Evaluating the Feasibility and Acceptability of Implementing a PrEP Program in PR-CoNCRA (San Juan, Puerto Rico)- Part B

HIV/AIDS Clinical Trial

Official title:

Evaluating the Feasibility and Acceptability of Implementing a PrEP Program in PR-CoNCRA (San Juan, Puerto Rico)- Part B

Clinical Trial Details — Status: Enrolling by invitation

Administrative data

• NCT number: NCT03120494
• Other study ID #: Puerto Rico PrEP study- Part B
• Status: Enrolling by invitation
• Phase: Phase 4
• First received: April 11, 2017
• Last updated: April 4, 2018
• Start date: November 2016
• Est. completion date: November 2019

Study information

• Verified date: April 2017
• Source: Puerto Rico Community Network for Clinical Research on AIDS
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

75 subjects at risk for HIV infection (25 high risk MSM and 50 sero-discordant couples) will be recruited. All subjects will receive Truvada for pre-exposure prophylaxis or PrEP, as well as routine medical evaluations during one year. Subjects will be managed according to CDC's guidelines on the management of PrEP as a tool for HIV prevention.

Description:

75 subjects at risk for HIV infection (25 high risk MSM and 50 sero-discordant couples) will be recruited. All subjects will receive Truvada for PrEP, as well as routine medical evaluations during one year. Subjects will be managed according to CDC's guidelines on the management of PrEP as a tool for HIV prevention.

All subjects will have a total of at least 8 study visits during which routine assessment are performed for patients on Truvada for PrEP. Apart from offering routine medical care, a baseline questionnaire that includes socio-demographic variables, PrEP knowledge and acceptability and sexual conducts will be offered. At the 6 months visit, an abbreviated sexual conducts questionnaire will be offered.

Recruitment information / eligibility

• Status: Enrolling by invitation
• Enrollment: 75
• Est. completion date: November 2019
• Est. primary completion date: June 2019
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 21 Years and older

Eligibility

Inclusion Criteria:

1. Subject is a male, female or transgender female age 21 or older

2. Subject provides written informed consent.

3. Subject provides written authorization for use and disclosure of protected health information (PHI).

4. Subject has one of the following risk factors:

• male, female or transgender female or female sexual partner of an HIV-infected individual, ideally who is not virologically suppressed

• high risk MSM as defined by: having unprotected sexual intercourse with at least two male partner in the last 6 months, or

• diagnosed with an STI in the past 6 months

5. Baseline eCrCl of =60 ml/min (calculated using the CKD-EPI formula)

6. Negative Hepatitis B serology

7. No medical contraindications to the use of PrEP

8. Confirmed HIV negative by 5th generation (AB/antigen) HIV test

Exclusion Criteria:

1. younger than 21 years of age

2. unable to provide consent

3. Female who is pregnant, breast-feeding or intends to become pregnant or is of childbearing potential and not using adequate contraceptive methods (adequate contraceptive measures as required by local regulation or practice).

4. Positive pregnancy test: Women of childbearing potential must have a negative serum or urine pregnancy test within 1 week prior to study entry. Pregnancy testing will also be performed in enrolled female participants prior to any study procedures being performed

5. Baseline eCrCl <60 ml/min

6. Positive Hepatitis B serology to avoid potential flares upon product discontinuation

7. Any medical contraindication to the use of PrEP or any other conditions deemed by the study investigator to exclude the subject's participation in the study

8. HIV infected

9. Signs and symptoms of acute HIV infection

10. For sero-discordant couples: upon review of HIV positive partner's chart, evidence of resistance to any of the components of the study drug.

11. Illness or other condition that, in the opinion of the PI, may interfere with study participation at the time of enrollment.

Related Conditions & MeSH terms

• HIV/AIDS

Intervention

Drug:
• Emtricitabine and Tenofovir
All subjects will be provided study drug for use daily for one year.

Locations

Country	Name	City	State
Puerto Rico	Puerto Rico Community Network for Clinical Research on AIDS (PR-CoNCRA)	San Juan

Sponsors (2)

Lead Sponsor	Collaborator
Puerto Rico Community Network for Clinical Research on AIDS	Gilead Sciences

Country where clinical trial is conducted

Puerto Rico, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Retention in care	Retention to follow up clinical visits based on completed and missed visits	12 months
Primary	Treatment adherence	Determine adherence to study drug based on pill count and died blood spots (DBS)	12 months
Primary	PrEP knowledge	Measure the level of education of the study subjects in the topic of PrEP using a questionnaire	12 months
Secondary	Study drug safety	Determine safety of study drug based on AE reports related to treatment	12 months
Secondary	Study drug safety	Determine safety of study drug based on safety laboratories monitoring, reported as percentage of participants with abnormal laboratory values	12 months
Secondary	HIV sero-prevalence	Determine the sero-prevalence of the study subjects receiving PrEP based on the number of study subjects diagnosed with HIV during study duration.	12 months
Secondary	Changes in sexual risk behaviors	Measure changes from baseline sexual risk behaviors after initiating use of study drug, specifically frequency of unprotected sexual intercourse according to sexual behaviors questionnaire.	12 months