Evaluation of EVO100 for Prevention of Urogenital Chlamydia Trachomatis and Neisseria Gonorrhoeae Infection

Phase 3

Completed

Conditions: Sexually Transmitted Diseases
Gonorrhea
Chlamydia

Interventions: Drug: Placebo
Drug: EVO100

Registration Number: NCT04553068

Lead Sponsor: Evofem Inc.

Brief Summary: This study will evaluate whether EVO100 vaginal gel prevents the sexual transmission of CT and GC infection

Detailed Description: In this phase 3 double blind placebo controlled, efficacy study, women who have had a urogenital chlamydia or gonorrhea infection at any time over the 16 weeks preceding the enrollment Visit with one or more risk factors, or found to be positive for either infection at Screening Visit with one or more risk factors will be enrolled. After a screening period of up to 35 days, women will be randomized to receive either EVO100 vaginal gel or placebo. Each woman will participate in the study until she has completed 16 weeks of study medication or observation or tests positive for CT or GC infection.

Recruitment & Eligibility

Status: COMPLETED

Sex: Female

Target Recruitment: 1892

Inclusion Criteria

Subjects must meet both of the following criteria:
1. Urogenital CT and/or GC infection (documented in a retrievable medical record) within the 16 weeks prior to enrollment and one or more of the additional risk factors included below:
  - 18 to 24 years of age at the screening visit
  - New sex partner within the past 12 weeks (84 days)
  - More than one current sex partner
  - Knowledge that current sex partner has multiple partners
  - Partner with known sexually transmitted infection (STI)
  - Inconsistent condom use among persons who are not in a mutually monogamous relationship
2. After three unsuccessful documented attempts to obtain medical records, the subject has a self-reported history of infection less than 17 weeks prior to enrollment AND two or more of the following additional risk factors:
  - 18 to 24 years of age at the screening visit
  - New sex partner within the past 12 weeks (84 days)
  - More than one current sex partner
  - Knowledge that current sex partner has multiple partners
  - Partner with known STI
  - Inconsistent condom use among persons who are not in a mutually monogamous relationship
Ability to understand the consent process and procedures. For minors, the ability to obtain consent from parents/legal guardian and assent by minor subjects as applicable according to local regulations.
Agree to be available for all study visits including Visit 5 and follow-up Visit 6 and comply with follow-up on staff appointment reminders
Negative pregnancy test
Negative CT and GC nucleic acid amplification test (NAAT) at screening or positive CT or GC NAAT and receives standard of care (SOC according to CDC or World Health Organization [WHO] guidelines) treatment prior to enrollment with subsequent negative CT and GC NAAT testing at enrollment visit
Agree to use a woman-controlled method of contraception that is not directly delivered to the vaginal mucosa (with the exception of a vaginal ring) throughout the duration of the study, such as oral contraceptives, birth control implants, intrauterine devices (IUDs), or tubal ligation. Condom use only is not an acceptable form of contraception for this study
Able and willing to comply with all study procedures, including the use of eDiaries and reporting of all Adverse Events and concomitant medications.
Reports vaginal sexual intercourse with a male partner at least three times per month in the previous month and anticipates vaginal sexual intercourse regularly for the duration of the study
Agree to abstain from douching or any form of vaginal suppository use (other than investigational product) during course of study

Exclusion Criteria

In the opinion of the Investigator, has a history of substance or alcohol abuse in the last 12 months or, has issues, conditions, or concerns that may compromise the safety of the subject, impact the subject's compliance with the protocol requirements, or confound the reliability of the data acquired
Women who have undergone a total hysterectomy (had uterus and cervix removed). However, women with subtotal hysterectomy with an intact cervix may be enrolled
Has a history or expectation of noncompliance with medications or intervention protocol
Has engaged in sexual vaginal intercourse or douching, or used of any form of vaginal suppository or intravaginal device (with the exception of contraceptive vaginal ring or tampons) for 24 hours prior to enrollment (may be enrolled at a later date if all other criteria are met)
Menstruating at enrollment (may be enrolled at a later date if all other criteria are met)
Is currently being treated, or has been treated, for a period of 21 days prior to enrollment, with any prohibited antibiotics. The prohibited antibiotics include azithromycin, erythromycin, doxycycline, levofloxacin, ofloxacin, ceftriaxone, and cefixime.
In the opinion of the Investigator, has signs/symptoms that indicate persistence of CT or GC infection diagnosed at screening, new interval infection, and/or a failure to comply with or complete the prescribed treatment regimen following a positive screening NAAT

