CI

At a glance

ClinicalIndex Comparison Record
Phase 3Completed· 304 enrolled
Drug / intervention
Immediate Intervention Arm +1 moredrug
Likely dose
Not stated in record
Structured eligibility isn't available for this trial yet — see the full criteria in the Eligibility tab below.

Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.

Search/NCT04742491
NCT04742491Phase 3Completed

HPTN 091: Integrating HIV Prevention, Gender-Affirmative Medical Care, and Peer Health Navigation for Transgender Women in the Americas: A Vanguard Study

HIV Prevention Trials Network·interventional·Posted Feb 8, 2021·Updated Dec 17, 2025

In Brief

A Phase 3 clinical trial evaluating Immediate Intervention Arm and Deferred Intervention Arm for HIV Prevention. Completed, enrolled 304 participants across 5 sites in 2 countries.

Detailed Summary

A study to assess the feasibility, acceptability, and preliminary impact of a multi-component strategy to improve pre-exposure prophylaxis (PrEP) uptake and adherence that integrates delivery of biomedical HIV prevention co-located with gender-affirming transgender care (hormonal therapy and medical monitoring) and Peer Health Navigation (PHN) using Strengths-Based Case Management (SBCM) professional supervision. Multi-site, open-label study with each participant randomized 1:1 to Immediate Intervention vs. 6-month Deferred Intervention Arms. Both arms will be provided PrEP and sexually transmitted infection (STI) screening and treatment. Participants in the Immediate Intervention Arm will receive co-located gender-affirming medical care and PHN using SBCM starting at the Enrollment Visit. Participants in the Deferred Intervention Arm will receive linkage to external gender-affirming medical care and case management services during the deferred period and will transition to the study intervention six months following the Enrollment Visit.

Study Details

Study Typeinterventional
Allocation--
Masking--
Primary Purpose--
ConditionsHIV Prevention
CountriesBrazil, United States
CollaboratorsGilead Sciences

Timeline

Phase 3CompletedFinished
202120222023202420252026
First PostedFeb 8, 2021
Enrollment StartMar 26, 2021
Primary CompletionAug 16, 2024
TodayJul 2, 2026
Enrollment to primary: 3.4 yearsPosted 5.4 years ago

Interventions

Immediate Intervention Armdrug

Truvada, Descovy in the United States; Truvada in Brazil

Deferred Intervention Armdrug

Truvada, Descovy in the United States; Truvada in Brazil