The Prevention Options for Women Evaluation Research (POWER) Cohort

NCT ID: NCT03490058

Last Updated: 2021-12-06

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

2255 participants

Study Classification

OBSERVATIONAL

Study Start Date

2017-06-14

Study Completion Date

2021-07-23

Brief Summary

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The POWER Cohort study is a PrEP implementation project to demonstrate Pre-exposure prophylaxis (PrEP) delivery for young women in Cape Town and Johannesburg, South Africa and Kisumu, Kenya.

Detailed Description

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PrEP will be delivered to young women according to emerging national guidelines in family planning clinics (Kisumu, Kenya), youth friendly clinics (Johannesburg, South Africa), and mobile youth friendly clinics (Cape Town, South Africa). The investigators will evaluate PrEP delivery and follow cohorts of young women at each clinic location to understand PrEP uptake and use. In the Kisumu clinics, the investigators will also offer expedited partner therapy and partner HIV self-tests to women who test positive for chlamydia and/or gonorrhea. At one clinic in Johannesburg, the investigators will evaluate the use of a decision support tool to improve the decision to initiate PrEP.

Conditions

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HIV/AIDS

Keywords

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pre-exposure prophylaxis young women delivery of health care HIV infections/prevention

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Young women

Sexually active HIV-uninfected women between 16-25 years of age will be given Truvada.

Truvada

Intervention Type DRUG

A fixed dose of oral co-formulated tenofovir disoproxil fumarate (TDF)/emtricitabine (FTC) will be used as PrEP.

Interventions

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Truvada

A fixed dose of oral co-formulated tenofovir disoproxil fumarate (TDF)/emtricitabine (FTC) will be used as PrEP.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Age 16-25 (16 and 17 year olds, where permissible by national regulations and local IRB approval)
* Able and willing to provide written informed consent
* Recently sexually active (defined as having had vaginal intercourse at least once in the previous three months)
* HIV uninfected based on negative HIV rapid tests, on the date of enrollment
Minimum Eligible Age

16 Years

Maximum Eligible Age

25 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Desmond Tutu HIV Foundation

OTHER

Sponsor Role collaborator

Wits Reproductive Health and HIV Institute

OTHER

Sponsor Role collaborator

Kenya Medical Research Institute

OTHER

Sponsor Role collaborator

United States Agency for International Development (USAID)

FED

Sponsor Role collaborator

RTI International

OTHER

Sponsor Role collaborator

Harvard Medical School (HMS and HSDM)

OTHER

Sponsor Role collaborator

University of Pittsburgh

OTHER

Sponsor Role collaborator

National Institute of Mental Health (NIMH)

NIH

Sponsor Role collaborator

University of Washington

OTHER

Sponsor Role lead

Responsible Party

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Connie Celum

Prof of Medicine & Global Health, Adjunct Prof of Epidemiology, SOM: Global Health

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Connie L Celum, MD, MPH

Role: PRINCIPAL_INVESTIGATOR

University of Washington

Jared M Baeten, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Washington

Rachel Johnson, MPH

Role: STUDY_DIRECTOR

University of Washington

Locations

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Kenya Medical Research Institute

Kisumu, , Kenya

Site Status

Desmond Tutu HIV Foundation

Cape Town, , South Africa

Site Status

Wits Reproductive Health and HIV Institute

Johannesburg, , South Africa

Site Status

Countries

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Kenya South Africa

References

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Katz AWK, Roberts S, Rousseau E, Khoza MN, Mogaka F, Bukusi E, Delany-Moretlwe S, Bekker LG, Morton JF, Johnson R, Baeten JM, Celum C, van der Straten A. Qualitative Analysis Using Social Maps to Explore Young Women's Experiences With Social Support of their Oral PrEP Use in Kenya and South Africa. J Assoc Nurses AIDS Care. 2023 Jan-Feb 01;34(1):45-57. doi: 10.1097/JNC.0000000000000363. Epub 2022 Sep 23.

Reference Type DERIVED
PMID: 36170124 (View on PubMed)

Celum CL, Bukusi EA, Bekker LG, Delany-Moretlwe S, Kidoguchi L, Omollo V, Rousseau E, Travill D, Morton JF, Mogaka F, O'Malley G, Barnabee G, van der Straten A, Donnell D, Parikh UM, Kudrick L, Anderson PL, Haberer JE, Wu L, Heffron R, Johnson R, Morrison S, Baeten JM; POWER Study Team. PrEP use and HIV seroconversion rates in adolescent girls and young women from Kenya and South Africa: the POWER demonstration project. J Int AIDS Soc. 2022 Jul;25(7):e25962. doi: 10.1002/jia2.25962.

Reference Type DERIVED
PMID: 35822945 (View on PubMed)

Roche SD, Barnabee G, Omollo V, Mogaka F, Odoyo J, Bukusi EA, Morton JF, Johnson R, Celum C, Baeten JM, O'Malley G. Implementation strategies for integrating pre-exposure prophylaxis for HIV prevention and family planning services for adolescent girls and young women in Kenya: a qualitative study. BMC Health Serv Res. 2022 Mar 30;22(1):422. doi: 10.1186/s12913-022-07742-8.

Reference Type DERIVED
PMID: 35354456 (View on PubMed)

Omollo V, Bukusi EA, Kidoguchi L, Mogaka F, Odoyo JB, Celum C, Morton J, Johnson R, Baeten JM. A Pilot Evaluation of Expedited Partner Treatment and Partner Human Immunodeficiency Virus Self-Testing Among Adolescent Girls and Young Women Diagnosed With Chlamydia trachomatis and Neisseria gonorrhoeae in Kisumu, Kenya. Sex Transm Dis. 2021 Oct 1;48(10):766-772. doi: 10.1097/OLQ.0000000000001430.

Reference Type DERIVED
PMID: 33859147 (View on PubMed)

Other Identifiers

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R01MH114544

Identifier Type: NIH

Identifier Source: secondary_id

View Link

AID-OAA-A-15-00034

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

STUDY00000950

Identifier Type: -

Identifier Source: org_study_id