Accelerated ART Initiation for PWHIV Who Are Out of Care

Description

The main purpose of the study is to evaluate the effectiveness, of the ACCELERATE model of care to achieve HIV viral suppression at Week 24. The study will also assess the acceptability, appropriateness, feasibility, and sustainability of the ACCELERATE model of care. The ACCELERATE model combines a standardized method for outreach, the use of telehealth for rapid access to an HIV care provider, a simplified pre-approved HIV regimen, a free 30-day medication starter supply, and re-linkage to medical care.

Conditions

HIV Infections, ART, Noncompliance, Patient

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Study Overview

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Study Details

Study overview

The main purpose of the study is to evaluate the effectiveness, of the ACCELERATE model of care to achieve HIV viral suppression at Week 24. The study will also assess the acceptability, appropriateness, feasibility, and sustainability of the ACCELERATE model of care. The ACCELERATE model combines a standardized method for outreach, the use of telehealth for rapid access to an HIV care provider, a simplified pre-approved HIV regimen, a free 30-day medication starter supply, and re-linkage to medical care.

ACCELERATE a Multisite Prospective Hybrid (Effectiveness-implementation) Type 2 Design, Single-arm, Mixed-methods Study of a Simplified Accelerated ART Initiation Protocol for People With HIV Who Are Out of Care.

Accelerated ART Initiation for PWHIV Who Are Out of Care

Condition
HIV Infections
Intervention / Treatment

-

Contacts and Locations

Columbia

University of Missouri-Columbia, Columbia, Missouri, United States, 65212

Kansas City

KC Care Health Center, Kansas City, Missouri, United States, 64124

Saint Louis

NOVUS Health, Saint Louis, Missouri, United States, 63111

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • 1. 18 years or older at the time of obtaining the informed consent
  • 2. Speaks English
  • 3. Able to give consent which includes the ability to understand and comply with study requirements and instructions as judged by clinic or study staff
  • 4. HIV-1 infection as documented by positive HIV test (positive laboratory HIV 1/2 Antibody differentiation assay or detectable HIV -1 RNA)
  • 5. Out of care, defined as not had a medical visit with an HIV care provider with prescribing privileges for ≥6 months AND not receiving ART for ≥1 month (by self-report)
  • 1. Biktarvy (B/F/TAF) contraindicated or not recommended
  • 1. Known history of chronic kidney disease (creatinine clearance \<30 mL/min) using Cockcroft-Gault formula AND not on chronic dialysis
  • 2. Known history of allergy to B/F/TAF components
  • 3. Known history of intermediate-high level resistance to B/F/TAF components (score ≥30 on Stanford HIV Drug Resistance Algorithm) in the available medical record (not having a prior genotype or having M184V/I mutation is NOT an exclusion criterion)
  • 4. Concomitant use of contraindicated medications: using drug interaction database either Lexicomp® Drug Interactions (category X Avoid combination) or Liverpool HIV Interactions Checker (category Do not Co-administer) or study drug label (USPI) as reference for list of contraindicated meds.
  • 5. Pregnant (by self-report) or planning to become pregnant while enrolled in the study
  • 2. HIV-2 infection
  • 3. PLWH who are breastfeeding and are not on ART or taking ART without virologic suppression since breastfeeding will not be recommended.
  • 4. Active opportunistic infections that would require a delay of ART as judged by the HIV care provider and based on current Guidelines for the Prevention and Treatment of Opportunistic Infections in Adults and Adolescents with HIV: such as cryptococcal and Tuberculous meningitis, and CMV retinitis.16
  • 5. Not residing in the state of Missouri at the time of the study or planning to relocate during the study period
  • 6. Incarcerated at the time of the study enrollment.

Ages Eligible for Study

18 Years to

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

University of Missouri-Columbia,

Dima Dandachi, MD, MPH, PRINCIPAL_INVESTIGATOR, University of Missouri-Columbia

Study Record Dates

2025-11-01