- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01053741
Effect of Seminal Fluid on the Colon Wall; Implications for HIV Transmission
The Effect of Seminal Fluid on Distal Colon Mucosal Permeability and Susceptibility to HIV Infection
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Maryland
-
Baltimore, Maryland, United States, 21287
- Johns Hopkins University Drug Development Unit
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Able to provide signed informed consent
- Men of 21 years or older.
- Prior history of receptive anal intercourse.
- Laboratory values within the last 28 days:
- Negative for HIV antibodies
- Lymphocyte count within normal limits
- Neutrophil count > 1,000 cells/ml
- Cluster of Differentiation 4 (CD4) cell count > 500 cells/ml
- Platelet count ≥ 150,000 cells/mm3
- Prothrombin Time (PT) within normal limits
- Partial thromboplastin time (PTT) within normal limits.
- No childbearing intentions.
Exclusion Criteria:
- Active anorectal disease or recent (3 months) anorectal surgery;
- Diarrhea, defined as three or more loose stools per day, for at least three days prior to admission.
- History of sleep apnea, or airway problems with previous sedation procedures.
- History of significant adverse reaction to sedation medications.
- Other history, including significant occupational radiation exposure, history of inflammatory bowel disease or any other diseases and lab results, such that, in the judgment of the investigator, study procedures are not considered safe for the subject's participation.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Basic Science
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Seminal Fluid then Normosol
2.5 mL radiolabeled autologous seminal fluid administered rectally x1.
Two week pause between interventions.
Then 2.5 mL radiolabeled Normosol-R administered rectally X1.
|
Autologous lymphocytes labeled with 250 microcuries In-111 and 500 microcuries Tc-99m in seminal fluid vehicle.
Autologous lymphocytes labeled with 250 microcuries In-111 and 500 microcuries Tc-99m in Normosol-R fluid vehicle.
|
Experimental: Normosol then Seminal Fluid
2.5 mL radiolabeled Normosol-R administered rectally x1.
Two week pause between interventions.
Then 2.5 mL radiolabeled autologous seminal fluid administered rectally X1.
|
Autologous lymphocytes labeled with 250 microcuries In-111 and 500 microcuries Tc-99m in seminal fluid vehicle.
Autologous lymphocytes labeled with 250 microcuries In-111 and 500 microcuries Tc-99m in Normosol-R fluid vehicle.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Epithelial Disruption Graded by a Pathologist Blinded to Study Intervention.
Time Frame: One hour
|
Endoscopy will be performed to obtain biopsy specimens at baseline and following each inpatient enema exposure. Samples will be obtained at each flexible sigmoidoscopy and set aside for batch sectioning and H&E staining. Slides will be reviewed and scored by a qualified pathologist blinded to treatment assignment using a qualitative scoring system. This scoring system uses semi-quantitative scoring that focuses on acute toxicity to epithelial cell layer similar to that seen in animal studies. This is a categorical grading scale, where 0 = Epithelial surface intact;1 = <1/3 of surface denuded; 2 = 1/3 - 2/3rds of surface denuded;3 = More than 2/3rds of surface denuded. Six separate biopsies for each subject and each treatment intervention were analyzed in a multi-level analysis. In comparison with the baseline condition (no intervention), the odds and 95% confidence interval (CI) of having a higher epithelial denudation score were calculated for each intervention. |
One hour
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Edward Fuchs, PA-C, MBA, Johns Hopkins University
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- RNA Virus Infections
- Virus Diseases
- Infections
- Blood-Borne Infections
- Communicable Diseases
- Sexually Transmitted Diseases, Viral
- Sexually Transmitted Diseases
- Lentivirus Infections
- Retroviridae Infections
- Immunologic Deficiency Syndromes
- Immune System Diseases
- Slow Virus Diseases
- HIV Infections
- Acquired Immunodeficiency Syndrome
- Pharmaceutical Solutions
- Ophthalmic Solutions
- Plasma-lyte 148
Other Study ID Numbers
- NA_00014051
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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