ClinicalTrials.gg
RecruitingNCT07219082BSAFEUpdated Aug 18, 2026

Behavioral Safety and Fentanyl Education: BSAFE

An interventional study of BSAFE Intervention and Attention control in Drug Overdose and Drug Overdose Accidental, sponsored by San Francisco Department of Public Health. Recruiting at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-08-18.

Sponsored by San Francisco Department of Public Health · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Started Aug 2026; still recruiting 3 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
160
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

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

Among 72 studies in Drug Overdose with a site in United States — 17 open to participants now, 28 under way, none of them phase 3. Drug Overdose · United States.

Planned enrollment
30th of 58
160 · median 182
Started
2026
with 6 others
No phase
51 of 72
13 open now
Primary completion
2030-01
later than 25 of 27 live
Registered
66th of 72
by date
Lead sponsor
3 of 72
San Francisco Department of Public Health

Among the 72 studies in Drug Overdose with a site in United States, this one is the 30th largest by planned enrollment of the 58 interventional ones, is one of 7 that started in 2026, is one of 51 with no phase, reaches primary completion later than 25 of the 27 other live ones, and was the 66th registered.

By phase

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

No phasethis study51 · 13 open
Observational14 · 4 open
Phase 43 · 0 open
Phase 12 · 0 open
Phase 21 · 0 open
Phase 31 · 0 open

By the year they started

First in 2010; this study’s year is marked. 7 started in 2026.

Size and results

Median enrollment 182 across the 58 interventional studies, 217 across the 14 observational. Of the 40 that completed or were terminated, 18 (45%) have results posted.

Was this useful?
Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 72 studies in Drug Overdose with a site in United States, or all of them as a file.
02

Study summary

BSAFE is a randomized trial of a repeated-dose brief intervention to reduce overdose and risk behaviors among people who use stimulants who may have unintentional fentanyl use (UFU). It includes an established overdose education curriculum within an Informational-Motivation-Behavior (IMB) model. This study will test the efficacy of BSAFE vs attention-control.

03

Conditions studied

  • Drug Overdose
  • Drug Overdose Accidental

Browse trials for

04

Who can participate

Ages eligible
18 Years and older
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

  1. Aged 18 years or older,
  2. Reports intentional cocaine or methamphetamine use ≥7 of past 30 days,
  3. Urine positive for cocaine or methamphetamine and negative for opioids/fentanyl prior to enrollment
  4. Be able to provide the names of at least 2 persons who can consistently locate their whereabouts.
  5. Reports at least one suspected unintentional fentanyl use event, including unexpected sedation or unexpected fentanyl-positive bodily fluid drug testing result.

Exclusion criteria

Exclusion Criteria:

  1. Reports past 30-day intentional use of any opioid or ongoing use of an opioid antagonist (e.g., naltrexone)
  2. Intends to leave area in coming year,
  3. Unable to communicate in English or Spanish,
  4. Any other condition that, in the PI's judgment, interferes with safe study participation or adherence to study procedures.
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
160 participants (estimated)

Study arms

  • Experimental
    BSAFE Counseling Intervention

    The BSAFE intervention will consist of three elements: motivational interviewing-based Counseling focused on a personalized plan to reduce risk for UFU and resultant overdose, (2) weekly text message Safety Reminders, and (3) Linkage to Care for managing stimulant use. The brief counseling intervention will utilize Motivational Interviewing and skills-building techniques to modify personal overdose risk behaviors.

    Behavioral: BSAFE Intervention

  • Placebo comparator
    Attention Control

    Participants will watch 45 minute videos unrelated to the intervention as an attention control.

    Behavioral: Attention control

Interventions

  • BehavioralBSAFE Intervention

    The intervention will include counseling sessions, reminder safety text messages, and linkage to care.

  • BehavioralAttention control

    Attention control (videos)

06

What researchers measure

Primary outcomes

  1. Incidence of opioid overdose due to unintentional fentanyl use

    Incidence of overdose will be measured by a composite measure of non-fatal and fatal overdose count collected by blinded assessors from Timeline Follow-Back (TLFB) every 4 months and vital record linkage for overdose fatalities.

    Time frame: 16 months

  2. Incidence of unintentional fentanyl use

    Incidence of biomarker-confirmed unintentional fentanyl use, as determined by hair sampling for fentanyl and related analogues collected every 4 months.

    Time frame: 16 months

Secondary outcomes

  1. Self-reported intentional opioid use

    Self-report of fentanyl use and intentionality utilizing TimeLine Follow Back conducted at visits every 4 months.

    Time frame: 16 months

  2. Fentanyl positive urine

    Proportion of fentanyl-positive urine drug screen results, as measured at study visits every 4 months.

    Time frame: 16 months

  3. Overdose resulting in Emergency Department presentation

    Proportion of emergency room presentation for opioid overdose confirmed by electronic health record.

    Time frame: 16 months

  4. Use of overdose prevention strategies

    Proportion of use of overdose prevention strategies, measured by self-report at each study visit every 4 months.

    Time frame: 16 months

07

Study locations

1 of 1 sites recruiting
08

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 2026 (actual). Primary completion is estimated for Jan 2030, 41 months after the start.

Of 47 non-industry interventional studies with no phase under Drug Overdose, half reached primary completion within 31 months of starting (the median), counting those still running; a quarter within 13 and three quarters within 49. This study's planned 41 months is above that.

Counting every sponsor, half of 47 studies reached it within 31 months; a quarter within 13 and three quarters within 49.

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

Registered
Oct 17, 2025
First posted
Oct 21, 2025
StartActual
Aug 11, 2026
Primary completionEst.
Jan 15, 2030
CompletionEst.
Jan 15, 2030
Last update
Aug 18, 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 Aug 18, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07219082
Lead sponsor
San Francisco Department of Public Health
Responsible party
Phillip Coffin, MD, MIA (Director, Substance Use Research, San Francisco Department of Public Health) — Principal investigator
First posted
Oct 21, 2025
Start date
Aug 11, 2026
Primary completion
Jan 15, 2030 (estimated)
Completion
Jan 15, 2030 (estimated)
Last update
Aug 18, 2026

Study contacts

Phillip O Coffin, MD, MIA
Contact
phillip.coffin@sfdph.org
(628) 217-6282
Xochitl Luna Marti, MPH
Contact
xochitl.lunamarti@sfdph.org
(628) 217-6235
Alexander Bazazi, MD, PhD
principal investigator · University of California, San Francisco

Oversight

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

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion