Trial Outcomes & Findings for Reducing HIV Risk Among Episodic Substance Using Men Who Have Sex With Men (SUMSM) (NCT NCT01279044)

NCT ID: NCT01279044

Last Updated: 2014-10-07

Results Overview

The outcome measure data shows the rate of change in the mean value in the number of total unprotected anal intercourse events over time. Behaviors were self-reported at each study visit using "during the past 3 months" as the recall period. Study visits took place at baseline, 3 month, and 6 month timepoints.

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

385 participants

Primary outcome timeframe

Self-reported behavior during past 3 months

Results posted on

2014-10-07

Participant Flow

Recruitment involved outreach at community venues in San Francisco, including bars, clubs, grocery stores, gyms, and other venues frequented by MSM. To recruit a racially and ethnically diverse sample of episodic SUMSM, recruitment also occurred at community-based organizations serving African American, Latino, and Asian and Pacific Islander MSM.

Potential participants completed brief telephone screening to assess initial eligibility and, if eligible, were scheduled for in-person re-screening visits. If potential participants were ineligible at the re-screening visit, they were thanked for their time and did not continue with study activities, such as randomization in the RCT.

Participant milestones

Participant milestones
Measure
Formative Phase 1
Individual interviews and pilot testing to develop and adapt key elements of Personal Cognitive Counseling
HIV Testing With Adapted Personalized Cognitive Risk-reduction
Adapted Personalized Cognitive Risk-reduction Counseling intervention (PCC): The individualized, cognitive counseling intervention was designed to help participants address the self-justifications-beliefs, thoughts, and attitudes-that they employed in the setting of high-risk sexual behavior, in the company of an empathic counselor.
HIV Testing With Information Only
Standard HIV testing with information only: Standard HIV testing with information only
PHASE 1 - Formative
STARTED
59
0
0
PHASE 1 - Formative
COMPLETED
59
0
0
PHASE 1 - Formative
NOT COMPLETED
0
0
0
PHASE 2 - Randmonized Controlled Trial
STARTED
0
162
164
PHASE 2 - Randmonized Controlled Trial
COMPLETED
0
151
161
PHASE 2 - Randmonized Controlled Trial
NOT COMPLETED
0
11
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Formative Phase 1
Individual interviews and pilot testing to develop and adapt key elements of Personal Cognitive Counseling
HIV Testing With Adapted Personalized Cognitive Risk-reduction
Adapted Personalized Cognitive Risk-reduction Counseling intervention (PCC): The individualized, cognitive counseling intervention was designed to help participants address the self-justifications-beliefs, thoughts, and attitudes-that they employed in the setting of high-risk sexual behavior, in the company of an empathic counselor.
HIV Testing With Information Only
Standard HIV testing with information only: Standard HIV testing with information only
PHASE 2 - Randmonized Controlled Trial
Withdrawal by Subject
0
3
2
PHASE 2 - Randmonized Controlled Trial
Lost to Follow-up
0
8
0
PHASE 2 - Randmonized Controlled Trial
Death
0
0
1

Baseline Characteristics

Reducing HIV Risk Among Episodic Substance Using Men Who Have Sex With Men (SUMSM)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Phase 1 - Formative Research
n=59 Participants
Formative research through individual interviews and pilot testing to develop and adapt the key elements of Personal Cognitive Counseling
HIV Testing With Adapted Personalized Cognitive Risk-reduction
n=162 Participants
Adapted Personalized Cognitive Risk-reduction Counseling intervention (PCC): The individualized, cognitive counseling intervention was designed to help participants address the self-justifications-beliefs, thoughts, and attitudes-that they employed in the setting of high-risk sexual behavior, in the company of an empathic counselor.
HIV Testing With Information Only
n=164 Participants
Standard HIV testing with information only: Standard HIV testing with information only
Total
n=385 Participants
Total of all reporting groups
Age, Continuous
33 years
n=5 Participants
34 years
n=7 Participants
33.1 years
n=5 Participants
33.6 years
n=4 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Sex: Female, Male
Male
59 Participants
n=5 Participants
162 Participants
n=7 Participants
164 Participants
n=5 Participants
385 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
18 Participants
n=5 Participants
34 Participants
n=7 Participants
45 Participants
n=5 Participants
97 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
41 Participants
n=5 Participants
128 Participants
n=7 Participants
119 Participants
n=5 Participants
288 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race/Ethnicity, Customized
Black/African American
3 participants
n=5 Participants
17 participants
n=7 Participants
16 participants
n=5 Participants
36 participants
n=4 Participants
Race/Ethnicity, Customized
Asian Pacific Islander
6 participants
n=5 Participants
14 participants
n=7 Participants
22 participants
n=5 Participants
42 participants
n=4 Participants
Race/Ethnicity, Customized
Mixed
3 participants
n=5 Participants
12 participants
n=7 Participants
12 participants
n=5 Participants
27 participants
n=4 Participants
Race/Ethnicity, Customized
Native American
1 participants
n=5 Participants
1 participants
n=7 Participants
1 participants
n=5 Participants
3 participants
n=4 Participants
Race/Ethnicity, Customized
Other
0 participants
n=5 Participants
34 participants
n=7 Participants
39 participants
n=5 Participants
73 participants
n=4 Participants
Race/Ethnicity, Customized
White
46 participants
n=5 Participants
84 participants
n=7 Participants
74 participants
n=5 Participants
204 participants
n=4 Participants
Region of Enrollment
United States
59 participants
n=5 Participants
162 participants
n=7 Participants
164 participants
n=5 Participants
385 participants
n=4 Participants

