SafetyFAME103BNCT04391036
Randomized Cross-Over Study of Self-Insertion of Two Placebo Vaginal Film Formulations
A study testing High Eudragit® Content Vaginal Film and Low Eudragit® Content Vaginal Film in people with Safety and Acceptability, run by Katherine Bunge at 1 site in United States.
Trial summary
This is a double-blinded crossover study to evaluate whether Eudragit® content impacts the ability to self-insert placebo vaginal films. Thirty women will self-insert one high and and one low Eudragit® content film. The insertion order will be randomized in a 1:1 ratio. 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
- Safety, Acceptability
- What is being tested?
- High Eudragit® Content Vaginal Film and Low Eudragit® Content Vaginal Film
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 30 participants
- Where
- 1 siteUnited States
- Study dates
- 14 Jul 2020to 26 Oct 2020
- 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 45 years
- Women only
- Healthy volunteers accepted
- Adult
Who may be able to join
- Ages 18-45
- Intact uterus by participant report
- Agrees to abstain from inserting anything into the vagina for 24 hours prior to the study visit
Who cannot join
- Menopausal (as defined as amenorrhea for one year or more without an alternative etiology)
- Hysterectomy (including total and supracervical)
- Currently pregnant or pregnancy within 90 days of enrollment
- Lactating
- Symptoms of a urogenital infection including vaginal discharge, pain, odor, or itching
- Menses at the time of enrollment
- Known allergy or hypersensitivity to any of the components of the placebo film
- 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.
Trial locations and contacts
1 site in 1 country.
United States1 site
University of Pittsburgh, Magee Womens Hospital
Pittsburgh, Pennsylvania, 15213
About this study
Official title: A Randomized Double-Blind Cross-Over Study of Self-Insertion of Two Formulations of a Placebo Vaginal Film
This is a double-blinded crossover study to evaluate whether Eudragit® content impacts the ability to self-insert placebo vaginal films. Thirty women will self-insert one high and and one low Eudragit® content film. The insertion order will be randomized in a 1:1 ratio. After inserting each film, participants will complete a survey reporting their perceptions and experience. The primary endpoint is successful insertion defined as all of the film inside the vagina upon visual assessment by a study clinician. Secondary outcomes include preference for the low level or high level Eudragit® formulation film with respect to insertion and participants' description of identified challenges.
Read the detailed description
This is a double-blinded crossover study to evaluate whether ammonio methacrylate copolymer dispersion type B (Eudragit®) content impacts the ability to self-insert placebo vaginal films. Eudragit® is a commonly used pharmaceutical excipient, present in several FDA approved products. This hydrophobic excipient is used in vaginal film formulations to increase disintegration time and impart extended drug release property. The presence of Eudragit and its concentration level affects film disintegration and spreadability in the vaginal environment, and are likely to affect tactile properties. Consequently, these attributes may impact ease of film administration, acceptability, and user preferences for specific film type.
Thirty pre-menopausal women, 18 - 45 years of age, will self-insert one high and and one low Eudragit® content film. High and low Eudragit films correspond to 12.8% and 6.4% of Eudragit® added during the formulation blending stage. The insertion order will be randomized in a 1:1 ratio. Within 10 minutes of the insertion, clinical staff will perform a speculum exam to assess the location of the film and remove the residual film. After inserting each film, participants will complete a survey reporting their perceptions and experience. The primary endpoint is successful insertion defined as all of the film inside the vagina upon visual assessment by a study clinician. Secondary outcomes include preference for the low level or high level Eudragit® formulation film with respect to insertion and participants' description of identified challenges.
- Conditions
- Safety, Acceptability
- Being tested
- High Eudragit® Content Vaginal Film, Low Eudragit® Content Vaginal Film
- Keywords
- Vagina, Film, Extended Release
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
High Eudragit® Content Vaginal FilmDevice
High (12.8%) Eudragit® Content Vaginal Film
Low Eudragit® Content Vaginal FilmDevice
Low (6.4%) Eudragit® Content Vaginal Film
| Study group | Role | What they receive |
|---|---|---|
| High Eudragit® Film, then Low Eudragit® Film | Experimental | High (12.8%) Eudragit® content vaginal film, then low (6.4%) Eudragit® content vaginal film Receives: Device: High Eudragit® Content Vaginal Film; Device: Low Eudragit® Content Vaginal Film |
| Low Eudragit® Film, then High Eudragit® Film | Experimental | Low (6.4%) Eudragit® content vaginal film, then high (12.8%) Eudragit® content vaginal film Receives: Device: High Eudragit® Content Vaginal Film; Device: Low Eudragit® Content Vaginal Film |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Participants That Successfully Insert Vaginal Film
Number of participants that successfully insert each vaginal film defined as the film location being completely inside the vagina upon visual assessment by a clinician
Measured: Approximately 30 minutes
Secondary outcomes (2)
Number of Participants That Report Self-Insertion of Vaginal Film Was Easy
Participants that report that self-insertion of the placebo vaginal film was not difficult at all as assessed on a Likert scale from 1 (not difficult at all) to 4 (very difficult)
Measured: Approximately 30 minutes
Number of Participants That Prefer the High Over the Low Eudragit® Content Vaginal Film
Number of participants that report that they would prefer to use the high Eudragit® content vaginal film over the low Eudragit® content vaginal film. This outcome was analyzed by order of film product use (high then low vs low then high) as this may influence product preference.
