BSAFE: Brief Intervention to Reduce Fentanyl Risk for stimulant users
Official title: Behavioral Safety and Fentanyl Education: BSAFE
Run by San Francisco Department of Public Health · NCT07219082 · Data updated 2026-11-12
A randomized trial tests a repeated brief education program to see if it lowers overdose risk among adults who use cocaine or methamphetamine and may have unintentional fentanyl exposure.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 160 (estimated) |
| Sponsor | San Francisco Department of Public Health Government |
| Locations | 1 site (San Francisco, California) |
| Status | Recruiting |
| Started | August 11, 2026 |
| Main results expected | January 15, 2030 |
| Study ends | January 15, 2030 |
| Registry record updated | August 18, 2026 |
| Trial ID | NCT07219082 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults 18 or older who recently used cocaine or methamphetamine and have a suspected unintentional fentanyl exposure, with ability to name at least two reliable contacts.
✕Probably not a fit
Individuals without recent stimulant use, without suspected unintentional fentanyl exposure, or unable to adhere to follow-up may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This randomized trial compares the BSAFE intervention, which includes an overdose education curriculum based on the IMB model, to an attention-control condition. Participants are adults who use stimulants, test positive for cocaine or methamphetamine and do not have opioids/fentanyl in their system at enrollment. The study evaluates whether the BSAFE program reduces overdose risk behaviors and improves safety practices over time. Recruitment is limited to sites affiliated with the San Francisco Department of Public Health and UCSF.
Why it matters
Potential benefit: If successful, participants may use safer behaviors and reduce their risk of fentanyl-related overdose.
How similar studies have gone: Previous work in overdose education and IMB-based approaches has shown promise, though results vary by setting and population.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Aged 18 years or older, 2. Reports intentional cocaine or methamphetamine use ≥7 of past 30 days, 3. Urine positive for cocaine or methamphetamine and negative for opioids/fentanyl prior to enrollment 4. Be able to provide the names of at least 2 persons who can consistently locate their whereabouts. 5. Reports at least one suspected unintentional fentanyl use event, including unexpected sedation or unexpected fentanyl-positive bodily fluid drug testing result. Exclusion Criteria: 1. Reports past 30-day intentional use of any opioid or ongoing use of an opioid antagonist (e.g., naltrexone) 2. Intends to leave area in coming year, 3. Unable to communicate in English or Spanish, 4. Any other condition that, in the PI's judgment, interferes with safe study participation or adherence to study procedures.
Where it's running
-
San Francisco Department of Public Health
San Francisco, California, United States Recruiting
Study contacts
- Principal investigator: Alexander Bazazi, MD, PhD — University of California, San Francisco
- Study coordinator: Phillip O Coffin, MD, MIA
- Email: phillip.coffin@sfdph.org
- Phone: (628) 217-6282
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.