- ICH GCP
- Registro degli studi clinici negli Stati Uniti
- Sperimentazione clinica NCT00146445
Behavioral Intervention Trial for HIV-infected Injection Drug Users
Intervention for Seropositive Injection Drug Users - Research and Evaluation (INSPIRE)
Panoramica dello studio
Stato
Condizioni
Intervento / Trattamento
Descrizione dettagliata
INSPIRE is a four-site (Baltimore, Miami, New York and San Francisco) randomized control trial to develop and evaluate the efficacy of a ten-session intervention for HIV-positive injection drug users. The primary goals of the intervention are to:
- decrease sex and injection risk behaviors that put others at risk for HIV infection,
- increase access to or utilization of HIV primary health care, and
- increase adherence to HIV medications.
The intervention arm consists of 7 group sessions, 2 individual sessions, and one community experience. The control arm consists of 8 group sessions, aiming at controlling for demand (1st session) and attention (8 group sessions). Behavioral assessments and blood draws (for viral load and CD4 testing) occur at baseline, 6, and 12 month follow-up; a 3 month assessment involves behavioral assessment only. 1161 participants took baseline. Of these, 966 were randomized into the study, and 840, 807, and 821 participants took 3, 6, and 12 month follow-up assessments, respectively.
Tipo di studio
Iscrizione
Fase
- Fase 2
- Fase 3
Contatti e Sedi
Luoghi di studio
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California
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San Fransisco, California, Stati Uniti, 94105
- University of California - San Francisco
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Florida
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Miami, Florida, Stati Uniti, 33136
- University of Miami
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Maryland
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Baltimore, Maryland, Stati Uniti, 21231
- Johns Hopkins University
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New York
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Bronx, New York, Stati Uniti, 10467
- Montefiore Medical Center
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New York, New York, Stati Uniti, 10029
- New York Academy of Medicine
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Criteri di partecipazione
Criteri di ammissibilità
Età idonea allo studio
Accetta volontari sani
Sessi ammissibili allo studio
Descrizione
Inclusion Criteria:
- 18 years of age or older
- self-identify as a person who has injected drugs in the last 12 months
- self-identify as a person who has had sex with at least one opposite sex partner within the last 3 months
- self-identify as HIV-seropositive
- be confirmed as HIV seropositive through oral fluid (saliva) HIV testing
- live in the geographic region under study,
- agree to have their blood drawn for CD4 count and viral load testing
- be willing to provide basic contact information (for follow-up)
- be able to communicate in English
- not have participated in the full-pilot of this intervention and not have enrolled previously in the present study.
Exclusion Criteria:
-
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Prevenzione
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Nessuno (etichetta aperta)
Cosa sta misurando lo studio?
Misure di risultato primarie
Misura del risultato |
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- unprotected vaginal/anal sex with HIV-negative or unknown serostatus partners in the past 3 months
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- lending needle or sharing cotton, cooker, or rinse water with HIV-negative or unknown serostatus partners in the past 3 months
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-health care visits for HIV primary care in the past 6 months
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-90% or more adherence to HIV medication yesterday and in the past week
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Misure di risultato secondarie
Misura del risultato |
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-Proportion of HIV status disclosure to sex partners
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Collaboratori e investigatori
Collaboratori
Investigatori
- Investigatore principale: David W Purcell, JD, PhD, Centers for Disease Control and Prevention
Pubblicazioni e link utili
Pubblicazioni generali
- Purcell DW, Metsch LR, Latka M, Santibanez S, Gomez CA, Eldred L, Latkin CA; INSPIRE Study Group. Interventions for seropositive injectors-research and evaluation: an integrated behavioral intervention with HIV-positive injection drug users to address medical care, adherence, and risk reduction. J Acquir Immune Defic Syndr. 2004 Oct 1;37 Suppl 2:S110-8. doi: 10.1097/01.qai.0000140609.44016.c4.
- Valverde EE, Purcell DW, Waldrop-Valverde D, Malow R, Knowlton AR, Gomez CA, Farrell N, Latka MH; INSPIRE Study Team. Correlates of depression among HIV-positive women and men who inject drugs. J Acquir Immune Defic Syndr. 2007 Nov 1;46 Suppl 2:S96-100. doi: 10.1097/QAI.0b013e318157683b.
- Mitchell SG, Edwards LV, Mackenzie S, Knowlton AR, Valverde EE, Arnsten JH, Santibanez S, Latka MH, Mizuno Y; INSPIRE Study Team. Participants' descriptions of social support within a multisite intervention for HIV-seropositive injection drug users (INSPIRE). J Acquir Immune Defic Syndr. 2007 Nov 1;46 Suppl 2:S55-63. doi: 10.1097/QAI.0b013e3181576808.
- Purcell DW, Latka MH, Metsch LR, Latkin CA, Gomez CA, Mizuno Y, Arnsten JH, Wilkinson JD, Knight KR, Knowlton AR, Santibanez S, Tobin KE, Rose CD, Valverde EE, Gourevitch MN, Eldred L, Borkowf CB; INSPIRE Study Team. Results from a randomized controlled trial of a peer-mentoring intervention to reduce HIV transmission and increase access to care and adherence to HIV medications among HIV-seropositive injection drug users. J Acquir Immune Defic Syndr. 2007 Nov 1;46 Suppl 2:S35-47. doi: 10.1097/QAI.0b013e31815767c4.
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Studia le date principali
Inizio studio
Completamento primario (Effettivo)
Completamento dello studio (Effettivo)
Date di iscrizione allo studio
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Stima)
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Stima)
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Parole chiave
Altri numeri di identificazione dello studio
- CDC-NCHSTP-2864
- U22/CCU217990
- U22/CCU317999
- U22/CCU417998
- U22/CCU918003
Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .