Prisons as HIV prevention hubs: can opioid treatment reach more people behind bars?
NCT ID NCT06962033
First seen Sep 10, 2026 · Last updated Sep 11, 2026 · Updated 1 time
Summary
Researchers at Yale University are studying how to expand opioid agonist therapy (OAT) in prisons and probation systems in Tajikistan, Kyrgyzstan, Moldova, and Georgia. OAT uses medicines like methadone or buprenorphine to treat opioid dependence and can lower HIV transmission among people who inject drugs. The study enrolls about 300 prison and probation staff and people on probation. It identifies barriers to OAT scale-up and tests a learning collaborative called NIATx to help sites increase the number of people receiving OAT.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Opioid agonist therapy, a treatment that uses medicines like methadone or buprenorphine to reduce opioid cravings and withdrawal
- What this could lead to
- If the learning collaborative helps prisons and probation services expand opioid agonist therapy, it could reduce HIV transmission among people who inject drugs in Tajikistan, Kyrgyzstan, Moldova, and Georgia.
- What could go wrong
- This is an observational scale-up study, not a randomized trial, so it cannot prove that the collaborative causes any increase in treatment. Prisons and probation services may face barriers that the collaborative cannot overcome, and results in these four countries may not apply elsewhere.
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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About 300 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Nov 2024
- Expected to finish
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Dec 2028
An estimate. End dates often move.
- 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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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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: Aim 1: 1. Quantitative surveys for prison OAT providers * Being 18 years or older * Being currently assigned and working as a probation OAT provider for a probation site 2. ECHO procedures Aim 2: 1. Quantitative surveys for people in probation * Being 18 years or older * Screen yes to opioid injection on the online screener questionnaire * Currently in probation 2. Quantitative surveys for probation and prison officers * Being 18 years or older * Being currently assigned and working as a probation or prison officer at a probation site 3. Focus Groups (People in probation) * Being 18 years or older * Screen yes to opioid injection criteria on the online screener * Currently in probation 4. Focus Groups (Probation and prison officers) * Being 18 years or older * Being currently assigned and working as a probation or prison officer at a probation * Has more than 3 months of field experience * Works at a probation site within 25 kilometers of an OAT site Exclusion Criteria: \-
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
5 sites in 5 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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AIDS Foundation East-West (AFEW)
RECRUITINGBishkek, Kyrgyzstan
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Alternative Georgia
RECRUITINGTbilisi, Georgia
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Institute for International Health and Education (IIHE)
RECRUITINGDushanbe, Tajikistan
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NGO AFI
RECRUITINGChisinau, Moldova
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Yale University
NOT_YET_RECRUITINGNew Haven, Connecticut, 06520, United States
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