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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT05998499
Other study ID # HUIL_MI_VIH01
Secondary ID
Status Completed
Phase
First received
Last updated
Start date January 30, 2022
Est. completion date July 15, 2023

Study information

Verified date August 2023
Source Hospital Universitario Infanta Leonor
Contact n/a
Is FDA regulated No
Health authority
Study type Observational [Patient Registry]

Clinical Trial Summary

This is a longitudinal observational study conducted in Europe that describes migrants infected with HIV from Latin America who come to Europe with the intention of seeking asylum or international protection. The aim of the study is to identify the barriers this population faces in accessing the healthcare system and to assess disease control


Description:

Study Design and Setting This observational study was conducted between 2022 and 2023 in Madrid, Spain. Participants were recruited at the HIV outpatient clinic of Infanta Leonor University Hospital (HUIL) for the study and were monitored for a period of 6 months from their enrollment in the study. Participant Recruitment Participants were primarily identified and referred by various non-governmental organizations (NGOs) working with migrants living with HIV. These NGOs, which included gTt-VIH, Apoyo Positivo, Cogam, Acción Triangulo, Kif-Kif, Salud Entre Culturas, and the Spanish Red Cross, played an essential role by establishing a crucial link and provided a vital bridge, facilitating the patients' integration into the healthcare system through an unconventional circuit. Medical Evaluation In the HIV unit, assessments were conducted by experienced infectious disease specialists and a unit-specific nurse. The care protocol comprised a meticulous collection of medical history, an exhaustive physical examination, along with a series of tests. Furthermore, appointments were scheduled for a one-month and six-month follow-up to ensure continuous care and monitor the effectiveness of the treatment regimen. Social and Psychological Evaluation An experienced social worker with a background in vulnerable populations was hired to perform a social assessment. Six months post the initial hospital visit, the social worker re-established contact with the patients to reassess their social circumstances and their continued engagement with the HIV consultation services. Ethical Considerations This study adhered to the ethical principles outlined in the Declaration of Helsinki and received the necessary approvals from the ethics committee at Infanta Leonor Hospital. Informed consent was provided by every participant. Data collection In this study, the REDCap application was utilized for the collection of data. The database was stored in a secure server, and only researchers and health personnel of the project had access to it.


Recruitment information / eligibility

Status Completed
Enrollment 631
Est. completion date July 15, 2023
Est. primary completion date April 30, 2023
Accepts healthy volunteers
Gender All
Age group N/A and older
Eligibility Inclusion Criteria: - Latin American migrants infected with HIV who arrive in Spain with the intent to seek international protection and who lack access to healthcare. Exclusion Criteria: - Those who do not give their consent

Study Design


Related Conditions & MeSH terms


Intervention

Other:
Description
This study aimed to understand the situation of Latin American HIV-positive migrants seeking asylum in Spain and identify the challenges they encounter in getting HIV treatment. The main result measured was the proportion of participants with an HIV-1 RNA level of 50 copies/mL or higher at their first clinic visit

Locations

Country Name City State
Spain Hospital Universitario Infanta Leonor Madrid

Sponsors (1)

Lead Sponsor Collaborator
Hospital Universitario Infanta Leonor

Country where clinical trial is conducted

Spain, 

Outcome

Type Measure Description Time frame Safety issue
Primary HIV viral control Number of participants with plasma HIV-1 RNA level of more than 50 copies per mL At inclusion
Secondary Resistance Pattern Number of participants with Drug Resistance At inclusion
Secondary Sexually transmited infections Number of participants with sexually transmited infections At inclusion
Secondary Number and Type of Barriers to Accessing Healthcare The outcome will assess the number and type of barriers faced by study participants when trying to access healthcare, based on the presence of any of the following barriers: administrative, geographical, financial, cultural, lack of knowledge, stigma, and organizational. At inclusion
Secondary HIV viral control at 6 months Number of participants with plasma HIV-1 RNA level of more than 50 copies per mL 6 months
Secondary Retention in care Number of participants who maintain retention to healthcare 6 months
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