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Safety Study of UC-781 Vaginal Microbicide

Primary Purpose

HIV Infections

Status
Completed
Phase
Phase 1
Locations
Thailand
Study Type
Interventional
Intervention
Placebo gel
UC 781
Sponsored by
Centers for Disease Control and Prevention
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for HIV Infections focused on measuring Microbicides, HIV seronegativity

Eligibility Criteria

18 Years - 50 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria for women:

  • Age 18-50 years old
  • Regular menses
  • HIV-1 seronegative at screening
  • Normal Pap smear at screening or documented normal Pap smear within six months prior to screening
  • No evidence of reproductive tract infection (RTI)
  • Willing and able to comply with study procedures, including pelvic exams, colposcopy, maintaining a study coital and symptom log, and applying assigned study gel per protocol
  • Agree to abstain from sexual intercourse for 24 hours prior to the enrollment visit
  • Agree to abstain from the following activities from at least 48 hours prior to enrollment through the Day 14 visit:

    • Insertion of fingers and other objects into the vagina
    • Receiving oral sex
    • Receiving anal sex
    • Using a diaphragm, cervical cap, female condom, or vaginal contraceptive ring
    • Using vaginal products other than the study gels, including douches, lubricants, or feminine hygiene products
  • In a monogamous sexually active relationship with one male partner
  • Report having vaginal intercourse only with that partner at least two times per week
  • No other reported partner in the prior six months and no plan to have another partner for the duration of the study
  • Agree to use condoms for each act of vaginal intercourse during participation in the study
  • Their male partner is informed and also consents to participate in the study
  • Willing to have male partner informed and treated if an STD is diagnosed at screening or during the study

Inclusion Criteria for men:

  • Age 18 years or older
  • HIV-seronegative and free of other STI at screening exam
  • One female sexual partner; no other reported partner in the prior six months and no plan to have another partner for the duration of the study
  • Willing and able to comply with study procedures, including clinic visits, interviews and acceptability evaluation, and consistent use of condoms during enrollment in the study
  • Willing to have female partner informed and treated if an STD is diagnosed at screening or during the study

Exclusion Criteria for women:

  • Pregnancy or desire to become pregnant at time of study participation
  • Currently breastfeeding
  • Delivery or abortion within last eight weeks
  • History of any male sexual partner other than current partner in past six months

    - No abnormal (DAIDS grade 1 or higher) laboratory results at baseline, including hematology, liver and kidney function

  • History of post-coital vaginal bleeding in the past three months
  • History of surgery to remove uterus or cervix
  • History of surgery on the external genitalia, vaginal, or cervix in the past month
  • Clinically significant chronic medical condition that is considered progressive, including cardiopulmonary disease, renal disease, hepatic disease, diabetes mellitus.
  • History of sensitivity/allergy to latex
  • Existence of a clinically detectable genital abnormality at screening (e.g. ulcer, congenital abnormality, any lesion with mucosal disruption)
  • Concurrent participation in another trial of a vaginal product
  • Have any other condition that in the opinion of the investigator might interfere with the evaluation of the study objectives

Exclusion Criteria for men:

  • History of genital surgery in the past month
  • Clinical or laboratory evidence of an STI.
  • History of sensitivity/allergy to latex
  • History of any sexual partner other than their current partner in the past six months

Sites / Locations

  • Chiang Rai Health Club

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

1

2

3

Arm Description

UC 781 0.1% carbomer gel

UC 781 0.25% carbomer gel

Placebo vaginal gel

Outcomes

Primary Outcome Measures

Genital tract inflammation or epithelial disruption as assessed by naked eye and colposcopic inspection according to established guidelines
Symptoms of irritation
Changes in vaginal flora
Assessment of pro-inflammatory cytokines in the genital tract
Other product-related adverse events

Secondary Outcome Measures

acceptability of UC-781 gel use
systemic absorption of UC-781
anti-HIV activity of genital secretions in the presence of UC-781 gel

Full Information

First Posted
March 12, 2007
Last Updated
April 18, 2013
Sponsor
Centers for Disease Control and Prevention
Collaborators
Ministry of Health, Thailand, CONRAD
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1. Study Identification

Unique Protocol Identification Number
NCT00446979
Brief Title
Safety Study of UC-781 Vaginal Microbicide
Official Title
Phase I Study of the Safety and Acceptability of UC-781 Topical Vaginal Microbicide in Women and Acceptability in Their Male Partners,Chiang Rai, Thailand
Study Type
Interventional

2. Study Status

Record Verification Date
April 2013
Overall Recruitment Status
Completed
Study Start Date
June 2007 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
October 2007 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Centers for Disease Control and Prevention
Collaborators
Ministry of Health, Thailand, CONRAD

