Assessment of ASPIRE and HOPE Adherence

NCT ID: NCT02702895

Last Updated: 2022-10-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

302 participants

Study Classification

OBSERVATIONAL

Study Start Date

2016-06-13

Study Completion Date

2019-12-19

Brief Summary

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MTN-032 is an exploratory sub-study of the ASPIRE and HOPE trials that will utilize qualitative In-Depth Interviews (IDIs) and Focus-Group Discussions (FGDs) to explore socio-contextual and trial specific issues which affected participants' adherence to the dapivirine vaginal ring (VR), as well as male partner attitudes towards and experiences with the dapivirine VR and their perspective of their female partner's attitudes and experiences.

Detailed Description

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The MTN-032 trial is a two-phase exploratory sub-study of the ASPIRE and HOPE trials. A total of 187 former ASPIRE participants aged 19-48 years were enrolled in Phase 1 of this study. Up to 156 HOPE participants and up to 120 male partners of HOPE participants will be selected for participation in Phase 2 of this study. There were approximately 4-6 months allotted for recruitment and follow-up at each site for Phase 1, and 9-12 months allotted for recruitment and follow-up at each site for Phase 2..

MTN-032, an observational study, using interviews and focus group discussions, is primarily designed to identify factors that may have affected participant adherence to study product in ASPIRE and HOPE, including male partner attitudes. MTN-032 will also elicit perceptions about various participant engagement and adherence promotion interventions implemented in ASPIRE and may also explore the potential use of incentives to promote adherence to VR use.

MTN-032 will use study product adherence results from ASPIRE and HOPE, qualitative in-depth interviews (IDI) and focus group discussions (FGD) to explore study product adherence behaviors and strategies used to overcome adherence challenges. An in-depth understanding of the various socio-behavioral factors that contribute to product use adherence may assist in the interpretation of past and ongoing study results and inform implementation of future studies.

Conditions

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HIV Prevention

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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Phase 1

Former ASPIRE participants

In-depth Interview (IDIs) or Focus Group Discussion (FGD)

Intervention Type BEHAVIORAL

Phase 2 HOPE participants

Former HOPE participants

In-depth Interview (IDIs) or Focus Group Discussion (FGD)

Intervention Type BEHAVIORAL

Phase 2 Male Partners

Male partners of HOPE participants

In-depth Interview (IDIs) or Focus Group Discussion (FGD)

Intervention Type BEHAVIORAL

Interventions

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In-depth Interview (IDIs) or Focus Group Discussion (FGD)

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

1. Participated in the ASPIRE protocol, randomized to active product and informed of their randomization assignment.
2. Able and willing to provide written informed consent in one of the study languages.
3. Able and willing to complete the required study procedures.
4. For participants who did not acquire an HIV infection while taking part in ASPIRE, evidence of study product dispensation at a minimum of three consecutive ASPIRE scheduled clinic visits. For participants who acquired an HIV infection while taking part in ASPIRE, evidence of study product dispensation in the month prior to the participant's acquisition of HIV infection.
5. For participants who did not acquire an HIV infection while taking part in ASPIRE, have a minimum of three ASPIRE PK data measurement points available. For participants who acquired HIV infection while taking part in ASPIRE, have a minimum of one ASPIRE PK data measurement available.


1. Participated in the HOPE protocol.
2. Able and willing to provide written informed consent in one of the study languages.
3. Able and willing to complete the required study procedures.
4. For participants who did not acquire an HIV infection while taking part in HOPE, evidence of study product dispensation for a minimum of three consecutive months.
5. For participants who acquired an HIV infection while taking part in HOPE, evidence of study product dispensation in the month prior to the participant's acquisition of an HIV infection.


1. Identifies as a male sexual partner of a HOPE participant for whom the HOPE participant has given permission to contact.
2. Was a male sexual partner of a HOPE participant during her participation in HOPE (regardless of whether she used the ring or not).
3. Able and willing to provide written informed consent in one of the study languages.
4. Able and willing to complete the required study procedures.
5. Is above the age of 18 at the time of study participation.

Exclusion Criteria

1\. Has any significant medical condition or other condition that, in the opinion of the Investigator of Record (IoR)/designee, would preclude informed consent, make study participation unsafe, complicate interpretation of study outcome data, or otherwise interfere with achieving the study objectives.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Institute of Allergy and Infectious Diseases (NIAID)

NIH

Sponsor Role collaborator

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

NIH

Sponsor Role collaborator

National Institute of Mental Health (NIMH)

NIH

Sponsor Role collaborator

Microbicide Trials Network

NETWORK

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Elizabeth Montgomery, PhD, MHS

Role: STUDY_CHAIR

RTI International

Locations

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Malawi Clinical Research Site

Lilongwe, , Malawi

Site Status

Botha's Hill Clinical Research Site

Durban, KwaZulu-Natal, South Africa

Site Status

CAPRISA eThekwini Clinical Research Site

Durban, KwaZulu-Natal, South Africa

Site Status

Wits Reproductive Health and HIV Institute Clinical Research Site

Johannesburg, , South Africa

Site Status

Makerere University - Johns Hopkins University Research Collaboration Clinical Research Site

Kampala, , Uganda

Site Status

Spilhaus Clinical Research Site

Harare, , Zimbabwe

Site Status

Zengeza Clinical Research Site

Harare, , Zimbabwe

Site Status

Countries

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Malawi South Africa Uganda Zimbabwe

References

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Montgomery ET, Stadler J, Naidoo S, Katz AWK, Laborde N, Garcia M, Reddy K, Mansoor LE, Etima J, Zimba C, Chitukuta M, Soto-Torres L. Reasons for nonadherence to the dapivirine vaginal ring: narrative explanations of objective drug-level results. AIDS. 2018 Jul 17;32(11):1517-1525. doi: 10.1097/QAD.0000000000001868.

Reference Type RESULT
PMID: 29957723 (View on PubMed)

Naidoo K, Mansoor LE, Katz AWK, Garcia M, Kemigisha D, Morar NS, Zimba CC, Chitukuta M, Reddy K, Soto-Torres L, Naidoo S, Montgomery ET. Qualitative Perceptions of Dapivirine VR Adherence and Drug Level Feedback Following an Open-Label Extension Trial. J Acquir Immune Defic Syndr. 2021 Apr 1;86(4):e90-e96. doi: 10.1097/QAI.0000000000002590.

Reference Type RESULT
PMID: 33278181 (View on PubMed)

Montgomery ET, Katz AWK, Duby Z, Mansoor LE, Morar NS, Naidoo K, Tsidya M, Chitukuta M, Guma V, Tenza S, Leslie J, Garcia M, Naidoo S. Men's Sexual Experiences with the Dapivirine Vaginal Ring in Malawi, South Africa, Uganda and Zimbabwe. AIDS Behav. 2021 Jun;25(6):1890-1900. doi: 10.1007/s10461-020-03119-2. Epub 2021 Jan 2.

Reference Type RESULT
PMID: 33389318 (View on PubMed)

Other Identifiers

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UM1AI068633

Identifier Type: NIH

Identifier Source: secondary_id

View Link

UM1AI068615

Identifier Type: NIH

Identifier Source: secondary_id

View Link

UM1AI106707

Identifier Type: NIH

Identifier Source: secondary_id

View Link

Protocol ID#12058

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

MTN-032

Identifier Type: -

Identifier Source: org_study_id

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