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HIV InfectionsPhase 1NCT02356302

Safety and Pharmacokinetics of Intravaginal Rings Containing Vicriviroc (MK-4176) and/or MK-2048

A Phase 1 study testing Vicriviroc (MK-4176) Intravaginal Ring (IVR), MK-2048 IVR and MK-2048A IVR in people with HIV Infections, run by National Institute of Allergy and Infectious Diseases (NIAID) 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
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Trial summary

Research is currently underway to develop new HIV prevention strategies. Intravaginal rings (IVRs) are one drug delivery method that is currently being studied. This study will evaluate the safety and pharmacokinetics of IVRs containing vicriviroc, MK-2048, and a combination of vicriviroc/MK-2048, in healthy… Read more about this study

Who is it for?
Ages 18 to 45 years, women onlyHealthy volunteers can take part
Conditions the study is for
HIV Infections
What is being tested?
Vicriviroc (MK-4176) Intravaginal Ring (IVR), MK-2048 IVR and MK-2048A IVR
Type of treatment
Medical device
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
48 participants
Where
2 sitesUnited States
Study dates
May 2015to Mar 2016
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 45 years
  • Women only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Born female. Note: Participants who were female at birth, who now identify as male, will not be excluded so long as they are not on female-to-male transition therapy.
  • Age 18 through 45 years (inclusive) at Screening, verified per site SOPs
  • Able and willing to provide written informed consent to be screened for and take part in this study (MTN-027)
  • Able and willing to provide adequate locator information, as defined by the site SOPs
  • HIV-uninfected, based on testing performed by study staff at Screening and Enrollment (per applicable algorithm in Appendix II of the protocol) and willing to receive results
  • In general good health at Screening and Enrollment, as determined by the site Investigator of Record (IoR) or designee
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  • At Screening, participant states willingness to abstain from receptive sexual activity (including penile-vaginal intercourse, anal intercourse, receptive oral intercourse, finger stimulation, and the use of sex toys) for the 5 days prior to the Enrollment Visit and for the duration of study participation
  • Per participant report, using an effective method of contraception at Enrollment, and intending to continue the use of an effective method for the duration of study participation. Effective methods for MTN-027 include: hormonal methods (except contraceptive IVRs), intrauterine device (IUD) inserted at least 28 days prior to enrollment, engages in sex exclusively with women, sterilized (self or partner), and/or sexually abstinent for the past 90 days.
  • Women over the age of 21 (inclusive) must have documentation of a satisfactory Pap within the past 3 years prior to Enrollment consistent with Grade 0 according to the Female Genital Grading Table for Use in Microbicide Studies Addendum 1 to the DAIDS Table for Grading Adult and Pediatric Adverse Events, Version 1.0, December 2004 (Clarification dated August 2009), or satisfactory evaluation with no treatment required of Grade 1 or higher Pap result
  • Per participant report at Screening and Enrollment, agrees not to participate in other research studies involving drugs, medical devices, or vaginal products for the duration of study participation
  • Per participant report at Screening, regular menstrual cycles with at least 21 days between menses. Note: This criterion is not applicable to participants who report using a progestin-only method of contraception at Screening, e.g., Depo-Provera or levonorgestrel-releasing IUD nor to participants using continuous combination oral contraceptive pills, as the absence of regular menstrual cycles is an expected, normal consequence in this context.
  • At Screening, participant states a willingness to refrain from inserting any non-study vaginal products or objects into the vagina, including, but not limited to, spermicides, female condoms, diaphragms, contraceptive IVRs, vaginal medications, menstrual cups, cervical caps (or any other vaginal barrier method), douches, lubricants, sex toys (vibrators, dildos, etc.) for the 5 days prior to Enrollment and for the duration of their study participation

Who cannot join

  • Participant report of any of the following at Screening and/or Enrollment:
  • History of adverse reactions to any of the components of the study products
  • Non-therapeutic injection drug use in the 12 months prior to Screening and Enrollment
  • Post-exposure prophylaxis (PEP) for HIV exposure within 6 months prior to Enrollment
  • Pre-exposure prophylaxis (PrEP) for HIV prevention within the 6 months prior to Enrollment
  • Regular use and/or anticipated regular use during the period of study participation of CYP3A inducer(s) and/or inhibitor(s)
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  • Use and/or anticipated use during the period of study participation of female-to-male transition therapy
  • Chronic and/or recurrent candidiasis
  • Gonorrhea, chlamydia, and/or syphilis diagnosis in the 6 months prior to Enrollment
  • Last pregnancy outcome 90 days or less prior to Screening
  • Currently breastfeeding
  • Has had a hysterectomy
  • Intends to become pregnant within the next 3 months
  • Has plans to relocate away from the study site area in the next 3 months
  • Current sexual partner is known to be HIV-positive
  • Reports participating in any other research study involving drugs, medical devices, or vaginal products within 60 days or less prior to enrollment
  • At Screening or Enrollment, as determined by the IoR/designee, any significant uncontrolled active or chronic cardiovascular, renal, liver, hematologic, neurologic, gastrointestinal, psychiatric, endocrine, respiratory, immunologic disorder or infectious disease
  • Has any of the following laboratory abnormalities at Screening:
  • Aspartate aminotransferase (AST) or alanine transaminase (ALT) Grade 1 or higher
  • Calculated creatinine clearance less than 60 mL/min by the Cockcroft-Gault formula, where creatinine clearance (female) in mL/min = (140 - age in years) x (weight in kg) x (0.85)/72 x (creatinine in mg/dL)
  • Hemoglobin Grade 1 or higher
  • Platelet count Grade 1 or higher
  • White blood count Grade 2 or higher
  • Positive HBsAg test result
  • Positive anti-hepatitis C virus (HCV) test result
  • International normalized ratio (INR) greater than 1.5 × the site laboratory upper limit of normal (ULN)
  • Note: Otherwise eligible participants with an exclusionary test result (other than HIV, hepatitis B virus [HBV], or HCV) can be re-tested during the screening process. If a participant is re-tested and a non-exclusionary result is documented within 45 days of providing informed consent for screening, the participant may be enrolled.
  • Pregnant at either Screening or Enrollment. Note: A documented negative pregnancy test performed by study staff is required for inclusion; however a self-reported pregnancy is adequate for exclusion from screening/enrollment into the study.
  • Diagnosed with urinary tract infection (UTI) at Screening or Enrollment. Note: Otherwise eligible participants diagnosed with UTI during screening will be offered treatment. If within the 45 day screening window treatment is complete and symptoms have resolved the participant may be enrolled.
  • Diagnosed with pelvic inflammatory disease, reproductive tract infection (RTI) or a sexually transmitted infection (STI) requiring treatment per current Centers for Disease Control and Prevention (CDC) guidelines (http://www.cdc.gov/std/treatment/) at Screening or Enrollment. Note: With the exception of gonorrhea, chlamydia, and/or syphilis, otherwise eligible participants diagnosed with a RTI during screening will be offered treatment. If within the 45 day screening window treatment is complete and symptoms have resolved the participant may be enrolled.
  • At Enrollment, has a clinically apparent Grade 1 or higher pelvic exam finding (observed by study clinician or designee) per the Division of AIDS Table for Grading the Severity of Adult and Pediatric Adverse Events, Version 1.0, December 2004 (Clarification dated August 2009), Addendum 1, Female Genital Grading Table for Use in Microbicide Studies. Note: Cervical friability bleeding associated with speculum insertion and/or specimen collection judged to be within the range of normal according to the clinical judgment of the IoR/designee is considered expected non-menstrual bleeding and is not exclusionary.
  • At Screening, severe pelvic relaxation such that either the vaginal walls or the uterine cervix descend beyond the vaginal introitus with valsalva maneuver or has pelvic anatomy that compromises the ability to adequately assess vaginal safety
  • Has any other condition that, in the opinion of the IoR/designee, would preclude informed consent, make study participation unsafe, complicate interpretation of study outcome data, or otherwise interfere with achieving study objectives

Trial locations and contacts

2 sites in 1 country.

United States2 sites
  • Alabama CRS

    Birmingham, Alabama, 35294

  • University of Pittsburgh CRS

    Pittsburgh, Pennsylvania, 15213

Other trials in United States

About this study

Official title: Phase 1 Safety and Pharmacokinetics Study of MK-2048/Vicriviroc (MK-4176)/MK-2048A Intravaginal Rings

Research is currently underway to develop new HIV prevention strategies. Intravaginal rings (IVRs) are one drug delivery method that is currently being studied. This study will evaluate the safety and pharmacokinetics of IVRs containing vicriviroc, MK-2048, and a combination of vicriviroc/MK-2048, in healthy, HIV-uninfected women.

Read the detailed description

The development of safe and effective HIV prevention strategies is an important global health priority. IVRs have previously been approved as a delivery method for various medications, and this study will evaluate IVRs containing HIV antiretroviral medications. The purpose of this study is to assess the safety and pharmacokinetics of a combination IVR called MK-2048A that contains vicriviroc (MK-4176) and MK-2048, compared to IVRs containing vicriviroc alone and MK-2048 alone.

This study will enroll healthy, HIV-uninfected women, 18 to 45 years old. Participants will be randomly assigned to receive an IVR containing either vicriviroc, MK-2048, MK-2048A (which contains vicriviroc and MK-2048), or placebo. Participants will receive their assigned IVR at the enrollment visit, and the IVR will be removed on Day 28. Participants will attend study visits at screening, enrollment (Day 0), and Days 1, 2, 3, 7, 14, 21, 28, 29, 30, 31, and 35. Study visits may include behavioral assessments, adherence counseling and assessments, medical history reviews, physical examinations, urine collection, blood collection, pelvic specimen collection, and rectal specimen collection (optional).

