Status:

UNKNOWN

PrEP Restart for Adolescent Girls and Young Women Using STI Self Testing and Assessment of Risk

Lead Sponsor:

Wits RHI Research Centre Clinical Research Site

Collaborating Sponsors:

University of Alabama at Birmingham

University of California, San Francisco

Conditions:

HIV Prevention

Eligibility:

FEMALE

16-20 years

Phase:

NA

Brief Summary

This is a pilot randomized trial among 50 AGYW (aged ≥16≤18 years), who discontinued PrEP use within the past 6 months, assigned in a 1:1 ratio to receive: 1) STI self-test kits (Neisseria gonorrhoea ...

Detailed Description

The PALESA study aims to determine the feasibility of conducting a randomized controlled trial (RCT) to determine the impact of decentralized sexually transmitted infection (STI) point of care (POC) s...

Eligibility Criteria

Inclusion

  • For the full cohort, all participants must:
  • Be cis-gender adolescent females (16-20 years of age)
  • Be literate
  • Currently sexually active
  • Be willing to participate in in-person and virtual study visits
  • Not be pregnant or planning to be pregnant for the next 6 months
  • Be HIV-negative but not ready to initiate PrEP at the screening and enrolment visit
  • Have used PrEP with subsequent discontinuation within the last 6 months
  • Have no contraindications to oral PrEP per self-report
  • Have no indication of possible acute HIV infection, according to South African PrEP guidelines
  • Have their own personal smart phone
  • Willing to provide written informed consent/assent to participate in this study
  • For the subset invited to qualitative interviews, all participants must be:
  • • Willing to participate in an IDI at/before their month 6 visit (study exit visit)

Exclusion

  • Potential AGYW participants who meet any of the following criteria will be excluded from the study:
  • At Screening and Enrollment, parent/guardian (for those participants \<18 years) is unwilling to provide written informed consent
  • At Screening and Enrollment, is already participating in another research study involving drugs, medical devices, or vaccines for STI prevention or treatment.
  • Is not willing to comply with study procedures
  • As determined by the PIs/designee, any current or historical physical health, mental health or social issue or condition that the site investigator or designee determines should exclude participation.
  • Has any other condition that, in the opinion of the PIs/designee, would preclude informed consent, make study participation unsafe, or otherwise interfere with achieving the study objectives.

Key Trial Info

Start Date :

July 5 2023

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

August 1 2024

Estimated Enrollment :

50 Patients enrolled

Trial Details

Trial ID

NCT06030856

Start Date

July 5 2023

End Date

August 1 2024

Last Update

September 11 2023

Active Locations (1)

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1

Wits RHI Research Centre

Hillbrow, Gauteng, South Africa, 2038