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Safety, Acceptability and Preliminary Effectiveness of PC-515 for Vaginal Use as a Possible Microbicide

Primary Purpose

HIV Infections, Chlamydia Trachomatis, Neisseria Gonorrhoeae

Status
Completed
Phase
Phase 2
Locations
Thailand
Study Type
Interventional
Intervention
Carraguard (PC-515)
Sponsored by
Population Council
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional other trial for HIV Infections focused on measuring microbicides, HIV prevention, sexually transmitted infections, female-initiated protection, carrageenan, expanded safety trial, HIV Seronegativity, HIV

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)FemaleAccepts Healthy Volunteers

Inclusion Criteria: In good health as determined by medical history, physical examination and results of laboratory screening tests Aged 18 years or older Resident in the area for at least one year and planning to stay for at least 12 months HIV-seronegative at baseline Willing and able to comply with the study protocol (including being tested for HIV, learning the results, and undergoing clinical evaluations) Able to achieve a score of 80% or better on true-false test of key study concepts Able to give informed consent Exclusion Criteria: Pregnant or desire to become pregnant at time of study participation Delivered or aborted a pregnancy within the six weeks prior to screening Male sex partner known at enrollment to be HIV positive History of surgery on external genitalia, vagina or cervix in the six weeks prior to screening Recent history of non-menstrual vaginal bleeding with intercourse Clinically detectable genital abnormality (including presence of warts, or a structural or congenital abnormality) Clinical suspicion of a reproductive tract infection (RTI), defined as the presence of a genital ulcer visible to the naked eye, an abnormal vaginal discharge or purulent cervicitis, or untreated positive STD result (Women could be enrolled after treatment of identified RTI. Women with persistent genital epithelial disruption, i.e., ulcer, abrasion or fissure, were not eligible. Women with other persistent abnormal signs, such as vaginal or cervical discharge, despite treatment of identified RTI, were eligible) Abnormal Pap smear (Class II or above) History of sensitivity/allergy to latex Concurrent participation in another trial of a vaginal product Injection of recreational drugs

Sites / Locations

  • Chiang Rai Health Club

Outcomes

Primary Outcome Measures

Safety: Genital exam & interview for symptoms after 14 days & monthly thereafter; colposcopy done throughout trial at clinicians' discretion; monthly testing to detect changes in vagina flora.
Compliance: collection of applicators and interview(monthly)
Acceptability: interview (quarterly)

Secondary Outcome Measures

Preliminary effectiveness: Swabs taken to test for sexually transmitted infections - gonorrhea, chlamydia, trichomoniasis and for genital ulcer disease, if ulceration was detected; blood drawn for syphilis and HIV testing and for HSV-2 Pap smear to det

Full Information

First Posted
September 13, 2005
Last Updated
August 11, 2017
Sponsor
Population Council
Collaborators
Bill and Melinda Gates Foundation, Centers for Disease Control and Prevention, Nat'l Cntr. for HIV, STD, & TB Prevention Atlanta: Division of STD Prevention,Div. of HIV/AIDS Prevention-Surveillance & Epidemiology, National Center for Infectious Diseases, Ministry of Health, Thailand, Collaboration (TUC), Chiang Rai Public Health Office, Chiang Rai District Health Office, Chiang Rai Municipal Health Office, Chiang Rai Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT00213031
Brief Title
Safety, Acceptability and Preliminary Effectiveness of PC-515 for Vaginal Use as a Possible Microbicide
Official Title
A Randomized, Placebo-controlled, Double-blind Trial to Assess Expanded Safety, Acceptability and Preliminary Effectiveness of PC-515 (Lambda Carrageenan) for Vaginal Use as a Possible Microbicide
Study Type
Interventional

2. Study Status

Record Verification Date
August 2017
Overall Recruitment Status
Completed
Study Start Date
February 2000 (Actual)
Primary Completion Date
undefined (undefined)
Study Completion Date
December 2001 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Population Council
Collaborators
Bill and Melinda Gates Foundation, Centers for Disease Control and Prevention, Nat'l Cntr. for HIV, STD, & TB Prevention Atlanta: Division of STD Prevention,Div. of HIV/AIDS Prevention-Surveillance & Epidemiology, National Center for Infectious Diseases, Ministry of Health, Thailand, Collaboration (TUC), Chiang Rai Public Health Office, Chiang Rai District Health Office, Chiang Rai Municipal Health Office, Chiang Rai Hospital

