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Trans People Living With HIV Throughout Europe

Recruiting
Conditions
HIV Infections
Human Immunodeficiency Virus
Gender Identity
Registration Number
NCT03922269
Lead Sponsor
Chelsea and Westminster NHS Foundation Trust
Brief Summary

The project will study a European cohort of individuals identifying themselves as transgender or non-binary and living with HIV.

The study will collect both qualitative data on this cohort and clinical data over an 18 month period. The study will investigate the success of HIV treatment for this cohort through the primary outcome measure of HIV viral load recorded in routine blood tests.

The results from this study will assist in informing future HIV treatment guidelines on the monitoring of HIV infection in transgender and non-binary individuals and assisting in the design of future interventional studies within this population.

Detailed Description

The TIME Study is a multi-centre cohort study, combined with a cross-sectional survey.The study will comprise recording clinical data from up to three visits over an 18-month period. The study visits will happen at the same time of routine clinical care, and all clinical data will be collected in the study database. At the screening/baseline study visit (following written consent), a survey will be administered to all study participants. The overall recruitment target is 200 participants.

The primary aim is to assess the rate of virological response to antiretroviral therapy in transgender and non-binary (gender diverse) people living with HIV (TPLWH) in Europe. It's secondary outcomes are:

* To explore demographics, risk behaviours and community needs

* To explore the barriers and facilitators to adherence to cART

* To report TPLWH experiences with regard to:

* Stigma

* Quality of life

* Prevalence of opportunistic infections

* To record data on:

* Retention into care

* Clinical characteristics (e.g. drug toxicity, BMD results, hormone intake, drug interactions between hormones and antiretrovirals, cardiovascular risk, etc.)

* Implement and analyse a trans-inclusive method of gender identity data collection, in order to provide comprehensive demographic information that is acceptable at the community-level and includes a diverse spectrum of trans/non-binary genders across all study sites. People living with HIV (PLWH) who refer to themselves as transgender and non-binary (and all gender diverse people).

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
200
Inclusion Criteria
  • Participant self-identifies as transgender and/or has a current gender identity which differs from gender assigned at birth (includes all gender diverse people)
  • Age > 18 years
  • HIV infection diagnosis at any time before study consent
  • Having been prescribed antiretroviral therapy at any time (including people for who antiretroviral therapy initiation is planned after study enrolment)
  • Willing to sign an informed consent and take part in the study
Exclusion Criteria
  • Age < 18 years
  • Unable to take part in the study according to the Investigator opinion (example: unable to understand the study information leaflet, unable to provide written consent, etc.)

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Rate of virological response to antiretroviral therapy18 months

Proportion of cohort achieving viral suppression as measured in viral load serum assays.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (4)

Servizio Sanitario Nazionale Regione Piemonte Azienda Sanitaria Locale "Citta di Torino" Department of Medical Sciences, University of Turin

🇮🇹

Torino, Italy

Chelsea and Westminster Hospital

🇬🇧

London, Greater London, United Kingdom

Elton John Centre, Brighton and Sussex University Hospitals

🇬🇧

Brighton, Sussex, United Kingdom

Manchester University NHS Foundation Trust

🇬🇧

Manchester, Greater Manchester, United Kingdom

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