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Antiviral

PrEP + Alcohol & Sexual Health Education for Substance Use Disorders

Phase 4
Recruiting
Led By Robert L. Cook, PhD
Research Sponsored by University of Florida
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Sexual intercourse with another man without condom use at least once in the past 30 days
Be between 18 and 65 years old
Must not have
Use of medications that interfere with PrEP including diuretics, nephrotoxic drugs, non-steroidal anti-inflammatory drugs, antiretroviral drugs or other drugs that may interfere with tenofovir excretion
Participant reports currently taking injectable PrEP
Timeline
Screening 3 weeks
Treatment Varies
Follow Up baseline up to 1 and 6-month follow-up
Awards & highlights
Pivotal Trial
No Placebo-Only Group
Drug Has Already Been Approved

Summary

This trial will study the effects of two different types of alcohol and sexual health education on 80 young adult men, in order to encourage the prevention of alcohol-related problems, HIV, and other STIs. The participants will take active PrEP medication and complete daily 5-minute assessments, via telephone, for 30 days. Follow-up will occur after 30-days and 6-months.

Who is the study for?
The trial is for young adult men who can read/write English, have had high alcohol consumption and unprotected sex with another man in the past month. They must be HIV negative, not currently on injectable PrEP but willing to take oral PrEP. Excluded are those with severe alcohol withdrawal history, injection drug use, serious substance disorders (except alcohol/nicotine), psychiatric symptoms, or taking medications that affect PrEP.
What is being tested?
This study tests the effectiveness of daily pre-exposure prophylaxis (PrEP) for HIV prevention combined with two types of educational interventions on alcohol and sexual health. Participants will also engage in a daily interactive voice response system to monitor their behavior over a period of 30 days followed by check-ins after one month and six months.
What are the potential side effects?
Since all participants receive active PrEP medication without placebo control, potential side effects include digestive issues like nausea or diarrhea, headaches, fatigue and rare cases might involve liver problems or bone thinning.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I have had unprotected sex with a man in the last 30 days.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
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I am not taking drugs that affect PrEP, like water pills or certain pain relievers.
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I am currently using injectable PrEP.
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I have an active hepatitis B infection.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~baseline up to 1 and 6-month follow-up
This trial's timeline: 3 weeks for screening, Varies for treatment, and baseline up to 1 and 6-month follow-up for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Change in peak drinking quantity
Change in quantity of drinks per week
PrEP levels in blood at end of intervention period
+3 more
Secondary study objectives
Change in perceived risk of HIV as a reason for adherence to PrEP
Change in sexual risk behavior as a reason for adherence to PrEP
Increased motivation for behavior change as a reason for adherence to PrEP
+1 more

Awards & Highlights

Pivotal Trial
The final step before approval, pivotal trials feature drugs that have already shown basic safety & efficacy.
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Drug Has Already Been Approved
The FDA has already approved this drug, and is just seeking more data.

Trial Design

2Treatment groups
Experimental Treatment
Active Control
Group I: Personalized InformationExperimental Treatment4 Interventions
Participants randomized to this condition will complete a web-based questionnaire and then receive personalized information regarding their alcohol use and sexual health behavior. They will complete daily, phone-based IVR monitoring for assessment purposes and receive further personalized information based on their responses.
Group II: Educational InformationActive Control4 Interventions
Participants randomized to this condition will complete a web-based questionnaire and then receive educational material regarding their alcohol use and sexual health behavior. They will complete daily phone-based IVR monitoring for assessment purposes.

Find a Location

Who is running the clinical trial?

National Institute on Alcohol Abuse and Alcoholism (NIAAA)NIH
839 Previous Clinical Trials
1,083,560 Total Patients Enrolled
University of FloridaLead Sponsor
1,409 Previous Clinical Trials
767,371 Total Patients Enrolled
Robert L. Cook, PhDPrincipal InvestigatorUniversity of Florida
Robert Leeman, PhDPrincipal InvestigatorUniversity of Florida
3 Previous Clinical Trials
707 Total Patients Enrolled
~10 spots leftby Jun 2025