Modifiers of Tenofovir in the Female Genital Tract

NCT ID: NCT03377608

Last Updated: 2018-05-01

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

50 participants

Study Classification

OBSERVATIONAL

Study Start Date

2017-11-17

Study Completion Date

2018-04-02

Brief Summary

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Two-armed, single visit, pharmacokinetic study to compare tenofovir diphosphate concentrations in cervical tissues of women on Depo-Provera contraception vs non-hormonal contraception.

Detailed Description

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Conditions

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HIV/AIDS Contraception

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Depo-Provera

Tenofovir Disoproxil Fumarate

Intervention Type DRUG

Two cervical biopsies, blood plasma, PBMC, urine, and two cervicovaginal swabs will be collected at a single study visit

Depo-Provera

Intervention Type DRUG

Two cervical biopsies, blood plasma, PBMC, urine, and two cervicovaginal swabs will be collected at a single study visit

Non-hormonal contraception

Tenofovir Disoproxil Fumarate

Intervention Type DRUG

Two cervical biopsies, blood plasma, PBMC, urine, and two cervicovaginal swabs will be collected at a single study visit

Interventions

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Tenofovir Disoproxil Fumarate

Two cervical biopsies, blood plasma, PBMC, urine, and two cervicovaginal swabs will be collected at a single study visit

Intervention Type DRUG

Depo-Provera

Two cervical biopsies, blood plasma, PBMC, urine, and two cervicovaginal swabs will be collected at a single study visit

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Female, or transgender female with a cervix, aged 18-35 years old
* HIV-positive
* Stable on antiretroviral regimen containing TDF for at least 2 weeks at time of enrollment.
* Virally suppressed (HIV-RNA copies \<50 copies/mL) for at least 6 months at time of enrollment.
* Willing to refrain from vaginal intercourse and use of vaginal devices such as douches and sex toys within 72 hours of the biopsy visit.
* Willing and able to give signed informed consent.

Exclusion Criteria

* Currently pregnant or previous pregnancy within 3 months of enrollment
* Currently breast feeding
* Symptomatic vaginal infection within 2 weeks prior to enrollment
* Unexplained, undiagnosed abnormal bleeding per vagina, bleeding per vagina during or following vaginal intercourse, or gynecologic surgery within 90 days prior to enrollment
* History of vulvar/vaginal/ cervical dysplasia, neoplasia or cancer, atypical squamous cells of undetermined significance, condyloma, or human papilloma virus (HPV) in the past year
* Use of oral and/or vaginal preparations of antibiotic or antifungal medications within 30 days prior to the enrollment visit
Minimum Eligible Age

18 Years

Maximum Eligible Age

35 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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MU-JHU CARE

OTHER

Sponsor Role collaborator

University of Minnesota

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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MU-JHU Care Ltd

Kampala, , Uganda

Site Status

Countries

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Uganda

References

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Nicol MR, Eneh P, Nakalega R, Kaiser T, Kabwigu S, Isingel E, Beksinska M, Sykes C, Fowler MG, Brown TT, Staley C, Kiweewa Matovu F. Depot Medroxyprogesterone Acetate and the Vaginal Microbiome as Modifiers of Tenofovir Diphosphate and Lamivudine Triphosphate Concentrations in the Female Genital Tract of Ugandan Women: Implications for Tenofovir Disoproxil Fumarate/Lamivudine in Preexposure Prophylaxis. Clin Infect Dis. 2020 Apr 10;70(8):1717-1724. doi: 10.1093/cid/ciz443.

Reference Type DERIVED
PMID: 31131846 (View on PubMed)

Other Identifiers

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STUDY00000171

Identifier Type: -

Identifier Source: org_study_id

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