Trial Outcomes & Findings for Evaluation of Rapid HIV Self-testing Among MSM (eSTAMP) (NCT NCT02067039)

NCT ID: NCT02067039

Last Updated: 2020-03-31

Results Overview

Frequency of HIV testing \>=3 times reported by participants over a 12-month follow-up period.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

2665 participants

Primary outcome timeframe

12 months

Results posted on

2020-03-31

Participant Flow

Recruitment occurred from 3/2015 through 8/2015. Subjects were recruited online from internet (websites and music) catering to MSM.

Participants who did not provide contact information, complete and submit their baseline interview online, provided fraudulent information or later reported an HIV diagnoses before study enrollment were excluded.

Participant milestones

Participant milestones
Measure
Self-testing
The intervention group of MSM (HIV negative or unaware of HIV status) will receive 4 rapid HIV test kits - 2 oral fluid tests (OraQuick), and 2 finger-stick blood tests (Sure Check). Men in the randomized controlled trial will complete short follow-up surveys at 3-month intervals during the 12-month follow-up period, and men in the intervention arm will be allowed to order additional test kits to replenish the ones they use or give away. At month 12, all HIV-negative or those who are unaware of their HIV status participants will be sent 1 oral fluid test (OraQuick), 1 finger-stick blood test (Sure Check), and a dried blood spot (DBS) specimen collection kit to be mailed to Emory University after collecting a blood sample for laboratory testing. Participants had access to telephone consultation from study staff and a web-link to obtain HIV testing services in their community. OraQuick in home \& Sure Check HIV tests: Provision of OraQuick in home \& Sure Check HIV tests
Control
All comparison group of MSM (HIV negative or unaware of HIV status) will take a baseline survey. Men in the randomized controlled trial will complete short follow-up surveys at 3-month intervals during the 12-month follow-up period. At month 12, all HIV-negative and unaware of their HIV status comparison arm participants will be sent 1 oral fluid test (OraQuick), 1 finger-stick blood test (Sure Check), and a DBS specimen collection kit to be mailed to Emory University after collecting a blood sample for laboratory testing. Participants had access to telephone consultation from study staff and a web-link to obtain HIV testing services in their community.
Overall Study
STARTED
1325
1340
Overall Study
3 Month Survey
824
766
Overall Study
6 Month Survey
735
756
Overall Study
9 Month Survey
748
838
Overall Study
COMPLETED
752
832
Overall Study
NOT COMPLETED
573
508

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Evaluation of Rapid HIV Self-testing Among MSM (eSTAMP)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
HIV Self-testing
n=1325 Participants
The intervention group of MSM (HIV negative or unaware of HIV status) will receive 4 rapid HIV test kits - 2 oral fluid tests (OraQuick), and 2 finger-stick blood tests (Sure Check). Men in the randomized controlled trial will complete short follow-up surveys at 3-month intervals during the 12-month follow-up period, and men in the intervention arm will be allowed to order additional test kits to replenish the ones they use or give away. At month 12, all HIV-negative or those who are unaware of their HIV status participants will be sent 1 oral fluid test (OraQuick), 1 finger-stick blood test (Sure Check), and a dried blood spot (DBS) specimen collection kit to be mailed to Emory University after collecting a blood sample for laboratory testing. OraQuick in home \& Sure Check HIV tests: Provision of OraQuick in home \& Sure Check HIV tests
Information Only
n=1340 Participants
All comparison group of MSM (HIV negative or unaware of HIV status) will take a baseline survey. Men in the randomized controlled trial will complete short follow-up surveys at 3-month intervals during the 12-month follow-up period. At month 12, all HIV-negative and unaware of their HIV status comparison arm participants will be sent 1 oral fluid test (OraQuick), 1 finger-stick blood test (Sure Check), and a DBS specimen collection kit to be mailed to Emory University after collecting a blood sample for laboratory testing.
Total
n=2665 Participants
Total of all reporting groups
Age, Customized
Age-group · 18-29 years
752 Participants
n=93 Participants
775 Participants
n=4 Participants
1527 Participants
n=27 Participants
Age, Customized
Age-group · >=30 years
573 Participants
n=93 Participants
565 Participants
n=4 Participants
1138 Participants
n=27 Participants
Sex/Gender, Customized
Male Gender
1325 Participants
n=93 Participants
1340 Participants
n=4 Participants
2665 Participants
n=27 Participants
Race/Ethnicity, Customized
Race/ethnicity · Non-Hispanic white
773 Participants
n=93 Participants
767 Participants
n=4 Participants
1540 Participants
n=27 Participants
Race/Ethnicity, Customized
Race/ethnicity · Non-Hispanic black
133 Participants
n=93 Participants
128 Participants
n=4 Participants
261 Participants
n=27 Participants
Race/Ethnicity, Customized
Race/ethnicity · Hispanic
296 Participants
n=93 Participants
324 Participants
n=4 Participants
620 Participants
n=27 Participants
Race/Ethnicity, Customized
Race/ethnicity · Other/mixed
123 Participants
n=93 Participants
121 Participants
n=4 Participants
244 Participants
n=27 Participants
Region of Enrollment
United States
1325 participants
n=93 Participants
1340 participants
n=4 Participants
2665 participants
n=27 Participants
Recruitment site
Music
510 Participants
n=93 Participants
553 Participants
n=4 Participants
1063 Participants
n=27 Participants
Recruitment site
Dating
754 Participants
n=93 Participants
763 Participants
n=4 Participants
1517 Participants
n=27 Participants
Recruitment site
Social network
61 Participants
n=93 Participants
24 Participants
n=4 Participants
85 Participants
n=27 Participants
HIV testing experience at enrollment
Never tested
230 Participants
n=93 Participants
213 Participants
n=4 Participants
443 Participants
n=27 Participants
HIV testing experience at enrollment
Tested in past 12 months
813 Participants
n=93 Participants
795 Participants
n=4 Participants
1608 Participants
n=27 Participants
HIV testing experience at enrollment
Tested more than 12 months ago
282 Participants
n=93 Participants
332 Participants
n=4 Participants
614 Participants
n=27 Participants
At least 3 HIV tests in past year
Yes
243 Participants
n=93 Participants
218 Participants
n=4 Participants
461 Participants
n=27 Participants
At least 3 HIV tests in past year
No
1082 Participants
n=93 Participants
1122 Participants
n=4 Participants
2204 Participants
n=27 Participants

