88 Participants Needed

PrEP + Alcohol & Sexual Health Education for Substance Use Disorders

RL
RL
Overseen ByRobert L. Cook, PhD
Age: 18 - 65
Sex: Male
Trial Phase: Phase 4
Sponsor: University of Florida
Must be taking: PrEP
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial
Approved in 2 JurisdictionsThis treatment is already approved in other countries

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial examines how alcohol and sexual health education can prevent HIV in young adult men who drink heavily and engage in unprotected sex with other men. Participants will receive either general or personalized education about alcohol use and sexual health. They will take PrEP, a medication that helps prevent HIV, and report their experiences daily over the phone for 30 days. The trial seeks young men who consume five or more drinks in one day and have had unprotected sex with another man in the past month. As a Phase 4 trial, this research aims to understand how the already FDA-approved and effective PrEP benefits more patients, offering participants a chance to contribute to broader public health knowledge.

Do I have to stop taking my current medications for this trial?

The trial requires that you do not take medications that interfere with PrEP, such as diuretics, certain pain relievers, or other antiretroviral drugs. If you are on these medications, you may need to stop them to participate.

What is the safety track record for these treatments?

Research has shown that PrEP (pre-exposure prophylaxis) is generally safe for use. One study found that Truvada, a common type of PrEP, was well-tolerated when taken daily to prevent HIV. Another study reported no major safety issues over 96 weeks, even across different age, race, and gender groups. However, some individuals may experience side effects like nausea or headaches. It's important to note that alcohol or drug use can affect PrEP's effectiveness by leading to missed doses. Overall, PrEP maintains a strong safety record in preventing HIV.12345

Why are researchers enthusiastic about this study treatment?

Researchers are excited about this trial because it explores a unique combination of PrEP (pre-exposure prophylaxis) with tailored alcohol and sexual health education for individuals with substance use disorders. Unlike traditional methods that focus solely on medication, this approach integrates educational components that are personalized based on individual behavior patterns. This could lead to more effective prevention strategies by addressing the holistic needs of participants, potentially improving adherence and outcomes in a population that is often challenging to reach with standard interventions. The trial aims to assess whether these personalized educational interventions can enhance the effectiveness of PrEP, offering a more comprehensive method to reduce HIV transmission risk.

What evidence suggests that this trial's treatments could be effective for preventing alcohol-related problems and HIV?

Research has shown that PrEP (pre-exposure prophylaxis) effectively prevents HIV. One study found that DESCOVY, a type of PrEP, performed as well as other treatments in preventing HIV over 96 weeks. Another study demonstrated that taking Truvada PrEP daily is safe and well-accepted, making it a reliable part of HIV prevention. These findings suggest that PrEP is a strong option for reducing the risk of HIV, especially when taken consistently. Participants in this trial will receive educational or personalized information on alcohol and sexual health behavior, alongside PrEP, to assess its effectiveness in this context.12567

Who Is on the Research Team?

RL

Robert L. Cook, PhD

Principal Investigator

University of Florida

Are You a Good Fit for This Trial?

The trial is for young adult men who can read/write English, have had high alcohol consumption and unprotected sex with another man in the past month. They must be HIV negative, not currently on injectable PrEP but willing to take oral PrEP. Excluded are those with severe alcohol withdrawal history, injection drug use, serious substance disorders (except alcohol/nicotine), psychiatric symptoms, or taking medications that affect PrEP.

Inclusion Criteria

Consumption of 5 or more drinks per drinks in a day at least once in the past 30-days
Ability to read and write English
HIV seronegative at medical screening
See 2 more

Exclusion Criteria

DSM-5 criteria for moderate or severe current substance use disorder besides alcohol and nicotine
History of clinically significant withdrawal from alcohol
I am not taking drugs that affect PrEP, like water pills or certain pain relievers.
See 5 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Intervention

Participants complete an initial survey and receive alcohol and sexual health education. They take PrEP and complete daily IVR assessments for 30 days.

4 weeks
Daily phone-based IVR assessments

Follow-up

Participants are monitored for safety and effectiveness after treatment, with follow-up assessments at 1 month and 6 months.

6 months
Follow-up assessments at 1 month and 6 months

What Are the Treatments Tested in This Trial?

