A Pilot Study for Toxicity Evaluation of HIV Rectal Microbicides
A Pilot Protocol to Determine the Effects of Chemical and Mechanical Stress on Rectal Permeability as a Surrogate for Toxicity Evaluation of Rectally Applied Microbicides
1 other identifier
interventional
12
1 country
1
Brief Summary
The purpose of this study is to determine if detectable changes in permeability of the lining of the colon are caused by either application of HIV microbicide gels or medical procedures, such as flexible sigmoidoscopy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for early_phase_1
Started Apr 2007
Typical duration for early_phase_1
1 active site
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
First Submitted
Initial submission to the registry
October 17, 2006
CompletedFirst Posted
Study publicly available on registry
October 18, 2006
CompletedStudy Start
First participant enrolled
April 1, 2007
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2008
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2009
CompletedApril 1, 2015
January 1, 2009
10 months
October 17, 2006
March 30, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Intra-subject comparison of urine and plasma concentrations of 99mTc-DTPA
0-2 hours, 2-4 hours, 4-8 hours, 8-12 hours and 12-24 hours after introduction of the treatment assignment
Study Arms (3)
Nonoxynol-9
ACTIVE COMPARATORGynol-II, 2% N-9, 5 mL
Normosol-R
OTHERNormosol-R, 5 mL, single administration, negative control
Normosol with simulation, endoscopy and biopsy
EXPERIMENTALNormosol-R, 5 mL following simulation, endoscopy and biopsy
Interventions
Eligibility Criteria
You may qualify if:
- Greater than or equal to 21 years of age
- Prior history of receptive anal intercourse (RAI)
- Subjects must have a history of using commercially-available personal lubricants for RAI.
- Ability to provide signed informed consent.
- Willingness to abstain from lubricant use and anal receptive intercourse for 48 hours prior to and 48 hours after Phases A and B.
- Willingness to use a single dose of rectally-applied N-9.
You may not qualify if:
- Mental handicap or impaired cognitive performance status as judged by the investigator.
- Coagulation abnormality which would put the subject at risk for bleeding as judged by the Principal Investigator.
- History of anorectal surgery within the last month or the presence of any anorectal disease or condition that in the judgment of the investigator could affect permeability of the rectal mucosa.
- Presence of any painful anorectal conditions or anorectal lesions that would be tender to manipulation.
- History of occupational radiation exposure.
- History of acute or chronic diarrhea defined as three or more loose stools per day.
- History of any allergic response to rectal lubricants.
- History of sleep apnea, or airway problems with previous sedation procedures.
- History of significant adverse reaction to sedation medications.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
The Johns Hopkins Hospital
Baltimore, Maryland, 21287, United States
Related Publications (1)
Fuchs EJ, Grohskopf LA, Lee LA, Bakshi RP, Hendrix CW. Quantitative assessment of altered rectal mucosal permeability due to rectally applied nonoxynol-9, biopsy, and simulated intercourse. J Infect Dis. 2013 May 1;207(9):1389-96. doi: 10.1093/infdis/jit030. Epub 2013 Jan 16.
PMID: 23325915RESULT
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Edward Fuchs, PA-C, MBA
The Johns Hopkins University
Study Design
- Study Type
- interventional
- Phase
- early phase 1
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- INVESTIGATOR
- Purpose
- DIAGNOSTIC
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor, Department of Medicine
Study Record Dates
First Submitted
October 17, 2006
First Posted
October 18, 2006
Study Start
April 1, 2007
Primary Completion
February 1, 2008
Study Completion
June 1, 2009
Last Updated
April 1, 2015
Record last verified: 2009-01