App boosts PrEP use among men and transgender women at high HIV risk
NCT ID NCT06159582
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested a mobile app called eSTEP designed to help men who have sex with men and transgender women at high risk for HIV start and continue taking PrEP, a daily pill or injection that prevents HIV. 113 participants were randomly assigned to use the app plus usual care or just usual care. The app provided tailored support and reminders. Results showed that more people in the app group started PrEP and stayed on it over 24 weeks compared to those receiving usual care alone.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- mobile app (eSTEP)
- What this could lead to
- If effective, this app could help more people at high risk for HIV start and stick with PrEP, reducing new infections.
- What could go wrong
- This was a small pilot study (113 people) and the app may not work as well in larger, more diverse groups. The results are promising but need confirmation.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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113 people
The number who actually took part.
- Started
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Apr 2024
- Finished
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Jun 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Male participants only
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * 18 years of age or older * Assigned male sex at birth * Current male \& MSM identity OR transfeminine (woman, transgender woman, or non-binary) identification * Self-reported HIV-negative status * English-speaking (since the pilot intervention will be developed in English) * Owner of an Android or iPhone mobile device and access to this phone during the 6-month study. * Willingness and ability to attend HIV prevention visits at the HIV treatment and prevention clinic. * Consent to allow study team access to study-relevant PHI * Eligible for PrEP following CDC guidelines (in the past 6 months had a sexual partner with HIV with unknown or detectable viral load, inconsistently used condoms, and/or was diagnosed with a sexually transmitted infection) * Has never used PrEP or has not used PrEP in the past 3 months Exclusion Criteria: * Was a Community Advisory Board Member or participant in the eSTEP focus groups * Assigned female or intersex at birth * Living with HIV * Already taking PrEP * Under 18 years old * Does not own a mobile phone * Does not speak or read English (since the pilot intervention will be developed in English)
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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San Diego State University - Department of Psychology
San Diego, California, 92120, United States
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