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| ID | Type | Description | Link |
|---|---|---|---|
| 1R44HD095724-01 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) | NIH |
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This is a feasibility, multi-center, open-label, non-significant risk device study for a non-hormonal contraceptive ring.
The purpose of this clinical trial is to assess the ability of Ovapreneâ„¢ to prevent sperm from penetrating midcycle cervical mucus. In addition, safety, release of ingredients, acceptability and fit will be assessed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Healthy Sexually Active Women | Other | Healthy, sexually active women who are not at risk for pregnancy due to previous female tubal sterilization will receive both Ovaprene and the Caya diaphragm throughout the course of the trial. The purpose of the Caya Post Coital Test (PCT) cycle is to ensure that in this study population and at these sites, results that are expected to be observed in a PCT cycle with an approved vaginal barrier can be replicated. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ovaprene | Device | non-hormonal contraceptive ring |
|
| Measure | Description | Time Frame |
|---|---|---|
| Changes From Baseline in the Post Coital Test Results (PCT) Due to Device Use. | All participants had fewer than 5 progressively motile sperm per high power field (PMS/HPF) in all cycles during Ovaprene use. | Baseline to OVP PCTa at 175 Days |
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| Measure | Description | Time Frame |
|---|---|---|
| Changes in Cervicovaginal pH Pre-coitus and Post-coitus in the Absence of the Study Device. | Evaluating the change in CVF pH before and after sex with no device present. | Pre-Intercourse (Baseline Visit 1) and Post-Intercourse (Baseline Visit 2) (24hrs) |
| Changes in Cervicovaginal pH Pre-coitus and Post-coitus in the Presence of the Study Device. |
Inclusion Criteria:
Women aged 18-50 years, inclusive
General good health, by volunteer history and per investigator judgment
History of regular menstrual cycles of 24-35 days (inclusive), by volunteer report
History of Pap tests and follow-up consistent with standard medical practice or willing to undergo a Pap test at Visit 1.
Protected from pregnancy by female tubal sterilization
Willing to abstain from or engage in intercourse with and without condoms and to abstain from other vaginal activity as required in the protocol
In a mutually monogamous relationship for at least the last four months with a male partner who:
Vaginal and cervical anatomy that, in the opinion of the investigator, lends itself to easy colposcopy and genital tract sample collection
Willing to give voluntary consent, sign an informed consent form and comply with study procedures as required by the protocol
Exclusion Criteria:
Females and their male partners to be enrolled.
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| Name | Affiliation | Role |
|---|---|---|
| Nadene A. Zack, MS | Sr Director, Clinical Operations | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of California at Davis | Sacramento | California | 95817 | United States | ||
| Segal Trials |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38552818 | Derived | Mauck C, Thurman A, Jensen JT, Schreiber CA, Baker J, Hou MY, Chavoustie S, Dart C, Wu H, Ravel J, Gajer P, Herold BC, Jacot T, Zack N, Hatheway J, Friend D. Safety testing of Ovaprene: An investigational nonhormonal monthly vaginal contraceptive. Contraception. 2024 Jul;135:110440. doi: 10.1016/j.contraception.2024.110440. Epub 2024 Mar 27. |
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| ID | Title | Description |
|---|---|---|
| FG000 | Healthy Sexually Active Women | Healthy, sexually active women who are not at risk for pregnancy due to previous female tubal sterilization will receive both Ovaprene (3 rings over 3 cycles (1 ring per cycle)) and the Caya diaphragm (to be used for intercourse at 1 time for 1 cycle) throughout the course of the trial. Each cycle was 28-35 days long. The purpose of the Caya PCT cycle is to ensure that in this study population and at these sites, results that are expected to be observed in a PCT cycle with an approved vaginal barrier can be replicated. Ovaprene: non-hormonal contraceptive ring |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Screening/Baseline PCT Visits 1-4 |
| |||||||||||||
| Caya PCT Cycle, Visit 5 & 6 |
| |||||||||||||
| OVP Safety Cycle Visits 7-11 |
| |||||||||||||
| OVP PCT Cycle A Visits 12-16 |
| |||||||||||||
| OVP PCT Cycle B Visits 17-21 |
|
All Enrolled Population are those participants that met eligibility criteria.
