GUD Clinical and Virologic Response to Acyclovir in HIV Negative African Women

NCT ID: NCT00808405

Last Updated: 2013-12-11

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

88 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-01-31

Study Completion Date

2010-07-31

Brief Summary

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To examine the time to healing of genital lesion and duration of herpes simplex virus (HSV) shedding from genetic ulcer disease (GUD) among 90 HIV-negative African women who have a history of GUD and are HSV-2 seropositive and HIV-1 seronegative randomized in a 2:1 ratio to receive episodic acyclovir 400mg orally three times daily or matching placebo three times daily for 5 days and who are followed for a total of 13 days.

Detailed Description

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Conditions

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Genital Herpes

Keywords

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herpes simplex virus acyclovir HSV shedding women Africa

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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acyclovir

Group Type ACTIVE_COMPARATOR

acyclovir

Intervention Type DRUG

400mg taken orally three times daily for 5 days

placebo

Group Type PLACEBO_COMPARATOR

matching placebo

Intervention Type DRUG

matching placebo taken orally three times daily for 5 days.

Interventions

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acyclovir

400mg taken orally three times daily for 5 days

Intervention Type DRUG

matching placebo

matching placebo taken orally three times daily for 5 days.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* HIV negative as determined by concordant rapid testing
* HSV-2 seropositive (Focus HerpeSelect \>3.4)
* At least one prior occurrence of GUD
* 18-50 years of age

Exclusion Criteria

* Current use, or use w/in past 7 days of acyclovir, valacyclovir, or famciclovir
* Prior hypersensitivity \&/or allergic reaction to acyclovir
* Use of probenicid
* Current use, or use within past 28 days, of an investigational agent
* Currently pregnant or nursing
* Currently plan to become pregnant during next 3 months
* Any condition that will interfere with successful completion of study procedures
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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National Institute of Allergy and Infectious Diseases (NIAID)

NIH

Sponsor Role collaborator

National Institutes of Health (NIH)

NIH

Sponsor Role collaborator

University of Washington

OTHER

Sponsor Role lead

Responsible Party

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Connie Celum

MPH/ Principal Investigator, Protocol Co-Chair

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Connie Celum, MD, MPH

Role: PRINCIPAL_INVESTIGATOR

University of Washington

Anna Wald, MD, MPH

Role: PRINCIPAL_INVESTIGATOR

University of Washington

Locations

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Reproductive Health and HIV Research Unit (RHRU)

Johannesburg, , South Africa

Site Status

Center for Infectious Disease Research of Zambia (CIDRZ)

Lusaka, , Zambia

Site Status

Countries

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Zimbabwe South Africa Zambia

References

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Celum C, Wald A, Hughes J, Sanchez J, Reid S, Delany-Moretlwe S, Cowan F, Casapia M, Ortiz A, Fuchs J, Buchbinder S, Koblin B, Zwerski S, Rose S, Wang J, Corey L; HPTN 039 Protocol Team. Effect of aciclovir on HIV-1 acquisition in herpes simplex virus 2 seropositive women and men who have sex with men: a randomised, double-blind, placebo-controlled trial. Lancet. 2008 Jun 21;371(9630):2109-19. doi: 10.1016/S0140-6736(08)60920-4.

Reference Type BACKGROUND
PMID: 18572080 (View on PubMed)

Lu Y, Celum C, Wald A, Baeten JM, Cowan F, Delany-Moretlwe S, Reid SE, Hughes JP, Wilcox E, Corey L, Hendrix CW. Acyclovir achieves a lower concentration in African HIV-seronegative, herpes simplex virus 2-seropositive women than in non-African populations. Antimicrob Agents Chemother. 2012 May;56(5):2777-9. doi: 10.1128/AAC.06160-11. Epub 2012 Feb 13.

Reference Type BACKGROUND
PMID: 22330926 (View on PubMed)

Baeten JM, Reid SE, Delany-Moretlwe S, Hughes JP, Wang RS, Wilcox E, Limbada M, Akpomiemie G, Corey L, Wald A, Celum C. Clinical and virologic response to episodic acyclovir for genital ulcers among HIV-1 seronegative, herpes simplex virus type 2 seropositive African women: a randomized, placebo-controlled trial. Sex Transm Dis. 2012 Jan;39(1):21-4. doi: 10.1097/OLQ.0b013e31823b50c6.

Reference Type DERIVED
PMID: 22183840 (View on PubMed)

Other Identifiers

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U01AI052054

Identifier Type: NIH

Identifier Source: secondary_id

View Link

34708-A

Identifier Type: -

Identifier Source: org_study_id