AzTrials
AzTrials

HIVPhase 1NCT01694407

Safety, Pharmacokinetics, Pharmacodynamics, and Disintegration Time of Vaginal Tablets Containing Tenofovir and/or Emtricitabine

A Phase 1 study testing Tenofovir (TFV) Alone Vaginal Tablet, Emtricitabine (FTC) Alone Vaginal Tablet and TFV and FTC Combined Vaginal Tablet in people with HIV, run by CONRAD at 2 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This prospective, double-blinded, randomized, parallel cohort study will examine the genital and systemic safety, pharmacokinetics (PK), pharmacodynamics (PD), disintegration and disappearance times, and acceptability of four vaginal tablets: 1) Tenofovir (TFV) alone; 2) Emtricitabine (FTC) alone; 3) TFV combined with… Read more about this study

Who is it for?
Ages 18 to 50 years, women onlyHealthy volunteers can take part
Conditions the study is for
HIV
What is being tested?
Tenofovir (TFV) Alone Vaginal Tablet, Emtricitabine (FTC) Alone Vaginal Tablet and TFV and FTC Combined Vaginal Tablet
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
48 participants
Where
2 sitesUnited States
Study dates
Feb 2013to Dec 2013
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 50 years
  • Women only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • General good health (by volunteer history and per investigator discretion) without any clinically significant systemic disease (including, but not limited to significant liver disease/hepatitis, gastrointestinal disease, kidney disease, thyroid disease, osteoporosis or bone disease, and diabetes)
  • Currently having regular menstrual cycles of 25 - 35 days by participant report
  • History of Pap smears and follow-up consistent with American Congress of Obstetricians and Gynecologist (ACOG) practice guidelines #99 and #109 or willing to undergo a Pap smear at Visit 1
  • Protected from pregnancy, meaning one of the following:
  • Sexually abstinent and planning to remain abstinent for the duration of the study;
  • In a monogamous heterosexual relationship for at least four months with a partner who is not known to be HIV positive and has no known risks for sexually transmitted infections (STIs) and:
Show all 15Show fewer
  • Couple is using condoms and is willing to use non-spermicidally lubricated condoms throughout the study or
  • One partner is sterilized; or
  • In a monogamous same sex relationship for at least four months with a partner who is not known to be HIV positive and has no known risks for STIs.
  • Willing to abstain from vaginal activity as follows:
  • Starting 48 hours before Visit 2 until the sixth day after Visit 2 Starting 48 hours before Visit 3 until the sixth day after Visit 3 Starting 48 hours before Visit 4 until the sixth day after Visit 6
  • Willing to abstain from the use of any vaginal product other than the study product including spermicides, lubricants, and douches starting 48 hours before Visit 2 until the sixth day after Visit 6 (tampons may be used, but for menses only)
  • Vaginal and cervical anatomy that, in the opinion of the investigator, lends itself to easy colposcopy and genital tract sample collection
  • Negative urine pregnancy test
  • Willing to give voluntary consent, sign an informed consent form and comply with study procedures as required by the protocol

Who cannot join

  • History of hysterectomy
  • Currently pregnant or within two calendar months from the last pregnancy outcome. Note: If recently pregnant must have had at least two spontaneous menses since pregnancy outcome
  • Use of any hormonal contraceptive method in the last 30 days (oral, transdermal, transvaginal, implant, or hormonal intrauterine contraceptive device)
  • Injection of Depo-Provera in the last 6 months
  • Current use of IUD
  • Currently breastfeeding or having breastfed an infant in the last two months, or planning to breastfeed during the course of the study
Show all 22Show fewer
  • History of sensitivity/allergy to any component of the study products, topical anesthetic, or allergy to both silver nitrate and Monsel's solution
  • In the last six months, diagnosed with or treated for any STI or pelvic inflammatory disease. Note: Women with a history of genital herpes or condylomata who have been asymptomatic for at least six months may be considered for eligibility
  • Nugent score greater than or equal to 7 at Visit 1 or symptomatic bacterial vaginosis (BV) as defined by Amsel's criteria at Visit 1 or 2
  • Symptomatic vulvovaginal candidiasis or symptomatic urinary tract infection (UTI)
  • Positive test for Trichomonas vaginalis, Neisseria gonorrhea or Chlamydia trachomatis
  • Deep epithelial genital findings such as abrasions, ulcerations, and lacerations, or vesicles suspicious for an STI
  • Positive test for HIV
  • Positive test for Hepatitis B surface antigen (HBsAg)
  • Known bleeding disorder that could lead to prolonged or continuous bleeding with biopsy
  • Chronic or acute vulvar or vaginal symptoms (pain, irritation, spotting, etc.)
  • Known current drug or alcohol abuse which could impact study compliance
  • Grade 1 or higher laboratory abnormality, per the August 2009 update of the Division of AIDS, National Institute of Allergy and Infectious Disease (DAIDS) Table for Grading the Severity of Adverse Events (AEs)
  • Systemic use in the last two weeks or anticipated use during the study of any of the following: corticosteroids, antibiotics, antifungals, antivirals (e.g., acyclovir or valacyclovir) or antiretrovirals (e.g., Viread, Atripla, Emtriva, Complera). Note: Participants should avoid non-steroidal anti-inflammatory drugs (NSAIDs) except for treatment of dysmenorrhea during menses. Participants may use Tylenol® on an as-needed but not daily basis during the study.
  • Participation in any other investigational trial (device, drug, or vaginal trial) within the last 30 days or planned participation in any other investigational trial during the study
  • History of gynecological procedures (including genital piercing) on the external genitalia, vagina or cervix within the last 14 days
  • Abnormal finding on laboratory or physical examination or a social or medical condition which, in the opinion of the investigator, would make participation in the study unsafe or would complicate interpretation of data

Trial locations and contacts

2 sites in 1 country.

United States2 sites
  • Clinical Research Center, Eastern Virginia Medical School

    Norfolk, Virginia, 23507

  • Albert Einstein College of Medicine

    The Bronx, New York, 10451

Other trials in United States

About this study

Official title: A Phase I Clinical Trial Assessing the Safety, Pharmacokinetics, Pharmacodynamics, and Disintegration Time of Vaginal Tablets Containing Tenofovir and/or Emtricitabine

This prospective, double-blinded, randomized, parallel cohort study will examine the genital and systemic safety, pharmacokinetics (PK), pharmacodynamics (PD), disintegration and disappearance times, and acceptability of four vaginal tablets: 1) Tenofovir (TFV) alone; 2) Emtricitabine (FTC) alone; 3) TFV combined with FTC; and 4) placebo. Participants will be randomized to treatment group, to number of tablets to be inserted in the Single Use Phase (1 tablet or 1 tablet followed by a second tablet two hours later to mimic the BAT24 dosing regimen), and to one of four collection time points (2, 4, 6, or 24 hours after tablet insertion) for assessments only after the last dose of the Multiple Use Phase.

In the Single Use Phase of the study, the participant will insert one tablet in the clinic to estimate times to disintegration and disappearance. Those randomized to two tablets will insert a second tablet 2 hours later. In all women, sample collection will occur 5 hours after the initial tablet insertion.

In the Multiple Use Phase of the study, participants will insert a tablet once daily for 14 days. The 1st, 7th, and 14th tablets will be inserted in the clinic; the remaining tablets will be inserted at home. The clinic will call the participant on day 3 of the multiple use phase to ask about any symptoms the participant may be experiencing. Each insertion in the clinic will be followed by sample collection and, at Visits 4 and 6, colposcopy at the participant's assigned time point.

Read the detailed description

Objectives:

Primary:

  • To assess genital safety after a single use (consisting of one tablet in half of participants and one tablet followed by a second tablet two hours later in the other half) and during and after two weeks of daily tablet use
  • To assess systemic safety after two weeks of daily tablet use
  • To assess the pharmacokinetics (PK) of TFV and FTC after a single use (as defined above) and during and after two weeks of daily tablet use

Secondary:

  • To estimate the time needed for tablet disintegration and the time needed for full tablet disappearance
  • To assess acceptability of the tablet
  • To assess indicators of the pharmacodynamics (PD) of TFV and FTC in vitro using biological samples (fluids) from study participants obtained before use, after a single (use as define above), and after two weeks of daily tablet use

Exploratory:

•To assess exploratory indicators of the PD of TFV and FTC in vitro using biological samples (tissues) from study participants obtained before use, after a single use (as defined above), and after two weeks of daily tablet use

Conditions
HIV
Being tested
Tenofovir (TFV) Alone Vaginal Tablet, Emtricitabine (FTC) Alone Vaginal Tablet, TFV and FTC Combined Vaginal Tablet, Placebo Vaginal Tablet
Keywords
Prevention

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Tenofovir (TFV) Alone Vaginal TabletDrug

    vaginal tablet containing 40 mg of TFV

  • Emtricitabine (FTC) Alone Vaginal TabletDrug

    Vaginal Tablet containing 40 mg of TFV

  • TFV and FTC Combined Vaginal TabletDrug

    vaginal tablet with 40 mg TFV and 40 mg FTC

  • Placebo Vaginal TabletDrug

    Vaginal Tablet containing no drug

Study groups in NCT01694407
Study groupRoleWhat they receive
TFV Alone Vaginal TabletActive comparatorNot described
Receives: Drug: Tenofovir (TFV) Alone Vaginal Tablet
Emtricitabine (FTC) Alone Vaginal TabletActive comparatorNot described
Receives: Drug: Emtricitabine (FTC) Alone Vaginal Tablet
TFV Combined with FTC Vaginal TabletActive comparatorNot described
Receives: Drug: TFV and FTC Combined Vaginal Tablet
Placebo Vaginal TabletPlacebo comparatorNot described
Receives: Drug: Placebo Vaginal Tablet

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Changes in Genitourinary AEs

    Genitourinary AEs, moderate to severe

    Measured: 5 hours after first tablet insertion and after 7th and 14th daily tablet

