NCT00362596

Brief Summary

Herpes infection is an important co-factor in HIV transmission. A recent meta-analysis demonstrated that HSV infection contributed to a 2-fold increased risk of HIV transmission. Suppressive therapy with acyclovir has been a method proposed to reduce HIV transmission. We are conducting a randomized controlled cross-over trial to evaluate the effect of acyclovir suppressive therapy on HIV genital shedding in women co-infected with HIV-1 and Herpes Simplex Virus Type-2 (HSV-2) in Thailand.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
67

participants targeted

Target at P50-P75 for phase_4 hiv

Timeline
Completed

Started Jan 2005

Shorter than P25 for phase_4 hiv

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

January 1, 2005

Completed
7 months until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2005

Completed
1 year until next milestone

First Submitted

Initial submission to the registry

August 8, 2006

Completed
2 days until next milestone

First Posted

Study publicly available on registry

August 10, 2006

Completed
Last Updated

August 10, 2006

Status Verified

August 1, 2006

First QC Date

August 8, 2006

Last Update Submit

August 9, 2006

Conditions

Keywords

AcyclovirHIVHSV

Outcome Measures

Primary Outcomes (1)

  • To evaluate the effect of acyclovir suppressive therapy on HIV genital shedding.

Secondary Outcomes (4)

  • To determine the association between HIV and HSV genital shedding, and the effect of acyclovir suppressive therapy on this association.

  • To determine the acceptability of acyclovir suppressive therapy for women with HIV infection.

  • To evaluate the association of genital symptoms and HIV or HSV genital shedding.

  • To evaluate the association between cervicovaginal (CVL) specimens and self-collected genital swabs for detection of HIV and HSV-2.

Interventions

Eligibility Criteria

Age18 Years - 49 Years
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • participants will be HIV and HSV-2 seropositive

You may not qualify if:

  • pregnancy, CD4 count \<200, on ART

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

TUC

Chiang Rai, Changwat Chiang Rai, Thailand

Location

Related Publications (1)

  • Dunne EF, Whitehead S, Sternberg M, Thepamnuay S, Leelawiwat W, McNicholl JM, Sumanapun S, Tappero JW, Siriprapasiri T, Markowitz L. Suppressive acyclovir therapy reduces HIV cervicovaginal shedding in HIV- and HSV-2-infected women, Chiang Rai, Thailand. J Acquir Immune Defic Syndr. 2008 Sep 1;49(1):77-83. doi: 10.1097/QAI.0b013e3181831832.

MeSH Terms

Conditions

Herpes Simplex

Interventions

Acyclovir

Condition Hierarchy (Ancestors)

Herpesviridae InfectionsDNA Virus InfectionsVirus DiseasesInfectionsSkin Diseases, ViralSkin Diseases, InfectiousSkin DiseasesSkin and Connective Tissue Diseases

Intervention Hierarchy (Ancestors)

GuanineHypoxanthinesPurinonesPurinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic Compounds

Study Officials

  • Eileen F. Dunne, MD, MPH

    Centers for Disease Control and Prevention

    PRINCIPAL INVESTIGATOR
  • Sara Whitehead, MD, MPH

    Centers for Disease Control and Prevention

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
DOUBLE
Purpose
PREVENTION
Intervention Model
CROSSOVER
Sponsor Type
FED

Study Record Dates

First Submitted

August 8, 2006

First Posted

August 10, 2006

Study Start

January 1, 2005

Study Completion

August 1, 2005

Last Updated

August 10, 2006

Record last verified: 2006-08

Locations