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N/A N=2,102 Randomized Prevention

Secondary Distribution of HIV Self-tests: an Innovative Strategy for Promoting Partner Testing and Reducing HIV Risk

Human Immunodeficiency Virus

Enrolled (actual)
2,102
Serious AEs
0.0%
Results posted
Dec 2022
Primary outcome: Primary: HIV Incidence Per 100 Person Years — 1.18; .98 cases per 100 person years

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Provision of multiple self-tests (Behavioral)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
University of Pennsylvania
Primary completion
Mar 2020

Outcome Measures

OutcomeResultp-value
PRIMARY
HIV Incidence Per 100 Person Years
1.18; .98
SECONDARY
Identification of HIV-positive Male Partners
.26; .13
SECONDARY
Used Condom With at Least One Partner After Partner Refused Self-test or HIV Testing Services Referral Card, or Tested HIV-positive
11.6; 6.2; 7.2; 5.2; 5.3; 4.3
SECONDARY
Couples Testing With Primary Partner
80.3; 32.9; 75.3; 34.7; 34.7; 26.7
SECONDARY
Primary Partner Tested for HIV
87.5; 48.3; 81.2; 48.6; 77.8; 39.8
SECONDARY
Declined Sex With at Least One Partner After Partner Refused Self-test or HIV Testing Services Referral Card, or Tested HIV-positive
14.2; 7.1; 5.1; 6; 4.5; 3.8

Summary

This cluster randomized trial will assess whether the provision of multiple oral-fluid based HIV self-test kits to HIV-negative women at high risk of acquiring HIV in western Kenya is an approach that promotes HIV testing among women's sexual partners, facilitates better sexual decision making, and reduces women's risk of acquiring HIV.

Eligibility Criteria

Inclusion Criteria

  • At least 18 years old
  • Currently resides in the study area
  • Has resided in the study area for at least 6 months in the year prior to enrollment
  • Intends to stay in the study area for at least 24 months
  • Reports two or more sexual partners within the past 4 weeks at time of screening
  • HIV negative
  • Ownership or access to a mobile phone
  • Willing and able to provide informed consent

Exclusion Criteria

  • Younger than 18 years old
  • Does not currently live in the study area or has not for 6 of the last 12 months, or does not plan to for at least the next 24 months
  • Fewer than two sexual partners in the last four weeks at time of screening
  • HIV positive
  • Has no access to a mobile phone
  • Enrolled in another HIV prevention study
  • Cannot or will not provide informed consent
  • Males will self-select to participate by contacting the study staff using the information provided by willing index participants. There are no inclusion or exclusion criteria for the men who select to participate.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03135067). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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