HIV Clinical Trial
— IM-CAPABLEOfficial title:
IMplementation of CAB+RPV LA for People With HIV in Non-Metropolitan Areas: Addressing Adherence Barriers Through Learning and Evidence-Informed Strategies (IM-CAPABLE)
NCT number | NCT06451341 |
Other study ID # | 0277-24-EP |
Secondary ID | |
Status | Not yet recruiting |
Phase | |
First received | |
Last updated | |
Start date | June 2024 |
Est. completion date | April 2026 |
The goal of this implementation science study is to learn about the experience of receiving and providing cabotegravir + rilpivirine long-acting (CAB+RPV LA) injections as treatment for human immunodeficiency virus (HIV) for people who live a significant distance from an HIV provider. The main questions it aims to answer are: - Is CAB+RPV LA feasible and acceptable to patients and staff? - What barriers and supports exist and have the most impact on receiving and providing CAB+RPV LA? - How does CAB+RPV LA affect HIV stigma, treatment satisfaction, medication adherence and viral suppression? People living with HIV who reside outside of the Omaha, Nebraska metro area and are starting CAB+RPV LA as part of regular medical care for HIV will be invited to participate in this study by completing questionnaires and an interview over 15 months. Clinic staff who are involved in providing HIV care and CAB+RPV LA will also provide input through questionnaires and an interview.
Status | Not yet recruiting |
Enrollment | 55 |
Est. completion date | April 2026 |
Est. primary completion date | April 2026 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 19 Years and older |
Eligibility | Patient Inclusion Criteria: - Age = 19 years old (as per Nebraska's adult age definition) with documented HIV infection - Receiving care for the management of HIV disease by a provider at the Nebraska Medicine/UNMC Specialty Care Center ( UNMC SCC) - Deemed a clinically eligible candidate for CAB+RPV LA per HIV treatment guidelines and through shared medical decision-making by provider and patient - Resides outside of the Omaha, Nebraska metropolitan area Patient Exclusion Criteria: - Does not meet the clinical guidelines eligibility criteria for CAB+RPV LA - Currently receiving CAB+RPV LA - Currently incarcerated - Unable to give informed consent for participation - Pregnant or planning to become pregnant during the study period - Intends to move from their current residence to the Omaha metropolitan area or intend to move out of the Specialty Care Center service area within 12 months after enrollment Staff Inclusion Criteria: - Age = 19 years old (as per Nebraska's adult age definition) - Staff member of the UNMC SCC or the Grand Island clinic who is providing HIV-related care to patients and has a dedicated role in the IM-CAPABLE study - Able to provide written and/or oral feedback as outlined in the implementation method |
Country | Name | City | State |
---|---|---|---|
United States | Nebraska Medicine Grand Island Clinic | Grand Island | Nebraska |
United States | University of Nebraska Specialty Care Center | Omaha | Nebraska |
Lead Sponsor | Collaborator |
---|---|
University of Nebraska | ViiV Healthcare |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Describe patient reported barriers to receiving CAB+RPV LA | The Needs and Barriers Assessment is a questionnaire designed to assess patient participant barriers and social determinants of health, emotional challenges related to antiretroviral therapy, and the impact of switching to CAB+RPV LA treatment. | 15 months (Baseline, Month 7 and Month 15) | |
Primary | Patient participants determination of acceptability of CAB+RPV LA implementation | Proportion of patient participants that agree/completely agree (average score of 4 or higher) on the acceptability of CAB+RPV LA implementation on the Acceptability of Intervention Measure (AIM) questionnaire (4-item measure of perceived intervention acceptability measured on a Likert scale (1-Completely Disagree to 5-Completely Agree). Score is calculated mean. | 15 months (baseline, month 7 & month 15) | |
Primary | Patient participants determination of feasibility of CAB+RPV LA implementation | Proportion of patient participants that agree/completely agree (average score of 4 or higher) on the acceptability of CAB+RPV LA implementation on the Feasibility of Intervention Measure (FIM) questionnaire (4-item measure of perceived intervention acceptability measured on a Likert scale (1-Completely Disagree to 5-Completely Agree). Score is calculated mean. | 15 months (baseline, month 7 & month 15) | |
Primary | Staff participants determination of the acceptability of CAB+RPV LA implementation | Proportion of staff participants that agree/completely agree (average score of 4 or higher) on the acceptability of CAB+RPV LA implementation on the Acceptability of Intervention Measure (AIM) questionnaire (4-item measure of perceived intervention acceptability measured on a Likert scale (1-Completely Disagree to 5-Completely Agree). Score is calculated mean. | 15 months (baseline, month 7 & month 15) | |
Primary | Staff participants determination of the feasibility of CAB+RPV LA implementation | Proportion of staff participants that agree/completely agree (average score of 4 or higher) on the acceptability of CAB+RPV LA implementation on the Feasibility of Intervention Measure (FIM) questionnaire (4-item measure of perceived intervention acceptability measured on a Likert scale (1-Completely Disagree to 5-Completely Agree). Score is calculated mean. | 15 months (baseline, month 7 & month 15) | |
Secondary | Site-specific reach of CAB+RPV LA implementation | Comparison of the number of patients referred to start CAB+RPV LA to the number of patients who were clinically eligible to start CAB+RPV LA at end of study.
This data will be obtained from an electronic medical record generated report indicating the number of patients who meet initial clinical eligibility (virologically suppressed, not pregnant, no Hepatitis B infection, etc). |
15 months | |
Secondary | Site-specific barriers for CAB+RPV LA implementation | Qualitative interviews with staff participants within one month of end of study | 16 months | |
Secondary | Site-specific facilitators for CAB+RPV LA implementation | Qualitative interviews with staff participants within one month of end of study | 16 months | |
Secondary | Virologically suppressed patient participants (plasma HIV RNA <50 copies/mL) | Proportion of patient participants who are virologically suppressed (plasma HIV RNA <50 copies/mL) as a description of the effectiveness of CAB+RPV LA implementation strategies on viral suppression. Viral load results collected from the electronic medical record for the injection visits. | 15 months (Baseline, Month 1, Month 3, Month 9 and Month 15) | |
Secondary | Injection Visit Show Rate | Proportion of patient participants missing clinical injection visits (injection visit show rate collected at the end of study from the electronic medical record for each clinical injection). | 15 months | |
Secondary | CAB+RPV LA effect on patient participants reported stigma | HIV Stigma Questionnaire (12-item measure of perceived stigma using a 4-point Likert scale: 1-Completely Disagree to 4-Completely Agree; higher scores designate a greater level of perceived HIV-related stigma). Total score is the summation of item scores. | 15 months (Baseline, Month 7 & Month 15) | |
Secondary | CAB+RPV LA effect on patient participants reported treatment satisfaction | HIV Treatment Satisfaction Questionnaire status version (12 items rated using a 7-point Likert scale: 0 - very dissatisfied to 6 -very satisfied). Higher scores indicate a greater level of satisfaction with HIV treatment. | 15 months (Baseline, Month 7 & Month 15) | |
Secondary | Patient participants' reported change in treatment satisfaction between previous oral treatment and CAB+RPV LA | HIV Treatment Satisfaction Questionnaire change version (12 items rated using a 7-point Likert scale: -3 - much less satisfied now to 3 -much more satisfied now.) Higher scores indicate a greater improvement in treatment satisfaction with the new treatment. | Month 15 | |
Secondary | Reasons for CAB+RPV LA discontinuation | Collection of reasons from patient participants for discontinuation of CAB+RPV LA will be completed at the end of patient study participation. | 15 months |
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