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CompletedNCT04782180Updated Dec 19, 2025Results posted

PrEP at a Syringe Services Program

A Phase 4 interventional study of Descovy 200Mg 25Mg Tablet and PrEP in Hiv and Substance Use Disorders, sponsored by University of Miami. Completed at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-12-19.

Sponsored by University of Miami · Phase 4, Interventional, and Prevention

Phase
Phase 4
Study type
Interventional
Enrollment
90
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to see if providing participants with pre-exposure prophylaxis (PrEP) medicine right away at the IDEA Exchange will help participants remain in HIV negative.

02

Conditions studied

03

In context

Acquired Immunodeficiency Syndrome

2,040 studies on the registry are indexed under Acquired Immunodeficiency Syndrome; 272 are open to participants now.

This study's enrollment of 90 is below the median of 105 across 1,543 interventional studies indexed under Acquired Immunodeficiency Syndrome.

Browse Acquired Immunodeficiency Syndrome studies →

Lead sponsor

University of Miami is the lead sponsor of 820 studies on the registry; 161 are open to participants now.

Of its 111 completed or terminated interventional studies of FDA-regulated products, 93 (84%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  1. over the age of 18
  2. speak either English or Spanish
  3. ability to provide informed consent
  4. currently enrolled in the syringe services program
  5. have a negative HIV rapid test result
  6. estimated creatinine clearance > 30 ml/minute

Exclusion criteria

Exclusion Criteria:

  1. do not meet the above criteria of inclusion
  2. decline to participate
  3. test positive for HIV via rapid test
  4. are pregnant or plan on becoming pregnant
  5. have symptoms acute HIV.
  6. Any other comorbidities that at the discretion of the investigator would prevent the participant from participating in the study.
05

Study design

Phase
Phase 4
Primary purpose
Prevention
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
90 participants (actual)

Study arms

  • Experimental
    Rapid PrEP group

    Participants will receive PrEP i.e. Descovy for 12 months at the syringe services program.

    Drug: Descovy 200Mg 25Mg Tablet · Behavioral: PrEP

Interventions

  • DrugDescovy 200Mg 25Mg Tablet

    daily Descovy tab by mouth

  • BehavioralPrEP

    PrEP will be provided in a community setting by community-based harm reduction program.

06

What researchers measure

Primary outcomes

  1. Intracellular Level of Tenofovir Diphosphate Levels Via Dried Blood Spot at 6-month Follow-up

    Tenofovir diphosphate levels will be quantified using a validated dried blood spot (DBS) assay. The outcome will be reported as the mean intracellular concentration (fmol/punch) at the 6-month follow-up visit. This measure reflects intracellular drug exposure and adherence.

    Time frame: 6 months

Secondary outcomes

  1. Time to PrEP Initiation Post Negative HIV Rapid Test

    Number of days between receiving negative test result and initiating PrEP via self-report

    Time frame: up to 12 months

07

Results

Posted Dec 19, 2025

Participant flow

Participant flow — Overall Study
MilestoneRapid PrEP Group
Started90
Completed86
Not completed4
Withdrew: Withdrawal by subject2
Withdrew: Lost to follow-up2

Outcome measures

PrimaryIntracellular Level of Tenofovir Diphosphate Levels Via Dried Blood Spot at 6-month Follow-up

Tenofovir diphosphate levels will be quantified using a validated dried blood spot (DBS) assay. The outcome will be reported as the mean intracellular concentration (fmol/punch) at the 6-month follow-up visit. This measure reflects intracellular drug exposure and adherence.

Time frame:
6 months
Reported as:
Mean · fmol/punch
Intracellular Level of Tenofovir Diphosphate Levels Via Dried Blood Spot at 6-month Follow-up
fmol/punchRapid PrEP group
Intracellular Level of Tenofovir Diphosphate Levels Via Dried Blood Spot at 6-month Follow-upNA
SecondaryTime to PrEP Initiation Post Negative HIV Rapid Test

Number of days between receiving negative test result and initiating PrEP via self-report

Time frame:
up to 12 months
Reported as:
Number · days
Time to PrEP Initiation Post Negative HIV Rapid Test
daysRapid PrEP group
Time to PrEP Initiation Post Negative HIV Rapid Test0

Adverse events

Collected over 1 year. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Rapid PrEP Group0/90 (0%)0/90 (0%)0/90 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Rapid PrEP Group
<=18 years0
Between 18 and 65 years86
>=65 years4
Sex: Female, Male
Sex: Female, Male(Participants)Rapid PrEP Group
Female27
Male59
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Rapid PrEP Group
Hispanic or Latino38
Not Hispanic or Latino48
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Rapid PrEP Group
American Indian or Alaska Native3
Asian1
Native Hawaiian or Other Pacific Islander0
Black or African American11
White64
More than one race7
Unknown or Not Reported4
08

Study locations

1 site
  • University of Miami
    Miami, Florida 33136, United States
09

References and documents

Study documents

  • Protocol and statistical analysis plan · May 5, 2022

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 19, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04782180
Lead sponsor
University of Miami
Collaborators
Gilead Sciences
Responsible party
Hansel Tookes (Professor of Medicine, University of Miami) — Principal investigator
First posted
Mar 4, 2021
Start date
Feb 1, 2022
Primary completion
Nov 11, 2024
Completion
Nov 11, 2024
Results posted
Dec 19, 2025
Last update
Dec 19, 2025

Study contacts

Hansel Tookes
principal investigator · University of Miami

Oversight

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

Not currently enrolling

This study is completed, as verified in Dec 2025. You cannot join it, but the record below documents what was studied.

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