PRIMARY outcome

Timeframe: 12 months

Population: percent of MSM who reported testing at least three times over the course of the RCT

Frequency of HIV testing \>=3 times reported by participants over a 12-month follow-up period.

Outcome measures

Outcome measures
Measure
HIV Self-testing
n=1014 Participants
The intervention group of MSM (HIV negative or unaware of HIV status) will receive 4 rapid HIV test kits - 2 oral fluid tests (OraQuick), and 2 finger-stick blood tests (Sure Check). Men in the randomized controlled trial will complete short follow-up surveys at 3-month intervals during the 12-month follow-up period, and men in the intervention arm will be allowed to order additional test kits to replenish the ones they use or give away. At month 12, all HIV-negative or those who are unaware of their HIV status participants will be sent 1 oral fluid test (OraQuick), 1 finger-stick blood test (Sure Check), and a dried blood spot (DBS) specimen collection kit to be mailed to Emory University after collecting a blood sample for laboratory testing. OraQuick in home \& Sure Check HIV tests: Provision of OraQuick in home \& Sure Check HIV tests
Information Only
n=977 Participants
All comparison group of MSM (HIV negative or unaware of HIV status) will take a baseline survey. Men in the randomized controlled trial will complete short follow-up surveys at 3-month intervals during the 12-month follow-up period. At month 12, all HIV-negative and unaware of their HIV status comparison arm participants will be sent 1 oral fluid test (OraQuick), 1 finger-stick blood test (Sure Check), and a DBS specimen collection kit to be mailed to Emory University after collecting a blood sample for laboratory testing.
Frequency of HIV Testing by Internet-recruited MSM.
777 Participants
215 Participants

SECONDARY outcome

Timeframe: 12 months

Population: Persons who reported initiating linkage to care following an HIV positive test

MSM who report accessing supplemental testing and care following a positive rapid HIV test results.

