HIV InfectionsNCT04248790
Design and Development of a Mobile App to Improve Adherence to Pre-exposure Prophylaxis in Men Who Have Sex With Men
A study testing mobile app to improve adherence to PrEP self-management in people with HIV Infections and Pre-Exposure Prophylaxis, run by National Cheng Kung University at 3 sites in Taiwan.
Trial summary
This study is testing feasibility and acceptability of a theoretically based mobile application (app), UPrEPU, to increase adherence to pre-exposure prophylaxis (PrEP) among men who have sex with men (MSM) to prevent human immunodeficiency virus (HIV). Read more about this study
- Who is it for?
- Ages 20 to 100 years, men onlyHealthy volunteers can take part
- Conditions the study is for
- HIV Infections, Pre-Exposure Prophylaxis
- What is being tested?
- mobile app to improve adherence to PrEP self-management
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 35 participants
- Where
- 3 sitesTaiwan
- Study dates
- 25 May 2020to 23 Oct 2020
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 20 to 100 years
- Men only
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Male.
- Aged 20 or above.
- Resides in Taiwan and able to understand, read, and speak Mandarin Chinese.
- Remains HIV negative prior to and during the study period.
- The results of the laboratory tests are eligible to initiate PrEP.
- Currently taking PrEP or willing to initiate PrEP.
Show all 9Show fewer
- Reports having 4 times or above anal sex with men in the past month.
- Owns an Android or Apple operating system (iOS) smartphone and willing to download the study app.
- Willing to wear the device we provided during the study period.
Who cannot join
- With abnormal kidney function (creatinine clearance rate ≦ 60 mL/minute).
- Currently on medication that might interact with PrEP, such as drugs contain lamivudine in the pre-PrEP assessment.
Trial locations and contacts
3 sites in 1 country.
Taiwan3 sites
National Cheng Kung University Hospital
Tainan, Tainan, 701
Taipei city hospital (Renai Branch)
Taipei, 10629
Taipei Veterans General Hospital
Taipei, 11217
About this study
Official title: Design and Development of a Mobile App to Improve Adherence to Pre-exposure Prophylaxis in Men Who Have Sex With Men: A Pilot Study
This study is testing feasibility and acceptability of a theoretically based mobile application (app), UPrEPU, to increase adherence to pre-exposure prophylaxis (PrEP) among men who have sex with men (MSM) to prevent human immunodeficiency virus (HIV).
Read the detailed description
This study aims to develop an effective mobile application (app), UPrEPU to recognize the factors and decisions that affect PrEP adherence in high-risk populations to improve PrEP adherence. Key components of the app include a sex/PrEP diary using ecological momentary assessment to facilitate accurate data collection; PrEP taking reminder; HIV and sexually transmitted infections (STI) testing information and reminders; HIV and PrEP information and videos; geo-location.
After eligible PrEP candidates agree to participate in the study, we will ask participants to install the app. Then, we will begin to collect their sexual diary and PrEP taking log via ecological momentary assessment. Participants will also complete monthly assessments. The monthly follow-up will test HIV/STI and drug concentration. The participants will be interviewed for difficulties when they use our app and giving feedback on it.
- Conditions
- HIV Infections, Pre-Exposure Prophylaxis
- Being tested
- mobile app to improve adherence to PrEP self-management
- Medical subject headings
- HIV Infections
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
mobile app to improve adherence to PrEP self-managementBehavioural
Access to the mobile app which includes the sex and PrEP diary, information on HIV/STI testing, PrEP reminders and geo-location features.
| Study group | Role | What they receive |
|---|---|---|
| Experimental: the mobile App | Experimental | Participants in the intervention arm will receive access to all the app capabilities. The app features include information on HIV testing locations, sex and PrEP diary and reminder of taking PrEP. Receives: Behavioral: mobile app to improve adherence to PrEP self-management |
What is being measured
The primary outcome is the main question the study is designed to answer.
Usability
Scores on system usability scale (SUS) for this app at the first month and the fourth month.
Measured: 4 months
Feasibility: data based on the app analytics
- Frequency of app log-in;
- Use of app components such as PrEP-taking and sex behavior reports;
- Duration of app use
Measured: 4 months
Efficacy of adherence monitoring
Measuring the Tenofovir (TDF) and Emtricitabine (FTC) drug concentration in dried blood spot (DBS) samples to compare with self-report data
Measured: 4 months
Secondary outcomes (1)
Feasibility: data from qualitative interviews
- any technical challenges participants may have encountered;
- recommendations for the app improvement;
- users' satisfaction and comfort in using this app
Measured: 4 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted30 Jan 2020
- Study start25 May 2020
- Primary completion23 Oct 2020
- Study completion23 Oct 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for HIV InfectionsStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Supportive care
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 35 participants (actual)
Sponsor and investigators
- Lead sponsor
- National Cheng Kung University
- Sponsor type
- University, hospital or other
- Collaborators
- National Cheng-Kung University Hospital, Taipei Veterans General Hospital, Taiwan, National Tsing Hua University
- Responsible party
- Principal investigator, Carol Strong, National Cheng Kung University
- Investigators
- Carol Strong, PhD, Principal investigator, National Cheng Kung University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04248790
- Sponsor's protocol ID
- TaiwanUPrEPU
- Other IDs
- MOST 108-2636-B-006-004
- Status last verified
- Dec 2020
- First submitted
- 28 Jan 2020
- Last updated
- 30 Dec 2020
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Strong C, Wu HJ, Tseng YC, Yuan CW, Yu YF, Liao JC, Chen YW, Hung YC, Li CW, Huang PH, Ko NY, Ku SW. Mobile App (UPrEPU) to Monitor Adherence to Pre-exposure Prophylaxis in Men Who Have Sex With Men: Protocol for a User-Centered Approach to Mobile App Design and Development. JMIR Res Protoc. 2020 Dec 1;9(12):e20360. doi: 10.2196/20360.