PRIMARY outcome

Timeframe: Self-reported behavior during past 3 months

The outcome measure data shows the rate of change in the mean value in the number of total unprotected anal intercourse events over time. Behaviors were self-reported at each study visit using "during the past 3 months" as the recall period. Study visits took place at baseline, 3 month, and 6 month timepoints.

Outcome measures

Outcome measures
Measure
HIV Testing With Adapted Personalized Cognitive Risk-reduction
n=162 Participants
Adapted Personalized Cognitive Risk-reduction Counseling intervention (PCC): The individualized, cognitive counseling intervention was designed to help participants address the self-justifications-beliefs, thoughts, and attitudes-that they employed in the setting of high-risk sexual behavior, in the company of an empathic counselor.
HIV Testing With Information Only
n=164 Participants
Standard HIV testing with information only: Standard HIV testing with information only
Total Unprotected Anal Intercourse Events (Exclusive of Those Events With a Primary HIV-negative Partner)
Mean number at baseline
4.23 Self reported events in past 3 months
3.91 Self reported events in past 3 months
Total Unprotected Anal Intercourse Events (Exclusive of Those Events With a Primary HIV-negative Partner)
Mean number at 3 months
3.41 Self reported events in past 3 months
2.05 Self reported events in past 3 months
Total Unprotected Anal Intercourse Events (Exclusive of Those Events With a Primary HIV-negative Partner)
Mean number at 6 months
1.83 Self reported events in past 3 months
1.96 Self reported events in past 3 months
Total Unprotected Anal Intercourse Events (Exclusive of Those Events With a Primary HIV-negative Partner)
Rate of change in mean value of outcome over time
0.47 Self reported events in past 3 months
0.45 Self reported events in past 3 months

PRIMARY outcome

Timeframe: Self-reported behavior during past 3 months

The outcome measure data shows the rate of change in the mean value of total unprotected anal intercourse partners over time. Behaviors were self-reported at each study visit using "during the past 3 months" as the recall period. Study visits took place at baseline, 3 month, and 6 month timepoints.

Outcome measures

Outcome measures
Measure
HIV Testing With Adapted Personalized Cognitive Risk-reduction
n=162 Participants
Adapted Personalized Cognitive Risk-reduction Counseling intervention (PCC): The individualized, cognitive counseling intervention was designed to help participants address the self-justifications-beliefs, thoughts, and attitudes-that they employed in the setting of high-risk sexual behavior, in the company of an empathic counselor.
HIV Testing With Information Only
n=164 Participants
Standard HIV testing with information only: Standard HIV testing with information only
Total Unprotected Anal Intercourse Partners
Rate of change in mean value of outcome over time
0.46 Partners in past 3 months
0.43 Partners in past 3 months
Total Unprotected Anal Intercourse Partners
Mean number of partners at baseline
2.71 Partners in past 3 months
2.60 Partners in past 3 months
Total Unprotected Anal Intercourse Partners
Mean number of partners at 3 months
1.54 Partners in past 3 months
1.37 Partners in past 3 months
Total Unprotected Anal Intercourse Partners
Mean number of partners at 6 months
1.27 Partners in past 3 months
1.16 Partners in past 3 months

PRIMARY outcome

Timeframe: Self-reported behavior during past 3 months

The outcome measure data shows the rate of change in the mean value of total unprotected anal intercourse episodes with three most recent sex partners over time. Behaviors were self-reported at each study visit using "during the past 3 months" as the recall period. Study visits took place at baseline, 3 month, and 6 month timepoints.