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| ID | Title | Description |
|---|---|---|
| BG000 | All Enrolled Population | Healthy, sexually active women who are not at risk for pregnancy due to previous female tubal sterilization will receive both Ovaprene and the Caya diaphragm throughout the course of the trial. The purpose of the Caya PCT cycle is to ensure that in this study population and at these sites, results that are expected to be observed in a PCT cycle with an approved vaginal barrier can be replicated. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| 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 | Changes From Baseline in the Post Coital Test Results (PCT) Due to Device Use. | All participants had fewer than 5 progressively motile sperm per high power field (PMS/HPF) in all cycles during Ovaprene use. | Posted | Count of Participants | Participants | Baseline to OVP PCTa at 175 Days |
|
|
Adverse Event information was collected from time of consent (Screening Visit/Baseline) to Completion (Visit 21); 175 days.
The Caya diaphragm was set up as a control (not a comparator device) to ensure participants could perform a successful Post-Coital Test using a marketed device. The Caya device was only used for 1 act of sexual activity whereas Ovaprene was worn continuously for three 28-day cycles, so the comparison of Adverse Events is not a valid one.
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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 | Ovaprene Device | All Enrolled Participants that used the Ovaprene device | 0 |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Bacterial Vaginosis | Infections and infestations | MedDRA (12.1) | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Jessica Hatheway VP, Clinical Operations | Dare Bioscience, Inc. | 858-926-7655 | jhatheway@darebioscience.com |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Jun 13, 2019 | May 14, 2021 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Dec 6, 2019 | May 17, 2021 | SAP_001.pdf |
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Evaluating the change in CVF pH before and after intercourse when the Ovaprene device was being worn during intercourse. |
| OVP Cycle A Visit 13 (Day 121) to Visit 14 (Day 122) and OVP Cycle B Visit 18 (Day 156) to Visit 19 (Day 157). |
| Incidence of Treatment Emergent Adverse Events (Safety and Tolerability) During Use of the Device. | Number of participants within the Ovaprene population that experienced a Urogenital treatment emergent adverse event (AE). | 175 days |
| Number of Participants With Changes in Pelvic Exam Findings From Baseline | Pelvic exams were completed at all 21 visits via a vaginal Colposcopy procedure. | 175 days |
| Changes From Baseline in Nugent Score | Nugent scores were calculated prior to the insertion of each Ovaprene device and then after the device was removed at the end of each cycle. Nugent score is a gram stain storage system assessing vaginal bacteria present on a scale of 0-10. Scores ranging from 7-10 are indicative of bacterial vaginosis. | 175 days |
| Changes From Baseline in Antibacterial (Anti-E. Coli) Activity in Cervicovaginal Fluid. | Measuring the E.coli inhibition (%) pre and post intercourse | Pre Baseline (Day 1) to Post Baseline (Day 2); OVP PCTa Pre Intercourse (Visit 13, Day 121) to Post Intercourse (Visit 14, Day 122) and PCTb Pre Intercourse (Visit 18, Day 156) to Post Intercourse (Visit 19, Day 157). |
| Changes From Baseline in Soluble Markers of Inflammation in Cervicovaginal Fluid. | Measurement of Interleukin-1 Beta (pg IL-1Beta/ug Protein), Interleukin-8 (pg IL-8/ug Protein), Secretory leukocyte Peptidase Inhibitor (SLPI) | Pre Baseline (Day 1) to Post Baseline (Day 2); OVP PCTa Pre Intercourse (Visit 13, Day 121) to Post Intercourse (Visit 14, Day 122) and PCTb Pre Intercourse (Visit 18, Day 156) to Post Intercourse (Visit 19, Day 157). |
| Number of Participants With a Study Devices That Has Been Worn for One Cycle With Staphylococcus Aureus Presence on Study Device. | Vaginal samples and swabs of the used Ovaprene devices were tested for growth of staphylococcus aureus. | 35 days (one complete cycle) |
