NCT03107377

Brief Summary

Phase 2B double-blind placebo-controlled efficacy trial of EVO100 (previously known as Amphora ® Gel) for the prevention of acquisition of urogenital Chlamydia trachomatis infection

Trial Health

87
On Track

Trial Health Score

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

Enrollment
860

participants targeted

Target at P75+ for phase_2

Timeline
Completed

Started Nov 2017

Geographic Reach
1 country

50 active sites

Status
completed

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

First Submitted

Initial submission to the registry

March 29, 2017

Completed
13 days until next milestone

First Posted

Study publicly available on registry

April 11, 2017

Completed
7 months until next milestone

Study Start

First participant enrolled

November 3, 2017

Completed
1.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 22, 2019

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 22, 2019

Completed
12 months until next milestone

Results Posted

Study results publicly available

August 12, 2020

Completed
Last Updated

August 12, 2020

Status Verified

July 1, 2020

Enrollment Period

1.8 years

First QC Date

March 29, 2017

Results QC Date

June 9, 2020

Last Update Submit

July 27, 2020

Conditions

Outcome Measures

Primary Outcomes (1)

  • Urogenital CT Infection

    Proportion of subjects who experience urogenital CT infection during the study intervention period (incident infection of CT).

    16 weeks

Secondary Outcomes (1)

  • Urogenital GC Infection

    16 weeks

Other Outcomes (7)

  • Compliance With EVO100 and Sensitivity Analyses (Part I)

    16 weeks

  • Subject Satisfaction With Product

    16 weeks

  • Sexual Satisfaction

    16 weeks

  • +4 more other outcomes

Study Arms (2)

EVO100

ACTIVE COMPARATOR

A pH-buffering, acidity-maintaining gel (pH 3.5), containing three active compounds: lactic acid, citric acid, potassium bitartrate. 5 g intravaginally applied at least one hour prior to vaginal intercourse.

Drug: EVO100

Placebo

PLACEBO COMPARATOR

An isotonic, non-buffering gel, pH adjusted to 4.5, containing 2.7% hydroxyethylcellulose, sorbic acid, sodium hydroxide, sodium chloride and purified water. 5 g intravaginally applied at least one hour prior to vaginal intercourse.

Drug: Placebo

Interventions

EVO100DRUG

5 g dose applied up to 1 hour prior to coitus

EVO100

5 g dose applied up to 1 hour prior to coitus

Placebo

Eligibility Criteria

Age18 Years - 45 Years
Sexfemale(Gender-based eligibility)
Gender Eligibility Details844 female subjects, ages 18-45.
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Healthy female subjects between 18 and 45 years, inclusive
  • Ability to understand the consent process and procedures
  • Subjects agree to be available for all study visits
  • Written informed consent in accordance with institutional guidelines
  • Negative pregnancy test
  • Negative CT and GC NAAT tests OR positive CT or GC NAAT and receives standard of care (SOC) treatment
  • Agree to use a woman-controlled method of contraception, such as oral contraceptives, vaginal ring, birth control implants, IUDs, or tubal ligation (with the exception of spermicides, diaphragms, or any vaginally applied or inserted products containing nonoxynol-9). Condom use only is not an acceptable form of contraception for this study.
  • Able and willing to comply with all study procedures
  • Documented (as part of a retrievable medical record) CT or GC infection within 16 weeks prior to enrollment
  • Reports vaginal sexual intercourse with a male partner at least 3 times per month in the previous month and anticipates vaginal sexual intercourse regularly for the duration of the study
  • Agree to abstain from douching or any form of vaginal suppository use (other than study product) during course of study

You may not qualify if:

  • Participation in any study with an investigational compound or device within 30 days prior to signing informed consent
  • In the opinion of the Investigator, have a history of substance abuse in the last 12 months
  • In the opinion of the Investigator, have issues, conditions, or concerns that may compromise the safety of the subject, impact the subject's compliance with the protocol requirements, or confound the reliability of the data acquired
  • Be an Evofem, ClinicalRM, or clinical site employee regardless of direct involvement in research activities, or their close relative
  • Pregnant (or actively trying to become pregnant), or breast-feeding
  • Women who have undergone a total hysterectomy (had uterus and cervix removed)
  • Inability to provide informed consent
  • A subject with a history or expectation of noncompliance with medications or intervention protocol
  • Have engaged in sexual intercourse, douching or used of any form of vaginal suppository or intravaginal device for 24 hours prior to enrollment (may be enrolled at a later date if all other criteria are met)
  • Menstruating at enrollment (may be enrolled at a later date if all other criteria are met)
  • Women who are currently being treated, or have been treated, for a period of 14 days prior to enrollment, with specific antibiotics known to be used for the treatment of CT or GC:
  • Azithromycin
  • Erythromycin
  • Tetracycline
  • Minocycline
  • +9 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (50)

Coastal Clinical Research, Inc.

