NIH-funded research R21 grant

Understanding the risks and prevalence of xylazine use among people who inject drugs

Official title: Rapid Research for Xylazine Response

Funded at Johns Hopkins University · NIH-10929552 · Data updated 2026-11-12

This study is looking into the dangers of xylazine, a drug that can make fentanyl overdoses even more risky, and it’s for people who use drugs and healthcare providers in Baltimore to help understand how often xylazine is used and the serious health problems it can cause.

Quick facts

Grant typeR21 grant
Study typeNIH-funded research
Funding institutionJohns Hopkins University
NIH-funded
Lab location1 site (Baltimore, United States)
Project startSeptember 15, 2023
Project endAugust 31, 2025
Funding year2024
Award (this year)$122,813
NIH project number5R21DA060056-02
Project IDNIH-10929552 on NIH RePORTER

Who could benefit from this research

Could help

Ideal candidates for this research are individuals who inject drugs and may be using xylazine or are at risk of exposure to it.

Less likely to help

Patients who do not use drugs or are not involved in drug injection practices may not benefit from this research.

What this research studies

This research investigates the growing threat of xylazine, a non-opioid drug that, when mixed with fentanyl, increases the risk of overdose. It aims to gather critical data on the prevalence of xylazine use and the associated risk factors, particularly focusing on the severe wounds and health complications that arise from its use. By employing a mixed methods approach, the study will survey approximately 300 individuals who inject drugs in Baltimore and conduct qualitative interviews with both users and healthcare providers. The findings will help inform harm reduction practices and raise awareness about the dangers of xylazine.

Why it matters

Potential benefit: If successful, this research could lead to improved harm reduction strategies and better health outcomes for individuals affected by xylazine use.

How similar studies have gone: While there is limited research specifically on xylazine, similar epidemiological studies on drug use and harm reduction have shown success in informing public health strategies.

Where this research is happening

  • Johns Hopkins University
    Baltimore, United States
    Active

Researchers

  • Principal investigator: German, Danielle — Johns Hopkins University
  • Study coordinator: German, Danielle

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.