Study & Design

Study Type: INTERVENTIONAL

Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Placebo gel	Placebo	Placebo vaginal gel, 5 g
EVO100 gel	EVO100	EVO100 vaginal gel, 5 g

Primary Outcome Measures

Name	Time	Method
Percentage of Study Successes in the EVO100 and Placebo Treatment Groups	16 weeks	Percentage of subjects who are defined study successes among the intervention groups with success defined as subjects completing the trial to Visit 5 without any CT or GC infection and no usage of prohibited antibiotics during the study.

Secondary Outcome Measures

Name	Time	Method
Evaluate Safety of EVO100: AEs	16 weeks	Descriptive analysis of AEs

Trial Locations

Locations (91): Matrix Clinical Research
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Los Angeles, California, United States
Urgent Care Clinical Trials @City Doc Urgent Care-Inwood
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Dallas, Texas, United States
Planned Parenthood Southeastern Pennsylvania
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Philadelphia, Pennsylvania, United States
Cedar Health Research
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Dallas, Texas, United States
Complete Healthcare For Women
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Columbus, Ohio, United States
UPMC Magee-Womens Hospital, Center for Family Planning Research
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Pittsburgh, Pennsylvania, United States
Boston Medical Center/Boston University Medical Campus
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Boston, Massachusetts, United States
Cypress Harmony Research, LLC
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Houston, Texas, United States
Encore Imaging and Medical Research, LLC
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Houston, Texas, United States
Spring Family Practice Associates PA
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Houston, Texas, United States
Seven Hills Clinical Research Group
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Cincinnati, Ohio, United States
Cahaba Medical Care
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Birmingham, Alabama, United States
Applied Research Center of Arkansas
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Little Rock, Arkansas, United States
Urgent Care Clinical Trials @ Complete Health Care Partners
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Nashville, Tennessee, United States
Urgent Care Clinical Trials @ AFC Urgent Care-Clemson
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Seneca, South Carolina, United States
ASR,LLC
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Nampa, Idaho, United States
Planned Parenthood of Northern, Central and Southern New Jersey
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Perth Amboy, New Jersey, United States
Urgent Care Clinical Trials @ AFC Urgent Care-Powdersville
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Powdersville, South Carolina, United States
Urgent Care Clinical Trials @ AFC Urgent Care-Easley
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Easley, South Carolina, United States
Precision Trials AZ, LLC
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Phoenix, Arizona, United States
Marchand OBGYN
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Mesa, Arizona, United States
Planned Parenthood Columbia Willamette
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Portland, Oregon, United States
Mobile Obstetrics & Gynecology, P.C.
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Mobile, Alabama, United States
Benchmark Research
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Colton, California, United States
Dream Team Clinical Research
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Pomona, California, United States
Join Clinical Trials
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Huntington Park, California, United States
Providere Research Inc
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West Covina, California, United States
Empire Clinical Research
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Pomona, California, United States
UC San Diego Health, Womens Health Services La Jolla
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San Diego, California, United States
Emerson Clinical Research Institute
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Washington, District of Columbia, United States
Encore Medical Research, LLC
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Hollywood, Florida, United States
Ideal Clinical Research
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Aventura, Florida, United States
Pharmax Research of South Florida, Inc
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Miami, Florida, United States
US Associates in Research, LLC
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Miami, Florida, United States
Homestead Associates in Research
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Miami, Florida, United States
South Florida Research Center, Inc.
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Miami, Florida, United States
Bioresearch Institute Llc
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Pembroke Pines, Florida, United States
Clintheory Healthcare Miami
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North Miami Beach, Florida, United States
Comprehensive Clinical Research, LLC
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West Palm Beach, Florida, United States
Agile Clinical Research Trials, LLC
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Atlanta, Georgia, United States
Encore Medical Research of Weston, LLC
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Weston, Florida, United States
Columbus Regional Research Institute
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Columbus, Georgia, United States
Renew Health Clinical Research
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Snellville, Georgia, United States
