Status:

COMPLETED

Influence of Reproductive Cycle and Menopause on HIV-1 Infection and TFV Gel Activity

Lead Sponsor:

CONRAD

Conditions:

HIV Prevention

Eligibility:

FEMALE

21-89 years

Phase:

PHASE1

Brief Summary

Purpose of the study is to assess tenofovir (TFV) PK and PD endpoints, cervicovaginal safety parameters, susceptibility to HIV-1 infection, and objective measures of vaginal applicator use in premenop...

Detailed Description

Premenopausal women: Baseline blood and genital samples will be taken in the follicular and luteal phase (visits 2 and 3). The participant will be given TFV gel and instructed to insert two doses, sep...

Eligibility Criteria

Inclusion

  • All volunteers
  • In good healthsignificant systemic disease
  • Not at risk of an STI, meaning: In a monogamous heterosexual or same sex relationship for at least the last four months with a partner who is not known to be HIV positive and has no known risks for STIs OR sexually abstinent
  • Willing and able to comply with study procedures
  • Normal Pap smear (by written report) in the past year.
  • Premenopausal volunteers
  • 21-to-45 years of age
  • Not at risk for pregnancy, meaning:
  • Regular menstrual cycles (every 24 - 35 days)
  • Luteal phase P level of greater than or equal to 3 ng/ml
  • Postmenopausal volunteers
  • 46-89 years of age OR both ovaries removed at least 30 days prior to Visit 1
  • No menstrual periods/vaginal bleeding in the past 12 months OR both ovaries removed at least 30 days prior to Visit 1
  • FSH level of greater than or equal to 20 MIU/ml

Exclusion

  • All volunteers
  • Clinically significant history of an abnormal Pap smear in the past year
  • Surgery or biopsy of the vagina or cervix within 30 days
  • Current STI or lower genital tract infection
  • Current use of chronic immunosuppressants
  • Current presence of vulvar, anal and/or vaginal genital warts
  • Current tobacco use of any amount
  • History of sensitivity/allergy to any component of the study product, topical anesthetic, or allergy to silver nitrate and/or Monsel's solution
  • Known bleeding disorder that could lead to prolonged or continuous bleeding
  • Grade 1 or higher laboratory abnormality, per the August 2009 update of the DAIDS Table for Grading the Severity of Adverse Events
  • Systemic use in the last two weeks or anticipated use during the study of any of the following: corticosteroids, antibiotics, anticoagulants or other drugs known to prolong bleeding and/or clotting, antifungals, antivirals or antiretrovirals.
  • Investigator discretion
  • Current participation in any other drug or device study

Key Trial Info

Start Date :

September 1 2013

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

October 1 2014

Estimated Enrollment :

40 Patients enrolled

Trial Details

Trial ID

NCT01810315

Start Date

September 1 2013

End Date

October 1 2014

Last Update

April 10 2015

Active Locations (1)

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1

Clinical Research Center, Eastern Virginia Medical School

Norfolk, Virginia, United States, 23507