AzTrials
AzTrials

HIVC-PLEASURENCT02753842

Condom Performance in a Longitudinal Enhanced Assessment of User Experiences

A study testing 5 Fitted Condoms, 5 Thin Condoms, 5 Standard Condoms in people with HIV, run by Global Protection Corp..

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 study will enroll 252 men who have sex with men (MSM) and 252 men who have sex with women (MSW) in a double-blind, three-way randomized crossover trial with conditions of fitted, thin, and standard condoms. Read more about this study

Who is it for?
Ages 18 to 54 years, men onlyHealthy volunteers can take part
Conditions the study is for
HIV
What is being tested?
5 Fitted Condoms, 5 Thin Condoms, 5 Standard Condoms
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
504 participants
Where
No sites listed yet
Study dates
May 2016to 31 Jul 2017
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 54 years
  • Men only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Lives in or near Atlanta metropolitan statistical area (MSA)
  • Plans to be in Atlanta for the majority of the 12 weeks of enrollment
  • Able to independently complete survey instruments in English
  • Male sex at birth
  • Currently identifies as male
  • For MSM, self-report to have only had sex with men in the past four weeks
Show all 16Show fewer
  • For MSM, self-report intends to have sex only with men in the next 12 weeks
  • For MSW, self-report to have only had sex with women in the past four weeks
  • For MSW, self-report intends to have sex only with women in the next 12 weeks
  • Self-report at least 1 anal (MSM) or vaginal (MSW) sex act in the past four weeks
  • For MSM, self-reports an insertive role in the past four weeks
  • Willing and able to have sex using a latex condom provided by study
  • Consistently able to maintain an erection while using condoms
  • Willing to provide at least two means of contact
  • Willing to only use lubricant provided by study
  • Willing to use a fitting tool to determine penile dimensions

Who cannot join

  • Self-report transgender sex partners in the past four weeks
  • Plans to not have sex in the next four weeks
  • For MSW, report that current partner is currently pregnant
  • For MSW, report that current partner desires to become pregnant currently or in the next 12 weeks
  • Allergic to latex
  • Current partner(s) allergic to latex
Show all 14Show fewer
  • Genital piercings
  • For MSW, female current partner(s) has (have) vaginal piercings
  • For MSM, male current partner(s) has (have) anal piercings
  • Current partner(s) known to be HIV-positive
  • Self-report presence of sexually transmitted infections, including HIV
  • Confirmed HIV positive at baseline
  • Allergic to water-based lubricant
  • Current partner(s) allergic to water-based lubricant

About this study

Official title: A Double-Blind, Single Center, Randomized 3-way Crossover Trial to Determine Pleasure for Fitted, Thin and Standard Condoms, and to Assess Clinical Failure for Vaginal and Anal Sex

This study will enroll 252 men who have sex with men (MSM) and 252 men who have sex with women (MSW) in a double-blind, three-way randomized crossover trial with conditions of fitted, thin, and standard condoms. The study will provide fitted condoms in 56 sizes based on combinations of length (approximately 10 mm increments) and circumference (approximately 2 mm increments), with user-determined size based on a paper template measurement instrument.

Participants will be randomly assigned to the sequence in which the crossover intervention conditions (fitted, thin, and standard condoms) occur, with five study condoms provided for each condition. Participants will attend at least four, and up to seven, biweekly study visits.

Read the detailed description

Study objectives are to establish label indications for pleasure and patient preference for fitted condoms, establish label indication for anal sex for fitted, thin, and standard condoms, and establish a label indication for decreased clinical failure of fitted condoms for anal sex.

The study will enroll 252 MSM and 252 men who sex with women (MSW) into a double-blind, three-way randomized crossover trial with conditions of fitted, thin, and standard condoms. For MSM enrolled in the trial we will assess outcomes based on anal sex, and for MSW we will assess outcomes based on vaginal sex. The study will provide fitted condoms in 56 sizes based on combinations of length (approximately 10 mm increments) and circumference (approximately 2 mm increments), with user-determined size based on a paper template measurement instrument.

For purposes of this study, a "standard" condom is defined by dimensions commonly sourced by the United Nations Population Fund (UNFPA) and United States Agency for International Development (USAID), which procures the majority of the world's condoms. These dimensions are 185mm ± 10mm length, 53mm ± 2mm width, and 70 microns ± 10 microns thick. "Thin" condoms for this study will be of identical width and length to "standard", but 50 microns ± 5 microns thick. Fitted condoms will be produced in a range of sizes with thickness of 70 microns ± 10 microns, with a participant's fitted size as determined by their use of a fitting system consisting of a paper template graduated with non-sequential numbering and lettering. Condoms will be manufactured using the same latex formulation and silicone lubricants (approximately 400mg per condom), and with similar parallel wall designs.

