HIV Prevention
Conditions
Brief summary
PrEP-30 is a demonstration project to assess the feasibility of providing oral PrEP to MSM and other individuals at-risk for HIV in Bangkok, Thailand as a service that is funded entirely through user fees. Tenofovir disoproxil fumarate/emtricitabine PrEP is provided part of a combined HIV prevention program that includes risk-reduction counseling, regular HIV testing, and the provision of condoms and lubricants. PrEP-30 is implemented at the Thai Red Cross AIDS Research Centre, at the site of the largest HIV counseling and testing center in Thailand.
Interventions
Oral pre-exposure prophylaxis (PrEP) for HIV infection using a daily combination tablet of tenofovir disoproxil fumarate and emtricitabine
Sponsors
Study design
Eligibility
Inclusion criteria
1. Age \> 18 years 2. HIV test negative 3. Creatinine clearance \> 60 ml/min 4. No contraindication or allergy to PrEP medications (TDF/FTC) 5. At least one risk factor for HIV infection within the previous 6 months: * sex partner known to be HIV positive * works as commercial sex worker * use of PEP for sexual exposure * injection drug use * any STI (syphilis, gonorrhea, chlamydia) * \> 5 sex partners * inconsistent condom use with high-risk partners, including MSM, IDU * MSM: any insertive or receptive anal sex without condom * Women: any sex without condom with high-risk male partner (MSM, IDU, multiple female partners) * Heterosexual men: any sex without condom with high-risk female partner (commercial sex worker, IDU, multiple male partners)
Exclusion criteria
-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Primary outcome measures: | 12 months | 1. Assess the uptake of fee-based oral PrEP by MSM and other at-risk individuals who present for HIV testing or other services. 2. Assess the acceptability, tolerance and safety of oral PrEP. 3. Assess patient satisfaction with oral PrEP delivered through a fee-based system in an HIV testing center. 4. Assess the effectiveness of oral PrEP in a fee-based model. 5. Assess the cost-effectiveness of oral PreP delivered in a fee-based system. |
Countries
Thailand