Outcome measures

Outcome measures
Measure
HIV Self-testing
n=25 Participants
The intervention group of MSM (HIV negative or unaware of HIV status) will receive 4 rapid HIV test kits - 2 oral fluid tests (OraQuick), and 2 finger-stick blood tests (Sure Check). Men in the randomized controlled trial will complete short follow-up surveys at 3-month intervals during the 12-month follow-up period, and men in the intervention arm will be allowed to order additional test kits to replenish the ones they use or give away. At month 12, all HIV-negative or those who are unaware of their HIV status participants will be sent 1 oral fluid test (OraQuick), 1 finger-stick blood test (Sure Check), and a dried blood spot (DBS) specimen collection kit to be mailed to Emory University after collecting a blood sample for laboratory testing. OraQuick in home \& Sure Check HIV tests: Provision of OraQuick in home \& Sure Check HIV tests
Information Only
n=11 Participants
All comparison group of MSM (HIV negative or unaware of HIV status) will take a baseline survey. Men in the randomized controlled trial will complete short follow-up surveys at 3-month intervals during the 12-month follow-up period. At month 12, all HIV-negative and unaware of their HIV status comparison arm participants will be sent 1 oral fluid test (OraQuick), 1 finger-stick blood test (Sure Check), and a DBS specimen collection kit to be mailed to Emory University after collecting a blood sample for laboratory testing.
Linkage to HIV Testing and Care Services Following a Positive Rapid Test Result.
Linked to care
16 Participants
10 Participants
Linkage to HIV Testing and Care Services Following a Positive Rapid Test Result.
not linked to care
9 Participants
1 Participants

SECONDARY outcome

Timeframe: 12 months

Population: All persons assigned to study.

Report of positive HIV test result (self-test or provider testing)

Outcome measures

Outcome measures
Measure
HIV Self-testing
n=1325 Participants
The intervention group of MSM (HIV negative or unaware of HIV status) will receive 4 rapid HIV test kits - 2 oral fluid tests (OraQuick), and 2 finger-stick blood tests (Sure Check). Men in the randomized controlled trial will complete short follow-up surveys at 3-month intervals during the 12-month follow-up period, and men in the intervention arm will be allowed to order additional test kits to replenish the ones they use or give away. At month 12, all HIV-negative or those who are unaware of their HIV status participants will be sent 1 oral fluid test (OraQuick), 1 finger-stick blood test (Sure Check), and a dried blood spot (DBS) specimen collection kit to be mailed to Emory University after collecting a blood sample for laboratory testing. OraQuick in home \& Sure Check HIV tests: Provision of OraQuick in home \& Sure Check HIV tests
Information Only
n=1340 Participants
All comparison group of MSM (HIV negative or unaware of HIV status) will take a baseline survey. Men in the randomized controlled trial will complete short follow-up surveys at 3-month intervals during the 12-month follow-up period. At month 12, all HIV-negative and unaware of their HIV status comparison arm participants will be sent 1 oral fluid test (OraQuick), 1 finger-stick blood test (Sure Check), and a DBS specimen collection kit to be mailed to Emory University after collecting a blood sample for laboratory testing.
Newly Identified HIV Infections
25 Participants
11 Participants

SECONDARY outcome

Timeframe: 12 months

Population: Number of social network associates who used a study HIV self-test and received a new HIV diagnosis

Number of social network associates (N=2150)who received a study self-test from ST participants (N=1325) and who reported a positive HIV self-test result. Sample size for this analyses is 2150.

Outcome measures

Outcome measures
Measure
HIV Self-testing
n=2150 Participants
The intervention group of MSM (HIV negative or unaware of HIV status) will receive 4 rapid HIV test kits - 2 oral fluid tests (OraQuick), and 2 finger-stick blood tests (Sure Check). Men in the randomized controlled trial will complete short follow-up surveys at 3-month intervals during the 12-month follow-up period, and men in the intervention arm will be allowed to order additional test kits to replenish the ones they use or give away. At month 12, all HIV-negative or those who are unaware of their HIV status participants will be sent 1 oral fluid test (OraQuick), 1 finger-stick blood test (Sure Check), and a dried blood spot (DBS) specimen collection kit to be mailed to Emory University after collecting a blood sample for laboratory testing. OraQuick in home \& Sure Check HIV tests: Provision of OraQuick in home \& Sure Check HIV tests
Information Only
All comparison group of MSM (HIV negative or unaware of HIV status) will take a baseline survey. Men in the randomized controlled trial will complete short follow-up surveys at 3-month intervals during the 12-month follow-up period. At month 12, all HIV-negative and unaware of their HIV status comparison arm participants will be sent 1 oral fluid test (OraQuick), 1 finger-stick blood test (Sure Check), and a DBS specimen collection kit to be mailed to Emory University after collecting a blood sample for laboratory testing.
HIV Infections Among Social Network Associates
34 social network members

Adverse Events

OraQuick in Home & Sure Check HIV Tests

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

Information Only

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Robin MacGowan

CDC

Phone: 404-639-1920

Results disclosure agreements

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