Feasibility and Impact of Online HIV/STI Screening Addressed to PrEP Users in Spain

NCT ID: NCT05752643

Last Updated: 2023-03-02

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

218 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-03-15

Study Completion Date

2025-12-31

Brief Summary

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Non-blinded randomized controlled non-inferiority trial to evaluate the feasibility, acceptability and impact of an innovative internet-accessed HIV and STIs screening intervention (TÉSTATE PrEP) addressed to gays, bisexuals and other men who have sex with men (GBMSM) and transgender women users of PrEP in Spain as part of PrEP follow up.

Detailed Description

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The objectives of the study are 1) To design and implement an e-HIV/STI testing pilot intervention (TÉSTATE PrEP) to offer self-sampling kits to detect HIV, Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG) and Treponema pallidum (TP) among gays, bisexuals and other men who have sex with men (GBMSM) and transgender women users of pre-exposure prophylaxis (PrEP) as part of PrEP follow up. 2) To evaluate if the pilot does not cause a reduction of the retention to PrEP follow up among the target population. 3) To analyze the capacity of the intervention to reduce the healthcare burden of the PrEP service. 4) To evaluate the acceptability of the intervention among PrEP users and healthcare workers of the PrEP services; and 5) To validate dried blood samples (DBS) for confirmation of TP infection and performing RPR to determine stage and activity of infection comparing with blood drawn by venous puncture. Investigators will perform a non-blinded randomized controlled non-inferiority trial among PrEP users on follow up in one of the main PrEP services of Spain. Participants on the control arm will follow the usual follow up protocol with quarterly face-to-face visits where they will be tested for HIV and STIs. Participants in the experimental arm will alternate face-to-face meetings with online screening of HIV and STIs. This project is based on the TÉSTATE project (PI17 00355). The website https://testate.org/ will include a module for online follow-up visits of participants on PrEP. Participants of the experimental arm will register in the website and will receive self-sampling kits to their home to get tested for HIV, CT, NG and TP. Participants will send the samples to the reference laboratory and check their results online. The investigators will compare the retention to follow up among PrEP users in the control and experimental arm and the healthcare burden in each group. The acceptability of the intervention among the PrEP users and healthcare workers will be assessed.

Conditions

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HIV STI

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Non-blinded randomized controlled non-inferiority trial
Primary Study Purpose

SCREENING

Blinding Strategy

NONE

Due to the nature of the intervention, participants will know to which arm they have been allocated. So, it would not be possible to blind either the participants or healthcare professionals

Study Groups

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Control

Participants will have 4 face-to-face quarterly follow up visits per year

Group Type NO_INTERVENTION

No interventions assigned to this group

Experimental

Participants will alternate face-to-face visits with online screening every three months. They will have two face-to-face and two online screenings per year

Group Type EXPERIMENTAL

Online follow up

Intervention Type OTHER

The online follow up will include screening for HIV and STIs (Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG) and Treponema pallidum (TP)) based in a self-sampling strategy

Interventions

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Online follow up

The online follow up will include screening for HIV and STIs (Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG) and Treponema pallidum (TP)) based in a self-sampling strategy

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* ≥18 years of age
* GBMSM or transgender women
* PrEP users with more than 1 year of follow up in the collaborating center (The Centre for International Health and Infectious Diseases Drassanes Vall d'Hebron (Barcelona))
* Not having altered renal function
* Resident in Spain

Exclusion Criteria

* Not able to read in Spanish
* Not able to give their consent
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

Yes

Sponsors

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Department of Health, Generalitat de Catalunya

OTHER_GOV

Sponsor Role collaborator

Hospital Vall d'Hebron

OTHER

Sponsor Role collaborator

Fundació Institut Germans Trias i Pujol

OTHER

Sponsor Role lead

Responsible Party

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Cristina Agusti

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

References

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Agusti C, Martinez Riveros H, Garcia-Perez J, Descalzo V, Fernandez G, Ramirez-Marinero A, Gonzalez MV, Diaz Y, Montoro-Fernandez M, Romano-deGea P, Araujo SG, Muntada E, Casabona J. Feasibility and impact of online HIV/STI screening addressed to men who have sex with men and transgender women users of pre-exposure prophylaxis (PrEP) in Spain (TESTATE PrEP): a study protocol for a non-blinded randomised controlled trial. BMJ Open. 2023 Oct 16;13(10):e073459. doi: 10.1136/bmjopen-2023-073459.

Reference Type DERIVED
PMID: 37844988 (View on PubMed)

Other Identifiers

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CEEISCATTESTATEPrEP

Identifier Type: -

Identifier Source: org_study_id

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