Smartphone app and digital pill aim to boost HIV prevention in substance users
NCT ID NCT03512418
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This study tested a digital pill and smartphone app to help people with substance use disorders take their HIV prevention medication (PrEP) consistently. Thirty HIV-negative men who have sex with men and have moderate to severe substance use disorder participated. They used a digital pill that sends a signal when swallowed, and some also received a smartphone-based intervention to encourage adherence. The goal was to see if this approach is feasible and acceptable.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Truvada (emtricitabine/tenofovir disoproxil fumarate) overencapsulated in a digital pill
- What this could lead to
- If successful, this approach could help people with substance use disorders take their HIV prevention medication more consistently, reducing HIV infections.
- What could go wrong
- This is a small, early feasibility study with only 30 participants, so results may not apply to larger populations. The digital pill system may be inconvenient or not acceptable to all users.
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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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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30 people
The number who actually took part.
- Started
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Jun 2019
- Finished
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Apr 2024
- 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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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: * Cisgender MSM * Moderate to severe non-alcohol substance use disorder * Self-reported missed PrEP doses (\> or equal to 2 doses in 1 week over past 3 months) * HIV negative * On PrEP or initiating PrEP * Has qualifying laboratory testing: Cr clearance, HBV, liver function tests * Owns a smartphone with Android or iOS * Age 18 or older Exclusion Criteria: * Non-English speaker * HIV positive * History of Crohn's disease or ulcerative colitis * History of gastric bypass, bowel stricture * History of GI malignancy or radiation to abdomen * Unable/unwilling to ingest a digital pill * Allergy to gelatin, silver or zinc (components of the digital pill) * Does not qualify for PrEP (abnormal liver function, or Cr Clearance \<60)
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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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Fenway Health
Boylston, Massachusetts, 02215, United States
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