Interventions

  • Educational material on alcohol and sexual health behavior
  • Initial Web Survey
  • Interactive Voice Response (IVR) assessment with personalized information
  • Interactive Voice Response (IVR) monitoring
  • Personalized information based on web-based survey responses & standardized information
  • PrEP
Trial Overview This study tests the effectiveness of daily pre-exposure prophylaxis (PrEP) for HIV prevention combined with two types of educational interventions on alcohol and sexual health. Participants will also engage in a daily interactive voice response system to monitor their behavior over a period of 30 days followed by check-ins after one month and six months.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: Personalized InformationExperimental Treatment4 Interventions
Group II: Educational InformationActive Control4 Interventions

PrEP is already approved in United States, European Union for the following indications:

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Approved in United States as Truvada for:
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Approved in European Union as Truvada for:
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Approved in United States as Descovy for:
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Approved in European Union as Descovy for:

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Florida

Lead Sponsor

Trials
1,428
Recruited
987,000+

National Institute on Alcohol Abuse and Alcoholism (NIAAA)

Collaborator

Trials
865
Recruited
1,091,000+

Published Research Related to This Trial

Oral naltrexone (NTX) and injectable extended-release naltrexone (XR-NTX) have been shown to effectively reduce alcohol use and improve viral suppression in individuals living with HIV/AIDS, based on a systematic review of 7 studies.
Both NTX and XR-NTX were found to be safe, with no significant adverse events reported, and did not negatively impact adherence to antiretroviral therapy (ART).
Effectiveness of naltrexone treatment for alcohol use disorders in HIV: a systematic review.Farhadian, N., Moradi, S., Zamanian, MH., et al.[2023]
A survey of 573 infectious disease physicians revealed that while most support the use of PrEP (preexposure prophylaxis) for HIV prevention, only 9% have actually prescribed it, indicating a gap between support and practice.
Barriers to the real-world provision of PrEP exist despite CDC guidance, suggesting that comprehensive programs and guidelines are needed to improve its implementation among healthcare providers.
Are we prepped for preexposure prophylaxis (PrEP)? Provider opinions on the real-world use of PrEP in the United States and Canada.Karris, MY., Beekmann, SE., Mehta, SR., et al.[2022]
The study identified key barriers to providing sexual health education to women in Substance Use Disorder (SUD) treatment, including stigma, lack of knowledge about reproductive health, and concerns about contraception side effects, based on interviews with 29 women and 17 men in treatment.
Recommendations for effective sexual health interventions include delivering concise information from trusted sources in accessible locations and offering incentives like food and transportation to encourage participation.
Sex and Female Empowerment (SAFE): Learning from health care providers, men and women to design a sexual health intervention for women with substance use disorders.Andringa, KR., Schott, RM., Ellerson, RM., et al.[2023]

Citations

Alcohol Use Disorder Among Individuals Who Take HIV PrEPThis population-based cohort study found that nearly 15% of individuals who took PrEP had an AUD diagnosis within 6 months of PrEP initiation.
Alcohol Use Disorder Diagnoses Among Individuals Who ...In this cohort study of 43 913 individuals who take PrEP, 14.29% had an AUD diagnosis (2.84% before and 11.45% after PrEP initiation). Mood ...
Advancing pre-exposure prophylaxis (PrEP) ...Long-term outcomes including PrEP adherence and retention in care should be tracked alongside implementation outcomes like fidelity, reach, and ...
DESCOVY FOR PrEP® (pre-exposure prophylaxis) Efficacy ...DESCOVY FOR PrEP was noninferior to FTC/TDF through 96 weeks. Study outcomes were similar across subgroups of age, race, gender identity, and baseline FTC/TDF ...
Acceptability, Safety, and Use of Daily Truvada Pre- ...The purpose of this study is to evaluate the acceptability, safety, and use of daily Truvada PrEP as part of a comprehensive HIV prevention package.
Gilead Announces New Data on the Impact of Truvada® ...Data show that states with highest use of Truvada for PrEP had significant declines in new HIV infections.
Medical chart-reported alcohol consumption, substance use ...Some evidence suggests that alcohol, substance use, and mental health issues diminish adherence to HIV Pre-Exposure Prophylaxis (PrEP) among gay, bisexual, and ...
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