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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03327155
Registration number
NCT03327155
Ethics application status
Date submitted
8/09/2017
Date registered
31/10/2017
Date last updated
4/09/2020
Titles & IDs
Public title
Western Australian Pre-exposure Prophylaxis for HIV Implementation Trial
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Scientific title
Western Australian Pre-exposure Prophylaxis for HIV Implementation Trial
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Secondary ID [1]
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HEPP1701
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Universal Trial Number (UTN)
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Trial acronym
PrEPIT-WA
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
HIV Prevention
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Condition category
Condition code
Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Tenofovir disoproxil fumarate (TDF)/emtricitabine (FTC)
Experimental: TDF/FTC (300mg/200mg) once daily - Tenofovir disoproxil fumarate (TDF)/emtricitabine (FTC) (300mg/200mg) on tablet once daily with food.
Treatment: Drugs: Tenofovir disoproxil fumarate (TDF)/emtricitabine (FTC)
One tablet, containing 300mg of TDF and 200mg of FTC once daily with food.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Incidence of HIV infection per 100 person years among study participants
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Assessment method [1]
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Statistical analyses of risk of HIV seroconversion among individuals who were prescribed PrEP (as part of the study) will focus on estimating the risk of seroconversion per 100 person years after TDF/FTC prescription and the effect modifying role of non-adherence to the prescribed medication schedule.
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Timepoint [1]
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24 weeks after the last participant completed their last follow-up visit (Month 18 visit)
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Primary outcome [2]
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Number of HIV diagnoses among gay and bisexual men notified to Western Australian Department of Health
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Assessment method [2]
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Number of diagnoses will be measured using routinely reported data from the Western Australia registry of HIV diagnoses
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Timepoint [2]
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number of HIV diagnoses in the 12 month period prior to the date of first recruitment will be compared to the annual number of HIV diagnoses in the 12 month period after the study is fully recruited
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Secondary outcome [1]
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Trends in test positivity of Sexually Transmitted Infections (STIs, gonorrhoea, chlamydia and infectious syphilis) among study participants
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Assessment method [1]
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To calculate trends in test positivity of STI (gonorrhoea, chlamydia and infectious syphilis) among study participants, and describe changes over time
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Timepoint [1]
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24 weeks after the last participant completed their last follow-up visit (Month 18 visit)
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Secondary outcome [2]
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Number of enrollment to the study by clinic type
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Assessment method [2]
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To measure in the four study sites
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Timepoint [2]
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up to 6 months
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Eligibility
Key inclusion criteria
1. HIV negative at enrolment, with a negative HIV test result conducted at the enrolment clinic within seven days of initiating PrEP
2. At high and ongoing risk for acquiring HIV infection [as defined by Behavioural Eligibility criteria in the Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine (ASHM) HIV PrEP Clinical Guidelines]
3. Aged 18 years or over
4. Live in WA or visit WA enough to attend clinics for follow-up assessments
5. Willing and able to provide informed consent
6. Medicare ineligible individuals may be enrolled if the clinical service is able to cover the costs of monitoring of the patient
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. HIV-1 infected or has symptoms consistent with acute viral infection (If HIV positive status is not confirmed by testing, delay starting PrEP for at least one month and reconfirm negative HIV-1 status)
2. Having an estimated creatinine clearance (glomerular filtration rate [eGFR]) <60ml/min
3. Having or developing clinical symptoms suggestive of lactic acidosis or pronounced hepatotoxicity (including nausea, vomiting, unusual or unexpected stomach discomfort, and weakness)
4. Concurrently taking a nephrotoxic agent (e.g., high-dose non-steroidal anti-inflammatory drugs / NSAIDs)
5. Allergic to TDF and/or FTC (based on self-report or recorded)
6. Concurrently taking prescribed products containing FTC or TDF including ATRIPLA®, COMPLERA®, EMTRIVA, STRIBILD®, VIREAD, TAF (tenofovir alafenamide), GENVOYA, DESCOVY; other drugs containing lamivudine; HEPSERA
7. Factors or conditions that may compromise a participant's access to health services for follow-up (incarceration or planned relocation and potential absence from Western Australia)
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Study design
Purpose of the study
Prevention
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
16/11/2017
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
20/07/2020
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Sample size
Target
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Accrual to date
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Final
900
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Recruitment in Australia
Recruitment state(s)
WA
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Recruitment hospital [1]
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South Terrace Sexual Health Clinic - Fremantle
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Recruitment hospital [2]
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GP on Beaufort - Mount Lawley
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Recruitment hospital [3]
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Royal Perth Hospital Sexual Health Clinic - Perth
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Recruitment hospital [4]
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M Clinic - Perth
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Recruitment postcode(s) [1]
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6160 - Fremantle
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Recruitment postcode(s) [2]
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6050 - Mount Lawley
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Recruitment postcode(s) [3]
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6000 - Perth
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Recruitment postcode(s) [4]
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6005 - Perth
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Funding & Sponsors
Primary sponsor type
Government body
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Name
Kirby Institute
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Address
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Country
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Other collaborator category [1]
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Other
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Name [1]
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Government of Western Australia, Department of Health
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Address [1]
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Other collaborator category [2]
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Other
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Name [2]
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Western Australia AIDS Council
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Address [2]
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Country [2]
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Ethics approval
Ethics application status
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Summary
Brief summary
Despite all prevention efforts, many people in Australia continue to be infected with HIV. The Seventh National HIV Strategy 2014-2017 in Australia aims to work towards the elimination of HIV transmission by the year 2020. This project will evaluate a new additional way to lower people's chances of getting HIV. It will provide pre-exposure prophylaxis (PrEP) to people who are at high risk for HIV and evaluate what impact this new prevention approach will have on HIV in WA at the community level. The drug used in PREPIT-WA is called generic TDF/FTC (made by Mylan Laboratories Ltd.). The generic TDF/FTC is a single tablet made up of two HIV medications: tenofovir disoproxil fumarate and emtricitabine (a combination known as TDF/FTC). TDF and FTC have been widely used for many years to treat HIV. When used with other medicines in people who already have HIV, TDF/FTC reduces the amount of HIV virus in the blood. TDF/FTC does not cure HIV or AIDS, and it is not an HIV vaccine. As a treatment for people who already have HIV, TDF/FTC is approved for use in most of the world, including Australia. As a medicine for PrEP, to lower chances of HIV in those who are not infected, TDF/FTC has been approved in the US, and Truvada® (which contains TDF/FTC made by Gilead Sciences Inc.) was approved for PrEP in Australia in May 2016. At the start of the project, the generic TDF/FTC is not approved in Australia for the use as PrEP but it may become registered for use and more freely available in Australia in the future.
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Trial website
https://clinicaltrials.gov/study/NCT03327155
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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David Cooper, MD
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Address
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The Kirby Institute, UNSW Sydney
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT03327155
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