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Study of Immunity at the Genital Mucosa of HIV-1 Infected and Healthy Women (MUCOVAC)

This study has been terminated.
(Results of primary outcome are not satisfactory in terms of RNA quality)
Sponsor:
ClinicalTrials.gov Identifier:
NCT01715103
First Posted: October 26, 2012
Last Update Posted: July 1, 2015
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.
Information provided by (Responsible Party):
French National Institute for Health and Medical Research-French National Agency for Research on AIDS and Viral Hepatitis (Inserm-ANRS)
  Purpose

Current knowledge on mucosa, especially genitals in women, however, remain inadequate, especially regarding defense mechanisms and possibilities for a vaccine to induce an active immune response at mucosal front door of the most pathogens. Induction of mucosal immune response has emerged as a research priority research prophylactic vaccine.The development of strategies to prevent sexual transmission of HIV-1 depends in part on an understanding of specific and innate immune mechanisms involved in this transmission.

MUCOVAC is a feasibility study of the immunological and transcriptomic analysis of cervicovaginal samples of women infected or not infected with HIV-1. We also assess tolerance samples taken by cytobrush and cervicovaginal washings, efficiency and reproducibility of the sample by cytobrush and cervicovaginal lavage for transcriptomic analysis, measurement of cytokines by Luminex technology, quantification of IgG and IgA. In blood we will determine the phenotype of B cells and Tfh cell frequency (T follicular helper) and quantification of serum immunoglobulins and will perform a transcriptomic analysis of blood cells. Finally we will make correlations with the observed responses at the genital mucosa.

This pathophysiological exploratory study will be performed in 20 women infected with HIV-1 and 20 healthy women recruited from two centers in France and will include a screening visit and two visits M0 and M1 during which mucous and blood samples will be performed.

The results of the study will capitalize skills in biology mucosa, using powerful tools to assess mucosal immunological parameters.


Condition Intervention
HIV Infected Women Healthy Women Volunteers Procedure: vaginal swabs by washing and cytobrush

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Official Title: Study of Immunity at the Genital Mucosa of HIV-1 Infected and Healthy Women

Resource links provided by NLM:


Further study details as provided by French National Institute for Health and Medical Research-French National Agency for Research on AIDS and Viral Hepatitis (Inserm-ANRS):

Primary Outcome Measures:
  • Acceptability, tolerance, Efficiency [ Time Frame: 2 months ]
    • Acceptability
    • Local tolerance of sampling (particularly for collection by cytobrush), bleeding (need for protection, abundance, frequency) leucorrhoea (frequency, amount, aspect), fever, pain, gynecological vaginal burns and general tolerance (fever, occurrence of pelvic infection).
    • Efficiency of collection by washing (Ig rate > 1μg/ml) and quality of cells collected by cytobrush and of cell pellet from washes for a transcriptomic analysis (the quantity and quality of RNA: RIN (RNA integrity number) > 5 and an amount of RNA 50> ng)


Secondary Outcome Measures:
  • Concentration of antibodies in cervicovaginal samples [ Time Frame: Month 0 and month 1 ]
    Concentration of antibodies in cervicovaginal samples

  • Concentration of cytokines in cervicovaginal samples [ Time Frame: month 0 and month 1 ]
    Concentration of cytokines in cervicovaginal samples

  • Expression genomics in cervicovaginal specimens and whole blood [ Time Frame: month 0 and month 1 ]
    Expression genomics in cervicovaginal specimens and whole blood

  • B phenotypes and the frequency of Tfh cells in whole blood [ Time Frame: month 0 and month 1 ]
    B phenotypes and the frequency of Tfh cells in whole blood


Enrollment: 14
Study Start Date: July 2013
Study Completion Date: January 2015
Primary Completion Date: November 2014 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Healthy women volunteers
Healthy women volunteers with vaginal swabs by washing and cytobrush
Procedure: vaginal swabs by washing and cytobrush
vaginal swabs by washing and cytobrush
HIV-1 infected women
HIV-1 infected women with vaginal swabs by washing and cytobrush
Procedure: vaginal swabs by washing and cytobrush
vaginal swabs by washing and cytobrush

  Show Detailed Description

  Eligibility

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 45 Years   (Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Free, informed and signed consent
  • Person affiliated or beneficiary of a social security system or the Universal Health Coverage
  • Female
  • No menopausal, aged 18 to 45 years,
  • Under oral contraceptive or implant
  • Urine pregnancy test negative
  • HBsAg and HCV serology negative
  • Cervicovaginal smear normal older than one year,
  • Normal vaginal smear dated within one year

For healthy women

* HIV serology negative

For infected women

  • HIV-1 infection checked by western-blot and/or the detection of HIV-RNA
  • CD4+ T cells >350/mm3 (several tests, since 6 months)
  • Viral load <40 copies/ml since 6 months
  • Treated with antiretroviral drugs since 6 months

Exclusion Criteria:

  • Significant history of vaginal pathology (malignancy, prolapse)
  • Hysterectomy, conization
  • History of abnormal Pap smear in the previous year (ASC-US, AG-US and LSIL and high grade according to Bethesda).
  • Breakthrough bleeding;
  • Clinical symptoms suggestive of genital infection within 10 days prior to the examination of the study,
  • Antibiotic systemically within 10 days prior to the examination of the study,
  • Immunosuppressive or immunomodulatory treatment in the last six months and corticosteroids (> 20 mg / day for 5 days) in last 3 months
  • Presence of other sexually transmitted infection detected in samples at pre-inclusion visit and ongoing at V1 visit (Mycoplasma, Chlamydia, gonorrhea, Trichomonas, Candida albicans and Syphilis)
  • A person participating in another research including a period of exclusion still ongoing selection
  • Population called vulnerable (minors, persons under guardianship, or deprived of liberty by a judicial decision.
  Contacts and Locations
Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01715103


Locations
France
Centre d'investigation clinique Cochin Pasteur (CIC1417)
Paris, France, 75 679
Service des maladies infectieuses et tropicales
Saint Etienne, France, 42055
Sponsors and Collaborators
French National Institute for Health and Medical Research-French National Agency for Research on AIDS and Viral Hepatitis (Inserm-ANRS)
Investigators
Principal Investigator: Fréderic LUCHT, PU PH Service des Maladies Infectieuses et Tropicales,CIC-EC, CHU Saint Etienne
Principal Investigator: Odile LAUNAY, PU PH Centre d'investigation clinique Cochin Pasteur (CIC 1417), hôpital Cochin Paris
  More Information

Responsible Party: French National Institute for Health and Medical Research-French National Agency for Research on AIDS and Viral Hepatitis (Inserm-ANRS)
ClinicalTrials.gov Identifier: NCT01715103     History of Changes
Other Study ID Numbers: ANRS VEP1
MUCOVAC ( Registry Identifier: 2011-A01470-41 )
First Submitted: October 10, 2012
First Posted: October 26, 2012
Last Update Posted: July 1, 2015
Last Verified: June 2015

Keywords provided by French National Institute for Health and Medical Research-French National Agency for Research on AIDS and Viral Hepatitis (Inserm-ANRS):
HIV infection
mucosa
immunological parameters
genital sampling
healthy women volunteers