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study will help determine whether UC-781 gel is safe when applied to the vagina twice daily for 14 days, and will assess whether women and men find the gel acceptable to use.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
HIV Infections
Keywords
Microbicides, HIV seronegativity

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
90 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Experimental
Arm Description
UC 781 0.1% carbomer gel
Arm Title
2
Arm Type
Experimental
Arm Description
UC 781 0.25% carbomer gel
Arm Title
3
Arm Type
Placebo Comparator
Arm Description
Placebo vaginal gel
Intervention Type
Drug
Intervention Name(s)
Placebo gel
Intervention Description
HEC (hydroxyethyl cellulose) Control Gel applied vaginally twice daily for two weeks
Intervention Type
Drug
Intervention Name(s)
UC 781
Intervention Description
UC 781 0.1% or UC 781 0.25%, applied vaginally twice daily for two intermenstrual weeks
Primary Outcome Measure Information:
Title
Genital tract inflammation or epithelial disruption as assessed by naked eye and colposcopic inspection according to established guidelines
Time Frame
2 weeks
Title
Symptoms of irritation
Time Frame
two weeks
Title
Changes in vaginal flora
Time Frame
Two weeks
Title
Assessment of pro-inflammatory cytokines in the genital tract
Time Frame
Two weeks
Title
Other product-related adverse events
Time Frame
Two weeks
Secondary Outcome Measure Information:
Title
acceptability of UC-781 gel use
Time Frame
Two weeks
Title
systemic absorption of UC-781
Time Frame
Two weeks
Title
anti-HIV activity of genital secretions in the presence of UC-781 gel
Time Frame
Two weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria for women: Age 18-50 years old Regular menses HIV-1 seronegative at screening Normal Pap smear at screening or documented normal Pap smear within six months prior to screening No evidence of reproductive tract infection (RTI) Willing and able to comply with study procedures, including pelvic exams, colposcopy, maintaining a study coital and symptom log, and applying assigned study gel per protocol Agree to abstain from sexual intercourse for 24 hours prior to the enrollment visit Agree to abstain from the following activities from at least 48 hours prior to enrollment through the Day 14 visit: Insertion of fingers and other objects into the vagina Receiving oral sex Receiving anal sex Using a diaphragm, cervical cap, female condom, or vaginal contraceptive ring Using vaginal products other than the study gels, including douches, lubricants, or feminine hygiene products In a monogamous sexually active relationship with one male partner Report having vaginal intercourse only with that partner at least two times per week No other reported partner in the prior six months and no plan to have another partner for the duration of the study Agree to use condoms for each act of vaginal intercourse during participation in the study Their male partner is informed and also consents to participate in the study Willing to have male partner informed and treated if an STD is diagnosed at screening or during the study Inclusion Criteria for men: Age 18 years or older HIV-seronegative and free of other STI at screening exam One female sexual partner; no other reported partner in the prior six months and no plan to have another partner for the duration of the study Willing and able to comply with study procedures, including clinic visits, interviews and acceptability evaluation, and consistent use of condoms during enrollment in the study Willing to have female partner informed and treated if an STD is diagnosed at screening or during the study Exclusion Criteria for women: Pregnancy or desire to become pregnant at time of study participation Currently breastfeeding Delivery or abortion within last eight weeks History of any male sexual partner other than current partner in past six months - No abnormal (DAIDS grade 1 or higher) laboratory results at baseline, including hematology, liver and kidney function History of post-coital vaginal bleeding in the past three months History of surgery to remove uterus or cervix History of surgery on the external genitalia, vaginal, or cervix in the past month Clinically significant chronic medical condition that is considered progressive, including cardiopulmonary disease, renal disease, hepatic disease, diabetes mellitus. History of sensitivity/allergy to latex Existence of a clinically detectable genital abnormality at screening (e.g. ulcer, congenital abnormality, any lesion with mucosal disruption) Concurrent participation in another trial of a vaginal product Have any other condition that in the opinion of the investigator might interfere with the evaluation of the study objectives Exclusion Criteria for men: History of genital surgery in the past month Clinical or laboratory evidence of an STI. History of sensitivity/allergy to latex History of any sexual partner other than their current partner in the past six months
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Sara J Whitehead, MD, MPH
Organizational Affiliation
Centers for Disease Control and Prevention
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Chitlada Utaipiboon, MD
Organizational Affiliation
Thailand MOPH - U.S. CDC Collaboration
Official's Role
Principal Investigator
Facility Information:
Facility Name
Chiang Rai Health Club
City
Chiang Rai
ZIP/Postal Code
57000
Country
Thailand

12. IPD Sharing Statement

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Safety Study of UC-781 Vaginal Microbicide

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