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Preventing Bacterial and Viral Infections Among Injection Drug Users

This study is currently recruiting participants.
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Verified July 2017 by Michael Stein, MD, Butler Hospital
Information provided by (Responsible Party):
Michael Stein, MD, Butler Hospital Identifier:
First received: July 1, 2013
Last updated: July 17, 2017
Last verified: July 2017
We propose a randomized controlled trial (RCT) of the Skin intervention, compared to an assessment-only condition (both groups receive rapid HIV testing, a review of testing results, and brief HIV prevention counseling) among 350 injection drug users recruited during an acute medical hospitalization at Boston Medical Center. In the general hospital setting, injection drug users who otherwise might not seek care are accessible and teachable, and the presence of a drug-related illness can set the stage for patients to be more receptive to interventions2. We hypothesize that the Skin intervention will produce better outcomes at 1-, 3-, 6-, 9-, and 12-month(s) post-intervention.

Condition Intervention
Bacterial Infection HIV Behavioral: SKIN Intervention Other: Treatment as Usual

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: Preventing Bacterial and Viral Infections Among Injection Drug Users

Further study details as provided by Michael Stein, MD, Butler Hospital:

Primary Outcome Measures:
  • bacterial infections [ Time Frame: one year ]
  • high-risk behavior [ Time Frame: one year ]
  • health service use [ Time Frame: one year ]

Estimated Enrollment: 350
Study Start Date: September 2013
Estimated Study Completion Date: April 2018
Estimated Primary Completion Date: January 2018 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: SKIN Intervention
Participants will receive the SKIN intervention at Baseline and 1-mo interviews.
Behavioral: SKIN Intervention
Placebo Comparator: Assessment-Only
Participants in this arm will receive treatment-as-usual
Other: Treatment as Usual


Ages Eligible for Study:   18 Years to 75 Years   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • 18 years of age or older
  • report injection of heroin, cocaine, or methamphetamine (meth) on at least three different days in the week prior to admission
  • have injected heroin, cocaine, or meth for at least three months
  • positive urine screen for heroin, cocaine, or meth

Exclusion Criteria:

  • currently psychotic (e.g., responding to internal stimuli through observed hallucinations or delusions), homicidal or suicidal
  • cannot provide informed consent
  • not able to complete interviews in English (expected to exclude <5% of IDUs)
  • in police custody, expecting incarceration
  • unable to provide names and contact information for at least two verifiable locator persons who will know where to find them for retention/follow-up purposes
  • plan to move out of the Boston area in the next 12 months.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT01892358

Contact: Michael Stein, MD 401-455-6646

United States, Massachusetts
Boston Medical Center Recruiting
Boston, Massachusetts, United States
Contact: Jane Liebschutz, MD         
Principal Investigator: Jane Liebschutz, MD         
United States, Rhode Island
Butler Hospital Not yet recruiting
Providence, Rhode Island, United States, 02906
Contact: Michael Stein, MD    401-455-6646   
Principal Investigator: Michael Stein, MD         
Sponsors and Collaborators
Butler Hospital
  More Information

Responsible Party: Michael Stein, MD, Principal Investigator, Butler Hospital Identifier: NCT01892358     History of Changes
Other Study ID Numbers: DA034957
1210-003 ( Other Identifier: Butler Hospital )
Study First Received: July 1, 2013
Last Updated: July 17, 2017

Keywords provided by Michael Stein, MD, Butler Hospital:
injection drug use

Additional relevant MeSH terms:
Communicable Diseases
Bacterial Infections
Virus Diseases processed this record on September 19, 2017