Every participant in the trial will receive a set of five fitted condoms (fitted condition), a set of five thin condoms (thin condition), and a set of five standard condoms (standard condition) over a series of study visits. Event-level data based on a home coital log will be collected regarding pleasure and total clinical failure, and data regarding overall condom preference will be collected at the final study visit. Participants will be randomly assigned to the sequence in which the crossover intervention conditions (fitted, thin, and standard) occur. Each participant will attend at least four, and up to seven, biweekly study visits. Participants will be given up to four weeks to use each study condom set; after 4 weeks with a set of condoms, participants will be automatically crossed over into the next study condition. If all condoms are used within the first two weeks, participants will crossover to the next randomized condition.

Participants will be blinded, with all condoms produced in plain foils with two-digit identifying codes, and role-based blinding will be conducted for study staff with the statistician and PI blinded. Participants will be trained in appropriate condom use, fitted condom sizing, study instructions such as only using study lubricant, and daily coital log completion. Participants will complete mobile-optimized, web-based home coital logs as soon as possible following any vaginal or anal sex acts. To assist participants in timely completion, there will be a daily check-in through Short Message Service (SMS) (via text message) with a reminder initiated if no sexual event has been recently reported. The coital log will include outcome measures for pleasure and for condom failure. The final visit survey will measure overall condom preference.

Conditions
HIV
Being tested
5 Fitted Condoms, 5 Thin Condoms, 5 Standard Condoms
Keywords
Sexually Transmitted Infections, Condoms, Contraceptive Devices, HIV
Medical subject headings
Sexually Transmitted Diseases

What participants receive

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

  • 5 Fitted Condoms, 5 Thin Condoms, 5 Standard CondomsDevice

    Fitted condoms are available in 56 sizes based on combinations of length (approximately 10mm increments) and circumference (approximately 2 mm increments). Fitted condom thickness is 70 microns ± 10 microns. Appropriate condom size is user-determined with a paper template fitting tool graduated with non-sequential numbering and lettering for maximum privacy. Participants also received ten plain foil packets of 10ml commercially available condom-compatible water-based lubricant.

    Thin condoms have dimensions of 185mm ± 10mm length, 53mm ± 2mm width, and 50 microns ± 5 microns thick. Participants also received ten plain foil packets of 10ml commercially available condom-compatible water-based lubricant.

    Standard condoms have dimensions of 185mm ± 10mm length, 53mm ± 2mm width, and 70 microns ± 10 microns thick. Participants also received ten plain foil packets of 10ml commercially available condom-compatible water-based lubricant.

Study groups in NCT02753842
Study groupRoleWhat they receive
Fitted, Then Thin, Then Standard CondomsExperimentalParticipants first received 5 fitted condoms, and had a period of 2-4 weeks to use them. They then received 5 thin condoms, and had a period of 2-4 weeks to use them. They then received 5 standard condoms, and had a period of 2-4 weeks to use them.
Receives: Device: 5 Fitted Condoms, 5 Thin Condoms, 5 Standard Condoms
Fitted, Then Standard, Then Thin CondomsExperimentalParticipants first received 5 fitted condoms, and had a period of 2-4 weeks to use them. They then received 5 standard condoms, and had a period of 2-4 weeks to use them. They then received 5 thin condoms, and had a period of 2-4 weeks to use them.
Receives: Device: 5 Fitted Condoms, 5 Thin Condoms, 5 Standard Condoms
Thin, Then Fitted, Then Standard CondomsExperimentalParticipants first received 5 thin condoms, and had a period of 2-4 weeks to use them. They then received 5 fitted condoms, and had a period of 2-4 weeks to use them. They then received 5 standard condoms, and had a period of 2-4 weeks to use them.
Receives: Device: 5 Fitted Condoms, 5 Thin Condoms, 5 Standard Condoms
Thin, Then Standard, Then Fitted CondomsExperimentalParticipants first received 5 thin condoms, and had a period of 2-4 weeks to use them. They then received 5 standard condoms, and had a period of 2-4 weeks to use them. They then received 5 fitted condoms, and had a period of 2-4 weeks to use them.
Receives: Device: 5 Fitted Condoms, 5 Thin Condoms, 5 Standard Condoms
Standard, Then Fitted, Then Thin CondomsExperimentalParticipants first received 5 standard condoms, and had a period of 2-4 weeks to use them. They then received 5 fitted condoms, and had a period of 2-4 weeks to use them. They then received 5 thin condoms, and had a period of 2-4 weeks to use them.
Receives: Device: 5 Fitted Condoms, 5 Thin Condoms, 5 Standard Condoms
Standard, Then Thin, Then Fitted CondomsExperimentalParticipants first received 5 standard condoms, and had a period of 2-4 weeks to use them. They then received 5 thin condoms, and had a period of 2-4 weeks to use them. They then received 5 fitted condoms, and had a period of 2-4 weeks to use them.
Receives: Device: 5 Fitted Condoms, 5 Thin Condoms, 5 Standard Condoms

What is being measured

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

  1. Sexual Pleasure Scale Score for Fitted Versus Standard Condoms

    Our aim was to compare fitted condoms with standard condoms regarding levels of reported pleasure, as determined by rating per condom use event. The sexual pleasure scale for this study was developed and validated by the study team (Siegler et. al., Arch Sex Behav. 2018 Aug; 47(6): 1745-1754), and is titled event-level, male sexual pleasure scale (EMSEXpleasure). The scale comprises 11 items with sliding scale response scores. Pleasure scale measurement was assessed with a mobile-optimized, web-based home daily coital log, completed following each coital event. The minimum scale score was zero, the maximum was 100. Higher values indicate greater pleasure.

