Working… Menu

A Safety and Pharmacokinetic Study for Dapivirine and Maraviroc Gel in Belgium

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01242579
Recruitment Status : Withdrawn (In order to focus efforts on the combination ring formulation, IPM decided not to move forward with this trial.)
First Posted : November 17, 2010
Last Update Posted : September 9, 2011
Information provided by:
International Partnership for Microbicides, Inc.

Brief Summary:
The purpose of this study is to assess the pharmacokinetics of the combination dapivirine and maraviroc gel and determine whether it is safe for daily use by healthy women in the United Kingdom

Condition or disease Intervention/treatment Phase
HIV Infections Drug: Maraviroc/Dapivirine Gel Drug: Dapivirine Vaginal Gel Drug: Maraviroc Vaginal Gel Drug: Matching Placebo Gel Phase 1

Layout table for study information
Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 0 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Participant, Investigator)
Primary Purpose: Prevention
Official Title: A Double-Blind, Randomised, Placebo-Controlled Phase I Trial to Compare the Pharmacokinetics of Maraviroc and Dapivirine Following Application of Maraviroc Vaginal Vaginal Gel, 0.1% 2.5g, Dapivirine Vaginal Gel, 0.05%, 2.5g and Maraviroc 0.1% + Dapivirine 0.05% Vaginal Gel, 2.5g Formulations, and to Assess Their Safety as Compared to the Matching Placebo Vaginal Gel, 2.5g in Healthy, HIV-Negative Women
Study Start Date : January 2011
Actual Primary Completion Date : July 2011
Actual Study Completion Date : July 2011

Resource links provided by the National Library of Medicine

MedlinePlus related topics: HIV/AIDS
Drug Information available for: Maraviroc

Arm Intervention/treatment
Active Comparator: Maraviroc Vaginal Gel
Drug: Maraviroc dosage form: vaginal gel dosage: 2.5g frequency: once daily duration: 11 days
Drug: Maraviroc Vaginal Gel
Maraviroc vaginal gel containing 2.5g

Active Comparator: Dapivirine Vaginal Gel
Drug: Dapivirine dosage form: vaginal gel dosage: 2.5g dapivirine frequency: once daily duration: 11 days
Drug: Dapivirine Vaginal Gel
Dapivirine vaginal gel containing 2.5g

Placebo Comparator: Matching Placebo Gel
Drug: placebo dosage form: vaginal gel dosage: 2.5g placebo frequency: once daily duration: 11 days
Drug: Matching Placebo Gel
Matching placebo gel containing 2.5g

Experimental: Maraviroc/Dapivirine Gel
Drug: Maraviroc/Dapivirine dosage form: combination vaginal gel dosage: 2.5g - Maraviroc 0.1%, Dapivirine 0.05% frequency: once daily duration: 11 days
Drug: Maraviroc/Dapivirine Gel
Vaginal gel containing 2.5g - Maraviroc 0.1%, Dapivirine 0.05%

Primary Outcome Measures :
  1. Safety: To assess the safety and tolerability of the combination maraviroc and dapivirine gel, the endpoint was the proportion of women in the four arms experiencing specific, protocol defined safety events during the study (see description). [ Time Frame: 8 weeks ]
    • Mucosal abnormalities (as defined in the WHO/CONRAD manual) visible during naked eye examination and/or colposcopy;
    • Abnormal vaginal pH and/or abnormal vaginal flora during the course of the trial;
    • Positive diagnostic tests for trichomonas, gonorrhoea and/or chlamydia;
    • At least one adverse event during the 2 month trial period;
    • Any laboratory abnormalities on haematology, electrolytes, liver function, and renal function.

  2. Pharmacokinetics: assessment of local and systemic pharmacokinetics of maraviroc and dapivirine in plasma, vaginal fluid and cervical tissue before, during and after 11 days. [ Time Frame: 8 weeks ]

Information from the National Library of Medicine

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, Learn About Clinical Studies.

