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Safety and Acceptability of PRO 2000 Vaginal Gel in HIV Uninfected Women in India

Phase I Safety and Acceptability Study of the Investigational Vaginal Microbicide PRO 2000/5 Gel (P)

PRO 2000 Gel is designed to be inserted into the vagina to protect women from getting HIV during sex. So far, PRO 2000 Gel has been tested for safety in 136 women from Europe and the United States. This study will evaluate the safety and acceptability of PRO 2000 Gel when used by women in Pune, India. The study will also examine what Indian women and men think about using PRO 2000 Gel.

調査の概要

状態

完了

条件

詳細な説明

Topical microbicides are designed to prevent the sexual transmission of HIV and other disease pathogens. PRO 2000/5 Gel (P), or PRO 2000, is a vaginal microbicide that has been evaluated in Phase I safety trials in Europe and the U.S. PRO 2000 Gel is easily manufactured, highly stable, and highly water-soluble. The aqueous gel formulation contains a synthetic carbomer, a lactic acid/lactate buffer, and preservatives. In vitro, PRO 2000 Gel has been shown to suppress infection by herpes viruses, Chlamydia trachomatis, Neisseria gonorrhoeae, and a wide range of HIV-1 isolates. This study will evaluate the safety and acceptability of PRO 2000 Gel in HIV uninfected women in Pune, India. The study is a precursor to a larger Phase II/III study of PRO 2000 Gel.

Participants in this study will be sexually active HIV uninfected women at either low or high risk for HIV infection. Male partners of these women will also be enrolled in the study. Participants will be asked to apply PRO 2000 Gel twice a day for 14 consecutive days between menses and to have vaginal intercourse with a single male partner, using study-provided male condoms, at least twice per week during the two weeks of PRO 2000 Gel use. Participants will have a screening visit, an enrollment visit, and 3 study visits during the two weeks of PRO 2000 Gel use; each visit will last about 1 hour. Study visits will include a medical history, gynecologic exam, blood and urine tests, and product acceptability questionnaires. Colposcopy will be performed three times during the study. Participants will also be asked to complete a Daily Study Record about product use and sexual activity and questionnaires about their willingness to use the product and their perceptions of the product.

Four weeks after using PRO 2000 Gel, participants will be asked to participate in a focus group to discuss product acceptability. Participants' male partners will also be asked to participate in focus groups about product use.

研究の種類

介入

入学

120

段階

  • フェーズ 1

参加基準

研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。

適格基準

就学可能な年齢

18年歳以上 (大人、高齢者)

健康ボランティアの受け入れ

はい

受講資格のある性別

全て

説明

Inclusion Criteria for All Female Participants:

  • Age 18 to 45
  • HIV uninfected
  • Regular menstrual cycle of at least 21 days or no menstrual cycle because of long-acting progestin use
  • No change in hormonal contraceptive use in the 3 months prior to study entry
  • Agree to use acceptable methods of contraception during the study
  • Normal Pap smear at screening or in the 3 months prior to study entry
  • Sexually active with a single male sexual partner who is eligible for the study
  • Agree to abstain from sexual intercourse for 48 hours before the enrollment visit
  • Willing to complete Daily Study Records
  • Agree to follow study directions about PRO 2000 Gel use and sexual activity during the study

Additional Inclusion Criteria for Female Participants at Higher Risk for HIV Infection:

  • Sexually transmitted disease (STD) in the 3 months prior to study entry
  • Current male partner has had an STD in the 3 months prior to study entry

Inclusion Criteria for Male Partners of Female Participants:

  • Age 18 years or older
  • HIV uninfected
  • No STD symptoms at study entry
  • Agree to abstain from sexual intercourse for 48 hours before the enrollment visit
  • Agree to have vaginal intercourse only with partner who is taking part in the study
  • Agree to have vaginal intercourse at least twice a week while in the study and to use study provided male condoms

Exclusion Criteria for All Female Participants:

  • Menopausal
  • Breastfeeding
  • Used non-therapeutic intravenous drugs within 1 year of study
  • Currently pregnant or have been pregnant in the 3 months prior to study entry
  • Serious liver, kidney, or blood abnormalities
  • Urinary tract infection as determined by positive urine culture
  • Genital abnormality
  • History of adverse reaction to anticoagulants
  • History of sensitivity or allergy to latex
  • Used any spermicide or spermicidally lubricated condom in the week prior to study entry
  • Participated in any investigational drug trial in 30 days prior to study entry
  • Used an intrauterine contraceptive device in the 3 months prior to study entry
  • Abnormal Pap smear in the 3 months prior to study entry
  • Gynecological surgery in the 3 months prior to study entry
  • Breakthrough menstrual bleeding in the 3 months prior to study entry
  • Vaginal bleeding during or following intercourse in the 3 months prior to study entry

Additional Exclusion Criteria for Female Participants at Low Risk for HIV Infection:

  • STD or pelvic inflammatory disease in the 3 months prior to study entry
  • Current male partner has had an STD in the 3 months prior to study entry
  • Current male partner has injected non-therapeutic drugs in the 3 months prior to study entry
  • Signs on pelvic exam consistent with an STD other than bacterial vaginosis

Exclusion Criteria for Male Partners of Female Participants

  • History of adverse reaction to latex
  • Refuse examination or treatment for an STD or STD symptoms

研究計画

このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。

研究はどのように設計されていますか?

デザインの詳細

  • 主な目的:防止
  • 割り当て:非ランダム化
  • 介入モデル:単一グループの割り当て
  • マスキング:なし(オープンラベル)

協力者と研究者

ここでは、この調査に関係する人々や組織を見つけることができます。

捜査官

  • スタディチェア:Smita N. Joshi, MBBS、National AIDS Research Institute (Pune, India)
  • スタディチェア:Steven J. Reynolds, MD, FRCP(C)、Johns Hopkins University Department of Medicine

出版物と役立つリンク

研究に関する情報を入力する責任者は、自発的にこれらの出版物を提供します。これらは、研究に関連するあらゆるものに関するものである可能性があります。

一般刊行物

研究記録日

これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。

試験登録日

最初に提出

2004年4月16日

QC基準を満たした最初の提出物

2004年4月16日

最初の投稿 (見積もり)

2004年4月19日

学習記録の更新

投稿された最後の更新 (見積もり)

2009年12月23日

QC基準を満たした最後の更新が送信されました

2009年12月22日

最終確認日

2006年11月1日

詳しくは

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