HIV Infections Clinical Trial
— EZI-PREPOfficial title:
The EZI-PrEP Study: E-Health for Zero Infections - Facilitating Access to and Use of HIV Pre-Exposure Prophylaxis (PrEP) in The Netherlands
Verified date | May 2023 |
Source | Public Health Service of Amsterdam |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Offering PrEP care online and reducing the frequency of monitoring may increase access to HIV PrEP. The objective of this study is to assess the non-inferiority of an internet-based HIV PrEP-service and reduced frequency of monitoring visits in comparison to standard-of-care at the Public Health Service in 4 regions in the Netherlands: Amsterdam, Rotterdam-Rijnmond, Haagland and Gelderland-Zuid.
Status | Active, not recruiting |
Enrollment | 441 |
Est. completion date | March 31, 2024 |
Est. primary completion date | March 31, 2024 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Aged 18 years or older; - Meeting the eligibility criteria of the NPP i.e. being a MSM or transgender persons who in the 6 months prior to the PrEP-request/PrEP-consultation: - Had anal sexual intercourse without a condom with a male partner with an un-known HIV status, and/or; - Had anal sexual intercourse without a condom with a male partner with a known HIV-positive status and a detectable viral load, and/or; - Was diagnosed with a rectal STI, and/or; - Received a prescription for post-exposure prophylaxes (PEP); - Living in the catchment area of one of the participating GGD regions; - Having a smartphone, internet access and email address; - Sufficient understanding of Dutch or English; and - Signed informed consent. Exclusion Criteria: - HIV infection; - Chronic or acute Hepatitis B virus infection; - Diminishing renal function: - eGFR less than 60 mL/min/1.73m2; - Other renal problems, as diagnosed by a physician and advised against using TFV; - Chronic use of medication that interacts with TFV/FTC e.g. NSAIDs. - Other medical conditions that require special attention when using PrEP, such as osteoporosis or other bone diseases; - Unlikely, in the opinion of the clinician, to comply with the study requirements or procedures; - Participating in another study that affects the primary or secondary outcome measures of our study; - Investigators or otherwise dependent persons. |
Country | Name | City | State |
---|---|---|---|
Netherlands | Public Health Service of Amsterdam | Amsterdam | |
Netherlands | Public Health Service Haaglanden | Den Haag | |
Netherlands | Public Health Service Gelderland-Zuid | Nijmegen | |
Netherlands | Public Health Service Rotterdam-Rijnmond | Rotterdam |
Lead Sponsor | Collaborator |
---|---|
Public Health Service of Amsterdam | DC Pharmacy of DC Klinieken, Public Health Service Gelderland-Zuid, Public Health Service Haaglanden, Public Health Service Rotterdam-Rijnmond, Stichting Aidsfonds, The National Institute for STI and Aids Control in the Netherlands (Soa Aids Nederland) |
Netherlands,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Adherence to PrEP regimen | Non-adherence is defined as a PrEP-less and condom-less anal sex act with a casual partner, termed an unprotected act (UA). Self-reported daily data on sexual behaviour, pill intake and condom use are recorded in an electronic diary. Using these data, we will count the number of UAs (n), and the person-months at risk (pmar) per person; this will yield the incidence rate (IR) per person month (= n / pmar). This will be done for each study arm separately. | 18 months for each individual study participant |
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