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Expression of IFN-epsilon in the Female Reproductive Tract (Epsilon)

22. desember 2021 oppdatert av: Sharon Achilles, University of Pittsburgh

IFN-epsilon and Hormonal Contraceptive Modulation of the Risk of HIV Acquisition, Part 1: Expression in the Female Reproductive Tract

The proposed study aims to determine the expression of Interferon-ε (IFNε) in the female genital tract, which has never been mapped before in humans. High expression in other mammalian female reproductive tract (FRT) has been suggested to be important in anti-sexually transmitted infection (STI)/HIV immunity and its expression decreases with progestogen treatment. Future studies are planned to understand if hormonal contraceptives affect the presence of interferon in the healthy female genital tract, potentially changing the risk of for STI and HIV.

Studieoversikt

Detaljert beskrivelse

Objectives:

  1. To optimize measurement protocols for IFNε and related biomarkers in samples from the female reproductive tract.
  2. To quantify and characterize IFNε expression in the upper and lower genital tract and blood in normally cycling women during the follicular and luteal phases of the menstrual cycle.

Study design: This is a single site, parallel cross-sectional study

Specific Aims:

The aim of this study is to determine which "IFNε -related assays" can be performed on different types of FRT samples. The possible "IFNε-related assays" are:

  • IFNε messenger ribonucleic acid (mRNA) levels by quantitative reverse transcriptase polymerase chain reaction (qRT PCR) (requiring frozen tissue processed for RNA)
  • IFN Regulated Gene expression by qRT PCR, microarray or targeted gene set using Fluidigm platform (frozen tissue)
  • PR and ER gene expression (as above)
  • IFNε tissue protein levels* (by immunoassay) and progesterone and estrogen receptors (PR/ER) by Western blotting (frozen tissue)
  • IFNε and Neopterin (a well characterized compound whose production can be stimulated by IFNs and whose specificity in this setting needs validation) or other IFNε-biomarkers** by immunoassay in cervicovaginal lavage (CVL) fluids
  • Immunohistochemistry of IFNε, PR/ER, + other (e.g. cells, cytokines) (fixed tissue)

    • Studies of FRT samples from wild type and IFNε-/- mice would be used to first validate Neopterin as a "biomarker" of IFNε activity in the FRT; and microarray analyses may reveal other secreted proteins that may be used as "biomarkers" of IFNε activity.

Studietype

Observasjonsmessig

Registrering (Faktiske)

32

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

    • Pennsylvania
      • Pittsburgh, Pennsylvania, Forente stater, 15213
        • University of Pittsburgh
      • Pittsburgh, Pennsylvania, Forente stater, 15213
        • Center for Family Planning Research

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

18 år til 35 år (Voksen)

Tar imot friske frivillige

Ja

Kjønn som er kvalifisert for studier

Hunn

Prøvetakingsmetode

Ikke-sannsynlighetsprøve

Studiepopulasjon

Healthy females aged18 through 35 years (inclusive) at screening

Beskrivelse

Inclusion Criteria:

  1. Age 18 through 35 years (inclusive) at screening
  2. Non-pregnant women in general good health as determined by the site clinician
  3. Premenopausal with history of regular menstrual cycles (regular cycles defined as occurring every 21-35 days when not using hormones and with a variation of typical cycle length of no more than 5 days)
  4. Regular and consistent condom use, prior surgical sterilization by participant or sexual partner, or heterosexually abstinent since last menses prior to enrollment
  5. Able and willing to provide written informed consent to be screened for and to take part in the study, including willingness to undergo all study-related assessments and follow all study-related procedures
  6. Able and willing to provide adequate locator information
  7. HIV-uninfected based on testing performed by study staff at enrollment

Exclusion Criteria:

  1. Use of any hormonal or intrauterine contraceptive method within 30 days of enrollment
  2. Use of depot medroxyprogesterone acetate (DMPA) within 10 months of enrollment
  3. Pregnancy or breastfeeding within 60 days of enrollment
  4. Surgical procedure involving the pelvis in the 30 days prior to enrollment (includes dilation and curettage, cryosurgery and biopsy of the vagina, vulva, cervix, and endometrium)
  5. Internal vaginal use of any device (includes sex toys, cervical caps, diaphragms, menstrual collection devices, and pessaries; excludes tampons and condoms) or product (includes spermicide, microbicide, douche, antifungal, steroid, or hormone) in the 30 days prior to enrolment (includes investigational products and devices)
  6. New sexual partner within 90 days of enrollment
  7. Urogenital infection or suspected infection within 30 days of enrollment including: symptomatic candidiasis, trichomonas vaginalis, and symptomatic bacterial vaginosis; or cervical infection, including N. gonorrhoea (GC), C. trachomatis (CT), or mucopurulent cervicitis; syphilis; herpes simplex virus (HSV) lesions, or other sores (Note: seropositive HSV without active lesions will not be excluded); acute pelvic inflammatory disease; urinary tract infection; recent exposure to a partner with GC, CT, Trichomonas, syphilis, or non-gonococcal urethritis (NGU)
  8. Any history of immunosuppression (includes diabetes, HIV infection, and chronic steroid use or other immunosuppressive medications)
  9. Antibiotic or antifungal therapy (vaginal or systemic) within 30 days of enrollment
  10. Menses or other vaginal bleeding at the time of enrollment* (*Women who have vaginal bleeding at the scheduled enrollment visit may return at a different date to be re-examined and possibly enrolled provided they are still within the 90-day screening window and meet all criteria).
  11. Vaginal or anal intercourse within 36 hours prior to enrollment
  12. Heterosexual intercourse since last menses that places the participant at risk of pregnancy (without condom use or sterilization of at least one partner)
  13. History of hysterectomy
  14. History of malignancy within the pelvis (includes uterus, cervix, vagina, and vulva)
  15. Any condition that, in the opinion of the Investigator, would preclude provision of consent, make participation in the study unsafe, complicate interpretation of study outcome data, or otherwise interfere with achieving the study objectives

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

Kohorter og intervensjoner

Gruppe / Kohort
Intervensjon / Behandling
Follicular phase
Normally cycling women in the follicular phase of menses
Reproductive tract and blood sampling will be performed at enrollment only in this cross-sectional parallel cohort study.
Luteal phase
Normally cycling women in the luteal phase of menses
Reproductive tract and blood sampling will be performed at enrollment only in this cross-sectional parallel cohort study.

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Interferon epsilon expression
Tidsramme: baseline
Interferon epsilon expression will be assessed in the female reproductive tract and blood in women in the follicular phase of menses vs the luteal phase of menses in this cross-sectional study.
baseline

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Etterforskere

  • Hovedetterforsker: Paul Hertzog, PhD, Hudson Institute of Medical Research

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

1. juli 2015

Primær fullføring (Faktiske)

1. juli 2016

Studiet fullført (Faktiske)

1. mai 2020

Datoer for studieregistrering

Først innsendt

9. april 2015

Først innsendt som oppfylte QC-kriteriene

9. april 2015

Først lagt ut (Anslag)

14. april 2015

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

27. desember 2021

Siste oppdatering sendt inn som oppfylte QC-kriteriene

22. desember 2021

Sist bekreftet

1. desember 2021

Mer informasjon

Begreper knyttet til denne studien

Andre studie-ID-numre

  • OPP1108501

Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .

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