4. Oversight

5. Study Description

Brief Summary
The primary aims of the study were to assess the safety and acceptability of PC-515 when applied vaginally at least three times weekly for 12 months. Secondary aims were to gather preliminary data on Carraguard's effectiveness in preventing male-to-female transmission of HIV, and other STIs. The hypothesis was that Carraguard would cause little or no significant irritation, including lesions; and that women would find Carraguard acceptable. The study was not powered to determine effectiveness, but based on safety, acceptability and feasibility parameters, the outcome of the Phase 2 trial would enable a decision whether or not to proceed to a Phase 3 trial.
Detailed Description
Carraguard™ (PC-515), the Population Council's lead candidate microbicide, was tested in a triple-masked, randomized, placebo-controlled trial fielded in one site in Chiang Rai, northern Thailand. The primary aims of the study were to assess Carraguard's safety (toxicity) - including signs of local irritation, such as itching or burning; changes in vaginal flora; and incidence of abnormal external genital, vaginal, and cervical findings - when applied vaginally for 12 months; to evaluate acceptability; to assess feasibility of conducting a large scale microbicide trial in a non-sex worker population; to gauge women's reactions to a non-contraceptive microbicide; and to explore microbicide use dynamics in a Thai population. Secondary aims were to investigate HIV infections averted (preliminary indications); other sexually transmitted infections averted - including C. trachomatis, N. gonorrhoeae, T. vaginalis, and T. pallidum (preliminary indications); and effect on cervical cytology.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
HIV Infections, Chlamydia Trachomatis, Neisseria Gonorrhoeae, Trichomonas Vaginitis, Syphilis, Herpes Simplex
Keywords
microbicides, HIV prevention, sexually transmitted infections, female-initiated protection, carrageenan, expanded safety trial, HIV Seronegativity, HIV

7. Study Design

Primary Purpose
Other
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
Double
Allocation
Randomized
Enrollment
165 (false)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
Carraguard (PC-515)
Primary Outcome Measure Information:
Title
Safety: Genital exam & interview for symptoms after 14 days & monthly thereafter; colposcopy done throughout trial at clinicians' discretion; monthly testing to detect changes in vagina flora.
Title
Compliance: collection of applicators and interview(monthly)
Title
Acceptability: interview (quarterly)
Secondary Outcome Measure Information:
Title
Preliminary effectiveness: Swabs taken to test for sexually transmitted infections - gonorrhea, chlamydia, trichomoniasis and for genital ulcer disease, if ulceration was detected; blood drawn for syphilis and HIV testing and for HSV-2 Pap smear to det

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: In good health as determined by medical history, physical examination and results of laboratory screening tests Aged 18 years or older Resident in the area for at least one year and planning to stay for at least 12 months HIV-seronegative at baseline Willing and able to comply with the study protocol (including being tested for HIV, learning the results, and undergoing clinical evaluations) Able to achieve a score of 80% or better on true-false test of key study concepts Able to give informed consent Exclusion Criteria: Pregnant or desire to become pregnant at time of study participation Delivered or aborted a pregnancy within the six weeks prior to screening Male sex partner known at enrollment to be HIV positive History of surgery on external genitalia, vagina or cervix in the six weeks prior to screening Recent history of non-menstrual vaginal bleeding with intercourse Clinically detectable genital abnormality (including presence of warts, or a structural or congenital abnormality) Clinical suspicion of a reproductive tract infection (RTI), defined as the presence of a genital ulcer visible to the naked eye, an abnormal vaginal discharge or purulent cervicitis, or untreated positive STD result (Women could be enrolled after treatment of identified RTI. Women with persistent genital epithelial disruption, i.e., ulcer, abrasion or fissure, were not eligible. Women with other persistent abnormal signs, such as vaginal or cervical discharge, despite treatment of identified RTI, were eligible) Abnormal Pap smear (Class II or above) History of sensitivity/allergy to latex Concurrent participation in another trial of a vaginal product Injection of recreational drugs
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Janneke HMM van de Wijgert, Ph.D.
Organizational Affiliation
Population Council
Official's Role
Principal Investigator
Facility Information:
Facility Name
Chiang Rai Health Club
City
Chiang Rai
ZIP/Postal Code
57001
Country
Thailand

12. IPD Sharing Statement

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Safety, Acceptability and Preliminary Effectiveness of PC-515 for Vaginal Use as a Possible Microbicide

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