    We assessed the difference in mean scores of pleasure for fitted condoms versus standard condoms.

    Measured: Up to 12 weeks

  2. Percent of Participants Preferring Fitted Condoms to Standard Condoms

    Our aim was to compare fitted condoms with standard condoms regarding preference, as determined by ranking of the two conditions at the study conclusion.

    Condom preference was determined by participants selecting a preference for fitted or standard condoms at the study conclusion. The measure used assessed a blinded preference, referring to the color assigned to the condom type rather than the type of condom by name.

    Measured: Up to 12 weeks

  3. Clinical Condom Failure for Anal Sex

    Our aim was to assess for fitted, thin, and standard condoms the total clinical failure rate of each type of condom for anal sex among MSM relative to the 5% failure cut-point previously used by the United States Food and Drug Administration (FDA). Clinical condom failure (condom breakage and slippage) was assessed by questions from the International Organization for Standardization (ISO), with a mobile-optimized, web-based home daily coital log completed following each coital event. Clinical failure was calculated according to ISO guidance.

    Measured: Up to 12 weeks

  4. Clinical Condom Failure of Fitted Condoms Compared to Standard Condoms for Anal Sex

    Our aim was to compare fitted condoms with standard condoms regarding total clinical failure for anal sex among MSM. Clinical condom failure (condom breakage and slippage) was assessed based on questions suggested by the International Organization for Standardization (ISO) and with a mobile-optimized, web-based home daily coital log completed following each coital event. Clinical failure was calculated according to ISO guidance.

    Measured: Up to 12 weeks

Secondary outcomes (1)
  1. Sexual Pleasure Scale Score for Thin Versus Standard Condoms

    This secondary outcome sought to compare thin condoms with standard condoms regarding levels of reported pleasure, as determined by rating per condom use event. The sexual pleasure scale for this study was developed and validated by the study team (Siegler et. al., Arch Sex Behav. 2018 Aug; 47(6): 1745-1754), and is titled event-level, male sexual pleasure scale (EMSEXpleasure). The scale comprises 11 items with sliding scale response scores. Pleasure scale measurement was assessed with a mobile-optimized, web-based home daily coital log, completed following each coital event. The minimum scale score was zero, the maximum was 100. Higher values indicate greater pleasure.

    We assessed the difference in mean scores of pleasure for thin condoms versus standard condoms.

    Measured: Up to 12 weeks

Timeline

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

  1. First posted28 Apr 2016 (estimated)
  2. Study startMay 2016
  3. Primary completion31 Jul 2017
  4. Study completion31 Jul 2017

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 N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Crossover
Model description
We recruited 504 participants into the crossover trial. Participants were randomized into one of six sequences, each representing the order in which a participant would receive batches of five study condoms of a particular type.
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
504 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02753842
Sponsor's protocol ID
IRB00083754
Acronym
C-PLEASURE
Status last verified
Aug 2020
First submitted
25 Apr 2016
Last updated
25 Aug 2020
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes

Publications

  • Siegler AJ, Rosenthal EM, Sullivan PS, Ahlschlager L, Kelley CF, Mehta CC, Moore RH, Rosenberg ES, Cecil MP. Double-Blind, Single-Center, Randomized Three-Way Crossover Trial of Fitted, Thin, and Standard Condoms for Vaginal and Anal Sex: C-PLEASURE Study Protocol and Baseline Data. JMIR Res Protoc. 2019 Apr 23;8(4):e12205. doi: 10.2196/12205.

    PubMed 31012862
  • Siegler AJ, Rosenthal EM, Sullivan PS, Christina Mehta C, Moore RH, Ahlschlager L, Kelley CF, Rosenberg ES, Cecil MP. Levels of clinical condom failure for anal sex: A randomized cross-over trial. EClinicalMedicine. 2019 Oct 31;17:100199. doi: 10.1016/j.eclinm.2019.10.012. eCollection 2019 Dec.

    PubMed 31891134

Questions about this trial

What is this clinical trial studying?

A study testing 5 Fitted Condoms, 5 Thin Condoms, 5 Standard Condoms in people with HIV, run by Global Protection Corp..

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 16 inclusion and 14 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 Aug 2020. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

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

Are results available for this study?

Yes. Results are posted in the registry (first posted 6 Aug 2020). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Sexual Pleasure Scale Score for Fitted Versus Standard Condoms (time frame: Up to 12 weeks). 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 NCT02753842, which also lists 2 linked publications.

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 Aug 2020.

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