Evaluating The Acceptability and Uptake of Pre-Exposure Prophylaxis (PrEP) for Adolescent Women in The Deep South

NCT ID: NCT03897725

Last Updated: 2021-11-12

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

WITHDRAWN

Clinical Phase

NA

Study Classification

INTERVENTIONAL

Study Start Date

2020-12-01

Study Completion Date

2022-09-30

Brief Summary

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This project is designed to 1) develop a PrEP implementation plan for a general adolescent clinic. Investigators will develop a replicable implementation plan for providing PrEP to adolescents in a primary care setting; and 2) Determine the acceptability and preliminary effectiveness of a telehealth intervention to promote adherence in adolescents.

Detailed Description

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Conditions

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Adolescent Behavior HIV/AIDS PrEP

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Telehealth Intervention

Study participants will be randomized into either the control or experimental group. Participants in the intervention group will receive routine care which will follow the schedule from previous adolescent PrEP studies where participants are recommended to follow up at 4, 8, and 12 weeks and then every 3 months following initiation of PrEP. This group will also receive SMS texting every 4 weeks between in-person visits (weeks 16, 20, 28,32, 40, 44) reminding them to pick up their medication. The experimental group will also be seen in follow up every month for the first 3 months and then spaced out to visits every 3 months. The SMS texting will occur every 4 weeks between in-person visits, the experimental group will also have 2 tele-health visits (which will be conducted within a participant's home using an app) that will occur every 4 weeks between each of the traditional in-person visits to provide more frequent monitoring and counseling regarding adherence.

Group Type EXPERIMENTAL

Telehealth Coaching

Intervention Type OTHER

Telehealth coaching to promote adherence

Routine Care

The control group will follow the schedule from previous adolescent PrEP studies where participants are recommended to follow up at 4, 8, and 12 weeks and then every 3 months following initiation of PrEP.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Telehealth Coaching

Telehealth coaching to promote adherence

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Females between 15 to 21 years old
* Established patients at the Adolescent Health Center
* HIV negative

Exclusion Criteria

* HIV positive patients
* patients weighing less than 35kg
* patients with creatinine clearance \<60 ml/min
* patients with documented osteopenia or osteoporosis or history of pathologic fractures
* patients with previous allergic reactions to either emtricitabine or tenofovir
* patients who are on post-exposure prophylaxis for HIV (they can become eligible after completion of therapy)
* patients with hepatic impairment
* For patients who become pregnant, they may be able to continue on PrEP after a discussion with their obstetrics/gynecology (OB/GYN) provider.
Minimum Eligible Age

15 Years

Maximum Eligible Age

21 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Gilead Sciences

INDUSTRY

Sponsor Role collaborator

University of Alabama at Birmingham

OTHER

Sponsor Role lead

Responsible Party

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Tina Y Simpson

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Tina Simpson, MD

Role: PRINCIPAL_INVESTIGATOR

University of Alabama at Birminghahm

Locations

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William A. Daniel Adolescent Health Center

Birmingham, Alabama, United States

Site Status

Countries

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United States

Other Identifiers

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000523914

Identifier Type: -

Identifier Source: org_study_id