Evaluating a PrEP implementation strategy for incarcerated individuals
Official title: The HOTSPOT Study Hybrid Implementation-effectiveness Study to Optimize HIV Testing and PrEP in a Southern Jail
Run by University of Texas Southwestern Medical Center · NCT06919419 · Data updated 2026-11-12
This study is testing a new way to help people in jail get access to PrEP and learn about HIV prevention to see if it can improve their health outcomes.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 3600 (estimated) |
| Sponsor | University of Texas Southwestern Medical Center Academic / other |
| Locations | 1 site (Dallas, Texas) |
| Status | Recruiting |
| Started | March 1, 2025 |
| Main results expected | February 1, 2027 |
| Study ends | August 31, 2027 |
| Registry record updated | September 2, 2026 |
| Trial ID | NCT06919419 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates for this study are individuals aged 18 and older who are currently incarcerated in Dallas County Jail.
✕Probably not a fit
Patients with severe medical or psychiatric disabilities that make participation unsafe or those unable to provide consent will not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study aims to assess the effectiveness of a multicomponent strategy for implementing PrEP among individuals incarcerated at the Dallas County Jail. It involves using an electronic medical record HIV prediction model to identify at-risk individuals, who will then receive education about PrEP, HIV/STI testing, and referrals to community-based providers through a patient navigator. The study employs a mixed-methods approach to evaluate both the implementation process and clinical outcomes, utilizing the EPIS framework to ensure a comprehensive evaluation of the strategy's impact on PrEP uptake and related health outcomes.
Why it matters
Potential benefit: If successful, this study could significantly improve access to PrEP for incarcerated individuals, thereby reducing the risk of HIV transmission.
How similar studies have gone: Other studies have shown promising results in implementing PrEP strategies in similar populations, indicating potential for success in this approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * 18 years of age or older * Incarcerated in Dallas County Jail Exclusion Criteria: * Severe medical or psychiatric disability making participation unsafe * Unable to provide consent * Not remaining in the local area after release from custody
Where it's running
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Dallas County Jail
Dallas, Texas, United States Recruiting
Study contacts
- Principal investigator: Ank Nijhawan, MD — University of Texas Southwestern Medical Center
- Study coordinator: Ank Nijhawan, MD
- Email: ank.nijhawan@utsouthwestern.edu
- Phone: 2146482777
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Linking Youth to PrEP Services for HIV Prevention
This project tests a community-based PrEP delivery plus a supportive mobile app to help teens and young adults steadily use PrEP.
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PrEP Optimization Through Enhanced Continuum Tracking (PrOTECT AL)
This project will test a real-time PrEP care dashboard and implementation strategies at seven Alabama clinics to see if they increase PrEP coverage and equity among people at risk for HIV.
-
ICONA Prevention Program for People Using PrEP in Italy
This program will follow HIV-negative adults in Italy who are starting or already using PrEP to see how well PrEP prevents HIV, how tolerable it is, and what helps or hinders people from staying on it.
-
Bringing PrEP to a family planning clinic
This study tests whether offering PrEP in a family planning clinic is acceptable to patients and feasible for providers in Rhode Island.
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Predicting STIs in people using HIV prevention medication in Spain
This study is trying to see if a new way to predict sexually transmitted infections can help people using HIV prevention medication in Spain stay healthier.
-
Project SHIELD 2.0: Police Education to Support Public Health in Kentucky
Aimed at police in Kentucky, this program tests whether SHIELD training given to officers, with health workers helping deliver it, can reduce drug-related arrests and steer people who use drugs toward MOUD and other health services.
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.