Clinical Trials

MainTitle

A Safety and Pharmacokinetic Study for Dapivirine and Maraviroc Gel in Belgium

This study has been withdrawn
Sponsor
International Partnership for Microbicides, Inc.


Information provided by (Responsible Party)
International Partnership for Microbicides, Inc.
ClinicalTrials.gov Identifier
NCT01242579

First received: November 15, 2010
Last updated: September 8, 2011
Last Verified: September 2011
History of Changes
Purpose

Purpose

The purpose of this study is to assess the pharmacokinetics of the combination dapivirine and maraviroc gel and determine whether it is safe for daily use by healthy women in the United Kingdom

Condition Intervention Phase
HIV Infections

Drug : Maraviroc/Dapivirine Gel
Drug : Dapivirine Vaginal Gel
Drug : Maraviroc Vaginal Gel
Drug : Matching Placebo Gel
Phase 1

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Participant, Investigator)
Primary Purpose: Prevention
Official Title: A Double-Blind, Randomised, Placebo-Controlled Phase I Trial to Compare the Pharmacokinetics of Maraviroc and Dapivirine Following Application of Maraviroc Vaginal Vaginal Gel, 0.1% 2.5g, Dapivirine Vaginal Gel, 0.05%, 2.5g and Maraviroc 0.1% + Dapivirine 0.05% Vaginal Gel, 2.5g Formulations, and to Assess Their Safety as Compared to the Matching Placebo Vaginal Gel, 2.5g in Healthy, HIV-Negative Women

Further study details as provided by International Partnership for Microbicides, Inc.:

Primary Outcome Measures

  • Safety: To assess the safety and tolerability of the combination maraviroc and dapivirine gel, the endpoint was the proportion of women in the four arms experiencing specific, protocol defined safety events during the study (see description). [ Time Frame: 8 weeks ]
    Mucosal abnormalities (as defined in the WHO/CONRAD manual) visible during naked eye examination and/or colposcopy; Abnormal vaginal pH and/or abnormal vaginal flora during the course of the trial; Positive diagnostic tests for trichomonas, gonorrhoea and/or chlamydia; At least one adverse event during the 2 month trial period; Any laboratory abnormalities on haematology, electrolytes, liver function, and renal function.
  • Pharmacokinetics: assessment of local and systemic pharmacokinetics of maraviroc and dapivirine in plasma, vaginal fluid and cervical tissue before, during and after 11 days. [ Time Frame: 8 weeks ]

Enrollment: 0
Study Start Date: January 2011
Study Completion Date: July 2011
Estimated Primary Completion Date: July 2011 (Final data collection date for primary outcome measure)

Arms Assigned Interventions
Active Comparator: Maraviroc Vaginal Gel
Drug: Maraviroc dosage form: vaginal gel dosage: 2.5g frequency: once daily duration: 11 days
Drug: Maraviroc Vaginal Gel

Maraviroc vaginal gel containing 2.5g

Active Comparator: Dapivirine Vaginal Gel
Drug: Dapivirine dosage form: vaginal gel dosage: 2.5g dapivirine frequency: once daily duration: 11 days
Drug: Dapivirine Vaginal Gel

Dapivirine vaginal gel containing 2.5g

Placebo Comparator: Matching Placebo Gel
Drug: placebo dosage form: vaginal gel dosage: 2.5g placebo frequency: once daily duration: 11 days
Drug: Matching Placebo Gel

Matching placebo gel containing 2.5g

Experimental: Maraviroc/Dapivirine Gel
Drug: Maraviroc/Dapivirine dosage form: combination vaginal gel dosage: 2.5g - Maraviroc 0.1%, Dapivirine 0.05% frequency: once daily duration: 11 days
Drug: Maraviroc/Dapivirine Gel

Vaginal gel containing 2.5g - Maraviroc 0.1%, Dapivirine 0.05%

Eligibility

Eligibility

Ages Eligible for Study: 18 Years to 40 Years  
Sexes Eligible for Study: Female  
Accepts Healthy Volunteers: Yes  

Criteria

Inclusion Criteria:

