New program boosts PrEP adherence in Stimulant-Using men
NCT ID NCT04899024
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested a program called PARTI to help gay and bisexual men who use stimulants (like meth or cocaine) take their daily HIV prevention pill (PrEP) consistently. The program combined positive affect skills training with a smartphone-based reward system for taking PrEP. Researchers enrolled 239 men across multiple sites to see if this approach reduced HIV risk by improving medication adherence and reducing risky sex.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- behavioral intervention (PARTI: positive affect skills training plus contingency management)
- What this could lead to
- If successful, this approach could help high-risk men better adhere to PrEP and reduce new HIV infections.
- What could go wrong
- This is a completed behavioral study, not a drug trial. Results may not apply to all populations, and adherence improvements may not last long-term.
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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239 people
The number who actually took part.
- Started
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Jan 2022
- Finished
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Feb 2026
- 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: * Assigned male at birth * Identifies as male * Age 18 or older * Reads and speaks English * Reports condomless anal sex (CAS) with men in the past 6 months * self-reported HIV negative * Active prescription for daily oral PrEP for at least 2 months and reports any non-adherence in the past month OR initiated daily oral PrEP in the past 2 months, regardless of self-reported adherence * Has an iPhone or Android smartphone * Screens positive for a moderate or severe stimulant use disorder with an abbreviated version of the Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST; total score of 4 or more) OR reports using stimulants at least weekly in the past 3 months. * Lives in California or Florida with no plans to move out of state in the next 6 months Exclusion Criteria: * Unable or unwilling to provide informed consent * Unwilling to upload upload 3 video recordings of directly observed PrEP doses using a smartphone application * Identifies as transfeminine (e.g., transgender woman) * Unable or Unwilling to provide dried blood spot (DBS) specimen at baseline * Switched from daily oral PrEP with disoproxil fumarate (TDF) to daily oral PrEP with tenofovir alafenamide (TAF) in the past 5 months
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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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University of California, San Francisco
San Francisco, California, 94143, United States
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University of Miami Miller School of Medicine
Miami, Florida, 33136, United States
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