Safety and Pharmacokinetic Study of Oral Maraviroc and Maraviroc 1% Gel in HIV-1 Seronegative Adults
CHARM-03: A Randomized, Open Label, Crossover Phase 1 Safety and Pharmacokinetic Study of Oral Maraviroc and Maraviroc 1% Gel Administered Rectally and Vaginally to HIV-1 Seronegative Adults
2 other identifiers
interventional
19
1 country
1
Brief Summary
The purpose of the study is to evaluate the safety, acceptability, and PK/PD profile of maraviroc gel following rectal and vaginal administration. The study also includes oral exposure to maraviroc.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_1
Started Jan 2015
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2015
CompletedFirst Submitted
Initial submission to the registry
January 20, 2015
CompletedFirst Posted
Study publicly available on registry
January 26, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2016
CompletedSeptember 8, 2017
September 1, 2017
11 months
January 20, 2015
September 5, 2017
Conditions
Outcome Measures
Primary Outcomes (1)
AEs Grade 2 or higher as defined by the Division of AIDS Table for Grading the Severity of Adult and Pediatric Adverse Events
Female participants will be on study for approximately 12 to 16 weeks. Male participants will be on study for approximately 9 to 12 weeks. The total duration of the study will be approximately 9 months.
Study Arms (2)
Female Participants - Arms 1A through 9A
EXPERIMENTALFemale Participants 9 Arms (1A through 9A) 3 Product Sequences Product Sequence 1 Rx1- MVC tablet PO Rx2- MVC 1% gel PR Rx3- MVC 1% gel PV Product Sequence 2 Rx1- MVC 1% gel PR Rx2- MVC 1% gel PV Rx3- MVC tablet PO Product Sequence 3 Rx1- MVC 1% gel PV Rx2- MVC tablet PO Rx3- MVC 1% gel PR 3 Biopsy Schedules D8- (\~2-hr after the 8th dose) D9- (\~24-hr after the 8th dose) D10- (\~48-hr after the 8th dose)
Male Participants - Arms 1B through 4B
EXPERIMENTALMale Participants 4 Arms (1B through 4B) 2 Product Sequences 2 biopsy schedules Product Sequence 1 Rx1- MVC tablet PO Rx2- MVC 1% gel PR Product Sequence 2 Rx1- MVC 1% gel PR Rx2- MVC tablet PO Biopsy Schedule D8- (\~2-hr after the 8th dose) D10- (\~48-hr after the 8th dose)
Interventions
Tablets: daily 300 mg oral maraviroc, Selzentry®,(MVC) for 8 consecutive days Gel: daily rectally administered 1% MVC gel for 8 daily consecutive days Female Participants - will receive an additional third regimen of daily vaginally administered MVC 1% gel for 8 consecutive days. Each treatment regimen will be followed by a washout period of 14 to 21 days. Participants will also be randomized to a biopsy sampling schedule (i.e., D8, D9, or D10 sampling).
Eligibility Criteria
You may qualify if:
- Age of 18 through 45 at screening, verified per site SOP
- Male participants, born male; female participants, born female.
- Willing and able to communicate in English
- Willing and able to provide written informed consent to take part in the study
- Willing and able to provide adequate locator information, as defined in site SOP
- Availability to return for all study visits, barring unforeseen circumstances
- Understands and agrees to local sexually transmitted infection (STI) reporting requirements
- HIV-1 seronegative at screening and enrollment
- Must be in general good health in the opinion of the investigator
- Willing to abstain from insertion of anything in the rectum (e.g., penis, sex toy, medication, enemas) 72 hours before all rectal sampling visits and 72 after rectal biopsy visits
- Must agree to use study-provided condoms for insertive and receptive intercourse, whether vaginal or anal, for the duration of the study
- Must agree not to participate in other concurrent interventional and/or drug trials
- Female participants must meet the following criteria:
- Per participant report at Screening:
- Not pregnant or breastfeeding
- +8 more criteria
You may not qualify if:
- Undergoing or completed gender reassignment
- Participant reports any of the following at Screening:
- Post-exposure prophylaxis for HIV exposure within 4 weeks prior to screening
- Reports history of unprotected insertive or receptive anal intercourse within 3 months prior to screening
- History of sexually transmitted disease in the last 3 months
- Known HIV-infected partners
- Non-therapeutic injection drug use in the 12 months prior to screening
- History of recurrent urticaria
- Allergy to soy, soybeans, peanuts, methylparaben, propylparaben, or sorbic acid
- Use of antiretroviral medications with activity against HIV within the 4 weeks prior to the Enrollment
- Use of systemic immunomodulatory medications within the 4 weeks prior to the Enrollment
- Use of vaginally or rectally administered medications or products (including condoms) containing Nonoxynol-9 (N-9) within the 4 weeks prior to the Enrollment
- Participating in another research study involving drugs or medical devices within the 4 weeks prior to the Enrollment
- Has plans to relocate away from the study site area during the period of study participation
- Per participant report at screening, anticipated use and/or unwillingness to abstain from the following medications during the period of study participation:
- +30 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Magee Women's Hospital of UPMC
Pittsburgh, Pennsylvania, 15213, United States
Related Publications (1)
McGowan IM, Chawki S, Hendrix CW, Anton PA, Marzinke MA, Brand RM, Engstrom JC, Rohan LC, Abebe KZ, Richardson-Harman N, Siegel A, Reinhart A, Steytler J, Stall R, Spiegel H, Chen B, Achilles SL, Jacobson CE, Khanukova E, Cranston RD. A Randomized, Open-Label, Crossover Phase 1 Safety and Pharmacokinetic Study of Oral Maraviroc and Maraviroc 1% Gel (the CHARM-03 Study). AIDS Res Hum Retroviruses. 2022 Apr;38(4):269-278. doi: 10.1089/AID.2021.0096. Epub 2021 Sep 14.
PMID: 34384282DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Ian McGowan, MD, PhD, FRCP
Magee-Women's Research Institute
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- CROSSOVER
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 20, 2015
First Posted
January 26, 2015
Study Start
January 1, 2015
Primary Completion
December 1, 2015
Study Completion
March 1, 2016
Last Updated
September 8, 2017
Record last verified: 2017-09