ClinicalTrials.gg
RecruitingNCT06444360IMPACTUpdated Nov 2, 2026

Behavioral Activation and Risk Reduction for Stimulant Use Among Sexually Active Adolescents and Young Adults

An interventional study of IMPACT and eSOC in HIV, sponsored by Westat. Recruiting at 2 sites in United States. Open to participants aged 16 Years to 24 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-11-02.

Sponsored by Westat · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Started Nov 2025; still recruiting 1 year later.
Updated Nov 2, 2026Eligibility revisedGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
360
Allocation
Randomized
Ages
16 Years to 24 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 584 studies in Behavior with a site in United States — 87 open to participants now, 119 under way, 2 of them phase 3. Behavior · United States.

Planned enrollment
130th of 494
360 · median 121
Started
2025
with 33 others
No phase
430 of 584
74 open now
Primary completion
2029-06
later than 107 of 117 live
Registered
506th of 584
by date

Among the 584 studies in Behavior with a site in United States, this one is the 130th largest by planned enrollment of the 494 interventional ones, is one of 34 that started in 2025, is one of 430 with no phase, reaches primary completion later than 107 of the 117 other live ones, and was the 506th registered.

By phase

584 studies; the count open now beside each. This study's row is marked.

No phasethis study430 · 74 open
Observational89 · 11 open
Phase 227 · 1 open
Phase 312 · 1 open
Phase 411 · 0 open
Phase 19 · 0 open
Phase 1/24 · 0 open
Phase 2/32 · 0 open

By the year they started

First in 1989; this study’s year is marked. 34 started in 2025.

Size and results

Median enrollment 121 across the 494 interventional studies, 122 across the 89 observational. Of the 430 that completed or were terminated, 108 (25%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 584 studies in Behavior with a site in United States, or all of them as a file.
02

Study summary

The use of behavioral intervention to reduce stimulant use and concurrent HIV sexual transmission risk.

Read the detailed description

IMPACT is a status-neutral intervention that uses behavioral activation (BA) integrated with sexual health (SH) counseling to support stimulant use reduction and safer sex practices for adolescents and young adults. This study will evaluate the effectiveness of IMPACT and determine feasibility of implementing IMPACT for translation into real-world practice using a hybrid effectiveness-implementation design.

The IMPACT intervention includes 10 sessions: 2 sessions of sexual education and counseling, 1 session focused on psychoeducation and reflection around stimulants, 1 session orienting BA and harm reduction strategies, 5 sessions integrating BA, SH, and coping skills, and 1 final session on reviewing progress and planning for the future.

The enhanced Standard of Care (eSOC) group receives two SH counseling sessions only.

03

Conditions studied

  • HIV

Browse trials for

Keywords

  • Behavioral activation
  • Intervention
  • Stimulant use
  • HIV sexual health counseling
  • Behavior
  • Sexual education and counseling
04

Who can participate

The criteria were revised on the registry on Nov 2, 2026. See what changed

Ages eligible
16 Years to 24 Years
Sexes eligible
All
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

  • Age 16-24 years, inclusive, at enrollment
  • Self-reports condomless sex while using stimulants (5 hour prior to, or during sex) within the last 4 months; stimulants is defined as crystal methamphetamine, cocaine, and MDMA (e.g., ecstasy, molly)
  • Willing and able to provide written for study participation
  • Access to a computer/smartphone/tablet that can use video chat (e.g., Zoom or Google Meet)
  • Provide a mailing address where they can receive a package
  • Access to stable internet that they can use for more than 2 hours at a time
  • Have a private place (where no one else can see or hear) where they can complete visits online
  • Reside within the continental U.S.

Exclusion criteria

Exclusion Criteria:

  • Unable to provide due to severe mental or physical illness
  • Concurrent enrollment in another prevention or treatment study (enrollment in a substance treatment program is acceptable)
  • Randomized to IMPACT arm of study prior to March 2025 study pause
  • Non-English-speaking
  • Is currently incarcerated or pending incarceration
  • Is currently pregnant or planning to become pregnant
  • Any other medical condition, medical/behavioral intervention, or other condition that, in the opinion of the Project Lead or designee, could interfere with the safety of participants or staff, adherence to study procedures, or compromise interpretation of study results
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.

