Clinical trial Recruiting at 1 site Interventional Ages 18 and up

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 typeInterventional
Ages18 Years and up
SexAll
Enrollment160 (estimated)
SponsorSan Francisco Department of Public Health
Government
Locations1 site (San Francisco, California)
StatusRecruiting
StartedAugust 11, 2026
Main results expectedJanuary 15, 2030
Study endsJanuary 15, 2030
Registry record updatedAugust 18, 2026
Trial IDNCT07219082 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
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.