Effects of a Vaginal Contraceptive Ring on Vaginal Microbiota and Local Immunity

NCT ID: NCT02432404

Last Updated: 2025-02-05

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

81 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-03-31

Study Completion Date

2021-11-30

Brief Summary

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To assess potential benefits associated with both intermittent (use for 3 weeks, remove for 1 week, as defined in the package insert) and continuous (use for 4 weeks, then replace) CVR use among women either with BV or at high risk for BV. The investigators will also recruit women who are HSV2-infected.

Detailed Description

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Conditions

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Bacterial Vaginosis

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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Cyclic NuvaRing CVR Use

CVR use for 3 weeks, remove for 1 week, then replace

Group Type ACTIVE_COMPARATOR

NuvaRing

Intervention Type DRUG

Continuous NuvaRing CVR Use

CVR use for 4 weeks, then replace

Group Type EXPERIMENTAL

NuvaRing

Intervention Type DRUG

Interventions

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NuvaRing

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* ≥18-40 year old women
* BV+ by Amsel criteria and Nugent score OR history of BV in the prior 6 months
* Willing to use the NuvaRing as directed
* Not intending or wishing to become pregnant over the course of the study
* Capable of providing written informed consent

Exclusion Criteria

* Current pregnancy
* Desire/intent to become pregnant over the course of the study
* Women who are less than 6 weeks postpartum
* Contraindications to hormonal contraceptive use per package insert, including history of deep vein thrombosis, smoking in women older than 35 years
* Current IUD
* Unable to comprehend consent material because of language barrier or psychological difficulty
Minimum Eligible Age

18 Years

Maximum Eligible Age

40 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

University of Washington

OTHER

Sponsor Role lead

Responsible Party

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Christine Johnston

Assistant Professor, Medicine/Division of Allergy and Infectious Diseases

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Christine Johnston, MD, MPH

Role: PRINCIPAL_INVESTIGATOR

University of Washington

Locations

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UW Virology Research Clinic

Seattle, Washington, United States

Site Status

Countries

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United States

References

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Veres S, Miller L, Burington B. A comparison between the vaginal ring and oral contraceptives. Obstet Gynecol. 2004 Sep;104(3):555-63. doi: 10.1097/01.AOG.0000136082.59644.13.

Reference Type BACKGROUND
PMID: 15339769 (View on PubMed)

Atashili J, Poole C, Ndumbe PM, Adimora AA, Smith JS. Bacterial vaginosis and HIV acquisition: a meta-analysis of published studies. AIDS. 2008 Jul 31;22(12):1493-501. doi: 10.1097/QAD.0b013e3283021a37.

Reference Type BACKGROUND
PMID: 18614873 (View on PubMed)

Cohen CR, Lingappa JR, Baeten JM, Ngayo MO, Spiegel CA, Hong T, Donnell D, Celum C, Kapiga S, Delany S, Bukusi EA. Bacterial vaginosis associated with increased risk of female-to-male HIV-1 transmission: a prospective cohort analysis among African couples. PLoS Med. 2012;9(6):e1001251. doi: 10.1371/journal.pmed.1001251. Epub 2012 Jun 26.

Reference Type BACKGROUND
PMID: 22745608 (View on PubMed)

Heffron R, Donnell D, Rees H, Celum C, Mugo N, Were E, de Bruyn G, Nakku-Joloba E, Ngure K, Kiarie J, Coombs RW, Baeten JM; Partners in Prevention HSV/HIV Transmission Study Team. Use of hormonal contraceptives and risk of HIV-1 transmission: a prospective cohort study. Lancet Infect Dis. 2012 Jan;12(1):19-26. doi: 10.1016/S1473-3099(11)70247-X. Epub 2011 Oct 3.

Reference Type BACKGROUND
PMID: 21975269 (View on PubMed)

Vodstrcil LA, Hocking JS, Law M, Walker S, Tabrizi SN, Fairley CK, Bradshaw CS. Hormonal contraception is associated with a reduced risk of bacterial vaginosis: a systematic review and meta-analysis. PLoS One. 2013 Sep 4;8(9):e73055. doi: 10.1371/journal.pone.0073055. eCollection 2013.

Reference Type BACKGROUND
PMID: 24023807 (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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U19AI113173

Identifier Type: NIH

Identifier Source: secondary_id

View Link

STUDY00003584

Identifier Type: -

Identifier Source: org_study_id

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