ClinicalTrials.gg
Enrolling by invitationNCT05352061Synk2bUpdated Jun 26, 2026

Addressing Psychosocial Comorbidities in HIV Treatment and Prevention 2b

An interventional study of CBT for Syndemics and Adherence Factors in Medication Adherence and Mental Health Issue, sponsored by University of Miami. Enrolling by invitation at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-06-26.

Sponsored by University of Miami · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
75
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to learn about ways to better support people living with HIV with their HIV treatment and cope with mental health challenges and/or substance use concerns.

02

Conditions studied

  • Medication Adherence
  • Mental Health Issue

Keywords

  • HIV Medication Adherence
  • Mental Health
03

In context

Medication Adherence

937 studies on the registry are indexed under Medication Adherence; 159 are open to participants now.

This study's planned enrollment of 75 is below the median of 120 across 768 interventional studies indexed under Medication Adherence.

Browse Medication Adherence studies →

Lead sponsor

University of Miami is the lead sponsor of 840 studies on the registry; 164 are open to participants now.

Of its 115 completed or terminated interventional studies of FDA-regulated products, 97 (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
No

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

  1. Age: 18 years or older
  2. positive
  3. Evidence of uncontrolled virus (e.g., > 20 copies/ml) within the past 12 months as verified by medical record
  4. Group 1: (Men who have sex with men (MSM) who have used stimulants within the past 4 months (approximately 10 participants))OR Group 2: transgender women (approximately 10 participants) OR Group 3: Emerging adults between the ages of 18 and 26 (inclusive; approximately 10 participants)

Exclusion criteria

Exclusion Criteria:

  1. Unable to provide due to severe mental or physical illness, cognitive impairment, or substance intoxication at the time of interview
  2. Active untreated, unstable, major mental illness (i.e., untreated psychosis or mania) that would interfere with study participation
  3. Opinion of the PI that the participant would be at risk for harm to self or others
  4. Currently receiving CBT for a psychiatric disorder, or received a course of CBT in the past year.
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
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
75 participants (estimated)

Study arms

  • Experimental
    Cognitive Behavioral Therapy (CBT) for Syndemic and Adherence Factors Group

    Participants in this group will receive the CBT for Syndemics and Adherence Factors intervention for a total of 14 sessions over 4 months.

    Behavioral: CBT for Syndemics and Adherence Factors

Interventions

  • BehavioralCBT for Syndemics and Adherence Factors

    Each hour-long session is conducted via zoom or in person with a study clinician. Sessions focus on HIV medication adherence, coping with life stressors, and managing other challenging situations (e.g., possible traumatic experiences, drug and alcohol use and sexual behavior) that may affect mental or HIV-related health.

06

What researchers measure

Primary outcomes

  1. Percentage of participants who completes the follow up assessment

    Feasibility will be reported as the percentage of participants who completes the study follow up assessment.

    Time frame: 8 months

Secondary outcomes

  1. ART Medication Adherence

    Antiretroviral Therapy (ART) adherence will be reported as the percentage of participants who reports taking \> 80% of their ART from baseline up to follow up visit.

    Time frame: Up to 8 months

  2. Percentage of participants with undetectable viral load

    As assessed via serum blood samples.

    Time frame: Up to 8 months

  3. Percentage of participants with improvement in syndemic, behavioral health outcomes

    Participants with a 2-point reduction in their Diagnostic Interview for Anxiety, Mood and Obsessive Compulsive Disorder (OCD) Related Neuropsychiatric Disorders (DIAMOND) scores from baseline will be reported as having improvement in behavioral health outcome. DIAMOND has a total score ranging from 1-7 with the higher score indicating greater severity.

    Time frame: Up to 8 months

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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 Aug 2022 (actual). Primary completion is estimated for May 2027, 57 months after the start.

Of 425 non-industry interventional studies with no phase under Medication Adherence, half reached primary completion within 22 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 42. This study's planned 57 months is above that.

Counting every sponsor, half of 442 studies reached it within 21 months; a quarter within 11 and three quarters within 41.

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

Registered
Apr 22, 2022
First posted
Apr 28, 2022
StartActual
Aug 15, 2022
Primary completionEst.
May 2027
CompletionEst.
May 2027
Last update
Jun 26, 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 Jun 26, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05352061
Responsible party
Steven Safren (Professor, University of Miami) — Principal investigator
First posted
Apr 28, 2022
Start date
Aug 15, 2022
Primary completion
May 2027 (estimated)
Completion
May 2027 (estimated)
Last update
Jun 26, 2026

Study contacts

Steven A Safren, PhD
principal investigator · University of Miami

Oversight

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

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No contact was published for this record. The registry link below has the sponsor’s details.

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