Impact of Hormonal Contraception on HIV Acquisition and Transmission Risk

NCT ID: NCT02357368

Last Updated: 2020-11-18

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

59 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-02-28

Study Completion Date

2019-10-23

Brief Summary

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This is a prospective cohort study focusing on HIV negative women. The investigators want to learn how the contraceptive methods of depot medroxyprogesterone acetate (DMPA), etonogestrel implant (Eng-Implant), levonorgestrel intrauterine device (Lng-IUD) and the ParaGard® T 380A Intrauterine Copper Contraceptive impact the vaginal immune environment.

Detailed Description

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The three proposed aims will evaluate the effect of four contraceptive methods (depot medroxyprogesterone acetate (DMPA), etonogestrel implant (Eng-Implant), levonorgestrel intrauterine device (Lng-IUD) and ParaGard® T 380A Intrauterine Copper Contraceptive) on: (1) HIV target immune cells within the female genital mucosa; (2) markers of T-cell activation and trafficking within the female genital mucosa; and (3) secreted cytokines and chemokines within the female genital mucosa.

Conditions

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HIV Contraception

Keywords

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HIV-negative

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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Depot medroxyprogesterone acetate (DMPA)

DMPA will be administered every 12 weeks at 150 mg by intramuscular (IM) injection at week 3 of study enrollment and repeated at week 15.

Group Type EXPERIMENTAL

Depot medroxyprogesterone acetate (DMPA)

Intervention Type DRUG

DMPA will be administered every 12 weeks at the standard dose of 150 mg IM, beginning from week 3 of study enrollment and repeated at week 15.

Etonogestrel implant (Eng-Implant)

A standard Nexplanon rod Implant will be placed at study week 3.

Group Type EXPERIMENTAL

Etonogestrel implant (Eng-Implant)

Intervention Type DEVICE

A standard nexplanon rod implant will be placed at study week 3 by a trained clinician.

Levonorgestrel intrauterine device (Lng-IUD)

A standard Mirena IUD will be placed at study week 3.

Group Type EXPERIMENTAL

Levonorgestrel intrauterine device (Lng-IUD)

Intervention Type DEVICE

A standard Mirena IUD will be placed at study week 3 by a trained clinician.

ParaGard® T 380A Intrauterine Copper Contraceptive

A standard ParaGuard IUD will be placed at study week 3.

Group Type EXPERIMENTAL

ParaGard® T 380A Intrauterine Copper Contraceptive

Intervention Type DEVICE

A standard ParaGuard IUD will be placed at study week 3 by a trained clinician.

Interventions

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Depot medroxyprogesterone acetate (DMPA)

DMPA will be administered every 12 weeks at the standard dose of 150 mg IM, beginning from week 3 of study enrollment and repeated at week 15.

Intervention Type DRUG

Etonogestrel implant (Eng-Implant)

A standard nexplanon rod implant will be placed at study week 3 by a trained clinician.

Intervention Type DEVICE

Levonorgestrel intrauterine device (Lng-IUD)

A standard Mirena IUD will be placed at study week 3 by a trained clinician.

Intervention Type DEVICE

ParaGard® T 380A Intrauterine Copper Contraceptive

A standard ParaGuard IUD will be placed at study week 3 by a trained clinician.

Intervention Type DEVICE

Other Intervention Names

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Depo Provera Nexplanon Mirena ParaGuard

Eligibility Criteria

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Inclusion Criteria

* Female
* Age 18-45 years
* Normal menses (22-35 day intervals) for at least 3 cycles
* Intact uterus and cervix
* Interested in to DMPA, Eng-Implant or Lng-IUD or ParaGuard
* Willing to delay initiation of hormonal contraception for up to 1 month
* Willing to use condoms or abstain from sexual intercourse for at least 48 hours before each genital tract sampling (condoms will be made available)
* Able and willing to provide informed consent, and undergo serial blood and cervicovaginal lavage (CVL) sampling
* Negative HIV screening

Exclusion Criteria

* Pregnant within the last 3 months
* Breastfeeding
* History of loop electrosurgical excision procedure, conization, or cryosurgery within the past year
* Use of hormonal contraception or IUD in the past 6 months
* Known history of medical condition that would interfere with the conduct of the study
* Symptomatic vaginal infection or genital ulcer disease at screening
* Taking medications that interact with selected contraceptive
* Contraindications to selected contraceptive per the Centers for Disease Control and Prevention (CDC) medical eligibility criteria or judgment of clinician
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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

NIH

Sponsor Role collaborator

Lisa Haddad

OTHER

Sponsor Role lead

Responsible Party

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Lisa Haddad

Asscoiate Professor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Lisa Haddad, MD

Role: PRINCIPAL_INVESTIGATOR

Emory University

Locations

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Grady Health System

Atlanta, Georgia, United States

Site Status

The Ponce de Leon Center of the Grady Health System

Atlanta, Georgia, United States

Site Status

Emory Clinic

Atlanta, Georgia, United States

Site Status

Emory University Clinical Research Network

Atlanta, Georgia, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Document Type: Informed Consent Form

View Document

Other Identifiers

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5K23HD078153-05

Identifier Type: NIH

Identifier Source: secondary_id

View Link

IRB00072549

Identifier Type: -

Identifier Source: org_study_id