Outcome measures

Outcome measures
Measure
HIV Testing With Adapted Personalized Cognitive Risk-reduction
n=162 Participants
Adapted Personalized Cognitive Risk-reduction Counseling intervention (PCC): The individualized, cognitive counseling intervention was designed to help participants address the self-justifications-beliefs, thoughts, and attitudes-that they employed in the setting of high-risk sexual behavior, in the company of an empathic counselor.
HIV Testing With Information Only
n=164 Participants
Standard HIV testing with information only: Standard HIV testing with information only
Unprotected Anal Intercourse Episodes With Three Most Recent Sex Partners at Each Follow-up Visit, Exclusive of Primary HIV-negative Partners.
Mean number of episodes at baseline
1.97 Episodes in past 3 months
2.31 Episodes in past 3 months
Unprotected Anal Intercourse Episodes With Three Most Recent Sex Partners at Each Follow-up Visit, Exclusive of Primary HIV-negative Partners.
Mean number of episodes at 3 months
1.12 Episodes in past 3 months
1.11 Episodes in past 3 months
Unprotected Anal Intercourse Episodes With Three Most Recent Sex Partners at Each Follow-up Visit, Exclusive of Primary HIV-negative Partners.
Mean number of episodes at 6 months
0.83 Episodes in past 3 months
1.20 Episodes in past 3 months
Unprotected Anal Intercourse Episodes With Three Most Recent Sex Partners at Each Follow-up Visit, Exclusive of Primary HIV-negative Partners.
Rate of change in mean value of outcome over time
0.39 Episodes in past 3 months
0.52 Episodes in past 3 months

SECONDARY outcome

Timeframe: Self-reported behavior during past 3 months

The outcome measure data shows the rate of change in the mean value of number of serodiscordant unprotected anal intercourse events. Behaviors were self-reported at each study visit using "during the past 3 months" as the recall period. Study visits took place at baseline, 3 month, and 6 month timepoints. Serodiscordant defined as having partner of discordant or of unknown HIV serostatus.

Outcome measures

Outcome measures
Measure
HIV Testing With Adapted Personalized Cognitive Risk-reduction
n=162 Participants
Adapted Personalized Cognitive Risk-reduction Counseling intervention (PCC): The individualized, cognitive counseling intervention was designed to help participants address the self-justifications-beliefs, thoughts, and attitudes-that they employed in the setting of high-risk sexual behavior, in the company of an empathic counselor.
HIV Testing With Information Only
n=164 Participants
Standard HIV testing with information only: Standard HIV testing with information only
Number of Serodiscordant Unprotected Anal Intercourse (SDUAI) Events
Mean number of events at baseline
1.06 Events in past 3 months
1.13 Events in past 3 months
Number of Serodiscordant Unprotected Anal Intercourse (SDUAI) Events
Mean number of events at 3 months
0.43 Events in past 3 months
0.49 Events in past 3 months
Number of Serodiscordant Unprotected Anal Intercourse (SDUAI) Events
Mean number of events at 6 months
0.34 Events in past 3 months
0.55 Events in past 3 months
Number of Serodiscordant Unprotected Anal Intercourse (SDUAI) Events
Rate of change in mean value of outcome over time
0.28 Events in past 3 months
0.47 Events in past 3 months

SECONDARY outcome

Timeframe: Self-reported behavior during past 3 months

The outcome measure data shows the rate of change in the mean value of number of instertive unprotected anal intercourse (UAI) events. Behaviors were self-reported at each study visit using "during the past 3 months" as the recall period. Study visits took place at baseline, 3 month, and 6 month timepoints.

Outcome measures

Outcome measures
Measure
HIV Testing With Adapted Personalized Cognitive Risk-reduction
n=162 Participants
Adapted Personalized Cognitive Risk-reduction Counseling intervention (PCC): The individualized, cognitive counseling intervention was designed to help participants address the self-justifications-beliefs, thoughts, and attitudes-that they employed in the setting of high-risk sexual behavior, in the company of an empathic counselor.
HIV Testing With Information Only
n=164 Participants
Standard HIV testing with information only: Standard HIV testing with information only
Number of Instertive UAI Events
Mean number of events at baseline
2.84 Self reported behavior in past 3 months
2.44 Self reported behavior in past 3 months
Number of Instertive UAI Events
Mean number of events at 3 months
2.80 Self reported behavior in past 3 months
1.32 Self reported behavior in past 3 months
Number of Instertive UAI Events
Mean number of events at 6 months
1.37 Self reported behavior in past 3 months
1.14 Self reported behavior in past 3 months
Number of Instertive UAI Events
Rate of change in mean value over time
0.55 Self reported behavior in past 3 months
0.41 Self reported behavior in past 3 months

