A Pilot Study for Toxicity Evaluation of HIV Rectal Microbicides - Full Text View

Sponsored by:	Johns Hopkins University
Information provided by:	Johns Hopkins University
ClinicalTrials.gov Identifier:	NCT00389311

Purpose

The purpose of this study is to determine if detectable changes in permeability of the lining of the colon are caused by either application of HIV microbicide gels or medical procedures, such as flexible sigmoidoscopy.

Condition	Intervention	Phase
HIV Infections	Drug: Normosol-R Drug: Nonoxynol-9 Procedure: Gastrointestinal instrumentation	Phase 0

MedlinePlus related topics: AIDS

Drug Information available for: Nonoxynol Octoxynol Normosol R

U.S. FDA Resources

Study Type:	Interventional
Study Design:	Diagnostic, Randomized, Double-Blind, Active Control, Crossover Assignment, Safety Study
Official Title:	A Pilot Protocol to Determine the Effects of Chemical and Mechanical Stress on Rectal Permeability as a Surrogate for Toxicity Evaluation of Rectally Applied Microbicides

Further study details as provided by Johns Hopkins University:

Primary Outcome Measures:

Intra-subject comparison of urine and plasma concentrations of 99mTc-DTPA [ Time Frame: 0-2 hours, 2-4 hours, 4-8 hours, 8-12 hours and 12-24 hours after introduction of the treatment assignment ]

Estimated Enrollment:	10
Study Start Date:	April 2007

Detailed Description:

It is not currently known if procedures used to observe the lining of the distal colon, such as endoscopy with or without pinch biopsy, may cause mucosal trauma and thus alter colonic permeability. Additionally, the application of topical HIV microbicides (to prevent HIV transmission) and shearing forces associated with rectal intercourse might also adversely affect the epithelial layer, and thus alter colonic permeability. In order to appropriately interpret testing of the effects of topical HIV microbicides on the mucosal lining of the distal colon, it is essential to understand whether these procedures themselves, adversely affect the epithelial layer. If changes in permeability can be detected, this method may be developed to help determine microbicide distribution/toxicity in early phase studies, thus improving the selection of candidate microbicides for study in larger scale clinical trials.

Eligibility

Ages Eligible for Study:	21 Years and older
Genders Eligible for Study:	Male
Accepts Healthy Volunteers:	Yes

Criteria

Inclusion Criteria:

Greater than or equal to 21 years of age
Prior history of receptive anal intercourse (RAI)
Subjects must have a history of using commercially-available personal lubricants for RAI.
Ability to provide signed informed consent.
Willingness to abstain from lubricant use and anal receptive intercourse for 48 hours prior to and 48 hours after Phases A and B.
Willingness to use a single dose of rectally-applied N-9.

Exclusion Criteria:

Mental handicap or impaired cognitive performance status as judged by the investigator.
Coagulation abnormality which would put the subject at risk for bleeding as judged by the Principal Investigator.
History of anorectal surgery within the last month or the presence of any anorectal disease or condition that in the judgment of the investigator could affect permeability of the rectal mucosa.
Presence of any painful anorectal conditions or anorectal lesions that would be tender to manipulation.
History of occupational radiation exposure.
History of acute or chronic diarrhea defined as three or more loose stools per day.
History of any allergic response to rectal lubricants.
History of sleep apnea, or airway problems with previous sedation procedures.
History of significant adverse reaction to sedation medications.

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00389311

Locations

United States, Maryland
The Johns Hopkins Hospital
Baltimore, Maryland, United States, 21287

Sponsors and Collaborators

Johns Hopkins University

Investigators

Principal Investigator:

Edward Fuchs, PA-C, MBA

The Johns Hopkins University

More Information

Study ID Numbers:	CDC 200-2001-08015-02
Study First Received:	October 17, 2006
Last Updated:	January 9, 2009
ClinicalTrials.gov Identifier:	NCT00389311
Health Authority:	United States: Institutional Review Board

Keywords provided by Johns Hopkins University:

Microbicide
Safety
HIV prevention
HIV Seronegativity

Study placed in the following topic categories:

Nonoxynol
Virus Diseases
Sexually Transmitted Diseases, Viral
Octoxynol
HIV Infections

Sexually Transmitted Diseases
Acquired Immunodeficiency Syndrome
Stress
Retroviridae Infections
Immunologic Deficiency Syndromes

Additional relevant MeSH terms:

RNA Virus Infections
Slow Virus Diseases
Immune System Diseases
Contraceptive Agents
Physiological Effects of Drugs
Contraceptive Agents, Female
Reproductive Control Agents

Contraceptive Agents, Male
Infection
Pharmacologic Actions
Therapeutic Uses
Lentivirus Infections
Antispermatogenic Agents
Spermatocidal Agents

ClinicalTrials.gov processed this record on January 16, 2009