Presented by Robin MacGowan WHO HIVST meeting July 20, 2015

1. Evaluation of Rapid HIV Self Testing
Among Men who have Sex with Men (MSM)
in High Prevalence Cities.
“eSTAMP”
Robin MacGowan, MPH
July, 2015
Vancouver, BC
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention
Division of HIV/AIDS Prevention
The findings and conclusions are those of the author and do not necessarily represent the
official position of the Centers for Disease Control and Prevention.

2. Main Study Goal
To evaluate the public health benefit of distributed
rapid HIV tests for “at-home” use by men who have
sex with men (MSM) recruited via the internet.

3. Primary Outcomes of Interest
Acceptability and use of rapid HIV test
Frequency of HIV testing
Linkage to care and supplemental testing
Test distribution to social/sexual network
Changes in HIV sex risk behaviors
Test preference (oral fluid vs blood)

4. Eligibility Criteria
Male at birth, currently identify their sex as male
≥18 years old
Report anal sex with a man in the past year
English proficient (testing directions in Spanish)
No one with bleeding disorders or on ARV
US & Puerto Rico

5. Milestones To Date
 Investigational Device Exemption obtained for use of
Sure Check in Parts 3 & 4
 IDE not required for parts 1 & 2
 Parts1, 2 & 3 – completed
 Part 4 recruitment initiated 3/2015
 Projected Timeline: completed late 2016

6. Part 4:Randomized Trial of Kit Distribution
Goals:
 To evaluate the public health benefits (testing
frequency, impact on sex risk behaviors) of “at home”
rapid HIV tests among MSM.
 To link persons with a reactive rapid test result to
medical services.
 To assess distribution of rapid tests to social and
sexual networks (increase access).

7. Part 4: HIV Positive Group Subgroup
Goal:
To evaluate distribution of OraQuick tests to network
associates (secondary users):
 To whom were tests given?
 Do participant know the result of secondary user’s
test?
 Will secondary users report data online?

8. National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention
Division of HIV/AIDS Prevention
Acknowledgement
CDC:
Lisa Belcher, Craig Borkowf, Kristina Bowles, Bernard
Branson, Pollyanna Chavez, Liz DiNenno, Steven Ethridge,
Arin Freeman, James Heffelfinger, Darrel Higa, Wayne
Johnson, Heather Joseph, Robin MacGowan, Andrew
Margolis, Jonathan Mermin, Michele Owen, David Purcell,
Jerris Raiford, Laura Wesolowski, Richard Wolitski
Contractor: Manila Consulting Group Inc.,
Subcontractors: Emory University, Northwestern University,
Public Health Solutions