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| ID | Type | Description | Link |
|---|---|---|---|
| ES-38322 | Other Identifier | DAIDS Protocol | |
| U19AI120249 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Institutes of Health (NIH) | NIH |
| National Institute of Allergy and Infectious Diseases (NIAID) | NIH |
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This is a phase I randomized trial assessing the safety of a single vaginal placebo film application. In order to develop a vaginal film which can provide extended release of an Antiretroviral (ARV), the film polymers and formulation have been altered from the cellulose and polyvinyl alcohol films used to deliver dapivirine and tenofovir in previous trials. Therefore, the proposed study will evaluate the safety and persistence of these film polymers when applied vaginally.
This research study will involve the use of a placebo vaginal film. Investigators want to evaluate the safety of the film and understand the acceptability and length of time for the film to dissolve once inserted into the vagina. In future studies, this film may have medication added to it to deliver medication over an extended period of time (i.e. extended release).
All of the eligible women will be randomized (distributed by chance, like rolling a dice) at the Enrollment Visit to one of four study groups. The groups will specify what day Visit 3 will be performed.
Participants will have an equal likelihood of being in any one of the four groups. Neither the participant nor the study staff can choose the group or can change the group the participant has been placed into. Regardless of which group the participant is in she will only use the film once during the study. Women in all of the study groups will have the same study visit schedule except for the timing of Visit 3.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Vaginal Film | Experimental | Each participant who inserted a single use placebo vaginal film (Day 0) is randomized to the timing of Visit 3 (Day 3, 7, 10, or 14) |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Vaginal Film | Device | 2" x 2" vaginal film with no active drug |
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| Measure | Description | Time Frame |
|---|---|---|
| Grade 2 or Higher Urogenital System Adverse Event Related to Film Use | Any urogenital adverse event that occurs with a severity of Grade 2 (moderate) or higher that is deemed to be related to product use by the clinical primary investigator | 30 days |
| Measure | Description | Time Frame |
|---|---|---|
| Correct Insertion of Vaginal Film | Vaginal film was correctly inserted by the participant as assessed by clinical investigator | 30 days |
| Difficulty of Vaginal Film Insertion | The perceived difficulty of vaginal film insertion by the participant will be assessed on a 4 point Likert scale |
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Inclusion Criteria:
Women must meet all the following criteria to be eligible for inclusion in the study:
Exclusion Criteria:
Women who meet any of the following criteria by participant report will be excluded from the study. Of note, the study is limited to premenopausal women with an intact uterus because the mucosal immune environment differs substantially between pre- and post- menopausal women. Therefore, inclusion of post-menopausal women would introduce heterogeneity into the population.
Menopause (as defined as amenorrhea for one year or more without an alternative etiology)
Hysterectomy
Participant report of any of the following:
Urogenital infection or suspected infection within 14 days of enrollment including: symptomatic candidiasis, trichomonas vaginalis, and symptomatic bacterial vaginosis; or cervical infection, including N. gonorrhoeae, C. trachomatis, or mucopurulent cervicitis; syphilis; herpes simplex virus lesions, or other sores (Note: seropositive Herpes simplex virus without active lesions will not be excluded); acute pelvic inflammatory disease; urinary tract infection; recent exposure to a partner with N. gonorrhoeae, C. trachomatis, Trichomonas, syphilis, or nongonococcal urethritis.
Antibiotic or antifungal therapy (vaginal or systemic) within 7 days of enrollment
As determined by the PI, has any significant uncontrolled active or chronic cardiovascular, renal, liver, hematologic, neurologic, gastrointestinal, psychiatric, endocrine, respiratory, immunologic disorder or infectious disease
Menses-like bleeding at the time of the Enrollment visit* or expected menses-like bleeding within 14 days of the Enrollment visit (*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 screening window and meet all criteria.)