  • Women 18 to40 years of age who can give written informed consent (illiterate participants may provide a thumbprint or mark witnessed and signed by a person independent from trial staff);
  • Available for all visits and consent to follow all procedures scheduled for the trial;
  • HIV-negative as determined by an HIV test at time of enrollment;
  • Be on a stable form of contraception, defined as:
  • A stable oral contraceptive regimen for at least 2 months prior to enrollment, OR,
  • Transdermal contraceptive patch for at least 3 months prior to enrollment, OR,
  • Long-acting progestins for at least 6 months prior to enrollment, OR,
  • An IUD inserted (with no vaginal or gynaecological complaints associated with its use) at least 3 months prior to enrolment, OR,
  • Have undergone surgical sterilization at least 3 months prior to enrollment;
  • In the absence of the use of exogenous hormone(s), have a self-reported regular menstrual cycle, defined as having a minimum of 21 days and a maximum of 35 days between menses;
  • Upon pelvic examination and colposcopy at the time of enrollment, the cervix and vagina appear normal as determined by the Investigator;
  • Asymptomatic for genital infections at the time of enrollment (if a woman is diagnosed with any treatable STI, either syndromically or by laboratory test at the time of screening, she must receive treatment at least 2 weeks prior to enrollment and have completed treatment);
  • Willing to refrain from the use of vaginal products or objects including, tampons, female condoms, cotton wool, rags, diaphragms, cervical caps (or any other vaginal barrier method), douches, lubricants, vibrators/dildos, and drying agents for 14 days prior to enrollment and for the duration of the trial;
  • Willing to use oral contraceptives to avoid menstruation, if necessary, while taking part in this trial;
  • Documentation of no abnormality on Pap test, including grossly bloody smear, within 3 months prior to screening;
  • Willing to refrain from participation in any other research trial for the duration of this trial;
  • Willing to provide adequate locator information for trial retention purposes and be reachable per local standard procedures [e.g., by home visit or telephone; or via family or close neighbour contacts (confidentiality to be maintained)];
  • Willing to agree to abstain from oral contact with her genitalia for gel use period, as well as for a total of 3 days (72 hours) after the biopsy procedure:
  • Willing to remain sexually abstinent for the gel use period in this trial;
  • Hepatitis B and C negative at the time of enrollment.


Exclusion Criteria:
  • Currently pregnant or having had their last pregnancy outcome within 3 months prior to screening;
  • Currently breast-feeding;
  • Currently or within two months of participation in any other clinical research trial involving investigational or marketed products prior to screening;
  • Untreated symptomatic urogenital infections, e.g., urinary tract or other sexually transmitted infections, or other gynaecological conditions such as vaginal itching, pain, or discharge, within 2 weeks prior to enrolment;
  • Presence of any abnormal clinically significant physical finding on the vulva, vaginal walls or cervix during pelvic examination and/or colposcopy at pre-enrolment;
  • History of urogenital or uterine prolapse, undiagnosed vaginal bleeding, urethral obstruction, incontinence or urge incontinence;
  • Current vulvar or vaginal symptoms/abnormalities that could influence the trial results;
  • Pap test result that requires cryotherapy, biopsy, treatment (other than for infection); or further evaluation [this includes any findings of atypical squamous cells of undetermined significance (ASCUS)];
  • Symptomatic genital HSV infection or a history of genital herpetic infection;
  • Any Grade 2, 3 or 4 haematology, chemistry or urinalysis laboratory abnormality at baseline (screening) according to the DAIDS Table for Grading Adverse Events (NOTE: This table can be found at: http://rcc.tech-res.com/safetyandpharmacovigilance;and a standardized version will be provided to the research centre in the Study Operations Manual);
  • Unexplained, abnormal bleeding per vagina during or following vaginal intercourse, or gynaecologic surgery within 90 days prior to enrollment;
  • Any history of anaphylaxis or severe allergy resulting in angioedema; or a history of sensitivity/allergy to latex or silicone;
  • Any serious acute, chronic or progressive disease (e.g., any known history of neoplasm, cancer, diabetes, cardiac disease, autoimmune disease, HIV, AIDS, or blood dyscrasias), or signs of cardiac disease, renal failure, or severe malnutrition;
  • Have undergone a hysterectomy;
  • History of drug abuse within 1 year of enrollment;
  • Any condition(s) that, in the opinion of the Investigator, might interfere with
adherence to trial requirements or evaluation of the trial objectives.

contacts and locations

Contacts and Locations

Choosing 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: NCT01242579

Sponsors and Collaborators

International Partnership for Microbicides, Inc.
More Information

More Information


Responsible Party: Annalene Nel, MBChB, PhD, IPM  
ClinicalTrials.gov Identifier: NCT01242579   History of Changes  
Other Study ID Numbers: IPM 025  
Study First Received: November 15, 2010  
Last Updated: September 8, 2011  

Additional relevant MeSH terms:
HIV Infections
Maraviroc
Dapivirine

ClinicalTrials.gov processed this data on May 24, 2020
This information is provided by ClinicalTrials.gov.