Visionaries Clinical Research, LLC
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Atlanta, Georgia, United States
Midtown OB GYN
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Columbus, Georgia, United States
iResearch Atlanta, LLC
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Decatur, Georgia, United States
Eagle Clinical Research
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Chicago, Illinois, United States
Continental Clinical Solutions
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Towson, Maryland, United States
Research Network America
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Chicago, Illinois, United States
Planned Parenthood North Central States - Minneapolis
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Minneapolis, Minnesota, United States
Planned Parenthood of the St. Louis Region and Southwest Missouri - Central West End Health Center
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Saint Louis, Missouri, United States
The Contraceptive Choice Center/Center for Outpatient Health - Women's Health Center
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Saint Louis, Missouri, United States
NYU Grossman School of Medicine/Bellevue Hospital Center
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New York, New York, United States
Columbia University Irving Medical Center
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New York, New York, United States
OnSite Clinical Solutions LLC
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Charlotte, North Carolina, United States
Circuit Clinical/OB GYN Associates of WNY
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West Seneca, New York, United States
Analyzed Health Clinical Trials
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New York, New York, United States
Carolina Institute for Clinical Research
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Fayetteville, North Carolina, United States
Centex Studies, Inc.
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McAllen, Texas, United States
M3 Wake Research, Inc.
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Raleigh, North Carolina, United States
ClinOhio Research Services
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Columbus, Ohio, United States
Across the LifeSpan, PLLC
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Yanceyville, North Carolina, United States
Hospital of the University of Pennsylvania
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Philadelphia, Pennsylvania, United States
Urgent Care Clinical Trials @City Doc Urgent Care - McKinney
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Dallas, Texas, United States
Coastal Bend Clinical Research
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Corpus Christi, Texas, United States
WR-Medical Research Center of Memphis, LLC
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Memphis, Tennessee, United States
AIDS Arms, Inc. DBA Prism Health North Texas
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Dallas, Texas, United States
Synergy Groups Medical LLC
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Missouri City, Texas, United States
Texas Center for Drug Development, Inc.
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Houston, Texas, United States
MacArthur Medical Center
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Irving, Texas, United States
ARC Clinical Research at Kelly Lane
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Pflugerville, Texas, United States
Maximos Ob/Gyn
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League City, Texas, United States
DCT-McAllen Primary Care Research dba Discovery Clinical Trials
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McAllen, Texas, United States
Virginia Women's Health Associates
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Annandale, Virginia, United States
The Group for Women
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Norfolk, Virginia, United States
TPMG Clinical Research
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Newport News, Virginia, United States
MultiCare Health System - Rockwood Clinic Cheney
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Cheney, Washington, United States
Planned Parenthood of the Great Northwest, Hawai'i, Alaska, Indiana, Kentucky - Tacoma Health Center
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Tacoma, Washington, United States
Onyx Clinical Research
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Flint, Michigan, United States
DelRicht Research
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Tulsa, Oklahoma, United States
Storks Research, LLC
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Sugar Land, Texas, United States
Lintecum and Nickell, P.C.
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Kansas City, Missouri, United States
University of California, Davis Medical Center
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Sacramento, California, United States
Planned Parenthood of Southern New England
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New Haven, Connecticut, United States
Clinical Associates of Orlando, LLC
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Orlando, Florida, United States
Urgent Care Clinical Trials @ AFC Urgent Care-Bronx
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Bronx, New York, United States
University Women's Health Specialists
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Honolulu, Hawaii, United States
Accellacare
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Charlotte, North Carolina, United States
Precision Clinical Research
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Sunrise, Florida, United States
Healthcare Clinical Data, Inc.
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North Miami, Florida, United States
Montefiore Medical Center
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Bronx, New York, United States