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A5359: The LATITUDE Study

About:

This study is investigating whether long-acting injectable medications will be more successful for people who are non-adherent to their HIV medications than oral regimens.

This four-step study compares Long-Acting (LA) Injectable Antiretroviral Therapy (ART) to standard of care (SOC) oral ART in previously non-adherent individuals.

Step 1 is the induction phase, and all participants receive study-provided SOC oral ART. Participants receive financial incentives for meeting study-specified goals.
Step 2 is the randomization phase and participants are randomized 1:1 to receive LA ART or continue on SOC for 52 weeks.
Step 3 is the crossover/continuation phase. Participants randomized to LA ART will continue that therapy, and eligible SOC participants will cross over to receive LA ART for 52 weeks.
Step 4 is the observational phase that switches participants who received at least one LA ART injection and are no longer eligible for injections back to locally sourced oral SOC ART for 52 weeks.

Study Requirements:

  • People living with HIV
  • Ages 18 and older
  • Have an HIV viral load greater than 200 copies
  • Show evidence of non-adherence to their HIV medications by either:
    • Poor virologic response within the last 18 months (viral load greater than 200 copies at two time points at least 4 weeks apart)
    • Loss to clinical follow-up within the last 18 months, with ART non-adherence for at least 6 consecutive months
  • Have no active hepatitis B or C
  • Are willing to receive injections in the gluteus muscles (buttocks).

Contact:

📧 RWAHEngage@njms.rutgers.edu
📞 1 (844) 782-6765


 

EXIT-CJS

About:

The EXIT-CJS (N = 1005) multisite open-label randomized controlled trial will compare retention and effectiveness of extended-release buprenorphine (XR-B) vs. extended-release naltrexone (XR-NTX) to treat opioid use disorder (OUD) among criminal justice system (CJS)-involved adults in six U.S. locales (New Jersey, New York City, Delaware, Oregon, Connecticut, and New Hampshire). With a pragmatic, noninferiority design, this study hypothesizes that XR-B (n = 335) will be noninferior to XR-NTX (n = 335) in retention-in-study-medication treatment (the primary outcome), self-reported opioid use, opioid-positive urine samples, opioid overdose events, and CJS recidivism. In addition, persons with OUD not eligible or interested in the RCT will be recruited into an enhanced treatment as usual arm (n = 335) to examine usual care outcomes in a quasi-experimental observational cohort.

Contact:

📧 RWAHEngage@njms.rutgers.edu
📞 1 (844) 782-6765