| Number of Devices With Presence of Group A Streptococcus That Have Been Worn for One Cycle. | Vaginal samples and swabs of the used Ovaprene devices were tested for group A Streptococcus. | 35 days (one full cyle) |
| Summary of the Acceptability of the Study Device Among Male and Female Participants. | Summary of Open-Ended Acceptability Questionnaire | 175 days |
| Participants Who Could be Fitted With the Ovaprene Device | Screening or BP3 Visit (2 days) |
| Participants That Could Correctly Insert, Position and Remove the Ovaprene Device | Number of participants that required written instructions, those who required written and verbal instructions and those who needed physical assistance. | Visit 3 (BP3, Day 15-20); Visit 7 (OS1, Day 84); Visit 12 (OP1a, Day 112); Visit 13 (OP2a, Day 122-132); Visit 17 (OP1b, Day 140); UNS could occur at any point during the 175 day study duration |
| Location of Ovaprene in Relation to Cervix | Location was determined digitally and visually by the investigators. | 175 days |
| North Miami |
| Florida |
| 33161 |
| United States |
| Clinical Research Prime | Idaho Falls | Idaho | 83404 | United States |
| Oregon Health and Science University | Portland | Oregon | 97239 | United States |
| University of Pennsylvania Penn Obstetric Gynecology Associates | Philadelphia | Pennsylvania | 19104 | United States |
| Eastern Virginia Medical School | Norfolk | Virginia | 23507 | United States |
| NOT COMPLETED |
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| NOT COMPLETED |
|
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| BMI | Mean | Standard Deviation | kg/m^2 |
|
|
| Other Pre-specified | Changes in Cervicovaginal pH Pre-coitus and Post-coitus in the Absence of the Study Device. | Evaluating the change in CVF pH before and after sex with no device present. | There were 7 subjects that did not have an evaluable result for pH in Cervicovaginal Fluid at these timepoints. | Posted | Mean | Standard Deviation | pH | Pre-Intercourse (Baseline Visit 1) and Post-Intercourse (Baseline Visit 2) (24hrs) |
|
|
|
| Other Pre-specified | Changes in Cervicovaginal pH Pre-coitus and Post-coitus in the Presence of the Study Device. | Evaluating the change in CVF pH before and after intercourse when the Ovaprene device was being worn during intercourse. | Posted | Mean | Standard Deviation | pH | OVP Cycle A Visit 13 (Day 121) to Visit 14 (Day 122) and OVP Cycle B Visit 18 (Day 156) to Visit 19 (Day 157). |
|
|
|
| Other Pre-specified | Incidence of Treatment Emergent Adverse Events (Safety and Tolerability) During Use of the Device. | Number of participants within the Ovaprene population that experienced a Urogenital treatment emergent adverse event (AE). | Posted | Count of Participants | Participants | 175 days |
|
|
|
| Other Pre-specified | Number of Participants With Changes in Pelvic Exam Findings From Baseline | Pelvic exams were completed at all 21 visits via a vaginal Colposcopy procedure. | Posted | Count of Participants | Participants | 175 days |
|
|
|
| Other Pre-specified | Changes From Baseline in Nugent Score | Nugent scores were calculated prior to the insertion of each Ovaprene device and then after the device was removed at the end of each cycle. Nugent score is a gram stain storage system assessing vaginal bacteria present on a scale of 0-10. Scores ranging from 7-10 are indicative of bacterial vaginosis. | Baseline was defined as the first visit of the Ovaprene Cycle (OS1 (Visit 7), OP1a (Visit 12), OP1b (Visit 17)) For Nugent Scores. The OS Cycle (Safety cycle) was the 3rd cycle for each participant approximately Days 84 to 105. OPa was the 4th cycle (approximately Days 112 to 140) and OPb was the 5th cycle (approximately days 140 to 175). | Posted | Mean | Standard Deviation | Score (0-10) | 175 days |
|
|
|
| Other Pre-specified | Changes From Baseline in Antibacterial (Anti-E. Coli) Activity in Cervicovaginal Fluid. | Measuring the E.coli inhibition (%) pre and post intercourse | The number of participants analyzed is based on the number of viable samples collected at each timepoint. | Posted | Mean | Standard Deviation | % inhibition of vaginal bacterial growth | Pre Baseline (Day 1) to Post Baseline (Day 2); OVP PCTa Pre Intercourse (Visit 13, Day 121) to Post Intercourse (Visit 14, Day 122) and PCTb Pre Intercourse (Visit 18, Day 156) to Post Intercourse (Visit 19, Day 157). |