PubMed 33258793
Study at a glance
From the registry record, last updated by the sponsor on 30 Dec 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Design and Development of a Mobile App to Improve Adherence to Pre-exposure Prophylaxis in Men Who Have Sex With Men: A Pilot Study
- ClinicalTrials.gov ID
- NCT04248790
- Acronym / sponsor ID
- TaiwanUPrEPU
- Conditions
- HIV Infections, Pre-Exposure Prophylaxis
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 35 participants (actual)
- Lead sponsor
- National Cheng Kung UniversityUniversity, hospital or other
- Collaborators
- National Cheng-Kung University Hospital, Taipei Veterans General Hospital, Taiwan, National Tsing Hua University
- Study start
- 25 May 2020 (actual)
- Primary completion
- 23 Oct 2020 (actual)
- Study completion
- 23 Oct 2020 (actual)
- First posted
- 30 Jan 2020 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study is testing feasibility and acceptability of a theoretically based mobile application (app), UPrEPU, to increase adherence to pre-exposure prophylaxis (PrEP) among men who have sex with men (MSM) to prevent human immunodeficiency virus (HIV).
Detailed description
This study aims to develop an effective mobile application (app), UPrEPU to recognize the factors and decisions that affect PrEP adherence in high-risk populations to improve PrEP adherence. Key components of the app include a sex/PrEP diary using ecological momentary assessment to facilitate accurate data collection; PrEP taking reminder; HIV and sexually transmitted infections (STI) testing information and reminders; HIV and PrEP information and videos; geo-location.
After eligible PrEP candidates agree to participate in the study, we will ask participants to install the app. Then, we will begin to collect their sexual diary and PrEP taking log via ecological momentary assessment. Participants will also complete monthly assessments. The monthly follow-up will test HIV/STI and drug concentration. The participants will be interviewed for difficulties when they use our app and giving feedback on it.
Study design
- Primary purpose
- Supportive care
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Experimental: the mobile App | Experimental | Behavioral: mobile app to improve adherence to PrEP self-managementParticipants in the intervention arm will receive access to all the app capabilities. The app features include information on HIV testing locations, sex and PrEP diary and reminder of taking PrEP. |
Who may qualify
- Ages
- 20 to 100 years
- Sex
- Male only
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Male.
- Aged 20 or above.
- Resides in Taiwan and able to understand, read, and speak Mandarin Chinese.
- Remains HIV negative prior to and during the study period.
- The results of the laboratory tests are eligible to initiate PrEP.
Key exclusion criteria (2 listed)
- With abnormal kidney function (creatinine clearance rate ≦ 60 mL/minute).
- Currently on medication that might interact with PrEP, such as drugs contain lamivudine in the pre-PrEP assessment.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| mobile app to improve adherence to PrEP self-managementAccess to the mobile app which includes the sex and PrEP diary, information on HIV/STI testing, PrEP reminders and geo-location features. | Behavioural | Experimental: the mobile App |
Primary outcome
Usability
Time frame: 4 months
Scores on system usability scale (SUS) for this app at the first month and the fourth month.
Feasibility: data based on the app analytics
Time frame: 4 months
1. Frequency of app log-in; 2. Use of app components such as PrEP-taking and sex behavior reports; 3. Duration of app use
Efficacy of adherence monitoring
Time frame: 4 months
Measuring the Tenofovir (TDF) and Emtricitabine (FTC) drug concentration in dried blood spot (DBS) samples to compare with self-report data
1 secondary outcome
Feasibility: data from qualitative interviews
Time frame: 4 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 Dec 2020.
- Derived from this study: PubMed 33258793Strong C, Wu HJ, Tseng YC, Yuan CW, Yu YF, Liao JC, Chen YW, Hung YC, Li CW, Huang PH, Ko NY, Ku SW. Mobile App (UPrEPU) to Monitor Adherence to Pre-exposure Prophylaxis in Men Who Have Sex With Men: Protocol for a User-Centered Approach to Mobile App Design and Development. JMIR Res Protoc. 2020 Dec 1;9(12):e20360. doi: 10.2196/20360.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Carol Strong, PhD principal investigator
National Cheng Kung University
3 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing mobile app to improve adherence to PrEP self-management in people with HIV Infections and Pre-Exposure Prophylaxis, run by National Cheng Kung University at 3 sites in Taiwan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 9 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 30 Dec 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 3 sites in Taiwan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Usability (time frame: 4 months). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04248790, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Dec 2020.