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| ID | Type | Description | Link |
|---|---|---|---|
| DAIDS-ES# 11939 | Other Identifier | DAIDS |
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To compare drug concentrations in vaginal fluid, genital tissue, and blood
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dapivirine Gel | Experimental | As outlined above, multiple gel formulations of dapivirine have been developed for vaginal use. Three formulations, Dapivirine Gel-001 (Gel-001), Dapivirine Gel-002 (Gel-002), and Dapivirine Gel 4750 (Gel 4750) are no longer in development. Dapivirine Gel 4789, which has been tested in one clinical trial (IPM012), and Dapivirine Gel 4759 were recently evaluated in clinical trials, IPM 014A and IPM 020. This trial will use Dapivirine Gel 4759. |
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| Dapivirine Film | Experimental | Dapivirine film is formulated in a polyvinyl alcohol (PVA) based vaginal film containing hydroxypropyl methyl cellulose (HPMC) E5 (5 cp), polyethylene glycol 8000 (PEG), propylene glycol, and glycerin. PVA constituted 55.1% (w/w) of the film. The target loading dose for the film is 1.25 mg dapivirine per film based on phase I studies using dapivirine gels at concentrations of 0.01%, 0.02% and 0.05%30-33. The quantity of gel administered in these studies was 2.5 mL. Consequently the administered dose corresponds to 0.25, 0.5 and 1.25 mg dapivirine, respectively. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dapivirine gel | Drug |
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| Dapivirine film |
| Measure | Description | Time Frame |
|---|---|---|
| Dapivirine concentrations in plasma | 1 day |
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Inclusion Criteria:
Exclusion Criteria:
Current sexual partner known by participant to be HIV seropositive.
Individuals who, by history, engage in condom-less intercourse with HIV-infected partners, or partners that have unknown HIV serostatus, or women who exchange sex for money, shelter, or gifts.
Active sexually transmitted infection or documented treatment of sexually transmitted infections including, but not limited to: chlamydia, gonorrhea, syphilis, trichomonas, cervicitis or PID within 6 months prior to enrollment.
Known history of genital HSV (diagnosed by either clinical or laboratory test).
Symptomatic vaginal candidiasis or bacterial vaginosis.
Undiagnosed irregular uterine bleeding
Pathology of the female genital tract, which in the judgment of the investigator might increase the risk of the study to the research participant.
Individuals who are status post hysterectomy.
History of any cervicovaginal procedure (i.e. colposcopy with cervical biopsy) within the past 2 months. Individuals who have a history of cone biopsy or extensive loop electrosurgical excision procedure (LEEP), which in the judgment of the investigator may affect permeability assessment.
Any known primary or secondary uro-genital malformations, which in the assessment of the investigator may interfere with the intended urine collection for PK studies.
Use of vaginally administered medications within 4 week of enrollment
Any active urinary tract infection
By history, subjects with irregular menstrual cycles.
At screening:
Estimated creatinine clearance < 60 ml/min based on established nomograms
Recent history (past 6 months) of injection drug use or, a level of alcohol use that, in the judgement of the Investigator of Record, may interfere with the conduct of this study.
Unwillingness to refrain from aspirin and NSAIDs product use for one week prior to and one week post study procedures.
Use of warfarin or heparin.
Use of systemic immunomodulatory medications within 4 weeks of enrollment.
Use of product containing nonoxynol-9 within 4 weeks of enrollment.
Use of any investigational products within 4 weeks of enrollment.
Any other medical conditions deemed not safe for participation by the investigator.
Any individual that is actively breast feeding.
Post-menopausal defined as 12 months of amenorrhea.
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| Name | Affiliation | Role |
|---|---|---|
| Craig Hendrix, MD | John's Hopkins University | Principal Investigator |
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