|
|
|
| Other Pre-specified | Changes From Baseline in Soluble Markers of Inflammation in Cervicovaginal Fluid. | Measurement of Interleukin-1 Beta (pg IL-1Beta/ug Protein), Interleukin-8 (pg IL-8/ug Protein), Secretory leukocyte Peptidase Inhibitor (SLPI) | The number of participants analyzed corresponds to the number of viable samples received for analysis. | Posted | Mean | Standard Deviation | pg/ug | Pre Baseline (Day 1) to Post Baseline (Day 2); OVP PCTa Pre Intercourse (Visit 13, Day 121) to Post Intercourse (Visit 14, Day 122) and PCTb Pre Intercourse (Visit 18, Day 156) to Post Intercourse (Visit 19, Day 157). |
|
|
|
| Other Pre-specified | Number of Participants With a Study Devices That Has Been Worn for One Cycle With Staphylococcus Aureus Presence on Study Device. | Vaginal samples and swabs of the used Ovaprene devices were tested for growth of staphylococcus aureus. | Analysis was performed on rings worn for one full cycle. | Posted | Count of Participants | Participants | 35 days (one complete cycle) |
|
|
|
| Other Pre-specified | Number of Devices With Presence of Group A Streptococcus That Have Been Worn for One Cycle. | Vaginal samples and swabs of the used Ovaprene devices were tested for group A Streptococcus. | Posted | Count of Participants | Participants | 35 days (one full cyle) |
|
|
|
| Other Pre-specified | Summary of the Acceptability of the Study Device Among Male and Female Participants. | Summary of Open-Ended Acceptability Questionnaire | Each participant could answer the questionnaire 3 times, one for each Ovaprene cycle therefore one participant could have made the same comment 3 times. The results display the number of times a comment was made. All comments were pooled together in this table. | Posted | Number | participant comments | 175 days | Comments Received | Comments Received |
|
|
|
| Other Pre-specified | Participants Who Could be Fitted With the Ovaprene Device | Posted | Count of Participants | Participants | Screening or BP3 Visit (2 days) |
|
|
|
| Other Pre-specified | Participants That Could Correctly Insert, Position and Remove the Ovaprene Device | Number of participants that required written instructions, those who required written and verbal instructions and those who needed physical assistance. | The sites were reminded during a site call on 2/11/2019 that they were to allow patients to try to insert, position, and remove the device using only written instructions. After that point, there were 20 patients who were given the opportunity to do this. Not all participants attempted this at all visits. | Posted | Count of Participants | Participants | Visit 3 (BP3, Day 15-20); Visit 7 (OS1, Day 84); Visit 12 (OP1a, Day 112); Visit 13 (OP2a, Day 122-132); Visit 17 (OP1b, Day 140); UNS could occur at any point during the 175 day study duration |
|
|
|
| Other Pre-specified | Location of Ovaprene in Relation to Cervix | Location was determined digitally and visually by the investigators. | The examinations at Screening were amended to occur at BP3, so later participants only had a check at BP3. | Posted | Count of Participants | Participants | 175 days |
|
|
|
| 33 |
| 0 |
| 33 |
| 21 |
| 33 |
| EG001 | Caya Cycle | All Enrolled Participants that used the Caya diaphragm. | 0 | 35 | 0 | 35 | 0 | 35 |
| Urinary Tract Infection | Infections and infestations | MedDRA (12.1) | Systematic Assessment |
|
| Vulvovaginal mycotic infection | Infections and infestations | MedDRA (12.1) | Systematic Assessment |
|
| Adnexa uteri pain | Reproductive system and breast disorders | MedDRA (12.1) | Non-systematic Assessment |
|
| Dyspareunia | Reproductive system and breast disorders | MedDRA (12.1) | Non-systematic Assessment |
|
| Merorrhagia | Reproductive system and breast disorders | MedDRA (12.1) | Systematic Assessment |
|
| Pelvic Pain | Reproductive system and breast disorders | MedDRA (12.1) | Non-systematic Assessment |
|
| Pruritus genital | Reproductive system and breast disorders | MedDRA (12.1) | Systematic Assessment |
|
| Uterine spasm | Reproductive system and breast disorders | MedDRA (12.1) | Non-systematic Assessment |
|
| Vaginal Discharge | Reproductive system and breast disorders | MedDRA (12.1) | Systematic Assessment |
|
