Status:

RECRUITING

SmartSteps: A Context-Aware, PrEP Adherence Intervention for Individuals With Substance Use Disorder

Lead Sponsor:

Brigham and Women's Hospital

Collaborating Sponsors:

Gilead Sciences

The Fenway Institute

Conditions:

HIV Infections

Substance Use

Eligibility:

MALE

18+ years

Phase:

PHASE3

Brief Summary

This is a single-arm, observational study of HIV-negative MSM with substance use disorder. Those who meet pre-screening criteria will attend a Screening Visit (Visit 1), where the informed consent pro...

Detailed Description

This study will develop a dataset of annotated smartphone usage in the context of PrEP adherence and nonadherence. In order to understand smartphone context, the investigators will utilize a digital p...

Eligibility Criteria

Inclusion

  • Age 18 or older
  • Cisgender male
  • Has sex with men
  • HIV negative
  • On PrEP or initiating PrEP (including switching from 2-1-1 or "on-demand" PrEP dosing to once-daily dosing)
  • Moderate risk score on ASSIST substance use screener (11-26 for alcohol, 4-26 for all other substances) or higher
  • Qualifying laboratory testing for PrEP: Cr clearance in past 3 months, HBV vaccination, liver function tests
  • Owns a smartphone with Android or iOS

Exclusion

  • Does not speak English
  • History of Crohn's disease or ulcerative colitis
  • History of gastric bypass or bowel stricture
  • History of GI malignancy or radiation to abdomen
  • Allergy to gelatin, silver, or zinc (components of digital pill)
  • Allergy to PrEP
  • Not willing to operate DPS or Beiwe app

Key Trial Info

Start Date :

December 20 2022

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

March 31 2026

Estimated Enrollment :

40 Patients enrolled

Trial Details

Trial ID

NCT05378399

Start Date

December 20 2022

End Date

March 31 2026

Last Update

April 16 2025

Active Locations (1)

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1

Fenway Health

Boston, Massachusetts, United States, 02215