Intensive Combination Approach to Rollback the HIV Epidemic in Nigerian Youth (iCARE) Plus Effectiveness/Implementation Hybrid Study
iCARE Plus
2 other identifiers
interventional
500
1 country
6
Brief Summary
Two combination interventions (HIV Case Finding Intervention and HIV Treatment Intervention), each with mHealth and Peer Navigation components, will be evaluated in two 48-week parallel hybrid effectiveness/implementation trials among youth aged 15-24 in Nigeria.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Feb 2025
Longer than P75 for not_applicable
6 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
February 1, 2025
CompletedFirst Submitted
Initial submission to the registry
March 11, 2025
CompletedFirst Posted
Study publicly available on registry
March 17, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 31, 2028
ExpectedStudy Completion
Last participant's last visit for all outcomes
August 31, 2028
April 8, 2026
April 1, 2026
3.6 years
March 11, 2025
April 6, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Case Finding: HIV-positive serostatus
HIV-positive serostatus based on rapid test with confirmation
48 weeks
Treatment: Viral suppression
Viral suppression (\< 200 copies per mL)
48 Weeks
Secondary Outcomes (3)
Case Finding: Linkage to HIV care
48 Weeks
Case Finding: PrEP among youth who test HIV-negative
48 weeks
Treatment: Adherence to antiretroviral therapy (ART)
48 Weeks
Study Arms (2)
HIV Case Finding Intervention
EXPERIMENTALCombination HIV case finding and linkage to care intervention
HIV Treatment Intervention
EXPERIMENTALCombination HIV treatment intervention vs. standard of care adherence among youth newly diagnosed with HIV and initiating ART
Interventions
Peer navigators will promote HIV testing in YMSM and linkage to care if HIV-positive
Motivational-interviewing to promote uptake of PrEP among those who test HIV-negative
Peer navigators will provide assistance and support to youth with HIV to optimize adherence to ART
Social media outreach to identify youth at risk for HIV
Text (SMS) messages to remind and encourage youth to adhere to their ART
Eligibility Criteria
You may qualify if:
- HIV Case Finding Intervention:
- Aged 15 to 24
- Male birth sex of any current gender identity
- Understand basic English, Yoruba, Hausa, Igbo or Pidgin English For the PrEP component, must also be HIV-negative
- HIV Treatment Intervention:
- Aged 15 to 24
- HIV seropositive
- Initiating ART for the first time at a Clinical Research Performance Site (CRPS) clinic or satellite clinic
- Understand basic English, Yoruba, Hausa, Igbo or Pidgin English
- Intention to remain a CRPS patient during follow-up
You may not qualify if:
- Unable to provide consent
- No parental permission if aged 15 and not emancipated
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (6)
University of Uyo Teaching Hospital
Uyo, Akwa Ibom State, Nigeria
Federal Medical Center
Makurdi, Benue State, Nigeria
Taraba State Specialist Hospital
Jalingo, Taraba State, Nigeria
University of Nigeria Teaching Hospital
Enugu, Nigeria
Aminu Kano Teaching Hospital
Kano, Nigeria
Lagos University Teaching Hospital
Lagos, Nigeria
Study Officials
- PRINCIPAL INVESTIGATOR
Robert Garofalo, MD
Northwestern University
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
March 11, 2025
First Posted
March 17, 2025
Study Start
February 1, 2025
Primary Completion (Estimated)
August 31, 2028
Study Completion (Estimated)
August 31, 2028
Last Updated
April 8, 2026
Record last verified: 2026-04