Trichomonas Vaginalis Repeat Infections Among HIV Negative Women

NCT ID: NCT01832480

Last Updated: 2019-02-12

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

623 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-10-06

Study Completion Date

2017-06-05

Brief Summary

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The overall goal of this project is to determine the influence of patient treatment and host factors on repeat Trichomonas vaginalis (TV) infections among HIV-negative women

Detailed Description

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This study is a phase III randomized clinical trial. HIV-negative women who test positive for TV at their routine gynecological exam at participating clinics will be referred to the nurse/study coordinator to screen for eligibility, provide a description of the study, and obtain written, informed consent (N=700). Subjects will undergo an audio computer assisted self- interview (ACASI), and will self-collect vaginal swabs for Trichomonas testing by InPouch and Nucleic Acid Amplification Test (NAAT), Gram stain testing, and a future microbiome specimen. They will be randomized into one of two arms; metronidazole (MTZ) 2 g single dose (CDC recommended treatment regimen) or MTZ 500 mg twice daily x 7-day dose (CDC alternative treatment regimen). All enrolled women will be scheduled for a follow-up visit at four weeks post treatment completion (window 3-13 weeks).

Conditions

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Vaginitis Trichomonal or Due to Trichomonas

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

This was an open label study

Study Groups

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MTZ 2 g

Single dose MTZ

Group Type ACTIVE_COMPARATOR

MTZ 2 g

Intervention Type DRUG

MTZ 2 g

MTZ 500 mg twice daily x 7 days

Multi dose MTZ

Group Type EXPERIMENTAL

MTZ 500 mg twice daily x 7 days

Intervention Type DRUG

MTZ 500 mg twice daily x 7 days

Interventions

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MTZ 500 mg twice daily x 7 days

MTZ 500 mg twice daily x 7 days

Intervention Type DRUG

MTZ 2 g

MTZ 2 g

Intervention Type DRUG

Other Intervention Names

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Multi-dose MTZ Single dose MTZ

Eligibility Criteria

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Inclusion Criteria

* female
* English speaking
* \>= 18 years old

Exclusion Criteria

* HIV-infected
* unable to provide informed consent
* pregnant
* breast feeding
* treated by their provider for Bacterial vaginosis (BV) at visit
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Tulane University Health Sciences Center

OTHER

Sponsor Role lead

Responsible Party

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Patricia Kissinger

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Patricia Kissinger, MD

Role: PRINCIPAL_INVESTIGATOR

Tulane Univeristy

Locations

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Jefferson County Dept of Health/STD Specialty Clinic

Birmingham, Alabama, United States

Site Status

CrescentCare Health and Wellness Center

New Orleans, Louisiana, United States

Site Status

Crossroads Clinic

Jackson, Mississippi, United States

Site Status

Countries

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United States

References

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Kissinger P, Amedee A, Clark RA, Dumestre J, Theall KP, Myers L, Hagensee ME, Farley TA, Martin DH. Trichomonas vaginalis treatment reduces vaginal HIV-1 shedding. Sex Transm Dis. 2009 Jan;36(1):11-6. doi: 10.1097/OLQ.0b013e318186decf.

Reference Type BACKGROUND
PMID: 19008776 (View on PubMed)

Kissinger P, Secor WE, Leichliter JS, Clark RA, Schmidt N, Curtin E, Martin DH. Early repeated infections with Trichomonas vaginalis among HIV-positive and HIV-negative women. Clin Infect Dis. 2008 Apr 1;46(7):994-9. doi: 10.1086/529149.

Reference Type BACKGROUND
PMID: 18444815 (View on PubMed)

Kissinger P, Schmidt N, Mohammed H, Leichliter JS, Gift TL, Meadors B, Sanders C, Farley TA. Patient-delivered partner treatment for Trichomonas vaginalis infection: a randomized controlled trial. Sex Transm Dis. 2006 Jul;33(7):445-50. doi: 10.1097/01.olq.0000204511.84485.4c.

Reference Type BACKGROUND
PMID: 16531939 (View on PubMed)

Kissinger P, Mena L, Levison J, Clark RA, Gatski M, Henderson H, Schmidt N, Rosenthal SL, Myers L, Martin DH. A randomized treatment trial: single versus 7-day dose of metronidazole for the treatment of Trichomonas vaginalis among HIV-infected women. J Acquir Immune Defic Syndr. 2010 Dec 15;55(5):565-71. doi: 10.1097/QAI.0b013e3181eda955.

Reference Type BACKGROUND
PMID: 21423852 (View on PubMed)

Howe K, Kissinger PJ. Single-Dose Compared With Multidose Metronidazole for the Treatment of Trichomoniasis in Women: A Meta-Analysis. Sex Transm Dis. 2017 Jan;44(1):29-34. doi: 10.1097/OLQ.0000000000000537.

Reference Type BACKGROUND
PMID: 27898571 (View on PubMed)

Meites E, Gaydos CA, Hobbs MM, Kissinger P, Nyirjesy P, Schwebke JR, Secor WE, Sobel JD, Workowski KA. A Review of Evidence-Based Care of Symptomatic Trichomoniasis and Asymptomatic Trichomonas vaginalis Infections. Clin Infect Dis. 2015 Dec 15;61 Suppl 8(Suppl 8):S837-48. doi: 10.1093/cid/civ738.

Reference Type BACKGROUND
PMID: 26602621 (View on PubMed)

Kissinger P. Trichomonas vaginalis: a review of epidemiologic, clinical and treatment issues. BMC Infect Dis. 2015 Aug 5;15:307. doi: 10.1186/s12879-015-1055-0.

Reference Type BACKGROUND
PMID: 26242185 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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4042013

Identifier Type: -

Identifier Source: org_study_id

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