Determining Characteristics and Behaviors of Adolescent Women Regarding HIV Risk and Microbicide Trial Participation

This study has been completed.
Sponsor:
Collaborator:
Information provided by (Responsible Party):
FHI 360
ClinicalTrials.gov Identifier:
NCT00872261
First received: March 30, 2009
Last updated: April 29, 2013
Last verified: April 2013
  Purpose

This study will examine characteristics and behaviors of young women in India and Tanzania to determine which challenges and opportunities exist for conducting future trials of HIV prevention treatments.


Condition
HIV Infections

Study Type: Observational
Study Design: Observational Model: Cohort
Time Perspective: Prospective
Official Title: Adolescent Women & Microbicide Trials: Assessing the Challenges & Opportunities to Their Participation

Resource links provided by NLM:


Further study details as provided by FHI 360:

Primary Outcome Measures:
  • Presence of sexually transmitted infections, such as chlamydia, gonorrhea, genital herpes, or HIV [ Time Frame: Measured at baseline and after 4 months ] [ Designated as safety issue: No ]
  • Adherence to condom use [ Time Frame: Measured over 6 months ] [ Designated as safety issue: No ]
  • Reasons for nonparticipation in clinical study [ Time Frame: Measured at screening ] [ Designated as safety issue: No ]
  • Retention, defined as the proportion of follow-up visits during the measurement window [ Time Frame: Measured over 6 months ] [ Designated as safety issue: No ]
  • Proportion of participants recruited into the microbicide substudy [ Time Frame: Measured over 2 months ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Description of sexual risk patterns and psychosocial mediators of risk [ Time Frame: Measured during formative research and during the 6-month pilot clinical study ] [ Designated as safety issue: No ]

Enrollment: 135
Study Start Date: March 2010
Study Completion Date: January 2013
Primary Completion Date: December 2012 (Final data collection date for primary outcome measure)
Groups/Cohorts
Proxy microbicide product
Use of vaginal lubricant as a proxy microbicide gel; use of multivitamin as proxy pre-exposure prophylaxis (PrEP) product

Detailed Description:

HIV is an infection that damages a person's immune system and can develop into AIDS. More than 10 million women between the ages of 15 and 24 currently live with HIV or AIDS, most of them in sub-Saharan Africa and Asia. The rate of infections in women is high in part because they may not be able to use existing HIV prevention methods: remaining abstinent does not help if their partner is not also abstinent and using a male condom requires the compliance of the male. Oral and topical microbicides are products women initiate using to reduce their risk of HIV infection. Several clinical trials of these products have been conducted, but few have tested populations of young women, who may have different characteristics or behaviors from other women. This study will collect data on the characteristics and behaviors of women divided into two age groups, women age 15 to 17 and women age 18 to 21, in both Tanzania and India. This study will have four goals: (1) to determine whether and how characteristics that put women at risk for HIV differ in these age and country groups; (2) to evaluate the legal, social, cultural, and delivery factors that hinder women's participation in microbicide trials; (3) to examine the understanding and ability of women in these different groups to adhere to the requirements of clinical trial participation; and (4) to determine young women's acceptability and use of a practice gel or pill.

This study will consist of three phases. The first phase will address the first two goals by conducting repeated, in-depth interviews and discussions with a small group of sexually active adolescents in India and Tanzania, followed up by interviews with informants and relevant community members. These interviews and discussions will address differences in HIV risk characteristics between groups of women and the legal, social, cultural, and delivery factors hindering women's participation in microbicide trials. The second phase will consist of a series of workshops to define and describe a set of youth-friendly procedures for using microbicides. Community members and researchers will participate in these workshops, and some adolescents will be invited to pretest the study instruments.

The third phase will be a pilot clinical study that addresses the second two goals by asking participants to undergo evaluations over time, similar to the way they would have to in a microbicide trial. Participants will complete study visits at baseline and after 2, 4, and 6 months, during which time they will answer questions about their sexual relationships and use of risk reduction behaviors. They will also provide urine, blood, and endo-cervical swab samples for testing for pregnancy, HIV, and sexually transmitted infection. Between the 4- and 6-month visits, participants will also be asked to participate in a 2-month substudy in which they use proxy pills or gels. They will then complete interviews about their experiences using the pills or gels. Some participants who decline to participate will be invited to complete brief interviews about why they chose not to participate.

  Eligibility

Ages Eligible for Study:   15 Years to 21 Years
Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population

Formative research will recruit adolescents and other participants from community samples in Pune, India and Dar es Salaam, Tanzania.

Pilot clinical study will recruit adolescents from India and Tanzania through healthcare facilities, nongovernmental organizations, and other mechanisms.

Criteria

Inclusion Criteria:

  • Sexually active in the 3 months prior to screening
  • Willing to provide biological samples and answer questions about sexual behaviors

Exclusion Criteria:

  • Pregnancy
  • HIV infected
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00872261

Locations
Tanzania
Muhimbili University of Health and Allied Sciences
Dar es Salaam, Tanzania
Sponsors and Collaborators
FHI 360
Investigators
Principal Investigator: Elizabeth E. Tolley, PhD FHI 360
Principal Investigator: Sylvia Kaaya, PhD Muhimbili University of Health and Allied Sciences
  More Information

No publications provided

Responsible Party: FHI 360
ClinicalTrials.gov Identifier: NCT00872261     History of Changes
Other Study ID Numbers: R01 MH086160, R01MH086160, DAHBR 9A-ASPA, Tolley 1 R01 MH086160-01
Study First Received: March 30, 2009
Last Updated: April 29, 2013
Health Authority: United States: Federal Government

Keywords provided by FHI 360:
Clinical Trials as Topic
Adolescent Psychology
Patient Acceptance of Health Care
HIV Risk Behaviors
Adolescents
Clinical Trial Recruitment
Microbicide Acceptability
Ethics
Mixed Methods
HIV

Additional relevant MeSH terms:
HIV Infections
Acquired Immunodeficiency Syndrome
Lentivirus Infections
Retroviridae Infections
RNA Virus Infections
Virus Diseases
Sexually Transmitted Diseases, Viral
Sexually Transmitted Diseases
Immunologic Deficiency Syndromes
Immune System Diseases
Slow Virus Diseases
Anti-Infective Agents
Therapeutic Uses
Pharmacologic Actions

ClinicalTrials.gov processed this record on July 08, 2014