Modulation of Immunity by Hormonal Contraceptives

NCT ID: NCT02011711

Last Updated: 2017-01-16

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

90 participants

Study Classification

OBSERVATIONAL

Study Start Date

2013-11-30

Study Completion Date

2016-12-31

Brief Summary

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Clinical study to determine if hormonal contraceptive use effects cells that fight infection (i.e., immune cells).

Detailed Description

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Feminization of the HIV pandemic is impetus for better understanding of the risk factors promoting male to female sexual transmission. One putative risk factor is hormonal contraceptive use. Our laboratory recently reported that dendritic cell activation, virus-specific T cell expansion, and memory T cell development were impaired among female mice administered depot-medroxyprogesterone acetate (DMPA) prior to viral infection of mucosal tissue, and we now are enrolling women into a clinical investigation exploring the immunomodulatory effects of several common hormonal contraceptive forms. Completion of this research will provide important comparative evaluation of the capacity of these drugs to modulate host defenses combating genital tract infection, eventually supplying healthcare providers more informed recommendations regarding appropriate hormonal contraceptive choices among women at risk for acquisition of HIV.

Conditions

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Contraception

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Mirena

Women interested in beginning use of Mirena

No interventions assigned to this group

Depot-medroxyprogesterone acetate

Women interested in beginning use of depot-medroxyprogesterone acetate

No interventions assigned to this group

Oral Contraception

Women interested in beginning use of oral contraception

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* not pregnant
* regular menstrual cycle

Exclusion Criteria

* use of oral contraceptive or Mirena in 3 months prior to enrollment
* use of depot-medroxyprogesterone acetate in 6 months prior to enrollment
* diagnosis of sexually transmitted infection in 30 days prior to enrollment
* history of cervical malignancy
Minimum Eligible Age

15 Years

Maximum Eligible Age

25 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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National Institutes of Health (NIH)

NIH

Sponsor Role collaborator

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

NIH

Sponsor Role collaborator

Thomas L. Cherpes

OTHER

Sponsor Role lead

Responsible Party

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Thomas L. Cherpes

Assistant Professor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Thomas L Cherpes, MD

Role: PRINCIPAL_INVESTIGATOR

Stanford University

Locations

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Edwards Building

Stanford, California, United States

Site Status

Countries

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United States

References

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Vicetti Miguel RD, Hendricks RL, Aguirre AJ, Melan MA, Harvey SA, Terry-Allison T, St Leger AJ, Thomson AW, Cherpes TL. Dendritic cell activation and memory cell development are impaired among mice administered medroxyprogesterone acetate prior to mucosal herpes simplex virus type 1 infection. J Immunol. 2012 Oct 1;189(7):3449-61. doi: 10.4049/jimmunol.1103054. Epub 2012 Aug 31.

Reference Type BACKGROUND
PMID: 22942424 (View on PubMed)

Quispe Calla NE, Vicetti Miguel RD, Mei A, Fan S, Gilmore JR, Cherpes TL. Dendritic cell function and pathogen-specific T cell immunity are inhibited in mice administered levonorgestrel prior to intranasal Chlamydia trachomatis infection. Sci Rep. 2016 Nov 28;6:37723. doi: 10.1038/srep37723.

Reference Type BACKGROUND
PMID: 27892938 (View on PubMed)

Quispe Calla NE, Ghonime MG, Cherpes TL, Vicetti Miguel RD. Medroxyprogesterone acetate impairs human dendritic cell activation and function. Hum Reprod. 2015 May;30(5):1169-77. doi: 10.1093/humrep/dev035. Epub 2015 Mar 3.

Reference Type RESULT
PMID: 25740884 (View on PubMed)

Quispe Calla NE, Vicetti Miguel RD, Boyaka PN, Hall-Stoodley L, Kaur B, Trout W, Pavelko SD, Cherpes TL. Medroxyprogesterone acetate and levonorgestrel increase genital mucosal permeability and enhance susceptibility to genital herpes simplex virus type 2 infection. Mucosal Immunol. 2016 Nov;9(6):1571-1583. doi: 10.1038/mi.2016.22. Epub 2016 Mar 23.

Reference Type RESULT
PMID: 27007679 (View on PubMed)

Quispe Calla NE, Vicetti Miguel RD, Trout W, Cherpes TL. HIV and Hormonal Contraception: Bench and Bedside. J Acquir Immune Defic Syndr. 2017 Mar 1;74(3):e85-e86. doi: 10.1097/QAI.0000000000001174. No abstract available.

Reference Type RESULT
PMID: 27599006 (View on PubMed)

Other Identifiers

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R01HD072663

Identifier Type: NIH

Identifier Source: secondary_id

View Link

2013H0235

Identifier Type: -

Identifier Source: org_study_id

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