Observational Study of HIV Infected Women Previously Enrolled in Other Microbicide Trials

NCT ID: NCT00514098

Last Updated: 2021-06-21

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

479 participants

Study Classification

OBSERVATIONAL

Study Start Date

2008-08-25

Study Completion Date

2019-06-30

Brief Summary

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A new approach to HIV prevention currently being studied includes the use of topical microbicides and orally administered anti-HIV drugs. The purpose of this study is to better understand the impact of microbicides in women who are diagnosed with HIV-1 during participation in previous microbicide trials.

Detailed Description

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It is necessary to monitor HIV over long periods of time in order to better understand the impact of microbicides and anti-HIV drugs on the progression of HIV infection in those who become infected or are unknowingly already infected while receiving these drugs. The purpose of this study is to determine the effects of microbicides or oral anti-HIV drugs over time in HIV infected women who were previously enrolled in other microbicide trials.

The study will remain open to accrual for the duration of MTN funding, and will use two follow-up visit schedules, one based on the date of diagnosis in the parent study, and one based on the initiation of antiretroviral treatment (ART). Participants who have not initiated ART at the time of enrollment in this study will follow the schedule based on the date of diagnosis. Participants who have already begun ART at the time of enrollment will follow the schedule based on the date of ART initiation. Individuals enrolled with a starting date based on the date of ART initiation will have their first follow-up visit at Week 2 before resuming the rest of the schedule. On both schedules, follow-up visits occur at Months 1, 3, and 6 and every 6 months thereafter. Interim visits may be performed at any time during follow-up, and participants will be asked to attend a final study visit prior to their termination from the study. Participants may enroll any time after their HIV diagnosis and can leave the study at any time.

A physical exam; medical and medication history assessment; blood and urine collection; and pelvic, cervicovaginal lavage, and vaginal swab sampling will occur at all visits. A behavioral assessment will occur at select visits, and adherence and social harms assessments will occur at most visits. Sexually transmitted infection risk reduction/contraception and HIV-1 secondary counseling will occur at most visits. In addition, condoms will be provided at all visits to reduce further HIV transmission. ART will not be provided by this study.

Conditions

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HIV Infections

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of HIV-1 infection during participation in any Microbicide Trials Network (MTN) clinical trial (including HPTN 035 and HPTN 059), according to the HIV testing algorithm of the parent MTN trial
* Parent or guardian willing to provide informed consent, if applicable

Exclusion Criteria

* Any condition that, in the opinion of the investigator, makes participation in the study unsafe or interferes with the study
Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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National Institute of Allergy and Infectious Diseases (NIAID)

NIH

Sponsor Role collaborator

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

NIH

Sponsor Role collaborator

National Institute of Mental Health (NIMH)

NIH

Sponsor Role collaborator

Microbicide Trials Network

NETWORK

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Sharon A. Riddler, MD

Role: STUDY_CHAIR

University of Pittsburgh

Locations

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College of Med. JHU CRS

Blantyre, , Malawi

Site Status

University of North Carolina Lilongwe

Lilongwe, , Malawi

Site Status

Wits Reproductive Health Institute (WRHI)

Johannesburg, Gauteng, South Africa

Site Status

CAPRISA- The Aurum Institute

Johannesburg, Guateng, South Africa

Site Status

Botha's Hill CRS

Durban, KwaZulu-Natal, South Africa

Site Status

CAPRISA eThewkini

Durban, KwaZulu-Natal, South Africa

Site Status

Overport CRS

Durban, KwaZulu-Natal, South Africa

Site Status

Isipingo CRS

Durban, KwaZulu-Natal, South Africa

Site Status

Verulam CRS

Durban, KwaZulu-Natal, South Africa

Site Status

South African Medical Research Council, Tongaat

Durban, KwaZulu-Natal, South Africa

Site Status

Umkomaas CRS

Durban, KwaZulu-Natal, South Africa

Site Status

Perinatal HIV Research Unit (HPRU)

Johannesburg, Soweto, South Africa

Site Status

R. K. Khan CRS

Durban, , South Africa

Site Status

Makerere University- JHU Research Collaboration {MUJHU CARE LTD} CRS

Kampala, , Uganda

Site Status

Kamwala Clinic CRS

Kamwala, , Zambia

Site Status

UZ-UCSF HIV Prevention Trials Unit

Harare, Chitungwiza, Zimbabwe

Site Status

Seke South CRS

Chitungwiza, , Zimbabwe

Site Status

Spilhaus CRS

Harare, , Zimbabwe

Site Status

Countries

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Malawi South Africa Uganda Zambia Zimbabwe

References

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Riddler SA, Balkus JE, Parikh UM, Mellors JW, Akello C, Dadabhai S, Mhlanga F, Ramjee G, Mayo AJ, Livant E, Heaps AL, O'Rourke C, Baeten JM; MTN-015 and MTN-020/ASPIRE Study Teams. Clinical and Virologic Outcomes Following Initiation of Antiretroviral Therapy Among Seroconverters in the Microbicide Trials Network-020 Phase III Trial of the Dapivirine Vaginal Ring. Clin Infect Dis. 2019 Jul 18;69(3):523-529. doi: 10.1093/cid/ciy909.

Reference Type RESULT
PMID: 30346511 (View on PubMed)

Riddler SA, Husnik M, Ramjee G, Premrajh A, Tutshana BO, Pather A, Siva S, Jeenarain N, Nair G, Selepe P, Kabwigu S, Palanee-Phillips T, Panchia R, Mhlanga F, Levy L, Livant E, Patterson K, Elharrar V, Balkus J. HIV disease progression among women following seroconversion during a tenofovir-based HIV prevention trial. PLoS One. 2017 Jun 28;12(6):e0178594. doi: 10.1371/journal.pone.0178594. eCollection 2017.

Reference Type RESULT
PMID: 28658251 (View on PubMed)

Riddler SA, Husnik M, Gorbach PM, Levy L, Parikh U, Livant E, Pather A, Makanani B, Muhlanga F, Kasaro M, Martinson F, Elharrar V, Balkus JE; MTN-015 Protocol Team for the Microbicide Trials Network. Long-term follow-up of HIV seroconverters in microbicide trials - rationale, study design, and challenges in MTN-015. HIV Clin Trials. 2016 Sep;17(5):204-11. doi: 10.1080/15284336.2016.1212561. Epub 2016 Jul 28.

Reference Type RESULT
PMID: 27465646 (View on PubMed)

Other Identifiers

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5UM1AI068633

Identifier Type: NIH

Identifier Source: secondary_id

View Link

10529

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

MTN-015

Identifier Type: -

Identifier Source: org_study_id

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