Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
NCT05579470

Expanding Medication-Assisted Therapies in Central Asia

Led by Yale University · Updated on 2025-09-22

900

Participants Needed

4

Research Sites

177 weeks

Total Duration

On this page

Sponsors

Y

Yale University

Lead Sponsor

D

Den Sooluk Nuru

Collaborating Sponsor

AI-Summary

What this Trial Is About

Central Asia (CA) represents the most rapidly growing HIV epidemic region worldwide, concentrated in people who inject drugs (PWID) and their sexual partners, and scaling up opioid agonist therapies (OAT) in this region is the most cost-effective strategy to prevent new HIV infections, and more effective when combined with antiretroviral therapy (ART). The investigators propose to use the Network for the Improvement of Addiction Treatment (NIATx) implementation strategy to scale-up OAT in three diverse Central Asian countries (Kazakhstan, Kyrgyzstan, Tajikistan) and guided by the Exploration-Planning-Implementation-Sustainment (EPIS) framework. Understanding the trajectories of implementation and scale-up in this context may emerge through creating communities of practice, especially when cohesion and competence evolves, and may guide other healthcare delivery challenges in the region (e.g., HIV, TB); as well as build important regional expertise and understanding implementation trajectories should help support OAT program sustainability.

CONDITIONS

Official Title

Expanding Medication-Assisted Therapies in Central Asia

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Be 18 years or older
  • For people who inject drugs (PWID): meet DSM-V criteria for opioid dependence
  • For PWID: be treatment naive and seeking OAT or have been on OAT for less than 90 days
  • For OAT delivery staff: currently working as a professional at an OAT delivery site
  • For Chief Narcologists: currently assigned as a Chief Narcologist for an Oblast
  • For professionals: authorized to work at an OAT delivery site
Not Eligible

You will not qualify if you...

  • Not willing to provide consent

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 4 locations

1

Yale University

New Haven, Connecticut, United States, 06510

Active, Not Recruiting

2

Columbia University Global Health Research Center of Central Asia

Almaty, Kazakhstan

Actively Recruiting

3

Den Sooluk Nuru

Bishkek, Kyrgyzstan

Actively Recruiting

4

Institute for International Health and Education

Dushanbe, Tajikistan

Actively Recruiting

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Research Team

F

Frederick L Altice, MD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

HEALTH_SERVICES_RESEARCH

Number of Arms

1

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