as:
Count of participants · Participants
PrEP Uptake at Week 24
ParticipantsPrEP Education and Option to Accept a PrEP Prescription
PrEP Uptake at Week 2425

Adverse events

Collected over 6 months. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Women Who Inject Drugs (WWID) Who Are Eligible for PrEP.1/95 (1.1%)3/95 (3.2%)9/95 (9.5%)
Most frequent serious events
Most frequent serious events
EventWomen Who Inject Drugs (WWID) Who Are Eligible for PrEP.
HospitalizationGeneral disorders3/95
Most frequent other events
Most frequent other events
EventWomen Who Inject Drugs (WWID) Who Are Eligible for PrEP.
VictimizationGeneral disorders9/95

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)PrEP Education and Option to Accept a PrEP Prescription
<=18 years0
Between 18 and 65 years95
>=65 years0
Sex: Female, Male
Sex: Female, Male(Participants)PrEP Education and Option to Accept a PrEP Prescription
Female95
Male0
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)PrEP Education and Option to Accept a PrEP Prescription
Hispanic or Latino11
Not Hispanic or Latino84
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)PrEP Education and Option to Accept a PrEP Prescription
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American14
White66
More than one race4
Unknown or Not Reported11
Region of Enrollment
Region of Enrollment(participants)PrEP Education and Option to Accept a PrEP Prescription
United States95
08

Study locations

1 site
  • Drexel University Dornsife School of Public Health
    Philadelphia, Pennsylvania 19104, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No — N/A, Individual Participant Data (IPD) will not be shared.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Apr 2018 to primary completion in Oct 2019, 18 months.

Results were first posted in Jul 2023, 3 years 9 months after primary completion.

Of 165 non-industry observational studies under Acquired Immunodeficiency Syndrome, half reached primary completion within 46 months of starting (the median), counting those still running; a quarter within 22 and three quarters within 83. This study's 18 months is below that.

Counting every sponsor, half of 177 studies reached it within 44 months; a quarter within 19 and three quarters within 79.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 29, 2017
First posted
Oct 9, 2017
StartActual
Apr 3, 2018
Primary completionActual
Oct 8, 2019
CompletionActual
Oct 8, 2019
Results first posted
Jul 12, 2023
Last update
Jul 12, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 12, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03304912
Lead sponsor
Drexel University
Responsible party
Alexis Roth (Assistant Professor, Drexel University) — Principal investigator
First posted
Oct 9, 2017
Start date
Apr 3, 2018
Primary completion
Oct 8, 2019
Completion
Oct 8, 2019
Results posted
Jul 12, 2023
Last update
Jul 12, 2023

Study contacts

Alexis M Roth, PhD, MPH
principal investigator · Drexel University

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jun 2023. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion