About this trial
80 young adult men will complete an initial survey and receive 1 of 2 types of alcohol and sexual health education and information to encourage prevention of alcohol-related problems, HIV and other sexually transmitted infections (STIs). Participants will then take pre-exposure prophylaxis (PrEP) for HIV prevention and complete a daily 5-minute, telephone-based interactive voice response (IVR) assessment of alcohol/substance use, sexual behavior and PrEP taking for 30 days. Medication will all be active PrEP. There is no placebo control in this study. Follow-up will occur after 30-days and 6-months later.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Ability to read and write English
Consumption of 5 or more drinks per drinks in a day at least once in the past 30-days
Sexual intercourse with another man without condom use at least once in the past 30 days
HIV seronegative at medical screening
Disqualifiers
History of clinically significant withdrawal from alcohol, defined as any one of the following: a) a lifetime history of seizures, delirium, or hallucinations during alcohol withdrawal; b) a Clinical Institute Withdrawal Assessment scale score > 8; c) a report of drinking to avoid withdrawal symptoms in the past 12 months; or d) a lifetime history of medical treatment for withdrawal.
Self report injection drug use
DSM-5 criteria for moderate or severe current substance use disorder besides alcohol and nicotine.
Serious psychiatric symptoms
Trial design
Parallel
Treatments tested in this trial
PrEP acronym (pre-exposure prophylaxis)
DrugA daily tablet containing 245 mg of tenofovir disoproxil fumarate and 200 mg emtricitabine (Truvada; Gilead Sciences) for up to 30 days.
Initial Web Survey
BehavioralWeb-based assessment questions regarding alcohol and other substance use and sexual health behaviors
Interactive Voice Response (IVR) monitoring
BehavioralDaily telephone-based assessment on alcohol and other substance use, sexual health behavior and PrEP taking
Educational material on alcohol and sexual health behavior
BehavioralEducational material to provide information, resources and techniques to enhance awareness regarding alcohol and other substance use, along with sexual health behavior.
Interactive Voice Response (IVR) assessment with personalized information
BehavioralDaily telephone-based assessment on alcohol and other substance use, sexual health behavior and PrEP taking with personalized and information based on daily IVR responses
Personalized information based on web-based survey responses & standardized information
BehavioralPersonalized and information on alcohol use and sexual health behavior based on responses to the web-based survey along with standardized information.
Treatment groups
Trial outcomes
Primary outcomes
Change in quantity of drinks per week
Change in self-reported number of alcoholic drinks per week
Change in peak drinking quantity
Change in self-reported number of alcoholic drinks consumed on one's peak drinking day in the past 30 days
PrEP levels in blood at end of intervention period
Determine whether or not participants have therapeutic levels of PrEP in their blood samples
PrEP levels in blood at the end of the follow-up period
Determine whether or not participants have therapeutic levels of PrEP in their blood samples
Secondary outcomes
Reduced alcohol use as a reason for adherence to PrEP
Test reductions in alcohol use following the intervention as a possible mechanism underlying relationships between the intervention and adherence to PrEP
Change in perceived risk of HIV as a reason for adherence to PrEP
Test increase in Perceived Risk of HIV Scale score following the intervention as a possible mechanism underlying relationships between the intervention and adherence to PrEP
Change in sexual risk behavior as a reason for adherence to PrEP
Test reduction in Risk Assessment Battery score following the intervention as a possible mechanism underlying relationships between the intervention and adherence to PrEP
Increased motivation for behavior change as a reason for adherence to PrEP
Test increased score on the Contemplation Ladder for motivation to avoid risky sexual health behavior, to take PrEP and to reduce drinking following the intervention as a possible mechanism underlying relationships between the intervention and adherence to PrEP
Sponsors and contacts
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University of Florida
Lead sponsor
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Collaborator