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.

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

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

Study arms

  • Experimental
    IMPACT Group

    Participants who report stimulant use in the context of condomless sex will be randomized using a 2:1 allocation ratio with two-thirds being allocated to the IMPACT intervention.

    Behavioral: IMPACT

  • Active comparator
    Enhanced Standard of Care (eSOC) Group

    Participants who report stimulant use in the context of condomless sex will be randomized using a 2:1 allocation ratio with one-third being allocated to the eSOC intervention.

    Behavioral: eSOC

Interventions

  • BehavioralIMPACT

    The IMPACT intervention includes 10 sessions: 2 sessions of sexual education and counseling, 1 session focused on psychoeducation and reflection around stimulants, 1 session orienting BA and harm reduction strategies, 5 sessions integrating BA, SH, and coping skills, and 1 final session on reviewing progress and planning for the future.

  • BehavioraleSOC

    The enhanced Standard of Care (eSOC) group receives two SH counseling sessions only.

06

What researchers measure

Primary outcomes

  1. Distinct acts of condomless sex without the protection of PrEP or viral suppression.

    The number of times participants report engaging in condomless sex without the protection of PrEP (for those not living with HIV) or viral suppression (for those living with HIV).

    Time frame: Participants will recall and report acts of condomless sex and medication adherence for the 30 days prior to each of 4 visits: Baseline, Month 4, Month 8 and Month 12.

Secondary outcomes

  1. Days of stimulant use

    The number of days participants report having used stimulants

    Time frame: Participants will recall and report the number of days they used stimulants out of the 30 days prior to each of 4 visits and will also have urine drug testing done. The visits are at: Baseline, Month 4, Month 8 and Month 12.

07

Study locations

2 of 2 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update 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 Nov 2025 (actual). Primary completion is estimated for Jun 2029, 43 months after the start.

Of 741 non-industry interventional studies with no phase under Behavior, half reached primary completion within 14 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 32. This study's planned 43 months is above that.

Counting every sponsor, half of 757 studies reached it within 13 months; a quarter within 5 and three quarters within 32.

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

Registered
May 30, 2024
First posted
Jun 5, 2024
StartActual
Nov 4, 2025
Primary completionEst.
Jun 30, 2029
CompletionEst.
Jun 30, 2029
Last update
Nov 2, 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.
Eligibility
1 inclusion criterion edited, 1 removed; 1 exclusion criterion edited
What changed in the criteria
Inclusion criteria
  • RemovedMale or female
  • EditedSelf-reports condomless anal or vaginal sex while using stimulants (5 hour prior to, or during sex) within the last 4 months; stimulants is defined as crystal methamphetamine, cocaine, and MDMA (e.g., ecstasy, molly)
Exclusion criteria
  • EditedRandomized to IMPACT arm of study prior to March 2025 study stoppause
Nov 2, 2026
Show all 1 update
  1. Nov 2, 2026
    Eligibility 1 inclusion criterion edited, 1 removed; 1 exclusion criterion edited
    What changed in the criteria
    Inclusion criteria
    • RemovedMale or female
    • EditedSelf-reports condomless anal or vaginal sex while using stimulants (5 hour prior to, or during sex) within the last 4 months; stimulants is defined as crystal methamphetamine, cocaine, and MDMA (e.g., ecstasy, molly)
    Exclusion criteria
    • EditedRandomized to IMPACT arm of study prior to March 2025 study stoppause
    + 8 other changes: verification date, description, conditions, design details, arm descriptions, contact details, index terms and documents

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06444360
Lead sponsor
Westat
Responsible party
Sponsor
First posted
Jun 5, 2024
Start date
Nov 4, 2025
Primary completion
Jun 30, 2029 (estimated)
Completion
Jun 30, 2029 (estimated)
Last update
Nov 2, 2026

Study contacts

Erin Ricketts
Contact
erinricketts@westat.com
240-453-2786
Katie B. Biello, PhD, MPH
study chair · Brown University
Matthew Mimiaga, ScD, MPH
study chair · University of California, Los Angeles

Oversight

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

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