ClinicalTrials.gg
Not yet recruitingNCT07931612Updated Nov 12, 2026

STRIVES: Status-Neutral TeleHealth Concierge Intervention for Unhoused People Who Use Drugs Via Engagement Through Street Medicine

An interventional study of Standard of Care (Patient Navigation to Off-Site Clinic) and Status-Neutral Telehealth Concierge (SN-THR) in HIV, Substance Use Disorder (SUD) and HEPATITIS C (HCV), sponsored by University of Miami. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-12.

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

Updated Nov 12, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
200
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 18 studies in Substance-Related Disorders by University of Miami — 2 open to participants now, 2 under way, none of them phase 3. Substance-Related Disorders · University of Miami.

Planned enrollment
7th of 17
200 · median 173
Started
2027
the only one that year
No phase
11 of 18
2 open now
Registered
18th of 18
by date

Among the 18 studies in Substance-Related Disorders by University of Miami, this one is the 7th largest by planned enrollment of the 17 interventional ones that give a count, is the only one that started in 2027, is one of 11 with no phase, and was the 18th registered.

Substance-Related Disorders

2,238 studies on the registry are indexed under Substance-Related Disorders; 409 are open to participants now.

Browse Substance-Related Disorders studies →

Open to participants now

2 of the 18 studies in Substance-Related Disorders by University of Miami are open now, in 1 country. Recruiting first, the newest first:

By country, each count listing its studies:

All 2 open studies →

Where they have run

Who these studies take

Of the 266 Substance-Related Disorders studies recruiting now, 130 (49%) set no upper age limit and 118 (44%) stop at 75 or younger; 56 take children under 18; 89 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 18 studies in Substance-Related Disorders by University of Miami, or all of them as a file.
02

Study summary

This study is testing a novel telehealth-based, status-neutral care model for integrating HIV prevention/treatment and substance use disorder services into street-based primary care for people experiencing homelessness who use drugs.

03

Conditions studied

  • HIV
  • Substance Use Disorder (SUD)
  • HEPATITIS C (HCV)
  • Homelessness
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

  • Age 18 or older
  • Able to speak English or Spanish
  • Willing and able to sign , provide locator information, and complete medical records release
  • Meets the , 5th Edition (DSM-5) criteria for current alcohol or substance use disorder
  • Meets study-defined criteria for homelessness or housing instability by self-report
  • Interested in initiating or continuing Antiretroviral therapy (ART) or pre-exposure prophylaxis (PrEP), as applicable based on status
  • Planning to stay in the area for 12 months

Exclusion criteria

Exclusion Criteria:

  • Investigator discretion
  • Currently in prison or jail
  • Does not meet criteria for current alcohol or substance use disorder
  • Does not meet study-defined criteria for homelessness or housing instability by self-report
  • Not interested in initiating or continuing ART or PrEP, as applicable based on status
  • Current enrollment in PROTECT or CHARIOT
  • Planning to leave the area within 12 months
Terms in these criteria, in plain language(3)

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.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

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
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
200 participants (estimated)

Study arms

  • Active comparator
    Standard of Care Group (Off-site clinic referral and patient navigation)

    Participants in this arm receive standard patient navigation and referral services for healthcare and social support needs for one year.

    Behavioral: Standard of Care (Patient Navigation to Off-Site Clinic)

  • Experimental
    Status-Neutral Telehealth Concierge (SN-THR) Group

    Participants in this arm receive the SN-THR intervention, a multidisciplinary street medicine and telehealth program providing integrated medical care, behavioral health services, care coordination, and social support for one year.

    Behavioral: Status-Neutral Telehealth Concierge (SN-THR)

Interventions

  • BehavioralStandard of Care (Patient Navigation to Off-Site Clinic)

    Participants receive standard patient navigation and referral services, including linkage to community healthcare and social services, transportation assistance, case management, wound care, and referrals for HIV care, pre-exposure prophylaxis (PrEP), substance use treatment, mental health services, and primary care

  • BehavioralStatus-Neutral Telehealth Concierge (SN-THR)

    SN-THR is a multidisciplinary street medicine and telehealth intervention that provides medical care, behavioral health services, peer support, care coordination, street-based laboratory services, and social services. Participants receive telehealth technology, motivational interviewing, medication support, and assistance addressing housing, food insecurity, and insurance barriers during the 12-month intervention period.

06

What researchers measure

Primary outcomes

  1. Antiretroviral Adherence for Treatment/Prevention

    Proportion of participants adherent to Antiretroviral Therapy (ART) for HIV treatment/prevention. HIV treatment adherence (ART adherence) will be defined by HIV RNA level \<200 copies/mL for PWH. PrEP adherence will be defined by any of the following: Dried Blood Spot (DBS) tenofovir diphosphate (TFV-DP) level of 700 fmol/punch for tenofovir disoproxil fumarate (TDF); DBS TFV-DP level of 950 fmol/punch for tenofovir alafenamide (TAF); or documentation of long-acting ART/PrEP (cabotegravir injection in the previous 8 weeks or lenacapavir injection in the previous 6 months) via EHR abstraction.

