NOTRE: Optimizing Long-Acting Pre-Exposure Prophylaxis and Medications for Opioid Use Disorder Interventions in Carceral Settings
Part of paid clinical trials in Durham, North Carolina.
- Sponsor
- Duke University
- Study ID
- NCT06854029
- Phase
- PHASE4
- Status
- Not Yet Recruiting
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Conditions
- HIV Infections
- Incarceration; Lens
- Opioid Use Disorder
Eligibility Criteria
- Sex
- ALL
- Age
- 18 Years - N/A
- Healthy Volunteers
- Accepted
Interventions
- Cabotegravir Injection — DRUGLong-acting injection (LAI) Prep + X-RB treatment initiated in jail or prison.
- Cabotegravir Pill — DRUGOral PrEP + SL-B treatment initiated in jail or prison.
- Buprenorphine injection — DRUGLong-acting injection (LAI) Prep + X-RB treatment initiated in jail or prison.
- Buprenorphine Pill — DRUGOral PrEP + SL-B treatment initiated in jail or prison.
Study Details
The investigators plan to conduct an R61/33 hybrid type 2 implementation-effectiveness trial that includes 1) a one-year exploratory R61 phase that will enable the development of the intervention protocol needed for the R33 trial phase including concrete R61 phase milestones; 2) a four-year R33 phase that will include a concurrent implementation evaluation and a randomized control trial.
Key Dates
- Start date
- Jul 1, 2026
- Status verified
- May 2026
- Primary completion
- Dec 1, 2029
- Completion
- Jun 1, 2030
Study Design
- Enrollment
- 450 participants (estimated)
- Allocation
- NON_RANDOMIZED
- Intervention model
- PARALLEL
- Primary purpose
- PREVENTION
Arms
- Active Comparator: Daily Oral Pill ArmParticipants assigned to this arm will be administered daily oral pre-exposure prophylaxis for HIV prevention, as well as daily oral buprenorphine for opioid use disorder
- Experimental: Long Acting Injectable ArmParticipants assigned to this arm will be administered the-long acting injectable formulation of pre-exposure prophylaxis every 1-2 months, as well as the long-acting injectable formulation of buprenorphine, at the same clinic visit.
Primary Outcome Measure
PrEP adherence, time to dropout [ Time Frame: up to 12 months ]
Central Contacts
- Hannah Camp, MPH, MSW9193600692
Locations (1)
| Facility | City | State | ZIP | Site coordinators |
|---|---|---|---|---|
| Duke University Medical System | Durham | North Carolina | 27710 | Lauren Brinkley-Rubinstein, PhD (PRINCIPAL_INVESTIGATOR) Michael Gordon, DPA (PRINCIPAL_INVESTIGATOR) Curt Beckwith, MD, FIDSA, FACP (PRINCIPAL_INVESTIGATOR) |
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