Partners Demonstration Project of PrEP and ART

NCT ID: NCT02775929

Last Updated: 2017-12-08

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

Clinical Phase

PHASE4

Total Enrollment

1013 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-11-30

Study Completion Date

2016-06-30

Brief Summary

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The purpose of this protocol is to determine user preferences for antiretroviral therapy (ART) for HIV-1 infected partners and pre-exposure prophylaxis (PrEP) HIV-1 un-infected partners and to optimize targeted delivery and sustained use of these interventions.

Detailed Description

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An open-label, prospective cohort study of higher-risk HIV-1 serodiscordant couples in order to determine barriers and facilitators to uptake and sustained adherence to ART for HIV-1 infected partners and daily oral PrEP for HIV-1 uninfected partners. The investigators developed a risk score tool to identify couples at highest risk for HIV-1 transmission. PrEP was offered as a 'bridge' to ART in the partnership - i.e., until ART initiation by the HIV-infected partner and for the first 6 months after ART is started; ART was recommended following national ART guidelines. A subset (up to 80 couples per site) was invited to participate in qualitative in-depth interview and focus group discussions.

Conditions

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HIV Infection

Keywords

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Tenofovir disoproxil Emtricitabine Pre-exposure Prophylaxis Antiretroviral Therapy HIV Prevention FTC TDF PrEP HIV Infected Partners HIV Uninfected Partners

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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PrEP as a bridge to ART

FTC-TDF PrEP for HIV uninfected partners and ART for HIV infected partners

Group Type OTHER

FTC-TDF PrEP

Intervention Type DRUG

FTC-TDF PrEP for HIV-1 uninfected partners

ART

Intervention Type DRUG

ART for HIV-1 infected partners

Interventions

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FTC-TDF PrEP

FTC-TDF PrEP for HIV-1 uninfected partners

Intervention Type DRUG

ART

ART for HIV-1 infected partners

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

For couples

* Risk score defining higher HIV-1 risk (≥6)
* Sexually active (defined as having had vaginal intercourse at least 6 times in the previous three months)
* Willing to enter the study as a couple and intending to remain as a couple for the next 12 months
* Did not participate in the Partners PrEP Study

For HIV-1 uninfected members of the couple (partner participants)

* Age ≥18
* Able and willing to provide written informed consent
* HIV-1 uninfected based on negative HIV-1 rapid tests, both at study screening and at the enrollment visit
* Adequate renal function, defined by normal creatinine levels and estimated creatinine clearance \>60 mL/min
* Not infected with hepatitis B virus, as determined by a negative hepatitis B surface antigen test
* Not currently pregnant or breastfeeding
* Not currently enrolled in an HIV-1 prevention clinical trial
* Not currently using PrEP
* Enrollment of individuals with active and serious infections or active clinically significant medical problems will be at the discretion of the site investigator

For HIV-1 infected members of the couple (index participants)

* Age ≥18
* Able and willing to provide written informed consent
* HIV-1 infected based on positive rapid HIV-1 tests, according to national algorithm
* No history of WHO stage III or IV conditions
* Not currently using ART
* Not currently enrolled in an HIV-1 treatment study
* Note: current pregnancy and breastfeeding are permitted for HIV-1 infected partners
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bill and Melinda Gates Foundation

OTHER

Sponsor Role collaborator

National Institute of Mental Health (NIMH)

NIH

Sponsor Role collaborator

United States Agency for International Development (USAID)

FED

Sponsor Role collaborator

University of Washington

OTHER

Sponsor Role lead

Responsible Party

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Jared Baeten

Professor, Global Health, Medicine, & Epidemiology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jared M Baeten, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Washington

Locations

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Kemri-Ucsf

Kisumu, , Kenya

Site Status

Partners in Prevention-Thika

Thika, , Kenya

Site Status

Kabwohe Clinical Research Center

Bushenyi, , Uganda

Site Status

Partners in Prevention-Infectious Diseases Institute LTD

Kampala, , Uganda

Site Status

Countries

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Kenya Uganda

References

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Nakku-Joloba E, Pisarski EE, Wyatt MA, Muwonge TR, Asiimwe S, Celum CL, Baeten JM, Katabira ET, Ware NC. Beyond HIV prevention: everyday life priorities and demand for PrEP among Ugandan HIV serodiscordant couples. J Int AIDS Soc. 2019 Jan;22(1):e25225. doi: 10.1002/jia2.25225.

Reference Type DERIVED
PMID: 30657642 (View on PubMed)

Other Identifiers

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R01MH095507

Identifier Type: NIH

Identifier Source: secondary_id

View Link

STUDY00001674

Identifier Type: -

Identifier Source: org_study_id