Identification of Novel Biomarkers of Cervicovaginal Mucosal Inflammation
This study is ongoing, but not recruiting participants.
Sponsor:
CONRAD
Information provided by (Responsible Party):
CONRAD
ClinicalTrials.gov Identifier:
NCT01593124
First received: March 9, 2012
Last updated: March 18, 2013
Last verified: March 2013
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Purpose
This study investigates the response of vaginal and cervical tissue after exposure to three vaginal products: hydroxyethyl cellulose (HEC) placebo, nonoxynol-9 (N9) and imiquimod (IMQ) cream.
| Condition | Intervention | Phase |
|---|---|---|
|
Vaginal Inflammation Vaginal Infections |
Drug: Imiquimod Drug: HEC Placebo Drug: Nonoxynol-9 |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Crossover Assignment Masking: Open Label Primary Purpose: Basic Science |
| Official Title: | Identification of Novel Biomarkers of Cervicovaginal Mucosal Inflammation |
Resource links provided by NLM:
Further study details as provided by CONRAD:
Primary Outcome Measures:
- Differential Microarray gene expression (particularly looking at pathways involved in inflammation and immune response) in vaginal tissues after exposure to N9, HEC or imiquimod [ Time Frame: Biopsies are performed 8 - 18 hours after exposure to each product ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 30 |
| Study Start Date: | May 2012 |
| Estimated Study Completion Date: | April 2013 |
| Estimated Primary Completion Date: | April 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: IMQ product, 2 doses, vaginally
Imiquimod
|
Drug: Imiquimod
2 doses vaginally
Other Name: Aldara
|
| Placebo Comparator: HEC placebo |
Drug: HEC Placebo
4 doses vaginally
Other Name: Hydroxyethylcellulose
|
| Active Comparator: Nonoxynol-9 |
Drug: Nonoxynol-9
4 doses vaginally
Other Name: Conceptrol
|
Detailed Description:
Each woman in this study will be evaluated 5 separate times:
- Baseline in the follicular phase of the menstrual cycle;
- Baseline in the luteal phase of the menstrual cycle;
- After a 3 day (4 dose) treatment with HEC placebo;
- After a 3 day (4 dose) treatment of 4% N-9;
- After a 2 day (2 dose) treatment of IMQ.
Eligibility| Ages Eligible for Study: | 21 Years to 45 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | Yes |
Criteria
Inclusion Criteria:
- 21 to 45 years of age, inclusive
- In good health, as evidenced by history and procedures at screening and enrollment visits without any clinically significant systemic disease
- Not be at risk for pregnancy, due to surgical sterilization of participant and or her sexual partner, abstinence, consistent condom use, non-hormonal IUD or same sex relationship
- Have had regular menstrual cycles (every 21-35 days) for the past two cycles
- Willing and able to comply with study procedures
Exclusion Criteria:
- A clinically significant history of an abnormal pap smear (by written report) that has not been evaluated and or treated, if indicated, according to standard guidelines
- It has been less than 9 months since the participant's last depot medroxyprogesterone acetate (DMPA) injection and she has not had 2 normal, spontaneous menses (this can be shortened to 6 months if the participant has had at least 2 normal spontaneous menses)
- Use of any other hormonal contraceptive method within past 3 months (oral, transdermal, transvaginal, implant, or intrauterine device) without 2 subsequent, normal menses
- Surgery or biopsy of the vulva, vagina, or cervix (including piercings) within 30 days
- Pregnancy within the past 3 months
- Currently breastfeeding
- Current STI or lower genital tract infection (including, but not limited to HIV-1, HSV-2, Chlamydia trachomatis (CT), Trichomonas vaginalis (TV), Neisseria gonorrhea (NG), Hepatitis B, high risk HPV sub types and or Syphilis), yeast vaginitis or bacterial vaginosis (BV)
- Current use of chronic immunosuppressants (for example daily steroids or daily non-steroidal anti-inflammatory drugs [NSAIDs])
- Current presence of vulvar, anal and or vaginal genital warts
- Current tobacco use of any amount
- Other conditions that, in the opinion of the investigator, would constitute contraindications to participation in the study or would compromise the ability to comply with study protocols, such as any major chronic illness including but not limited to cancer, serious autoimmune disease, metabolic disorders or a major psychiatric disorder (e.g., schizophrenia); and
- Current participation in any other drug or device study, or any study which, in the opinion of the investigator, would jeopardize interpretation of results of this study.
Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01593124
Locations
| United States, Virginia | |
| Eastern Virginia Medical School CONRAD Clinical Research Center | |
| Norfolk, Virginia, United States, 23507 | |
Sponsors and Collaborators
CONRAD
Investigators
| Principal Investigator: | Andrea R Thurman, MD | CONRAD Clinical Research Center, Eastern VA Medical School |
More Information
Additional Information:
Study Sponsor 
Study Research Site 
No publications provided
| Responsible Party: | CONRAD |
| ClinicalTrials.gov Identifier: | NCT01593124 History of Changes |
| Other Study ID Numbers: | D11-119 |
| Study First Received: | March 9, 2012 |
| Last Updated: | March 18, 2013 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by CONRAD:
|
Vaginal innate immune and inflammatory responses |
Additional relevant MeSH terms:
|
Inflammation Vaginitis Mucositis Pathologic Processes Vaginal Diseases Genital Diseases, Female Gastroenteritis Gastrointestinal Diseases Digestive System Diseases Mouth Diseases Stomatognathic Diseases Nonoxynol Octoxynol Imiquimod |
Spermatocidal Agents Antispermatogenic Agents Physiological Effects of Drugs Pharmacologic Actions Contraceptive Agents, Female Contraceptive Agents Reproductive Control Agents Therapeutic Uses Contraceptive Agents, Male Adjuvants, Immunologic Immunologic Factors Antineoplastic Agents Interferon Inducers |
ClinicalTrials.gov processed this record on May 21, 2013