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Trial · NCT05007717

Data-informed Stepped Care (DiSC) to Improve Adolescent HIV Outcomes (UH3)

NCT05007717, Not applicable, Completed, University of Washington; results first posted 2024-11-27

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Data-informed Stepped Care (DiSC) to Improve Adolescent HIV Outcomes (UH3). Trials, record NCT05007717. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT05007717

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Data-informed Stepped Care (DiSC) to Improve Adolescent HIV Outcomes (UH3)
NCT number
NCT05007717
Status
Completed
Phases
Not applicable
Enrollment
1,911 participants, actual
Lead sponsor
University of Washington
Conditions
Adolescent Behavior, Hiv
Interventions
Data-informed Stepped Care (DiSC)
First posted
2021-08-16
Last updated
2024-11-27
Results first posted
2024-11-27

Source ClinicalTrials.gov

Registered outcomes6

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryProportion of Missed Visits12 months
We will evaluate retention using a definition of missed visit and calculate the proportion of scheduled visits that are missed. Missed visits will be defined as a participant not seen within 30 days after each scheduled visit. Each scheduled visit will be classified as missed versus not missed.
SecondaryProportion of Viral Load Results Showing Viral Non-suppression12 months
We will evaluate viral load test results and calculate the proportion of results that show non-suppression. Viral non-suppression will be defined as having HIV RNA viral loads (VL) \>1,000 copies per milliliter. Each VL test result will be classified as VL suppressed vs. unsuppressed.
SecondaryProportion of Visit Intervals With Good Adherence12 months
We will evaluate adherence by calculating the number of pills dispensed divided by the number of days during an inter-visit interval. A proportion of adherence greater than 0.8 will be classified as good adherence. The level of adherence during the past inter-visit interval will be assessed at each visit.
SecondaryIncidence Rate of Loss to Follow-up12 months
We will also analyze retention using loss to follow-up (LTFU). LTFU will be defined as a participant not seen within 30 days of a scheduled visit and not return to care within the 12-month study period. The incidence rate of LTFU is the ratio of the number of new cases of LTFU to the total time the study participants was at risk of LTFU. The denominator is the sum of the time each participant (person-year) was observed, totaled for all participants.
SecondaryProportion of Visits Enrolled in Differentiated Care Services (Fast-track Visits)12 months
We will calculate the proportion of visits enrolled in differentiated care using two definitions. The first is fast-track visit, which evaluates if participants are assigned to fast-track status during visits. Each visit will be assessed as enrolled in differentiated care (assigned to fast-track) or not.
SecondaryProportion of Visits Enrolled in Differentiated Care Services (Multi-month Refills)12 months
We will calculate the proportion of visits enrolled in differentiated care using two definitions. The second is multi-month prescription refills, which evaluates if participants are given multi-month refill intervals more than 3 months. Each visit will be assessed as enrolled in differentiated care (given multi-month refills) or not.

Outcomes6

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYProportion of Missed Visits12 monthsFive participants did not have clinic visit data matched in the medical records.Scheduled visitsCOUNT_OF_UNITS
SECONDARYProportion of Viral Load Results Showing Viral Non-suppression12 monthsOne hundred and forty-four participants did not have viral loads data matched in the medical records.Viral load assaysCOUNT_OF_UNITS
SECONDARYProportion of Visit Intervals With Good Adherence12 monthsSeven participants did not have clinic visit data matched in the medical records.IntervalsCOUNT_OF_UNITS
SECONDARYIncidence Rate of Loss to Follow-up12 monthsFive participants did not have clinic visit data matched in the medical records.Person-yearCOUNT_OF_UNITS
SECONDARYProportion of Visits Enrolled in Differentiated Care Services (Fast-track Visits)12 monthsFive participants did not have clinic visit data matched in the medical records.VisitsCOUNT_OF_UNITS
SECONDARYProportion of Visits Enrolled in Differentiated Care Services (Multi-month Refills)12 monthsFive participants did not have clinic visit data matched in the medical records.Scheduled visitsCOUNT_OF_UNITS

Results by group12

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Proportion of Missed VisitsData-informed Stepped Care (DiSC) Arm406Scheduled visits
Proportion of Missed VisitsStandard of Care433Scheduled visits
Proportion of Viral Load Results Showing Viral Non-suppressionData-informed Stepped Care (DiSC) Arm125Viral load assays
Proportion of Viral Load Results Showing Viral Non-suppressionStandard of Care184Viral load assays
Proportion of Visit Intervals With Good AdherenceData-informed Stepped Care (DiSC) Arm4065Intervals
Proportion of Visit Intervals With Good AdherenceStandard of Care4486Intervals
Incidence Rate of Loss to Follow-upData-informed Stepped Care (DiSC) Arm61Person-year
Incidence Rate of Loss to Follow-upStandard of Care73Person-year
Proportion of Visits Enrolled in Differentiated Care Services (Fast-track Visits)Data-informed Stepped Care (DiSC) Arm517Visits
Proportion of Visits Enrolled in Differentiated Care Services (Fast-track Visits)Standard of Care520Visits

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDData-informed Stepped Care (DiSC) Arm89512
Overall StudySTARTEDStandard of Care1,01612
Overall StudyCOMPLETEDData-informed Stepped Care (DiSC) Arm89212
Overall StudyCOMPLETEDStandard of Care1,01412
Overall StudyNOT COMPLETEDData-informed Stepped Care (DiSC) Arm30
Overall StudyNOT COMPLETEDStandard of Care20

Adverse events2

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
seriousHearing lossEar and labyrinth disordersData-informed Stepped Care (DiSC) Arm18951
seriousHearing lossEar and labyrinth disordersStandard of Care1,016

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityData-informed Stepped Care (DiSC) Arm3895
Total, all-cause mortalityStandard of Care21,016
Total, other adverse eventsData-informed Stepped Care (DiSC) Arm0895
Total, other adverse eventsStandard of Care01,016
Total, serious adverse eventsData-informed Stepped Care (DiSC) Arm1895
Total, serious adverse eventsStandard of Care01,016

Papers3

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
36316073DERIVEDPubMed
40369586DERIVEDPubMed
41724939DERIVEDPubMed

Grants1

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

ProjectTitlePrincipal investigatorsOrganizationFunderFiscal years
UH3HD096906Data-informed Stepped Care (DiSC) to Improve Adolescent HIV OutcomesKOHLER, PAMELA; JOHN-STEWART, GRACE C.UNIVERSITY OF WASHINGTONEUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT2020 to 2022

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Data-informed Stepped Care (DiSC) Arm vs Standard of Care: deaths from any causeTrial comparisons
Data-informed Stepped Care (DiSC) Arm vs Standard of Care: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT05007717

GET https://conductscience.org/api/trials/v1/NCT05007717/registered