NCT07834853

Brief Summary

The Camino Study evaluates a status-neutral, multi-level pilot intervention designed to improve HIV prevention and care engagement among Latin Americans with unmet HIV prevention and care needs. The intervention combines legal services with peer navigation to reduce fear of healthcare engagement, reduce stress, and improve access to HIV prevention and care services. The study will enroll 50 Latin American participants in the Washington, DC, and Oakland, California areas. Using a quasi-experimental wait-list control design, the study will compare HIV outcomes among participants who receive the Camino intervention with those on a rolling waitlist over 18 months. Primary outcomes include HIV testing within the past six months and uptake of pre-exposure prophylaxis (PrEP), as well as HIV care visit attendance, antiretroviral therapy (ART) adherence, and viral load among people living with HIV. The study will also examine legal, social, and mental health factors associated with HIV prevention and care engagement and assess the feasibility of testing the intervention at a larger scale.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
50

participants targeted

Target at P25-P50 for not_applicable hiv-infections

Timeline
28mo left

Started Jul 2026

Geographic Reach
1 country

2 active sites

Status
recruiting

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 Progress9%
Jul 2026Feb 2029

Study Start

First participant enrolled

July 16, 2026

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

September 17, 2026

Completed
5 days until next milestone

First Posted

Study publicly available on registry

September 22, 2026

Completed
2.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 1, 2029

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

February 1, 2029

Last Updated

September 22, 2026

Status Verified

September 1, 2026

Enrollment Period

2.6 years

First QC Date

September 17, 2026

Last Update Submit

September 17, 2026

Conditions

Keywords

HIV preventionHIV carePre-exposure prophylaxis (PrEP)Peer navigationLegal servicesLatin AmericansMedical-legal partnership

Outcome Measures

Primary Outcomes (5)

  • HIV testing within the past 6 months

    Survey data and medical records will be used to assess HIV testing within the past 6 months among participants not living with HIV.

    18 months

  • PrEP Uptake

    Survey data and medical records will be used to assess initiation of pre-exposure prophylaxis (PrEP) among participants who are HIV-negative and eligible for PrEP.

    18 months

  • HIV Care Visit Attendance

    Medical records will be used to assess HIV care visit attendance among participants living with HIV.

    18 months

  • Antiretroviral Therapy Adherence

    Medical records and survey data will be used to assess adherence to antiretroviral therapy (ART) among participants living with HIV who are prescribed ART.

    18 months

  • HIV Viral Load

    Medical records will be used to assess HIV viral load among participants living with HIV.

    18 months

Study Arms (1)

Camino Intervention

EXPERIMENTAL

Participants receive the Camino intervention, which includes peer navigation to support engagement in HIV prevention and care and legal services. Peer navigation begins immediately after enrollment. Participants receive the individual legal consultation when an attorney becomes available; therefore, the timing of receipt of the legal consultation varies across participants. Participants are followed for 18 months.

Behavioral: Camino Intervention

Interventions

Camino is a multicomponent intervention designed to improve engagement in HIV prevention and care. Participants receive culturally and linguistically appropriate peer navigation beginning after enrollment to help identify and address barriers to HIV prevention and care and connect participants with relevant health and social services. The intervention also includes individualized consultation with an attorney and legal services and navigation. Because attorney availability varies, participants receive the individual legal consultation at different times during follow-up.

Camino Intervention

Eligibility Criteria

Age18 Years+
Sexmale(Gender-based eligibility)
Gender Eligibility DetailsParticipants are eligible if they identify as men who have sex with men, transgender women, or nonbinary individuals on the femme spectrum.
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age 18 years or older
  • Assigned male sex at birth
  • Identifies as a Latin American man who has sex with men, transgender woman, or nonbinary person on the feminine spectrum
  • Not a U.S. citizen
  • Speaks Spanish or English
  • Resides in the Washington, DC metropolitan area or San Francisco Bay Area
  • Willing to receive health and/or supportive services through participating study partners
  • Willing to allow the study to obtain relevant medical record information
  • Meets one of the following HIV prevention or care criteria:
  • Living with HIV and either not linked to HIV care, has missed an HIV care appointment within the past year, is not taking antiretroviral therapy (ART), or has a detectable viral load; or Not living with HIV, is sexually active, and is either not taking pre-exposure prophylaxis (PrEP) or has not received an HIV test within the past 6 months

You may not qualify if:

  • Younger than 18 years

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Oasis Legal Services

Berkeley, California, 94704, United States

NOT YET RECRUITING

La ClĂ­nica del Pueblo

Washington D.C., District of Columbia, 20009, United States

RECRUITING

MeSH Terms

Conditions

HIV Infections

Condition Hierarchy (Ancestors)

Blood-Borne InfectionsCommunicable DiseasesInfectionsSexually Transmitted Diseases, ViralSexually Transmitted DiseasesLentivirus InfectionsRetroviridae InfectionsRNA Virus InfectionsVirus DiseasesGenital DiseasesUrogenital DiseasesImmunologic Deficiency SyndromesImmune System Diseases

Study Officials

  • Thespina J Yamanis, Ph.D., MPH

    American University

    PRINCIPAL INVESTIGATOR
  • Erin Wilson, DrPH

    San Francisco Department of Public Health

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
PREVENTION
Intervention Model
SEQUENTIAL
Model Details: All participants receive the Camino intervention. Peer navigation begins immediately after enrollment, while participants enter a rolling waitlist for the individual legal consultation. Participants receive the legal consultation when an attorney becomes available. The timing of the legal consultation therefore varies across participants and is not determined by random assignment. Outcomes are compared based on timing of receipt of the legal consultation.
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 17, 2026

First Posted

September 22, 2026

Study Start

July 16, 2026

Primary Completion (Estimated)

February 1, 2029

Study Completion (Estimated)

February 1, 2029

Last Updated

September 22, 2026

Record last verified: 2026-09

Data Sharing

IPD Sharing
Will share

De-identified individual participant data collected during the study will be shared through the NIMH Data Archive (NDA) for secondary research use in accordance with NIH and NIMH data-sharing requirements.

Shared Documents
STUDY PROTOCOL
Time Frame
Data and supporting documentation will be submitted and made available in accordance with NIMH Data Archive submission and sharing timelines and will remain available according to NDA policies.
Access Criteria
Data will be available through the NIMH Data Archive to authorized researchers who meet NDA access requirements. Researchers must submit a formal data access request and agree to NDA data use and confidentiality requirements.
More information

Locations