Bacterial Vaginosis Clinical Trial
Official title:
Asymptomatic Bacterial Vaginosis and Herpes Simplex Virus Type 2 Shedding
An important contributor to the epidemic spread of herpes simplex virus type 2 (HSV-2) is
its high frequency of asymptomatic shedding in the genital tract, as transmission usually
occurs during these periods of subclinical reactivation of the virus (1). Therefore, an
improved understanding of the risk factors associated with HSV-2 shedding is needed.
The researchers' preliminary data suggests that bacterial vaginosis (BV) may be associated
with increased genital tract shedding of HSV-2 (2). As BV is the most common cause of
vaginal symptoms in reproductive age women, even modest associations with genital tract
shedding of HSV-2 would result in substantial attributable risks for transmission of the
virus.
The researchers' investigation will assess the effects of asymptomatic BV on daily genital
tract shedding of HSV-2 by determining shedding frequency before and after treatment of
asymptomatic BV. To do this, the researchers will enroll 35 HSV-2 seropositive women with
asymptomatic BV. These women will be instructed to self-collect daily swab specimens for
HSV-2 deoxyribonucleic acid (DNA) polymerase chain reaction (PCR) analysis from the lower
genital tract for one month. At the end of the one month follow-up visit, each participant
will complete a one week course of oral metronidazole for treatment of BV. This will be
followed by daily home collection of genital tract swab specimens for an additional one
month.
n/a
Allocation: Non-Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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