Actively Recruiting

Age: 16Years +
All Genders
Healthy Volunteers
ID06860945

Development of a Predictive Model for Sexually Transmitted Infections in Individuals Using Pre-Exposure Prophylaxis for HIV in Spain

Led by Hospital Universitario de Valme · Updated on 2025-03-06

9000

Participants Needed

26

Research Sites

26 weeks

Total Duration

On this page

Sponsors

H

Hospital Universitario de Valme

Lead Sponsor

I

Instituto de Salud Carlos III

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are developing and validating a predictive model to understand the risk of acquiring sexually transmitted infections (STIs) among individuals using HIV pre-exposure prophylaxis (PrEP) within Spain's national program. This observational study includes PrEP users followed according to national protocols at 23 hospitals. The study focuses on STIs such as syphilis, gonorrhea, chlamydia, herpes, hepatitis, HIV, and MPOX, with the primary outcome being whether participants develop an STI. Participants are individuals who have started daily oral PrEP, have taken at least one pill, and meet the approved criteria by Spanish guidelines. They will be monitored quarterly with tests including blood samples and swabs from various sites to diagnose STIs. The study uses data from these visits to build and validate predictive models and analyze factors linked to STI acquisition. Participants will be followed over an average of five years with regular clinical visits to monitor for STIs and collect behavioral and adherence data. Researchers will measure the occurrence and number of STIs, changes in behavior, PrEP adherence, and discontinuation rates. The study aims to improve understanding of STI dynamics among PrEP users while ensuring ongoing monitoring and data collection throughout the participation period.

CONDITIONS

Brief Title

Development of a Predictive Model for Sexually Transmitted Infections in Individuals Using Pre-Exposure Prophylaxis for HIV in Spain

Who Can Participate

Age: 16Years +
All Genders
Healthy Volunteers

Eligibility Criteria

Eligible

You may qualify if you...

  • Individuals aged 16 years or older
  • Documented start of oral PrEP (daily or event-driven) with at least one pill taken
  • No HIV infection at the time of joining the study
  • MSM and transgender women with at least two of the following in the past year: more than 10 sexual partners, condomless anal sex, chemsex, post-exposure prophylaxis (PEP), or at least one STI
  • Sex worker women reporting non-regular condom use
  • Cisgender males or females reporting condomless sex and at least two of the same criteria as MSM and transgender women
  • People who inject drugs (PWID) with unsafe injection practices
Not Eligible

You will not qualify if you...

History of severe allergic reactions to study medication Currently pregnant or breastfeeding Recent participation in another clinical trial within the last 30 days Presence of uncontrolled medical conditions that could affect safety

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Long-term Monitoring

Duration - Up to 5 years

Participants are observed over time to collect data on sexually transmitted infections, behavioral changes, and PrEP use.