  2. Changes on physical examination and colposcopy

    Changes on physical examination and colposcopy

    Measured: 5 hours after first tablet insertion and after 7th and 14th daily tablet

  3. Changes Soluble markers of mucosal immunity, immune cell numbers, & characteristics in CVL

    Changes Soluble markers of mucosal immunity, immune cell numbers, \& characteristics in CVL

    Measured: 5 hours after first tablet insertion and after 7th and 14th daily tablet

  4. Changes in Number, phenotype and activation status of immune cells in cervicovaginal mucosa

    Changes in Number, phenotype and activation status of immune cells in cervicovaginal mucosa

    Measured: 5 hours after first tablet insertion and after 7th and 14th daily tablet

  5. Changes in Mucosal histology in cervicovaginal tissue

    Changes in Mucosal histology in cervicovaginal tissue

    Measured: 5 hours after first tablet insertion and after 7th and 14th daily tablet

  6. Changes in Changes in microflora

    Changes in Changes in microflora (semiquantitative cultures and unculturable species)

    Measured: 5 hours after first tablet insertion and after 7th and 14th daily tablet

  7. Changes in Systemic laboratory tests

    Changes in Systemic laboratory tests

    Measured: 5 hours after first tablet insertion and after 7th and 14th daily tablet

  8. TFV & FTC concentrations in plasma, vaginal aspirate, & genital tissue

    TFV \& FTC concentrations in plasma, vaginal aspirate, \& genital tissue Pharmacokinetics Mean (SD) and Median (Min, Max, C-Max, T-Max) of TFV and FTC in blood, vaginal aspirate,and genital tissue at Visit 2, 3, 4, 5, 6

    Measured: 5 hours after first tablet insertion

  9. TFV-DP and FTC-TP concentrations in PBMCs, endocervical cells, & genital tissue

    TFV-DP and FTC-TP concentrations in PBMCs, endocervical cells, \& genital tissue Pharmacokinetics C-Max and T-Max of Blood TFV and FTC levels at single dose phase, by site and overall, Evaluable Population

    Measured: 5 hours after first tablet insertion

  10. TFV & FTC concentrations in plasma, vaginal aspirate, & genital tissue

    TFV \& FTC concentrations in plasma, vaginal aspirate, \& genital tissue Pharmacokinetics Mean (SD) and Median (Min, Max, C-Max, T-Max) of TFV and FTC in blood, vaginal aspirate,and genital tissue at Visit 2, 3, 4, 5, 6

    Measured: after 7th daily tablet

  11. TFV & FTC concentrations in plasma, vaginal aspirate, & genital tissue

    TFV \& FTC concentrations in plasma, vaginal aspirate, \& genital tissue Pharmacokinetics Mean (SD) and Median (Min, Max, C-Max, T-Max) of TFV and FTC in blood, vaginal aspirate,and genital tissue at Visit 2, 3, 4, 5, 6

    Measured: after 14 daily tablet insertion

  12. TFV-DP and FTC-TP concentrations in PBMCs, endocervical cells, & genital tissue

    TFV-DP and FTC-TP concentrations in PBMCs, endocervical cells, \& genital tissue Pharmacokinetics C-Max and T-Max of Blood TFV and FTC levels at single dose phase, by site and overall, Evaluable Population

    Measured: after 7th daily tablet

  13. TFV-DP and FTC-TP concentrations in PBMCs, endocervical cells, & genital tissue

    TFV-DP and FTC-TP concentrations in PBMCs, endocervical cells, \& genital tissue Pharmacokinetics C-Max and T-Max of Blood TFV and FTC levels at single dose phase, by site and overall, Evaluable Population

    Measured: after 14th daily tablet

Secondary outcomes (3)
  1. Pharmacodynamics

    Anti-HIV and anti-HSV activity in CVL

    Anti-HIV and anti-HSV activity as a percent of anti-HIV and anti-HSV activity before exposure to test product

    Measured: 5 hours after first tablet insertion and after 7th and 14th daily tablet

  2. Disintegration

    Medians and interquartile ranges of (a) time to disintegration (tablet no longer coherent but residual product is visible) and (b) time to complete disappearance

    Measured: 5 hours after first tablet insertion and after 7th and 14th daily tablet

  3. Acceptability

    Responses on acceptability questionnaires

    Measured: 5 hours after first tablet insertion and after 7th and 14th daily tablet

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 Sep 2012 (estimated)
  2. Study startFeb 2013
  3. Primary completionDec 2013
  4. Study completionDec 2013

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
48 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01694407
Sponsor's protocol ID
A11-117
Status last verified
Mar 2015
First submitted
17 Jul 2012
Last updated
3 Apr 2015
Results posted
No
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Tenofovir (TFV) Alone Vaginal Tablet, Emtricitabine (FTC) Alone Vaginal Tablet and TFV and FTC Combined Vaginal Tablet in people with HIV, run by CONRAD at 2 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 15 inclusion and 22 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 3 Apr 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Changes in Genitourinary AEs (time frame: 5 hours after first tablet insertion and after 7th and 14th daily tablet). The study lists 13 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Apr 2015.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in