NCT03447210

Brief Summary

This study will determine whether assisted partner notification services (APS) can identify and link to care, the sexual and needle-sharing partners of HIV-infected and HIV/hepatitis C (HCV) co-infected persons who inject drugs (PWID). It will also define the risk factors for onward HIV and HCV transmission among PWID using viral phylogenetics.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
4,301

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Feb 2018

Longer than P75 for not_applicable

Geographic Reach
1 country

3 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

February 21, 2018

Completed
5 days until next milestone

Study Start

First participant enrolled

February 26, 2018

Completed
1 day until next milestone

First Posted

Study publicly available on registry

February 27, 2018

Completed
4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 28, 2022

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

February 28, 2022

Completed
Last Updated

November 21, 2022

Status Verified

November 1, 2022

Enrollment Period

4 years

First QC Date

February 21, 2018

Last Update Submit

November 17, 2022

Conditions

Keywords

Persons who inject drugs (PWID)PhylogeneticsHIV testingHCV testingHIV care cascadeAssisted partner services

Outcome Measures

Primary Outcomes (6)

  • Sexual partners tested

    Numbers of sexual partners tested for HIV and HCV per index participant

    4 years

  • Injecting partners tested

    Numbers of injecting partners tested for HIV and HCV per index participant

    4 years

  • Partners diagnosed with HIV and HCV

    Number of partners newly diagnosed with HIV and HCV infection per index case

    4 years

  • HIV-infected partners linked to HIV care

    Percentage of HIV-infected partners linked to HIV care

    4 years

  • HCV-infected partners linked to HCV care

    Percentage of HCV-infected partners linked to HCV care

    4 years

  • Index participants linked to HIV and HCV care

    Percentage of index participants linked to HIV and HCV care

    4 years

Study Arms (1)

Assisted Partner Services

EXPERIMENTAL

All participants in this arm will be offered assisted partner services (APS) which involves outreach to sexual partners and to individuals with whom they use injection drugs. When partners are contacted they are offered HIV and HCV testing. There is no comparison arm.

Behavioral: Assisted Partner Services

Interventions

Contact tracing for sexual and drug-sharing partners to notify about exposure to HIV and offer HIV and hepatitis C testing with linkage to care and partner services for those who test positive.

Assisted Partner Services

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • \> or = 18 years of age
  • Active intravenous drug use (IDU) as defined by injecting at least twice in the past month
  • Willing and able to provide informed consent
  • HIV infected (either new diagnosis or known diagnosis)
  • Willing and able to provide locator information for sexual and/or injecting partners

You may not qualify if:

  • Classified as at high risk for IPV\*
  • \*Participants will be classified as at moderate risk for IPV if they report 1) history of IPV during their lifetime either from a current or past partner; and/or 2) fear of IPV if they participate in the study.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (3)

Githurai Drop-in Centre

Nairobi, Kenya

Location

Ngara Health Centre

Nairobi, Kenya

Location

Pangani Drop-in Centre

Nairobi, Kenya

Location

Related Publications (1)

  • Monroe-Wise A, Mbogo L, Guthrie B, Bukusi D, Sambai B, Chohan B, Scott J, Cherutich P, Musyoki H, Bosire R, Dunbar M, Macharia P, Masyuko S, Wilkinson E, De Oliveira T, Ludwig-Barron N, Sinkele B, Herbeck J, Farquhar C. Peer-mediated HIV assisted partner services to identify and link to care HIV-positive and HCV-positive people who inject drugs: a cohort study protocol. BMJ Open. 2021 Apr 24;11(4):e041083. doi: 10.1136/bmjopen-2020-041083.

MeSH Terms

Conditions

Acquired Immunodeficiency SyndromeHepatitis C

Condition Hierarchy (Ancestors)

HIV InfectionsBlood-Borne InfectionsCommunicable DiseasesInfectionsSexually Transmitted Diseases, ViralSexually Transmitted DiseasesLentivirus InfectionsRetroviridae InfectionsRNA Virus InfectionsVirus DiseasesSlow Virus DiseasesGenital DiseasesUrogenital DiseasesImmunologic Deficiency SyndromesImmune System DiseasesHepatitis, Viral, HumanFlaviviridae InfectionsHepatitisLiver DiseasesDigestive System Diseases

Study Officials

  • Joshua Herbeck, PhD

    University of Washington

    PRINCIPAL INVESTIGATOR
  • Carey Farquhar, MD, MPH

    University of Washington

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
DIAGNOSTIC
Intervention Model
SINGLE GROUP
Model Details: Prospective cohort study with nested cross-sectional studies
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

February 21, 2018

First Posted

February 27, 2018

Study Start

February 26, 2018

Primary Completion

February 28, 2022

Study Completion

February 28, 2022

Last Updated

November 21, 2022

Record last verified: 2022-11

Data Sharing

IPD Sharing
Will share

The proposed studies will include the following data: self-reported demographic and behavioral data, medical/sexual histories, HIV/HCV test results, and HIV/HCV genetic sequences. To facilitate the data sharing process, we will consider the need for data sharing in the study design, creation of informed consent documents, and the structure of data collection. Release of completed viral gene sequences (on NCBI Genbank) shall occur during the project, if appropriate, or at the end of the project, consistent with normal scientific practices.

Shared Documents
STUDY PROTOCOL, SAP, ICF, CSR, ANALYTIC CODE
Time Frame
5-10 years

Locations