Measured: Approximately 1 hour
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 May 2020
- Study start14 Jul 2020
- Primary completion26 Oct 2020
- Study completion26 Oct 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for SafetyStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Other
- Allocation
- Randomised
- Intervention model
- Crossover
- Model description
- Each participant will self-insert one low level Eudragit® and one high level Eudragit® formulation film. The sequence of insertion will be randomized in a 1:1 ratio.
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Outcomes assessor
- Enrolment
- 30 participants (actual)
Sponsor and investigators
- Lead sponsor
- Katherine Bunge
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor-investigator, Katherine Bunge, University of Pittsburgh
- Investigators
- Sharon L Hillier, PhD, Principal investigator, University of PittsburghKatherine Bunge, MD, Principal investigator, University of Pittsburgh
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04391036
- Sponsor's protocol ID
- STUDY20040030
- Other IDs
- 1U19AI120249
- Acronym
- FAME103B
- Status last verified
- Feb 2022
- First submitted
- 12 May 2020
- Last updated
- 22 Feb 2022
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- Yes
- Individual data sharing
- No
Publications
Visness CM, Ulin P, Pfannenschmidt S, Zekeng L. Views of Cameroonian sex workers on a woman-controlled method of contraception and disease protection. Int J STD AIDS. 1998 Nov;9(11):695-9. doi: 10.1258/0956462981921224.
PubMed 9863584Nel AM, Mitchnick LB, Risha P, Muungo LT, Norick PM. Acceptability of vaginal film, soft-gel capsule, and tablet as potential microbicide delivery methods among African women. J Womens Health (Larchmt). 2011 Aug;20(8):1207-14. doi: 10.1089/jwh.2010.2476. Epub 2011 Jul 20.
PubMed 21774672Raymond E, Alvarado G, Ledesma L, Diaz S, Bassol S, Morales E, Fernandez V, Carlos G. Acceptability of two spermicides in five countries. Contraception. 1999 Jul;60(1):45-50. doi: 10.1016/s0010-7824(99)00060-8.
PubMed 10549452
Study at a glance
From the registry record, last updated by the sponsor on 22 Feb 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized Double-Blind Cross-Over Study of Self-Insertion of Two Formulations of a Placebo Vaginal Film
- ClinicalTrials.gov ID
- NCT04391036
- Acronym / sponsor ID
- FAME103B / STUDY20040030
- Conditions
- Safety, Acceptability
- Keywords
- Vagina, Film, Extended Release
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 30 participants (actual)
- Lead sponsor
- Katherine BungeUniversity, hospital or other
- Collaborators
- National Institute of Allergy and Infectious Diseases (NIAID)
- Study start
- 14 Jul 2020 (actual)
- Primary completion
- 26 Oct 2020 (actual)
- Study completion
- 26 Oct 2020 (actual)
- First posted
- 18 May 2020 (actual)
- Results
- Posted 22 Nov 2021
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a double-blinded crossover study to evaluate whether Eudragit® content impacts the ability to self-insert placebo vaginal films. Thirty women will self-insert one high and and one low Eudragit® content film. The insertion order will be randomized in a 1:1 ratio. After inserting each film, participants will complete a survey reporting their perceptions and experience. The primary endpoint is successful insertion defined as all of the film inside the vagina upon visual assessment by a study clinician. Secondary outcomes include preference for the low level or high level Eudragit® formulation film with respect to insertion and participants' description of identified challenges.
Detailed description
This is a double-blinded crossover study to evaluate whether ammonio methacrylate copolymer dispersion type B (Eudragit®) content impacts the ability to self-insert placebo vaginal films. Eudragit® is a commonly used pharmaceutical excipient, present in several FDA approved products. This hydrophobic excipient is used in vaginal film formulations to increase disintegration time and impart extended drug release property. The presence of Eudragit and its concentration level affects film disintegration and spreadability in the vaginal environment, and are likely to affect tactile properties. Consequently, these attributes may impact ease of film administration, acceptability, and user preferences for specific film type.