Regular visits as part of routine care

Trial Site Locations

Total: 26 locations

1

Hospital Universitario de Torrecárdenas

Almería, Spain

Actively Recruiting

2

Hospital Universitario Puerto Real

Cadiz, Spain

Actively Recruiting

3

Hospital Universitario Santa Lucía

Cartagena, Spain

Actively Recruiting

4

hospital Universitario reina Sofía

Córdoba, Spain

Actively Recruiting

5

Hospital Virgen de la Luz

Cuenca, Spain

Actively Recruiting

6

Hospital Universitario de Elche

Elche, Spain

Actively Recruiting

7

Hospital Clínico Universitario San Cecilio

Granada, Spain

Actively Recruiting

8

Hospital Universitario Virgen de las Nieves

Granada, Spain

Actively Recruiting

9

Hospital Universitario Juan Ramón Jiménez

Huelva, Spain

Actively Recruiting

10

Complejo Hospitalario de Jaén

Jaén, Spain

Actively Recruiting

11

Hospital de Jerez de la Frontera

Jerez de la Frontera, Spain

Actively Recruiting

12

Hospital Universitario de Bellvitge

L'Hospitalet de Llobregat, Spain

Actively Recruiting

13

Hospital Universitario Dr. Negrín

Las Palmas de Gran Canaria, Spain

Actively Recruiting

14

Centro Sanitario Sandoval

Madrid, Spain

Actively Recruiting

15

Hospital Fundación Jiménez Díaz

Madrid, Spain

Actively Recruiting

16

Hospital Universitario Infanta Leonor

Madrid, Spain

Actively Recruiting

17

Hospital Universitario La Princesa

Madrid, Spain

Actively Recruiting

18

Hospital Regional Universitario de Málaga

Málaga, Spain

Actively Recruiting

19

Hospital Universitario Virgen de la Victoria

Málaga, Spain

Actively Recruiting

20

Hospital Universitario Virgen de la Arrixaca

Murcia, Spain

Actively Recruiting

21

Hospital Universitario Marqués de Valdecilla

Santander, Spain

Actively Recruiting

22

Hospital Universitario Virgen de la Macarena

Seville, Spain

Actively Recruiting

23

Hospital Universitario Virgen de Valme

Seville, Spain

Actively Recruiting

24

Hospital Universitario Virgen del Rocío

Seville, Spain

Actively Recruiting

25

Hospital Universitario de Valladolid

Valladolid, Spain

Actively Recruiting

26

Hospital Universitario Álvaro Cunqueiro

Vigo, Spain

Actively Recruiting

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Research Team

A

Anaïs Corma-Gómez

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

1

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Published Research Related To This Trial

Can we screen less frequently for STI among PrEP users? Assessing the effect of biannual STI screening on timing of diagnosis and transmission risk in the AMPrEP Study.

Vita W Jongen, Hanne M L Zimmermann, Marit Goedhart...

https://pubmed.ncbi.nlm.nih.gov/35584898

Quarterly screening optimizes detection of sexually transmitted infections when prescribing HIV preexposure prophylaxis.

Eric C Tang, Eric Vittinghoff, Susan S Philip...

https://pubmed.ncbi.nlm.nih.gov/32205724

Cost-effectiveness of two screening strategies for Chlamydia trachomatis and Neisseria gonorrhoeae as part of the PrEP programme in the Netherlands: a modelling study.

Francine van Wifferen, Elske Hoornenborg, Maarten F Schim van der Loeff...

https://pubmed.ncbi.nlm.nih.gov/33431605

Comparison of Trends in Rates of Sexually Transmitted Infections Before vs After Initiation of HIV Preexposure Prophylaxis Among Men Who Have Sex With Men.

Hamish McManus, Andrew E Grulich, Janaki Amin...

https://pubmed.ncbi.nlm.nih.gov/33355675

Effects of Pre-exposure Prophylaxis for the Prevention of Human Immunodeficiency Virus Infection on Sexual Risk Behavior in Men Who Have Sex With Men: A Systematic Review and Meta-analysis.

Michael W Traeger, Sophia E Schroeder, Edwina J Wright...

https://pubmed.ncbi.nlm.nih.gov/29509889

Real-world trends in incidence of bacterial sexually transmissible infections among gay and bisexual men using HIV pre-exposure prophylaxis (PrEP) in Australia following nationwide PrEP implementation: an analysis of sentinel surveillance data.

Michael W Traeger, Rebecca Guy, Jason Asselin...

https://pubmed.ncbi.nlm.nih.gov/35643090

Association of HIV Preexposure Prophylaxis With Incidence of Sexually Transmitted Infections Among Individuals at High Risk of HIV Infection.

Michael W Traeger, Vincent J Cornelisse, Jason Asselin...

https://pubmed.ncbi.nlm.nih.gov/30964528

Sexual behaviour and incidence of HIV and sexually transmitted infections among men who have sex with men using daily and event-driven pre-exposure prophylaxis in AMPrEP: 2 year results from a demonstration study.

Elske Hoornenborg, Liza Coyer, Roel C A Achterbergh...

https://pubmed.ncbi.nlm.nih.gov/31178284