| Post procedural hemorrhage | Reproductive system and breast disorders | MedDRA (12.1) | Systematic Assessment | spotting due to having to use tenaculum to see cervix |
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| Vaginal Odor | Reproductive system and breast disorders | MedDRA (12.1) | Non-systematic Assessment |
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| Vulvar Erosion | Reproductive system and breast disorders | MedDRA (12.1) | Systematic Assessment |
|
| Vulvovaginal dryness | Reproductive system and breast disorders | MedDRA (12.1) | Non-systematic Assessment |
|
| Vulvovaginal pruritus | Reproductive system and breast disorders | MedDRA (12.1) | Non-systematic Assessment |
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| dysuria | Renal and urinary disorders | MedDRA (12.1) | Systematic Assessment |
|
| Hemorrhage | Vascular disorders | MedDRA (12.1) | Non-systematic Assessment | Intermittent bleeding (non-menses) |
|
The PIs are restricted from publishing results without prior approval from the Sponsor.
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| Change from OS1 to OS4 |
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| Change from OS1 to OS5 |
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| Change from OP1A to OP5A |
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| Change from OP1B to OP5B |
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| OVPa Pre-Intercourse (Visit 13) |
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| OVPa Post-Intercourse (Visit 14) |
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| OVPb Pre-Intercourse (Visit 18) |
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| OVPb Post-Intercourse (Visit 19) |
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| Baseline Post-Intercourse (Visit 3) |
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| OVPa Pre-Intercourse (Visit 13) |
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| OVPa Post-Intercourse (Visit 14) |
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| OVPb Pre-Intercourse (Visit 18) |
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| OVPb Post-Intercourse (Visit 19) |
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| Title | Measurements |
|---|---|
|
| At home removal and insertion |
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| Comfortable/cannot tell it is there |
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| Lack of side effects |
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| Hormone-free |
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| Discreet, small, light, soft |
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| Altruism |
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| Iron supplementation |
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| Easy for the doctor to take out and put back in |
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| Learning about how my body changes through different cycles |
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| I believe its effective |
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| Insert - written and verbal instructions |
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| Insert - physical assistance needed |
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| Position - written only |
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| Position - written and verbal instructions |
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| Position - physical assistance required |
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| Remove - written only |
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| Remove - written and verbal instructions |
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| Remove - physical assistance required |
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| Digital: not over cervical os - on anterior vaginal wall |
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| Digital: Not over cervical os/not on anterior vaginal wall |
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| Visual: Over cervical os |
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| Visual: not over cervical os - on anterior vaginal wall |
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| Visual: Not over cervical os/not on anterior vaginal wall |
|