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A Randomized Trial of Vaccine Adherence in Young Injection Drug Users - 1 - NCT00244374-94143(Clinical Trial 132508)



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City:  San Francisco
State:  
CA
Zip Code: 94143
Conditions: Adherence - Community Outreach - HIV Risk Behaviors - Hepatitis A Vaccines - Hepatitis B Vaccines - Hepatitis C - Needle-Exchange Programs - Substance Abuse, Intravenous
Purpose: The purpose of this study is to compare the effects of (a) immunization setting and (b) outreach worker support on young injection drug users' (IDU) adherence to a multiple dose immunization schedule with a combined hepatitis A virus (HAV) inactivated and hepatitis B virus (HBV) recombinant vaccine.
Study summary: This is a research trial consisting of a cross-sectional screening study and a prospective cohort study (randomized, 2x2 factorial design). The primary aim of the study is to evaluate the effects of immunization setting and outreach worker support on young IDU's adherence to a multiple dose immunization schedule with a combined HAV and HBV vaccine. Secondarily, the study will 1) explore the feasibility of a remote immunization network and web-based vaccine registry to improve immunization coverage of transient young IDU, 2) examine the effect of hepatitis C virus infection in vaccine effectiveness, and 3) assess behavior change and vaccine attitudes in young IDU participating in a preventive vaccine trial. Subjects in the screening study complete an interview, receive counseling and testing for HIV, HAV, HBV and HCV, and return in one week for test results and risk reduction counseling. Subjects eligible for the cohort study receive their first immunizations at enrollment and then are randomized to receive subsequent vaccines at either a set of syringe exchange programs or at a public health adult immunization clinic. Subjects also are randomized to receive vaccine reminders from an outreach worker or no outreach worker support. Each subject receives a total of 4 immunizations over 6 months. Follow up visits include interviews, counseling, and viral testing. Study participation is for 12 months.
Criteria: Eligible persons for the screening study are: (a) are age <29 at screening; (b) have injected drugs in the prior 30 days; and report neither (c) a prior positive HIV antibody test nor (d) prior HBV immunization. Eligible persons for the vaccine study will have: (a) participated in the screening study; (b) tested negative for HIV-1 antibody and HBV markers in the screening study; and (c) returned for screening test results within 30 days of testing.
Study is available at: University of California San Francisco Medical Cen
San Francisco, CA 94143
United States

Primary Contact:
Jamye L Ford, M.A.
Email: jford@php.ucsf.edu
Phone: 415-476-4082

Secondary Contact:
Jamye L Ford, M.A.
Phone: (415)476-9296
If you are interested in this clinical trial please use the contact information above. If you would like to get additional information about this clinical trial please visit ClinicalTrials.gov.
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Data Source: ClinicalTrials.gov
Date Processed: March 21, 2011
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