Clinical trial Recruiting at 3 sites Interventional Ages 18 and up

Increasing access to needle-and-syringe programs in Canadian federal prisons

Official title: Enhancing Uptake of Needle and Syringe Programs in Canadian Federal Prisons

Run by McGill University Health Centre/Research Institute of the McGill University Health Centre · NCT07122219 · Data updated 2026-11-12

This project will try a package of implementation strategies to increase use of needle-and-syringe programs by people who inject drugs in nine Canadian federal prisons.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment548 (estimated)
SponsorMcGill University Health Centre/Research Institute of the McGill University Health Centre
Academic / other
Locations9 sites (Edmonton, Alberta and 8 other locations)
StatusRecruiting
StartedOctober 1, 2024
Main results expectedFebruary 29, 2028
Study endsSeptember 30, 2029
Registry record updatedDecember 29, 2025
Trial IDNCT07122219 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

People who are incarcerated and present at one of the nine participating federal prisons during the intervention period are the intended beneficiaries.

Probably not a fit

People who do not inject drugs, those incarcerated in non-participating facilities, or individuals released before PNEP implementation is in place are unlikely to benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This Type 2 hybrid implementation trial uses a stepped-wedge design to introduce the NIATx implementation strategy bundle across nine federal prisons over a 24-month period, followed by a 12-month sustainability assessment. Prisons were non-randomly allocated to three groups that receive the intervention at staggered six-month intervals. The trial will identify barriers and facilitators to Prison Needle Exchange Program (PNEP) uptake and apply evidence-based implementation strategies to increase engagement. Five of the participating sites are women's prisons, reflecting higher reported histories of injection drug use in those facilities.

Why it matters

Potential benefit: If successful, more incarcerated people who inject drugs could access sterile needles and syringes, lowering risk of HIV and HCV transmission in prison.

How similar studies have gone: Needle-and-syringe programs have reduced blood-borne virus risk in some correctional settings and NIATx has improved addiction-service delivery in other contexts, but combining NIATx with PNEP rollout in Canadian federal prisons is relatively novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* All people incarcerated at a study site during the intervention period

Exclusion Criteria:

\- None (site level intervention)

Where it's running

  • Dorchester Medium
    Dorchester, New Brunswick, Canada
    Recruiting
  • Atlantic Institution
    Smiths Crossing, New Brunswick, Canada
    Recruiting
  • Nova Institution for Women
    Truro, Nova Scotia, Canada
    Recruiting
  • Edmonton Institution for Women
    Edmonton, Alberta, Canada
    Not yet recruiting
  • Fraser Valley Institution for Women
    Abbotsford British Columbia, British Columbia, Canada
    Not yet recruiting
  • Mission Institution
    Mission, British Columbia, Canada
    Not yet recruiting
Show 3 more locations
  • Joyceville Institution
    Kingston, Ontario, Canada
    Not yet recruiting
  • Grand Valley Institution for Women
    Kitchener, Ontario, Canada
    Not yet recruiting
  • Joliette Institution for Women
    Joliette, Quebec, Canada
    Not yet recruiting

Study contacts

  • Principal investigator: Nadine Kronfli — Research Institute of the McGill University Health Centre
  • Study coordinator: Nadine Kronfli
  • Email: nadine.kronfli@mcgill.ca
  • Phone: 514-934-1934

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.