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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT04666792
Other study ID # STUDY00009583
Secondary ID R01MH123267
Status Recruiting
Phase Phase 4
First received
Last updated
Start date March 1, 2021
Est. completion date December 31, 2024

Study information

Verified date June 2023
Source University of Washington
Contact Zarna Marfatia
Phone +12065203866
Email zarnam@uw.edu
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This a prospective, open-label implementation project to catalyze integration of HIV prevention and PrEP care services for adolescent girls and young women in family planning clinics in Kenya.


Description:

Investigators will conduct a stepped-wedge cluster-randomized programmatic project to integrate PrEP provision within a combination HIV prevention package in 12 family planning clinics in Kisumu, Kenya- a region with an HIV prevalence of up to 28% among young women. The project will optimize and sustain PrEP delivery with existing family planning staff, supported through training and ongoing technical assistance. The investigators will rigorously evaluate program reach, effectiveness, adoption, implementation, maintenance, and impact using validated implementation science frameworks and how clinics build new efficient delivery systems.


Recruitment information / eligibility

Status Recruiting
Enrollment 3600
Est. completion date December 31, 2024
Est. primary completion date December 31, 2024
Accepts healthy volunteers Accepts Healthy Volunteers
Gender Female
Age group N/A and older
Eligibility Inclusion Criteria: - Female of reproductive age - Sexually active - Able and willing to provide informed consent - HIV negative, according to national HIV testing algorithm - Has at least one risk factor for HIV as defined by the Kenya National AIDS and STI Control Program Exclusion Criteria: - Otherwise not eligible based on the above inclusion criteria

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
PrEP
A fixed-dose, oral co-formulation of emtricitabine (FTC)/tenofovir disoproxil fumarate (TDF) is the approved and preferred regimen for HIV-1 prevention in Kenya and the United States. The World Health Organization (WHO) recommends TDF-containing medications as PrEP, which includes TDF combined with FTC as well as potentially TDF alone and TDF combined with lamivudine (or 3TC, a medication closely related to FTC). Any TDF-containing medications that align with WHO and Kenya national guidelines for PrEP will be used. PrEP medication will come from clinic stocks.

Locations

Country Name City State
Kenya Kenyatta National Hospital Kisumu

Sponsors (5)

Lead Sponsor Collaborator
University of Washington Kenya National AIDS & STI Control Programme, Kenyatta National Hospital, Kisumu County Government, National Institute of Mental Health (NIMH)

Country where clinical trial is conducted

Kenya, 

Outcome

Type Measure Description Time frame Safety issue
Primary Proportion of women accessing family planning services who are screened for HIV risk Measure HIV risk screening completion among women receiving family planning services up to 24 months
Primary Proportion of women accessing family planning services who uptake PrEP for HIV prevention Measure PrEP initiation among women receiving family planning services up to 24 months
Secondary PrEP adherence quantified by tenofovir drug levels in blood Measure PrEP adherence among women who initiate PrEP up to 24 months
Secondary Proportion of women who remain HIV-negative Assess HIV status of women receiving family planning services up to 24 months
Secondary Proportion of family planning clinics that implement PrEP provision Measure number of clinics that provide PrEP up to 36 months
Secondary Proportion of targeted providers who are trained and provide PrEP Measure number of providers in family planning clinics who implement PrEP up to 24 months
Secondary Proportion of core PrEP delivery components delivered per protocol Measure fidelity to PrEP delivery procedures in family planning clinics up to 24 months
Secondary Facilitators and barriers to PrEP implementation Mixed methods assessment of clinic readiness and ability to implement PrEP per protocol up to 24 months
Secondary Programmatic costs of providing PrEP in family planning clinics Conduct micro-costing, cost-effectiveness, and budget impact analyses to estimate the programmatic costs of providing PrEP in family planning clinics up to 24 months
Secondary Develop data tools to expand and support delivery of family planning and HIV prevention services Coordinate with key stakeholders to develop and refine data tools and clinical delivery products during project implementation up to 24 months
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