Ignite Creation Date:
2024-05-05 @ 4:54 PM
Last Modification Date:
2024-10-26 @ 9:25 AM
Study NCT ID:
NCT00338767
Status:
COMPLETED
Last Update Posted:
2013-11-15
First Post:
2006-06-16
Brief Title:
Antidepressant Medication Plus Directly Observed Therapy for Improving Adherence to Antiretroviral Therapy
Sponsor:
Massachusetts General Hospital
Organization:
Massachusetts General Hospital
Study Overview
Official Title:
Depression Treatment to Improve Antiretroviral Adherence
Status:
COMPLETED
Status Verified Date:
2013-11
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
This study will evaluate the effectiveness of directly observed therapy plus antidepressant medication in improving adherence to antiretroviral drug therapy among HIV-infected homeless and marginally housed people with depression
Detailed Description:
Antiretroviral drug therapy ART is a type of medication treatment for HIV that impairs the viruss ability to multiply When used properly it has been shown to be successful in reducing HIV-related deaths A 95 adherence rate to ART is required to adequately suppress the virus and prevent transmission Low ART adherence rates are often linked to depression which is especially common in HIV-infected homeless or marginally housed people In these cases treatment with antidepressant medication may be useful in improving ART adherence Directly Observed Therapy DOT in which medication intake is closely monitored is another method of enhancing treatment compliance DOT improved treatment adherence during the tuberculosis epidemic of the 1990s and is now gaining recognition as a model for improving ART adherence This study will evaluate the effectiveness of combining DOT and antidepressant medication in improving ART adherence among HIV-infected homeless and marginally housed people with depression
Participants in this 9-month open-label study will be randomly assigned to a treatment group or a control group The control group will be given the phone number of the University of California San Francisco AIDS Health Project AHP to call and make an appointment with a psychiatrist Participants who attend appointments will be evaluated to determine their mental health status Participants who are deemed to benefit from treatment will be scheduled for regular appointments at the AHP but will be responsible for administering their own medications The treatment group will meet with a study psychiatrist who will prescribe an appropriate antidepressant medication Subsequent meetings with the psychiatrist will occur weekly for the first 3 weeks and then monthly for the duration of the study Additionally participants will have DOT visits every weekday morning for 1 month to take their antidepressant medications After the first month DOT visits will occur weekly or biweekly depending on the medication regimen If an individual does not attend a visit study staff will try to locate the individual in the neighborhood to deliver the medication Medication for the weekend will be prepared by study staff but participants will take it on their own at home For the last 2 months of the study DOT visits will occur once monthly at which time participants will receive their entire months supply of medication
Participants in both groups will be asked to report to the study site weekly for 6 months and then monthly for the final 3 months to provide an update on the status of their housing healthcare providers case managers and HIV medications Additional interviews about housing income use of health services drug use sexual practices and mental health will occur at the beginning of the study and three more times throughout the study Blood tests will be performed monthly to assess viral load and every 3 months to assess CD4 count Participants taking HIV medications will be visited by study staff at home once a month so that use of HIV medications can be determined At the end of the study participants in the control group may continue receiving treatment at the AHP Six months after the end of the study participants in the treatment group may also begin treatment with a psychiatrist at the AHP
Participants in this 9-month open-label study will be randomly assigned to a treatment group or a control group The control group will be given the phone number of the University of California San Francisco AIDS Health Project AHP to call and make an appointment with a psychiatrist Participants who attend appointments will be evaluated to determine their mental health status Participants who are deemed to benefit from treatment will be scheduled for regular appointments at the AHP but will be responsible for administering their own medications The treatment group will meet with a study psychiatrist who will prescribe an appropriate antidepressant medication Subsequent meetings with the psychiatrist will occur weekly for the first 3 weeks and then monthly for the duration of the study Additionally participants will have DOT visits every weekday morning for 1 month to take their antidepressant medications After the first month DOT visits will occur weekly or biweekly depending on the medication regimen If an individual does not attend a visit study staff will try to locate the individual in the neighborhood to deliver the medication Medication for the weekend will be prepared by study staff but participants will take it on their own at home For the last 2 months of the study DOT visits will occur once monthly at which time participants will receive their entire months supply of medication
Participants in both groups will be asked to report to the study site weekly for 6 months and then monthly for the final 3 months to provide an update on the status of their housing healthcare providers case managers and HIV medications Additional interviews about housing income use of health services drug use sexual practices and mental health will occur at the beginning of the study and three more times throughout the study Blood tests will be performed monthly to assess viral load and every 3 months to assess CD4 count Participants taking HIV medications will be visited by study staff at home once a month so that use of HIV medications can be determined At the end of the study participants in the control group may continue receiving treatment at the AHP Six months after the end of the study participants in the treatment group may also begin treatment with a psychiatrist at the AHP
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| R01MH063011 | NIH | None | httpsreporternihgovquickSearchR01MH063011 |