Thirty pre-menopausal women, 18 - 45 years of age, will self-insert one high and and one low Eudragit® content film. High and low Eudragit films correspond to 12.8% and 6.4% of Eudragit® added during the formulation blending stage. The insertion order will be randomized in a 1:1 ratio. Within 10 minutes of the insertion, clinical staff will perform a speculum exam to assess the location of the film and remove the residual film. After inserting each film, participants will complete a survey reporting their perceptions and experience. The primary endpoint is successful insertion defined as all of the film inside the vagina upon visual assessment by a study clinician. Secondary outcomes include preference for the low level or high level Eudragit® formulation film with respect to insertion and participants' description of identified challenges.
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Triple blind (participant, care provider, outcomes assessor)
- Number of arms
- 2
- Model description
- Each participant will self-insert one low level Eudragit® and one high level Eudragit® formulation film. The sequence of insertion will be randomized in a 1:1 ratio.
| Arm | Type | Receives |
|---|---|---|
| High Eudragit® Film, then Low Eudragit® Film | Experimental | Device: High Eudragit® Content Vaginal Film, Device: Low Eudragit® Content Vaginal FilmHigh (12.8%) Eudragit® content vaginal film, then low (6.4%) Eudragit® content vaginal film |
| Low Eudragit® Film, then High Eudragit® Film | Experimental | Device: High Eudragit® Content Vaginal Film, Device: Low Eudragit® Content Vaginal FilmLow (6.4%) Eudragit® content vaginal film, then high (12.8%) Eudragit® content vaginal film |
Who may qualify
- Ages
- 18 to 45 years
- Sex
- Female only
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (3 listed)
- Ages 18-45
- Intact uterus by participant report
- Agrees to abstain from inserting anything into the vagina for 24 hours prior to the study visit
Key exclusion criteria (8 listed)
- Menopausal (as defined as amenorrhea for one year or more without an alternative etiology)
- Hysterectomy (including total and supracervical)
- Currently pregnant or pregnancy within 90 days of enrollment
- Lactating
- Symptoms of a urogenital infection including vaginal discharge, pain, odor, or itching
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| High Eudragit® Content Vaginal FilmHigh (12.8%) Eudragit® Content Vaginal Film | Device | High Eudragit® Film, then Low Eudragit® Film, Low Eudragit® Film, then High Eudragit® Film |
| Low Eudragit® Content Vaginal FilmLow (6.4%) Eudragit® Content Vaginal Film | Device | High Eudragit® Film, then Low Eudragit® Film, Low Eudragit® Film, then High Eudragit® Film |
Primary outcome
Number of Participants That Successfully Insert Vaginal Film
Time frame: Approximately 30 minutes
Number of participants that successfully insert each vaginal film defined as the film location being completely inside the vagina upon visual assessment by a clinician
2 secondary outcomes
Number of Participants That Report Self-Insertion of Vaginal Film Was Easy
Time frame: Approximately 30 minutes
Number of Participants That Prefer the High Over the Low Eudragit® Content Vaginal Film
Time frame: Approximately 1 hour
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 22 Feb 2022.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Background: PubMed 9863584Visness CM, Ulin P, Pfannenschmidt S, Zekeng L. Views of Cameroonian sex workers on a woman-controlled method of contraception and disease protection. Int J STD AIDS. 1998 Nov;9(11):695-9. doi: 10.1258/0956462981921224.
- Background: PubMed 21774672Nel AM, Mitchnick LB, Risha P, Muungo LT, Norick PM. Acceptability of vaginal film, soft-gel capsule, and tablet as potential microbicide delivery methods among African women. J Womens Health (Larchmt). 2011 Aug;20(8):1207-14. doi: 10.1089/jwh.2010.2476. Epub 2011 Jul 20.
- Background: PubMed 10549452Raymond E, Alvarado G, Ledesma L, Diaz S, Bassol S, Morales E, Fernandez V, Carlos G. Acceptability of two spermicides in five countries. Contraception. 1999 Jul;60(1):45-50. doi: 10.1016/s0010-7824(99)00060-8.
- UNAIDS Women and Girls and HIV.Link provided by the sponsor.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Sharon L Hillier, PhD principal investigator
University of Pittsburgh
Katherine Bunge, MD principal investigator
University of Pittsburgh
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing High Eudragit® Content Vaginal Film and Low Eudragit® Content Vaginal Film in people with Safety and Acceptability, run by Katherine Bunge at 1 site 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 3 inclusion and 8 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 22 Feb 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site 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. 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 22 Nov 2021). 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?
Number of Participants That Successfully Insert Vaginal Film (time frame: Approximately 30 minutes). 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 NCT04391036, which also lists 3 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 22 Feb 2022.