Layout table for eligibility information
Ages Eligible for Study:   18 Years to 40 Years   (Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • Women 18 to40 years of age who can give written informed consent (illiterate participants may provide a thumbprint or mark witnessed and signed by a person independent from trial staff);
  • Available for all visits and consent to follow all procedures scheduled for the trial;
  • HIV-negative as determined by an HIV test at time of enrollment;
  • Be on a stable form of contraception, defined as:
  • A stable oral contraceptive regimen for at least 2 months prior to enrollment, OR,
  • Transdermal contraceptive patch for at least 3 months prior to enrollment, OR,
  • Long-acting progestins for at least 6 months prior to enrollment, OR,
  • An IUD inserted (with no vaginal or gynaecological complaints associated with its use) at least 3 months prior to enrolment, OR,
  • Have undergone surgical sterilization at least 3 months prior to enrollment;
  • In the absence of the use of exogenous hormone(s), have a self-reported regular menstrual cycle, defined as having a minimum of 21 days and a maximum of 35 days between menses;
  • Upon pelvic examination and colposcopy at the time of enrollment, the cervix and vagina appear normal as determined by the Investigator;
  • Asymptomatic for genital infections at the time of enrollment (if a woman is diagnosed with any treatable STI, either syndromically or by laboratory test at the time of screening, she must receive treatment at least 2 weeks prior to enrollment and have completed treatment);
  • Willing to refrain from the use of vaginal products or objects including, tampons, female condoms, cotton wool, rags, diaphragms, cervical caps (or any other vaginal barrier method), douches, lubricants, vibrators/dildos, and drying agents for 14 days prior to enrollment and for the duration of the trial;
  • Willing to use oral contraceptives to avoid menstruation, if necessary, while taking part in this trial;
  • Documentation of no abnormality on Pap test, including grossly bloody smear, within 3 months prior to screening;
  • Willing to refrain from participation in any other research trial for the duration of this trial;
  • Willing to provide adequate locator information for trial retention purposes and be reachable per local standard procedures [e.g., by home visit or telephone; or via family or close neighbour contacts (confidentiality to be maintained)];
  • Willing to agree to abstain from oral contact with her genitalia for gel use period, as well as for a total of 3 days (72 hours) after the biopsy procedure:
  • Willing to remain sexually abstinent for the gel use period in this trial;
  • Hepatitis B and C negative at the time of enrollment.

Exclusion Criteria:

  • Currently pregnant or having had their last pregnancy outcome within 3 months prior to screening;
  • Currently breast-feeding;
  • Currently or within two months of participation in any other clinical research trial involving investigational or marketed products prior to screening;
  • Untreated symptomatic urogenital infections, e.g., urinary tract or other sexually transmitted infections, or other gynaecological conditions such as vaginal itching, pain, or discharge, within 2 weeks prior to enrolment;
  • Presence of any abnormal clinically significant physical finding on the vulva, vaginal walls or cervix during pelvic examination and/or colposcopy at pre-enrolment;
  • History of urogenital or uterine prolapse, undiagnosed vaginal bleeding, urethral obstruction, incontinence or urge incontinence;
  • Current vulvar or vaginal symptoms/abnormalities that could influence the trial results;
  • Pap test result that requires cryotherapy, biopsy, treatment (other than for infection); or further evaluation [this includes any findings of atypical squamous cells of undetermined significance (ASCUS)];
  • Symptomatic genital HSV infection or a history of genital herpetic infection;
  • Any Grade 2, 3 or 4 haematology, chemistry or urinalysis laboratory abnormality at baseline (screening) according to the DAIDS Table for Grading Adverse Events (NOTE: This table can be found at:;and a standardized version will be provided to the research centre in the Study Operations Manual);
  • Unexplained, abnormal bleeding per vagina during or following vaginal intercourse, or gynaecologic surgery within 90 days prior to enrollment;
  • Any history of anaphylaxis or severe allergy resulting in angioedema; or a history of sensitivity/allergy to latex or silicone;
  • Any serious acute, chronic or progressive disease (e.g., any known history of neoplasm, cancer, diabetes, cardiac disease, autoimmune disease, HIV, AIDS, or blood dyscrasias), or signs of cardiac disease, renal failure, or severe malnutrition;
  • Have undergone a hysterectomy;
  • History of drug abuse within 1 year of enrollment;
  • Any condition(s) that, in the opinion of the Investigator, might interfere with adherence to trial requirements or evaluation of the trial objectives.

Layout table for additonal information
Responsible Party: Annalene Nel, MBChB, PhD, IPM Identifier: NCT01242579     History of Changes
Other Study ID Numbers: IPM 025
First Posted: November 17, 2010    Key Record Dates
Last Update Posted: September 9, 2011
Last Verified: September 2011
Additional relevant MeSH terms:
Layout table for MeSH terms
HIV Infections
Lentivirus Infections
Retroviridae Infections
RNA Virus Infections
Virus Diseases
Sexually Transmitted Diseases, Viral
Sexually Transmitted Diseases
Immunologic Deficiency Syndromes
Immune System Diseases
HIV Fusion Inhibitors
Viral Fusion Protein Inhibitors
Molecular Mechanisms of Pharmacological Action
Anti-HIV Agents
Anti-Retroviral Agents
Antiviral Agents
Anti-Infective Agents
CCR5 Receptor Antagonists