ClinicalTrials.gg
Status unknownNCT05558345EXPRESS+Updated May 7, 2024

Expression of Stress Markers During Meth Treatment (EXPRESS+)

An interventional study of Contingency Management in Substance-Related Disorders and HIV, sponsored by University of California, Los Angeles. Status unknown at 1 site in United States. Open to male participants aged 18 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-05-07.

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

The sponsor has not verified this record recently (last verified May 2024), so the status shown — last known as Recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
55
Allocation
Non-randomized
Ages
18 Years to 45 Years
Sex
Male
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Study summary

This is a non-randomized behavioral trial that aims to investigate whether changes in inflammatory and type I IFN expression coincide with changes in methamphetamine use and viral load over the course of 12 weeks in HIV-positive people assigned male at birth with and without methamphetamine use disorder.

Read the detailed description

This is a within-subjects, two-arm study with 35 HIV-positive people assigned male at birth receiving contingency management for treatment of methamphetamine use disorder and 20 HIV-positive people assigned male at birth serving as a non-substance-using healthy control (N=55 total). HIV-positive participants with methamphetamine use disorder who meet the eligibility criteria will be assigned to the contingency management treatment group. HIV-positive participants who do not use substances and meet the specific criteria will be assigned to the non-substance-using control group. Participants will be observed over 8 weeks, with another follow-up 4 weeks thereafter.

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Conditions studied

  • Substance-Related Disorders
  • HIV
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In context

Substance-Related Disorders

2,181 studies on the registry are indexed under Substance-Related Disorders; 399 are open to participants now.

This study's planned enrollment of 55 is below the median of 108 across 1,770 interventional studies indexed under Substance-Related Disorders.

Browse Substance-Related Disorders studies →

Lead sponsor

University of California, Los Angeles is the lead sponsor of 1,167 studies on the registry; 192 are open to participants now.

Of its 94 completed or terminated interventional studies of FDA-regulated products, 69 (73%) have results posted.

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

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Who can participate

Ages eligible
18 Years to 45 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

For Contingency Management:

  1. Assigned male sex at birth
  2. 18 to 45 years of age
  3. Reports having sex with men in the past 12 months.
  4. HIV-positive (confirmed by certification or by HIV rapid test)
  5. Has an HIV care provider (last seen in the past 12 months)
  6. Has a current antiretroviral prescription
  7. Meets the DSM-5 criteria for methamphetamine use disorder using SCID-5
  8. Urine test is positive for methamphetamine within 30 days of their screening visit
  9. Seeking treatment for methamphetamine use disorder.
  10. Ability to attend twice weekly appointments for drug testing and treatment

For Non-substance-using Control:

  1. Assigned male sex at birth
  2. 18 to 45 years of age
  3. Reports having sex with men in the past 12 months.
  4. HIV-positive (confirmed by certification or by HIV rapid test)
  5. Has an HIV care provider (last seen in the past 12 months)
  6. Has a current antiretroviral prescription

Exclusion criteria

Exclusion Criteria:

For Contingency Management:

  1. Identifies as (cis- or transgender) female
  2. Reports another current or past substance use disorder
  3. Reports being in another intervention or clinical trial for substance use
  4. Positive test for opioids, cocaine, and/or MDMA

For Non-substance-using Control:

  1. Identifies as (cis- or transgender) female
  2. Positive test for methamphetamine, opioids, cocaine, and/or MDMA.
  3. Reports substance use (methamphetamine, opioids, cocaine, MDMA, hallucinogens, heavy alcohol use, and/or tobacco) in the past 6 months
  4. Reports past or current substance use disorder
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
55 participants (estimated)

Study arms

  • Experimental
    Contingency Management for Methamphetamine Reduction

    8 weeks of contingency management, twice weekly visits, with escalating rewards from $10 to $40 for negative urine tests

    Behavioral: Contingency Management

  • No intervention
    Non-substance-using Control

    Observational visits (no intervention) at baseline, Week 4, Week 8, and Week 12 for those who do not use methamphetamine.

Interventions

  • BehavioralContingency Management

    A positive reinforcement behavioral treatment with escalating rewards for consecutive negative urine tests, starting at $10 and capped at a maximum of $40 per negative result.

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What researchers measure

Primary outcomes

  1. Change in Inflammatory and Type I IFN Gene Expression over 12 weeks

    Change in gene expression values -- based on count per million or reference gene normalized mRNA extracted from leukocytes and mapped to 53 a priori specified genes -- averaged over 4 times points using mixed linear regression

    Time frame: every 4 weeks, at baseline, Week 4, Week 8, and Week 12

  2. Change in Methamphetamine Use over 12 weeks

    Change in odds of methamphetamine use -- based on qualitative urine test result -- over 12 weeks.

    Time frame: twice weekly for 8 weeks with 4-week follow-up in the contingency management group; once every 4 weeks over 12 weeks for the control group.

Secondary outcomes

  1. Change in HIV Viral Suppression over 12 weeks

    Change in odds of viral suppression -- based on viral load cut-off of \< 200 c/mL blood -- over 12 weeks

    Time frame: Once every 4 weeks over 12 weeks (i.e., baseline, Week 4, Week 8, Week 12)

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Study locations

1 of 1 sites recruiting
  • UCLA Vine Street Clinic
    Los Angeles, California 90038, United States
    • Michael J Li, PhD · Contact · mjli@mednet.ucla.edu · 310-794-8530
    • Michael J Li, PhD · Principal investigator
    Recruiting
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References and documents

Study documents

  • Protocol, analysis plan and consent form · Jul 8, 2022

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

Individual participant data

Plan to share: Yes — It is possible that future collaborators of the PI (e.g., other UCLA investigators) may conduct secondary analyses on the data to answer other research questions. The other investigator may submit a concept for a research question and hypothesis to be tested using the data. This would require PI approval of a concept, and co-authorship/involvement of the PI on the study.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form

Time frame: After the PI completes publication of their specific aims and any secondary outcomes, data will be available for at least 3 years thereafter.

Access criteria: Submission and PI approval of a concept sheet

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 7, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05558345
Responsible party
Michael J. Li, PhD, MPH (Assistant Professor In-Residence, University of California, Los Angeles) — Principal investigator
First posted
Sep 28, 2022
Start date
Sep 1, 2022
Primary completion
Mar 31, 2025 (estimated)
Completion
Mar 31, 2026 (estimated)
Last update
May 7, 2024

Study contacts

Michael J Li, PhD
Contact
mjli@mednet.ucla.edu
3107948530
Michael J Li, PhD
principal investigator · UCLA Department of Family Medicine

Oversight

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

Not currently enrolling

This study is status unknown, as verified in May 2024. You cannot join it, but the record below documents what was studied.

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