Safety of Acidform Lubricant in HIV-Uninfected Women
National Institute of Allergy and Infectious Diseases (NIAID)
Information provided by (Responsible Party)
National Institute of Allergy and Infectious Diseases (NIAID)
First received: February 24, 2009
Last updated: December 2, 2013
Last Verified: December 2013
History of Changes
Topical microbicides, substances that kill microbes, are being studied to prevent sexual transmission of HIV and other disease pathogens. In the future, topical microbicides may be applied vaginally to prevent both acquisition and transmission of HIV and other sexually transmitted infections (STIs). The purpose of this study is to compare the safety of daily applications of Acidform lubricant and HEC gel in healthy women at low risk for HIV infection and assess the effect of a microbicide candidate on the natural immunity women have to STI pathogens.
Drug : Acidform Lubricant
Drug : HEC gel
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
|Official Title:||Safety of Acidform Lubricant (Amphora) in Women at Low Risk for HIV-1 Infection|
Further study details as provided by National Institute of Allergy and Infectious Diseases (NIAID):
Primary Outcome Measures
- Measured endogenous antimicrobial activity [ Time Frame: Throughout study ]
- Measured levels of mediators of host defense, including defensins, cytokines, and chemokines in CVL [ Time Frame: Throughout study ]
- Extent and duration of buffering measured by vaginal pH [ Time Frame: Prior to and 2 hours after first application ]
- Changes in epithelial integrity after Acidform and HEC application [ Time Frame: Throughout study ]
- Changes in vaginal flora following Acidform and HEC application [ Time Frame: Throughout study ]
- Antiviral activity in CVL following Acidform and HEC application [ Time Frame: Throughout study ]
|Study Start Date:||February 2009|
Participants will apply Acidform lubricant twice daily for 14 consecutive days between menses
5 g application of acid buffered gel (pH = 3.5)
Other Name: Amphora
Participants will apply HEC gel twice daily for 14 consecutive days between menses
5 g application of hydroxyethylcellulose gel
A new approach to HIV prevention currently being studied is the use of topical microbicides.
This study will measure the mucosal response to daily intravaginal applications of Acidform
lubricant and HEC gel in two groups of healthy women at low risk for HIV infection.
The duration of this study for each participant is 3 weeks. Study participants will be randomly assigned to one of two study groups. Group 1 participants will apply Acidform lubricant twice daily for 14 consecutive days between menses. Group 2 participants will apply HEC gel for 14 consecutive days between menses.
After screening and study entry, study visits will occur on Days 7, 14, and 21. Study entry will occur 2 to 6 days following the menses and within 45 days of screening. Medical and sexual history, a pelvic exam, cervicovaginal lavage sample collection, blood collection, vaginal pH testing, STI testing, and adverse effect reporting will occur at all visits. Cytobrush collection, vaginal swab, and cervical biopsy will occur at selected visits. All participants will be asked to complete a diary throughout the study; this diary will be reviewed at all study visits. A Pap smear will be obtained at screening if documentation of a negative Pap smear result within the last year is not available.
|Ages Eligible for Study:||18 Years to 50 Years|
|Sexes Eligible for Study:||Female|
|Accepts Healthy Volunteers:||Yes|
- Normal menstrual history with regular cycles and with a minimum of 21 days between menses
- Low risk for HIV/STI infection. More information on this criterion can be found in the protocol.
- Agree to abstain from vaginal and anal intercourse and to not use vaginal products within 48 hours prior to study entry and for the duration of the study
- Currently using hormonal contraception or have used hormonal contraception within 2 months of study entry
- Menstruating at screening or enrollment visits
- Urinary tract infection at screening
- Positive chlamydia, gonorrhea, or trichomonas result at screening
- Abnormal Pap smear
- Clinically detectable genital abnormality. More information on this criterion can be found in the protocol.
- Currently participating in a research study of other vaginal products
- History of intermenstrual bleeding within 3 months prior to study entry
- Previous gynecologic surgery or have received treatment for syphilis, genital herpes, chlamydia, gonorrhea, trichomonas, or genital warts within 6 months prior to study entry
- Received treatment for Candida, bacterial vaginosis, or urinary tract infection within 1 month prior to study entry
- Have douched or used vaginal products, including lubricants, feminine hygiene products, vaginal drying agents, and sex toys within 48 hours prior to study entry
- Vaginal or anal intercourse during the 48 hours prior to study entry
- Oral antibiotics within 7 days of study entry
- Pregnant, less than 6 months postpartum, or breastfeeding
Contacts and LocationsChoosing to participate in a study is an important personal decision.Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below.For general information, see Learn About Clinical Studies.
Please refer to this study by its ClinicalTrials.gov identifier: NCT00850837
Locations Show More
|United States, New York|
|Albert Einstein College of Medicine - East Campus GCRC (Herold) Non-Network CRS|
|Bronx, New York, United States, 10461|
Sponsors and CollaboratorsNational Institute of Allergy and Infectious Diseases (NIAID)
|Principal Investigator:||Marla Keller, MD||Albert Einstein College of Medicine|
|Responsible Party:||National Institute of Allergy and Infectious Diseases (NIAID)|
|ClinicalTrials.gov Identifier:||NCT00850837 History of Changes|
|Other Study ID Numbers:||Keller 069551 AF020|
|Study First Received:||February 24, 2009|
|Last Updated:||December 2, 2013|
Keywords provided by National Institute of Allergy and Infectious Diseases (NIAID):Microbicide
Additional relevant MeSH terms:
ClinicalTrials.gov processed this data on March 27, 2020
This information is provided by ClinicalTrials.gov.