Conditions
HIV Infections
Being tested
Vicriviroc (MK-4176) Intravaginal Ring (IVR), MK-2048 IVR, MK-2048A IVR, Placebo IVR
Medical subject headings
HIV Infections

What participants receive

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

  • Vicriviroc (MK-4176) Intravaginal Ring (IVR)Device

    Contains 182 mg vicriviroc (MK-4176).

  • MK-2048 IVRDevice

    Contains 30 mg MK-2048.

  • MK-2048A IVRDevice

    Contains 182 mg vicriviroc (MK-4176) and 30 mg MK-2048.

  • Placebo IVRDevice

Study groups in NCT02356302
Study groupRoleWhat they receive
Vicriviroc (MK-4176) Intravaginal Ring (IVR)ExperimentalThe vicriviroc (MK-4176) IVR will be inserted during the enrollment visit (Day 0), and it will be removed on Day 28.
Receives: Device: Vicriviroc (MK-4176) Intravaginal Ring (IVR)
MK-2048 IVRExperimentalThe MK-2048 IVR will be inserted during the enrollment visit (Day 0), and it will be removed on Day 28.
Receives: Device: MK-2048 IVR
MK-2048A IVRExperimentalThe MK-2048A IVR will be inserted during the enrollment visit (Day 0), and it will be removed on Day 28.
Receives: Device: MK-2048A IVR
Placebo IVRPlacebo comparatorThe placebo IVR will be inserted during the enrollment visit (Day 0), and it will be removed on Day 28.
Receives: Device: Placebo IVR

What is being measured

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

  1. Proportion of women in each of the four IVR regimens with genitourinary events Grade 1 or higher judged to be related to study product

    As defined by the Division of AIDS (DAIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events, Version 1.0, Dec 2004 (Clarification dated August 2009), Addendum 1, (Female Genital Grading Table for Use in Microbicide Studies)

    Measured: Measured through Day 35

  2. Proportion of women in each of the four IVR regimens with adverse events Grade 2 or higher

    As defined by the Division of AIDS (DAIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events, Version 1.0, Dec 2004 (Clarification dated August 2009)

    Measured: Measured through Day 35

  3. Measurement of local and systemic concentrations of vicriviroc (MK-4176)

    In plasma, vaginal fluids, and cervical tissue during and after 28 days of continuous use of an IVR containing 182 mg vicriviroc (MK-4176), or 30 mg MK-2048, or 182 mg vicriviroc (MK-4176) + 30 mg MK-2048 (MK-2048A)

    Measured: Measured through Day 35

  4. Measurement of local and systemic concentrations of MK-2048

    In plasma, vaginal fluids, and cervical tissue during and after 28 days of continuous use of an IVR containing 182 mg vicriviroc (MK-4176), or 30 mg MK-2048, or 182 mg vicriviroc (MK-4176) + 30 mg MK-2048 (MK-2048A)

    Measured: Measured through Day 35

Secondary outcomes (2)
  1. Participant report of acceptability

    Including genitourinary and emotional (dis)comfort, awareness/feeling during daily activities, ring insertion/removal issues, and willingness to use in the future

    Measured: Measured through Day 35

  2. Participant report of frequency of study IVR removal/expulsion and duration without IVR inserted in vagina

    Measured: Measured through Day 35

Timeline

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

  1. First posted5 Feb 2015 (estimated)
  2. Study startMay 2015
  3. Primary completionMar 2016
  4. Study completionMar 2016

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
Single blind
Who is masked
Participant
Enrolment
48 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02356302
Sponsor's protocol ID
MTN-027
Other IDs
12014
Status last verified
Mar 2016
First submitted
2 Feb 2015
Last updated
25 Oct 2021
Results posted
No
Data monitoring committee
Yes

Publications

  • Hoesley CJ, Chen BA, Anderson PL, Dezzutti CS, Strizki J, Sprinkle C, Heard F, Bauermeister J, Hall W, Jacobson C, Berthiaume J, Mayo A, Gundacker H, Richardson-Harman N, Piper J; Microbicide Trials Network 027 Study Team. Phase 1 Safety and Pharmacokinetics Study of MK-2048/Vicriviroc (MK-4176)/MK-2048A Intravaginal Rings. Clin Infect Dis. 2019 Mar 19;68(7):1136-1143. doi: 10.1093/cid/ciy653.

    PubMed 30289435

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Vicriviroc (MK-4176) Intravaginal Ring (IVR), MK-2048 IVR and MK-2048A IVR in people with HIV Infections, run by National Institute of Allergy and Infectious Diseases (NIAID) 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 12 inclusion and 33 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 25 Oct 2021. 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?

Proportion of women in each of the four IVR regimens with genitourinary events Grade 1 or higher judged to be related to study product (time frame: Measured through Day 35). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02356302, which also lists 1 linked publication.

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 25 Oct 2021; AzTrials last refreshed its copy on 8 Nov 2026.

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