Mobile, Alabama, 36608, United States

Location

Mobile OB-GYN, PC

Mobile, Alabama, 36608, United States

Location

MedPharmics, LLC

Phoenix, Arizona, 85015, United States

Location

Precision Trials AZ, LLC

Phoenix, Arizona, 85032, United States

Location

Eclipse Clinical Research

Tucson, Arizona, 85745, United States

Location

California Center for Clinical Research

Arcadia, California, 91007, United States

Location

Hope Clinical Research

Canoga Park, California, 91303, United States

Location

United Clinical Research

Huntington Park, California, 90255, United States

Location

Medical Center for Clinical Research - Wake Research

San Diego, California, 92108, United States

Location

Optimus Medical Group, Inc.

San Francisco, California, 94102, United States

Location

AFC Urgent Care Denver

Denver, Colorado, 80202, United States

Location

Planned Parenthood of Southern New England

New Haven, Connecticut, 06511, United States

Location

Precision Clinical Research

Lauderdale Lakes, Florida, 33319, United States

Location

South Florida Research Center, Inc.

Miami, Florida, 33135, United States

Location

Panax Clinical Research

Miami Lakes, Florida, 33014, United States

Location

Global Health Research Center

Miami Lakes, Florida, 33016, United States

Location

Physician Care Clinical Research LLC

Sarasota, Florida, 34239, United States

Location

Comprehensive Clinical Trials, LLC

West Palm Beach, Florida, 33409, United States

Location

Columbus Regional Research Institute - IACT Health

Columbus, Georgia, 31901, United States

Location

Renew Health Clinical Research, LLC

Lawrenceville, Georgia, 30046, United States

Location

Meridian Clinical Research

Richmond Hill, Georgia, 31324, United States

Location

ASR, LLC

Nampa, Idaho, 83687, United States

Location

John H. Stroger Jr. Hospital of Cook County

Chicago, Illinois, 60612, United States

Location

DM Clinical Research

Alexandria, Louisiana, 71301, United States

Location

DelRicht Research

New Orleans, Louisiana, 70124, United States

Location

Valley OB-GYN

Saginaw, Michigan, 48602, United States

Location

MedPharmics, LLD

Biloxi, Mississippi, 39531, United States

Location

University of MS Medical Center

Jackson, Mississippi, 39213, United States

Location

Nevada Obstetrical Charity Clinic

Las Vegas, Nevada, 89106, United States

Location

Bosque Women's Care

Albuquerque, New Mexico, 87109, United States

Location

Wake Research Associates, LLC

Raleigh, North Carolina, 27612, United States

Location

PMG Research of Salisbury

Salisbury, North Carolina, 28144, United States

Location

PMG Research, Inc. - Wilmington Health

Wilmington, North Carolina, 28401, United States

Location

University of Cincinnati Physicians

Cincinnati, Ohio, 41073, United States

Location

Planned Parenthood Southeastern Pennsylvania

Philadelphia, Pennsylvania, 19107, United States

Location

Magee Womens Hospital of UPMC

Pittsburgh, Pennsylvania, 15213-3180, United States

Location

Invocare Clinical Research Center

West Columbia, South Carolina, 29169, United States

Location

University of Tennessee Medical Center

Knoxville, Tennessee, 37920, United States

Location

Adams Patterson OB/GYN, Medical Research Center of Memphis

Memphis, Tennessee, 38120, United States

Location

Premier Family Physicians

Austin, Texas, 78735, United States

Location

Gadolin Research

Beaumont, Texas, 77701, United States

Location

CityDoc Urgent Care

Dallas, Texas, 75204, United States

Location

Research Network America

Houston, Texas, 77021, United States

Location

Centex Studios, Inc.

Houston, Texas, 77058, United States

Location

Discovery MM Services, Inc.

Houston, Texas, 77061, United States

Location

S.E.Tx. Family Planning and Cancer Screening (SOGA)

Houston, Texas, 77074, United States

Location

Texas Center for Drug Development, Inc.

Houston, Texas, 77081, United States

Location

North Texas Family Medicine

Plano, Texas, 75093, United States

Location

Neere Bhatia, MD OB/GYN

San Antonio, Texas, 78212, United States

Location

The Group for Women

Norfolk, Virginia, 23502, United States

Location

Related Publications (1)

  • Chappell BT, Mena LA, Maximos B, Mollan S, Culwell K, Howard B. EVO100 prevents chlamydia and gonorrhea in women at high risk of infection. Am J Obstet Gynecol. 2021 Aug;225(2):162.e1-162.e14. doi: 10.1016/j.ajog.2021.03.005. Epub 2021 Mar 8.

Limitations and Caveats

For the Adverse Event Section: There were no All-Cause Mortalities to Report

Results Point of Contact

Title
Chief Medical Officer
Organization
Evofem

Study Officials

  • Kelly Culwell, MD

    Evofem Inc.

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Masking Details
double-blind placebo-controlled efficacy trial of EVO100
Purpose
PREVENTION
Intervention Model
PARALLEL
Model Details: Phase 2B double-blind placebo-controlled efficacy trial of EVO100 for the prevention of acquisition of urogenital Chlamydia trachomatis infection
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 29, 2017

First Posted

April 11, 2017

Study Start

November 3, 2017

Primary Completion

August 22, 2019

Study Completion

August 22, 2019

Last Updated

August 12, 2020

Results First Posted

August 12, 2020

Record last verified: 2020-07

Data Sharing

IPD Sharing
Will share

Locations