HIV Infections Clinical Trial
Official title:
Characteristics of Baseline Mucosal Indices of Injury and Inflammation in Men For Use in Rectal Microbicide Trials
Microbicides are drugs that destroy microbes such as viruses and bacteria. Rectal microbicides may be able to prevent transmission of HIV during anal intercourse. The purpose of this study is to obtain rectal samples from men to learn information that may be valuable in future clinical trials of rectal microbicides.
Rectal microbicides to prevent HIV transmission are currently being developed in the hope
that someday they will be widely used to prevent sexually transmitted HIV. This study will
examine variables in male rectal tissue; this information may be useful for future rectal
microbicide safety and efficacy studies. The study will evaluate the differences in rectal
tissue from HIV infected or uninfected males who either engage in anal-receptive sex (men
who sleep with men, or MSM) or do not have anal-receptive sex.
The study will last approximately 7 months, with 6 weeks of follow-up. There are four groups
in this study. Groups 1 and 2 will enroll HIV uninfected men; Groups 3 and 4 will enroll HIV
infected men. Groups 1, 3, and 4 will comprise MSM who engage in anal-receptive sex; Group 2
will comprise men who do not. Patients will provide medical and medication history, undergo
a complete physical exam, and receive HIV counseling at screening. An anoscopy (examination
of the anus, anal canal, and lower rectum) and blood draw will be conducted at screening,
study entry, and Weeks 2 and 4. Rectal secretions will be collected and a sigmoidoscopy (an
internal examination of the rectum, distal sigmoid colon, and large bowel using a small
camera) will be performed at study entry and Weeks 2 and 4.
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Time Perspective: Prospective
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