HIV Prevention Clinical Trial
Official title:
A Randomized, Double Blind Phase 1 Safety, Acceptability, and Pharmacokinetic Study Comparing Three Formulations of Tenofovir 1% Gel Administered Rectally to HIV-1 Seronegative Adults
This is a double-blinded, randomized, safety, acceptability, pharmacokinetic, and ex vivo
efficacy study of three rectally-applied tenofovir-based microbicide formulations.
Approximately 18 total evaluable HIV-negative men and women (~9 per site) will be enrolled
across two study sites: University of California at Los Angeles (UCLA) and Magee-Womens
Research Institute (MWRI) at University of Pittsburgh.
Each participant will experience seven rectal exposures to the rectal-specific formulation
(RF) and seven rectal exposures to the reduced glycerin vaginal formulation (RGVF) of
tenofovir 1% gel, but only one exposure to the vaginal formulation (VF), which will be
coupled with six preceding exposures to the Universal HEC Placebo Gel to balance out the VF
study stage. Participant accrual will take approximately 6 months and each participant will
be on study for approximately 3 months. The total duration of the study will be
approximately 1 year.
The primary objectives of the study are safety, acceptability, and pharmacokinetics,
specifically:
- To evaluate the safety of each tenofovir-based microbicide gel formulation when applied
rectally
- To evaluate the acceptability of each tenofovir-based microbicide gel formulation when
applied rectally
- To compare systemic and compartment pharmacokinetics among the three tenofovir-based
microbicide gel formulations when applied rectally
Secondary objective of the study is to evaluate the mucosal immunotoxicity of each
tenofovir-based microbicide gel formulation when applied rectally.
And the exploratory objective of the study is to assess the preliminary (ex vivo) efficacy
of each tenofovir-based microbicide gel formulation using biopsy explants after each product
is applied rectally.
n/a
Allocation: Randomized, Intervention Model: Crossover Assignment, Masking: Double Blind (Subject, Caregiver, Investigator), Primary Purpose: Prevention
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