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
All participants must have a vagina as this is using a vaginal film
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| Name | Affiliation | Role |
|---|---|---|
| Katherine Bunge, MD | University of Pittsburgh | Principal Investigator |
| Sharon L Hillier, PhD | University of Pittsburgh | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Magee womens Hospital of UPMC | Pittsburgh | Pennsylvania | 15213 | United States |
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From 05/22/2018 to 11/01/2018, 84 women were recruited and screened from gynecology clinics at Magee-Womens Hospital at the University of Pittsburgh Medical Center and the surrounding community. The study was fully enrolled with 64 participants on 11/13/2018.
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| ID | Title | Description |
|---|---|---|
| FG000 | Vaginal Film | Each participant who inserted a single use placebo vaginal film (Day 0) is randomized to the timing of Visit 3 (Day 3, 7, 10, or 14) Vaginal Film: 2" x 2" vaginal film with no active drug |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
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| ID | Title | Description |
|---|---|---|
| BG000 | Vaginal Film | Each participant who inserted a single use placebo vaginal film (Day 0) is randomized to the timing of Visit 3 (Day 3, 7, 10, or 14) Vaginal Film: 2" x 2" vaginal film with no active drug |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Median |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Grade 2 or Higher Urogenital System Adverse Event Related to Film Use | Any urogenital adverse event that occurs with a severity of Grade 2 (moderate) or higher that is deemed to be related to product use by the clinical primary investigator | Posted | Count of Participants | Participants | 30 days |
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|
1 month
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Vaginal Film | Each participant who inserted a single use placebo vaginal film (Day 0) is randomized to the timing of Visit 3 (Day 3, 7, 10, or 14) Vaginal Film: 2" x 2" vaginal film with no active drug |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Bleeding abnormality | Reproductive system and breast disorders | Non-systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Leslie Meyn, PhD | University Of Pittsburgh | 412-641-4233 | meynla@mwri.magee.edu |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP_ICF | Yes | Yes | Yes | Study Protocol, Statistical Analysis Plan, and Informed Consent Form | Sep 20, 2017 | Dec 18, 2019 | Prot_SAP_ICF_000.pdf |
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All participants will insert a placebo extended release vaginal film at Day 0. They are randomized to the timing of their first follow up visit (Day 3, 7, 10 or 14) to assess how long the film can be detected visually and/or one of its components remains detectable by biochemical assay in the lower genital tract.
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| 30 days |
| Acceptability of Vaginal Film Use | The acceptability of vaginal film use by the participant will be assessed on a 5 point Likert scale | 30 days |
| years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Race/Ethnicity, Customized | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| Marital Status | Count of Participants | Participants |
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| Education | Count of Participants | Participants |
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| Current smoker | Count of Participants | Participants |
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| Ever been pregnant | Count of Participants | Participants |
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| Current sexual partner | Count of Participants | Participants |
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| Secondary | Correct Insertion of Vaginal Film | Vaginal film was correctly inserted by the participant as assessed by clinical investigator | Posted | Count of Participants | Participants | 30 days |
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|
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| Secondary | Difficulty of Vaginal Film Insertion | The perceived difficulty of vaginal film insertion by the participant will be assessed on a 4 point Likert scale | The number of participants who responded to this survey question after product insertion. | Posted | Count of Participants | Participants | 30 days |
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| Secondary | Acceptability of Vaginal Film Use | The acceptability of vaginal film use by the participant will be assessed on a 5 point Likert scale | Participants who responded to the question 'Overall I was satisfied with my experience with this film, once it was inserted' at Visit 4. | Posted | Count of Participants | Participants | 30 days |
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| 0 |
| 64 |
| 0 |
| 64 |
| 31 |
| 64 |
| Genital itching | Reproductive system and breast disorders | Non-systematic Assessment |
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| Pelvic pain | Reproductive system and breast disorders | Non-systematic Assessment |
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| Vaginal discharge | Reproductive system and breast disorders | Non-systematic Assessment |
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| Vaginal infection | Infections and infestations | Non-systematic Assessment |
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| Title | Measurements |
|---|---|
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| Easy |
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| Title | Measurements |
|---|---|
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| Agree a lot |
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| Agree completely |
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