HIV Infections Clinical Trial
Official title:
PrEP Impact Trial: A Pragmatic Health Technology Assessment of PrEP and Implementation
HIV pre-exposure prophylaxis (PrEP) is the use of anti-HIV medicines by HIV negative people
in order to prevent them from becoming HIV positive if exposed to HIV.
Currently, the combination drug containing tenofovir and emtricitabine is licensed in Europe
for use as HIV PrEP. We know from previous studies worldwide that this combination drug is
very good at reducing the risk of HIV infection and several countries have implemented PrEP
programmes to provide PrEP to individuals at high risk of HIV.
However, it is difficult to effectively plan for a national PrEP programme in England without
knowing how many people will need PrEP, how many will want to take PrEP, and how long they
will stay on PrEP.
In order to find this out, the PrEP Impact Trial will make PrEP available to at least 10,000
people over three years. HIV negative men and women attending sexual health clinics in
England will have their risk of HIV assessed by their care team and be offered PrEP if they
meet the eligibility criteria. Through the trial we will be able to measure how many
attendees at sexual health clinics meet eligibility criteria for PrEP, how many of these take
up the offer of PrEP and how long they remain on PrEP for.
There will not be any additional tests other than those recommended for the safe delivery of
PrEP. These include tests for sexually transmitted infections (STIs) and HIV as well as urine
and blood tests to monitor kidney function. Information about attendances and test results
will be anonymously collected through the existing data reporting system that sexual health
clinics currently use to report to Public Health England.
Status | Not yet recruiting |
Enrollment | 10000 |
Est. completion date | September 1, 2020 |
Est. primary completion date | September 1, 2020 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 16 Years and older |
Eligibility |
Inclusion Criteria: The participant populations for this trial will be men and women attending GUM clinics who belong to one of three populations recognised to be at high risk for HIV, namely: A. Men (cisgender and transgender) and transgender women who: 1. Have sex with men 2. Have had an HIV negative test during an earlier episode of care in the preceding year 3. Report condomless intercourse in the previous 3 months 4. Affirm their likelihood of having condomless intercourse in the next 3 months B. HIV negative partners of an HIV positive person when: 1. The HIV positive partner is not known to be virally suppressed (<200 copies/ml for 6 months or more) 2. Condomless intercourse is anticipated before treatment of the HIV positive partner takes effect C.HIV negative persons who: 1. Are clinically assessed and considered to be at similar high risk of HIV acquisition as those with a serodiscordant partner who is not known to be virally suppressed Participants will therefore be considered eligible for trial enrolment if they fulfil all the following individual eligibility criteria: 1. Belongs to one of the three at high HIV risk populations described above 2. Aged 16 years or over (no upper limit) 3. Considered to be HIV negative on the day of enrolment 4. Willing and able to provide informed consent 5. Willing to adhere to the recommended PrEP regimen 6. Willing to re-attend the trial clinic at appropriate intervals for risk assessment Exclusion Criteria: 1. An acute viral illness that could be due to HIV seroconversion 2. Any contraindication to Tenofovir Disoproxil (TD)/ Emtricitabine (FTC)- |
Country | Name | City | State |
---|---|---|---|
n/a |
Lead Sponsor | Collaborator |
---|---|
St Stephens Aids Trust | NHS England, Public Health England |
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | PrEP Eligibility | The proportion of GUM clinic attendees meeting the eligibility criteria for PrEP | 3 years | |
Primary | PrEP Eligibility (duration) | The duration for which GUM clinic attendees are eligible for PreP | 3 years | |
Primary | PrEP Uptake | The proportion of PrEP eligible GUM clinic attendees prescribed PrEP | 3 years | |
Primary | PrEP Uptake (duration) | The duration for which eligible GUM clinic attendees use PrEP | 3 years | |
Secondary | HIV | HIV diagnoses reported by sites and identified through the national surveillance dataset | 3 years | |
Secondary | STIs | STI diagnoses (gonorrhoea, chlamydia, syphilis and hepatitis C) reported in the national surveillance dataset | 3 years | |
Secondary | Adverse Events | Serious suspected adverse drug reactions reported using the yellow card system Antiretroviral resistance associated mutations in participants with incident HIV infection |
3 years |
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