    Time frame: Baseline, 3, 6, 9, and 12 months

Secondary outcomes

  1. Engagement in Substance Use Disorder (SUD) Treatment

    Engagement in Substance Use Disorder (SUD) treatment will be assessed as the proportion of participants who engage in treatment services. Engagement will be defined by any of the following: Documentation in the electronic health record (EHR) of an evaluation for medications for opioid use disorder (MOUD) or prescription of psychotropic medications for other substance use disorders; Attendance at individual psychotherapy or group psychotherapy sessions documented in the EHR; or self-reported attendance at Narcotics Anonymous (NA) or Alcoholics Anonymous (AA) meetings.

    Time frame: Baseline, 3, 6, 9, and 12 months

  2. Receipt of Primary Care by U.S. Preventive Services Task Force (USPSTF) Recommended Services

    Primary care preventive services will be assessed as the total number of applicable U.S. Preventive Services Task Force (USPSTF)-recommended preventive services received based on participant characteristics, as determined by electronic health record (EHR) abstraction. Preventive services may include, but are not limited to, cervical cancer screening, colorectal cancer screening, breast cancer screening, lung cancer screening, abdominal aortic aneurysm screening, hypertension screening, diabetes screening, and age- and risk-appropriate USPSTF-recommended vaccinations.

    Time frame: Baseline, 3, 6, 9, and 12 months

  3. Non-fatal overdose

    Non-fatal overdose will be assessed as the number of self-reported count of non-fatal overdose experiences.

    Time frame: Baseline, 3, 6, 9, and 12 months

  4. Possession of Naloxone

    Possession of Naloxone will be assessed as the proportion of participants having naloxone on person at the time of assessment. Documented naloxone possession via photo.

    Time frame: Baseline, 3, 6, 9, and 12 months

  5. Medications for Opioid Use Disorder (MOUD) Adherence

    Medications for opioid use disorder (MOUD) adherence will be assessed as the proportion of participants using MOUD. Adherence is defined as detection of buprenorphine or methadone on point-of-care urine drug screening (UDS) or documentation of extended-release naltrexone or extended-release buprenorphine injection administration within the previous 4 weeks, as determined by electronic health record (EHR) abstraction.

    Time frame: Baseline, 3, 6, 9, and 12 months

  6. Hepatitis C virus (HCV) cure: Sustained Virologic Response

    Hepatitis C virus (HCV) cure will be assessed as the proportion of participants with a positive hepatitis C virus ribonucleic acid (HCV RNA) result at baseline who receive direct-acting antiviral (DAA) therapy and achieve a negative hepatitis C virus ribonucleic acid polymerase chain reaction (HCV RNA PCR) result at least 4 weeks after treatment completion collected with blood samples.

    Time frame: Baseline, 3, 6, 9, and 12 months

  7. Treatment of Sexually Transmitted Infections (STIs)

    Treatment of sexually transmitted infections (STIs) will be assessed as the number of STI infections that resolve during the 12- month follow-up period. Resolution is defined as a negative gonorrhea or chlamydia test following a prior positive test or a fourfold reduction in syphilis titers at least 6 months after a positive test.

    Time frame: Baseline, 3, 6, 9, and 12 months

07

Study locations

No study locations are listed for this record.

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

Start is estimated for May 2027; primary completion for Jul 2030, 38 months later.

Of 814 non-industry interventional studies with no phase under Substance-Related Disorders, half reached primary completion within 35 months of starting (the median), counting those still running; a quarter within 18 and three quarters within 53. This study's planned 38 months is close to that.

Counting every sponsor, half of 854 studies reached it within 34 months; a quarter within 17 and three quarters within 53.

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

Registered
Nov 5, 2026
First posted
Nov 12, 2026
StartEst.
May 1, 2027
Primary completionEst.
Jul 1, 2030
CompletionEst.
Jul 1, 2030
Last update
Nov 12, 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.
Registered
First appeared on the registry. No changes since
Nov 12, 2026
Show all 1 update
  1. Nov 12, 2026
    First appeared on the registry

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
NCT07931612
Responsible party
Tyler Scott Bartholomew (Associate Professor, University of Miami) — Principal investigator
First posted
Nov 12, 2026
Start date
May 1, 2027 (estimated)
Primary completion
Jul 1, 2030 (estimated)
Completion
Jul 1, 2030 (estimated)
Last update
Nov 12, 2026

Study contacts

Tyler S Bartholomew, PhD
Contact
tsb61@miami.edu
305-243-4625
Tyler S Bartholomew, PhD
principal investigator · University of Miami
Hansel E Tookes, MD, MPH
principal investigator · University of Miami
Armen Henderson, MD
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 ↗

Not currently enrolling

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

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Discussion

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