ClinicalTrials.gg
Active, not recruitingNCT05018611LifeSkillsUpdated Mar 31, 2026

Digital Limited Interaction Efficacy Trial of LifeSkills Mobile to Reduce HIV Incidence in YTW

An interventional study of LifeSkills Mobile in HIV Prevention, sponsored by University of California, Los Angeles. Active, not recruiting at 1 site in United States. Open to male participants aged 16 Years to 29 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-03-31.

Sponsored by University of California, Los Angeles · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
5,100
Allocation
Randomized
Ages
16 Years to 29 Years
Sex
Male
01

Study summary

The LifeSkills Mobile app will be evaluated in a randomized controlled trial (RCT) among 5,000 young transgender women (YTW), ages 16-29 in the United States (U.S.). Study findings will demonstrate if the intervention will reduce HIV incidence.

Read the detailed description

LifeSkills Mobile is an mHealth intervention to promote biobehavioral HIV prevention strategies based on empowerment theory and was developed using a community-based participatory research approach. An RCT assesses the efficacy of the LifeSkills Mobile intervention in comparison to a standard of care (SOC) condition among 5,000 YTW recruited online. At baseline and every 6 months through 12-48 months (depending on when the participant enrolled), enrolled participants will complete an online survey sent via a link to their mobile phone and will be mailed an OraQuick In-Home HIV Test kit. We will also estimate the total and incremental costs of the LifeSkills Mobile intervention relative to SOC, from healthcare sector and societal perspectives.

02

Conditions studied

  • HIV Prevention

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Keywords

  • Transgender women (TGW)
  • PrEP
  • mHealth
  • HIV Prevention
  • Sexual Behavior
03

In context

Sexual Behavior

224 studies on the registry are indexed under Sexual Behavior; 30 are open to participants now.

This study's planned enrollment of 5,100 is above the median of 264 across 179 interventional studies indexed under Sexual Behavior.

Browse Sexual Behavior studies →

Lead sponsor

University of California, Los Angeles is the lead sponsor of 1,170 studies on the registry; 195 are open to participants now.

Of its 95 completed or terminated interventional studies of FDA-regulated products, 70 (74%) have results posted.

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

04

Who can participate

Ages eligible
16 Years to 29 Years
Sexes eligible
Male
Accepts healthy volunteers
Yes

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

  • Self-identified as transgender, woman, and/or along the feminine spectrum with a male assigned sex at birth
  • Ages 16-29
  • uninfected at enrollment visit, verified via HIV home test kit
  • Self-reported lifetime history of condomless sex or recent history of sex (anal or vaginal in the past 12 months)
  • Able to speak/understand English
  • Owns a smartphone or home computer or willing to use one in the study
  • Willing and able to provide /assent

Exclusion criteria

Exclusion Criteria:

  • Unable to provide due to severe mental or physical illness, or substance intoxication at time of enrollment
  • Discovery of active suicidal ideation or major mental illness (e.g. untreated psychosis or mania) at the time of the interview (these patients will be referred immediately for treatment, but may join the study when this is resolved)
  • A positive Home test kit result at baseline; these individuals will be immediately linked to HIV clinical care in their local areas.
Terms in these criteria, in plain language(2)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
5,100 participants (estimated)

Study arms

  • Experimental
    LifeSkills Mobile

    Access to LifeSkills Mobile app. Participants will complete 4 modules with 20 activities across 6 months. Participants can log in at their convenience but will not be able to access the next module until the previous module is completed.

    Behavioral: LifeSkills Mobile

  • No intervention
    Standard of Care

    HIV home testing every 6 months, information regarding sexual and other behaviors that potentiate one's risk for HIV infection, receipt of a fact sheet about PrEP and PEP and referrals to the local PrEP clinics, and sexually transmitted infection testing via an on-line location findings app.

Interventions

  • BehavioralLifeSkills Mobile

    A mobile app designed to facilitate the broad reach and impact of the LifeSkills intervention to reduce sexual risk behavior which drives HIV infection. The LifeSkills intervention addresses the specific structural, developmental, and interpersonal challenges to HIV prevention among YTW ages 16-29, with prior evidence of the efficacy to reduce sexual risk.

06

What researchers measure

Primary outcomes

  1. HIV incidence

    Participants will be mailed and take an OraQuick In-Home HIV Test. Reactive HIV screening tests will be confirmed via dried blood spot (DBS; detectable antibodies). The main analysis will assess whether there are differences in survival (or cumulative incidence of HIV) among those randomized to LifeSkills Mobile versus those randomized to SOC.

    Time frame: 12-48 months post-baseline (depending on when participants enroll in the study)

Secondary outcomes

  1. Changes in sexual risk behavior at 6 months based on self-report

    Self-reported total condomless anal or vaginal sex acts in the prior 30 days without protection via PrEP

    Time frame: 6 months post-baseline

  2. Changes in sexual risk behavior at 12 months based on self-report

    Self-reported total condomless anal or vaginal sex acts in the prior 30 days without protection via PrEP

    Time frame: 12 months post-baseline

  3. Changes in sexual risk behavior at 18 months based on self-report

    Self-reported total condomless anal or vaginal sex acts in the prior 30 days without protection via PrEP

    Time frame: 18 months post-baseline

  4. Changes in sexual risk behavior at 24 months based on self-report

    Self-reported total condomless anal or vaginal sex acts in the prior 30 days without protection via PrEP

    Time frame: 24 months post-baseline

  5. Changes in sexual risk behavior at 30 months based on self-report

    Self-reported total condomless anal or vaginal sex acts in the prior 30 days without protection via PrEP

    Time frame: 30 months post-baseline

  6. Changes in sexual risk behavior at 36 months based on self-report

    Self-reported total condomless anal or vaginal sex acts in the prior 30 days without protection via PrEP

    Time frame: 36 months post-baseline

  7. Changes in sexual risk behavior at 42 months based on self-report

    Self-reported total condomless anal or vaginal sex acts in the prior 30 days without protection via PrEP

    Time frame: 42 months post-baseline

  8. Changes in sexual risk behavior at 48 months based on self-report

    Self-reported total condomless anal or vaginal sex acts in the prior 30 days without protection via PrEP

    Time frame: 48 months post-baseline

  9. Comparison of costs between LifeSkills Mobile intervention vs SOC

    Total and incremental costs of the LifeSkills Mobile intervention relative to SOC, from healthcare sector and societal perspectives

    Time frame: End of study

  10. PrEP outcomes (linkage, initiation, retention)

    PrEP care linkage defined as attending at least one PrEP-related care visit to assess medical eligibility for PrEP initiation in the prior 6 months, per self-report PrEP initiation defined as starting PrEP medication in the prior 6-month period by self-report PrEP retention defined as: at least one PrEP care visit in a 6-month period PrEP visit constancy defined as at least one visit every six months over a 12-month period per self-report

    Time frame: 12-48 months post-baseline (depending on when participants enroll in the study)

07

Study locations

1 site
08

References and documents

Publications

  • Kuhns LM, Garofalo R, Belzer M, McAvoy-Banerjea J, Holzman J, Kwak E, Johnson AK, Biello K, Schnall R, Hidalgo MA, Reisner SL, Mimiaga MJ. Digital limited interaction efficacy trial of LifeSkills Mobile to reduce HIV incidence in young transgender women: study protocol. Trials. 2025 Dec 17;27(1):62. doi: 10.1186/s13063-025-09353-0. PubMed 41402905 ↗
09

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

Started Jan 2022 (actual). Primary completion is estimated for Feb 2027, 61 months after the start.

Of 106 non-industry interventional studies with no phase under Sexual Behavior, half reached primary completion within 27 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 47. This study's planned 61 months is above that.

Counting every sponsor, half of 107 studies reached it within 23 months; a quarter within 11 and three quarters within 47.

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

Registered
Aug 17, 2021
First posted
Aug 24, 2021
StartActual
Jan 22, 2022
Primary completionEst.
Feb 28, 2027
CompletionEst.
Feb 28, 2027
Last update
Mar 31, 2026
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 Mar 31, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05018611
Responsible party
Matthew Mimiaga, ScD, MPH, MA (Professor of Epidemiology, UCLA Fielding School of Public Health, and Psychiatry & Biobehavioral Sciences, UCLA David Geffen School of Medicine, University of California, Los Angeles) — Principal investigator
First posted
Aug 24, 2021
Start date
Jan 22, 2022
Primary completion
Feb 28, 2027 (estimated)
Completion
Feb 28, 2027 (estimated)
Last update
Mar 31, 2026

Study contacts

Marvin Belzer, MD
principal investigator · Children's Hospital Los Angeles
Matthew J Mimiaga, ScD, MD
principal investigator · University of California, Los Angeles
Lisa Kuhns, PhD, MPH
principal investigator · Ann & Robert H Lurie Children's Hospital of Chicago

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Mar 2026. You cannot join it, but the record below documents what was studied.

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