SECONDARY outcome

Timeframe: Self-reported behavior during past 3 months

The outcome measure data shows the rate of change in the mean value of the number of receptive unprotected anal intercourse (UAI) events. Behaviors were self-reported at each study visit using "during the past 3 months" as the recall period. Study visits took place at baseline, 3 month, and 6 month timepoints.

Outcome measures

Outcome measures
Measure
HIV Testing With Adapted Personalized Cognitive Risk-reduction
n=162 Participants
Adapted Personalized Cognitive Risk-reduction Counseling intervention (PCC): The individualized, cognitive counseling intervention was designed to help participants address the self-justifications-beliefs, thoughts, and attitudes-that they employed in the setting of high-risk sexual behavior, in the company of an empathic counselor.
HIV Testing With Information Only
n=164 Participants
Standard HIV testing with information only: Standard HIV testing with information only
Number of Receptive UAI Events
Rate of change in mean value of outcome over time
0.31 Self reported behavior in past 3 months
0.53 Self reported behavior in past 3 months
Number of Receptive UAI Events
Mean number of events at baseline
1.39 Self reported behavior in past 3 months
1.48 Self reported behavior in past 3 months
Number of Receptive UAI Events
Mean number of events at 3 months
0.61 Self reported behavior in past 3 months
0.73 Self reported behavior in past 3 months
Number of Receptive UAI Events
Mean number of events at 6 months
0.45 Self reported behavior in past 3 months
0.82 Self reported behavior in past 3 months

SECONDARY outcome

Timeframe: Self-reported behavior during past 3 months

The outcome measure data shows the rate of change in the mean value of the number of condom-protected anal intercourse (UAI) events. Behaviors were self-reported at each study visit using "during the past 3 months" as the recall period. Study visits took place at baseline, 3 month, and 6 month timepoints. Serodiscordant defined as having partner of discordant or of unknown HIV serostatus.

Outcome measures

Outcome measures
Measure
HIV Testing With Adapted Personalized Cognitive Risk-reduction
n=162 Participants
Adapted Personalized Cognitive Risk-reduction Counseling intervention (PCC): The individualized, cognitive counseling intervention was designed to help participants address the self-justifications-beliefs, thoughts, and attitudes-that they employed in the setting of high-risk sexual behavior, in the company of an empathic counselor.
HIV Testing With Information Only
n=164 Participants
Standard HIV testing with information only: Standard HIV testing with information only
Number of Condom-protected Anal Intercourse Events
Mean number of events at 3 months
1.67 Self reported behavior in past 3 months
2.13 Self reported behavior in past 3 months
Number of Condom-protected Anal Intercourse Events
Mean number of events at baseline
3.78 Self reported behavior in past 3 months
2.83 Self reported behavior in past 3 months
Number of Condom-protected Anal Intercourse Events
Mean number of events at 6 months
2.11 Self reported behavior in past 3 months
1.29 Self reported behavior in past 3 months
Number of Condom-protected Anal Intercourse Events
Rate of change in mean value of outcome over time
0.57 Self reported behavior in past 3 months
0.44 Self reported behavior in past 3 months

Adverse Events

HIV Testing With Adapted Personalized Cognitive Risk-reduction

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

HIV Testing With Information Only

Serious events: 1 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
HIV Testing With Adapted Personalized Cognitive Risk-reduction
n=162 participants at risk
Adapted Personalized Cognitive Risk-reduction Counseling intervention (PCC): The individualized, cognitive counseling intervention was designed to help participants address the self-justifications-beliefs, thoughts, and attitudes-that they employed in the setting of high-risk sexual behavior, in the company of an empathic counselor.
HIV Testing With Information Only
n=164 participants at risk
Standard HIV testing with information only: Standard HIV testing with information only
Psychiatric disorders
Death
0.00%
0/162 • Two years
0.61%
1/164 • Number of events 1 • Two years

Other adverse events

Adverse event data not reported

Additional Information

Dr. Phillip Coffin, Director of Substance Abuse Research Unit

San Francisco Department of Public Health

Phone: (415) 437 6282

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place