Interactions Between Antiretrovirals (ARVs) and Combined Oral Contraceptives (COCs)

NCT ID: NCT00829114

Last Updated: 2011-10-31

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

Clinical Phase

PHASE4

Total Enrollment

370 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-03-31

Study Completion Date

2011-04-30

Brief Summary

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Non-randomized, comparative study (1:1 allocation) to study interactions between nevirapine-containing antiretroviral therapies and combined oral contraceptive pills.

Detailed Description

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Conditions

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HIV/AIDS HIV Infections

Keywords

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AE AIDS ALT ART AST DCF DMC FDA GCP HB sAg ICH IND IRB IU mg mm3 PCR SAE ULN WB COC Combined Oral Contraceptives

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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1

ART/COC group

Group Type ACTIVE_COMPARATOR

ETHINYL ESTRADIOL AND LEVOGESTREL

Intervention Type DRUG

30 MCG OF ETHINYL ESTRADIOL AND 150 MCG LEVOGESTREL

2

COC group

Group Type ACTIVE_COMPARATOR

ETHINYL ESTRADIOL AND LEVOGESTREL

Intervention Type DRUG

30 MCG OF ETHINYL ESTRADIOL AND 150 MCG LEVOGESTREL

Interventions

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ETHINYL ESTRADIOL AND LEVOGESTREL

30 MCG OF ETHINYL ESTRADIOL AND 150 MCG LEVOGESTREL

Intervention Type DRUG

ETHINYL ESTRADIOL AND LEVOGESTREL

30 MCG OF ETHINYL ESTRADIOL AND 150 MCG LEVOGESTREL

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Willing to provide informed consent
* Willing to take COCs and follow all study requirements
* Has regular menstrual cycles every 21-35 days (when not taking hormonal contraception)
* Last menstrual period (LMP) \<35 days before study entry
* Has body mass index of 18-30
* Negative urine pregnancy test as enrollment
* Documented HIV-1 infection
* On nevirapine-containing ART for at least three months (ART group only)
* CD4 cell count of greater than or equal to 350 (for non-ARV group only)
* Currently sexually active and plans to stay sexually active for the next 6 months

Exclusion Criteria

* Medical contraindications to COC use
* Recent pregnancy (within 3 months)
* Has breastfed in last 3 months
* Last pregnancy was ectpoic
* Has been sterilized
* Has had any of the following conditions since last pregnancy, or since menarche if never pregnant:

Pelvic Inflammatory disease Diagnosis of infertility

* Has had DMPA within 6 months or NET injectable within 3 months of study entry (or has had no menses since last injection regardless of its timing)
* has taken other hormonal therapies besides COCs (e.g., combined injectables, progestin implants or intrauterine systems, progestin-only contraceptive pills, medroxyprogesterone acetate, hormone replacement therapy) within 30 days of study entry
* Has an acute infection or other opportunistic diseases requiring therapy within 14 days before enrollment
* Has active drug or alcohol use that, in the opinion of the investigator, would interfere with adherence to study requirements
* Has taken any prohibited medication within 30 days before study entry
* Has chronic diarrhea, malabsorption or inability to maintain an adequate oral intake
* Has any condition (social or medical) which in the opinion of the investigator would make study participation unsafe or complicate data interpretation
Minimum Eligible Age

18 Years

Maximum Eligible Age

35 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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United States Agency for International Development (USAID)

FED

Sponsor Role collaborator

Makerere University

OTHER

Sponsor Role collaborator

RHRU National Office, University of Witwatersand, Johannesburg

UNKNOWN

Sponsor Role collaborator

FHI 360

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Kavita Nanda, MD

Role: PRINCIPAL_INVESTIGATOR

FHI 360

Vera Halpern, MD

Role: PRINCIPAL_INVESTIGATOR

FHI 360

Locations

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, RHRU National Office, University of Witwatersand

Esselent Saint Hillbrow, Johannesburg, South Africa

Site Status

Makerere University Medical School, Mulago Hospital, Department of Obstetrics and Gynecology

Kampala, Kampala, Uganda

Site Status

Countries

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South Africa Uganda

References

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Nanda K, Delany-Moretlwe S, Dube K, Lendvay A, Kwok C, Molife L, Nakubulwa S, Edward VA, Mpairwe B, Mirembe FM. Nevirapine-based antiretroviral therapy does not reduce oral contraceptive effectiveness. AIDS. 2013 Oct;27 Suppl 1:S17-25. doi: 10.1097/QAD.0000000000000050.

Reference Type DERIVED
PMID: 24088680 (View on PubMed)

Other Identifiers

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10079

Identifier Type: -

Identifier Source: org_study_id