Optical Imaging and User Perception Study of Vaginal Gel

Not Applicable

Completed

• Conditions: Characterize Gel Distribution in the Vagina; Study Women's Sensory Perceptions and Preferences of Gel
• Interventions: Other: vaginal gel imaging; Behavioral: computer aided self interview

• Registration Number: NCT01716000
• Lead Sponsor: Duke University

Brief Summary

This study will compare two investigational techniques for measuring how vaginal gels spread and coat the vagina. This study will also explore the experiences and opinions of women using this vaginal gel. We want to understand how the characteristics of a gel, such as a gel's thickness or consistency, affect how the gel spreads and feels in the body. We hope to use the information we learn from this study to develop future vaginal gels that could be combined with medications and used to slow down or stop the spread of sexually transmitted infections.

Detailed Description

The pharmacokinetics of a microbicide gel, i.e. the time- and space-dependent distribution of its active microbicidal ingredient(s) (APIs) throughout the body, derives from the time- and space-dependent distribution of the gel itself within the vaginal canal. That distribution may also serve as a physical barrier that retards migration of semen-borne HIV virions to epithelial surfaces. Within the vagina, the gel creates local physical forces ("stresses") against the epithelial surfaces; and its distribution along the canal might be so extensive that gel leaks out from the introitus. A woman may have sensations of those stresses and also feel gel leakage. Thus, intravaginal microbicide gel distribution is central to both its biological functioning (to deliver APIs and also to slow HIV transport) and the behavioral perception of it by users (i.e. how it "feels" and whether that experience is pleasurable or not). The latter, in turn, can govern acceptability of the gel and adherence to designated gel use in clinical trials. This study will characterize and correlate gel distribution and women's sensory perceptions and preferences of that distribution, for two relevant volumes (2 mL and 4 mL) of a current microbicide placebo gel. An optical vaginal imaging device will measure gel distribution in the vagina. A computer-assisted self-interview (CASI) survey will capture women's perceptions and preferences.

Study Timeline

• Study First Submitted: 2012-10-24
• Study First Submitted QC: 2012-10-25
• Study First Posted: 2012-10-29
• Study Start: 2013-01
• Primary Completion: 2013-11
• Study Completion: 2013-11
• Status Verified: 2014-07
• Last Update Submitted: 2014-07-23
• Last Update Posted: 2014-07-24

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 56

Inclusion Criteria

• have had vaginal penetrative intercourse within the last 12 months
• have a regular menstrual cycle (between 24-35 days) and be able to record the day of onset of menses in a menstrual diary
• able to ambulate for 20 consecutive minutes after vaginal self-insertion of gel using an applicator
• willing to use a condom when engaging in sexual intercourse within 4 days before a study visit
• willing to avoid using any mechanical sex toy within 1 day before a study visit
• willing to use one of the following contraception methods if engaging in sexual intercourse during the length of participation in the study (hormonal contraceptive, tubal ligation, non-surgical procedure such as permanent transcervical sterilization, Fallopian tubes removed, partner vasectomy)
• able to provide informed consent

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Exclusion Criteria

• pregnant, potentially pregnant, nursing, or trying to conceive
• allergic to latex, fluorescein, hydroxyethylcellulose, ascorbic acid, sodium citrate, citric acid
• using an intrauterine device (IUD)
• using depo-provera
• douching during the course of participation in the study
• had medical or cosmetic surgery involving the reproductive organs or genitals within the past 6 months
• have a gynecological infection or other condition requiring treatment, such as candidiasis, chlamydia trachomatis, trichomoniasis, HIV, herpes simplex virus (HSV), neisseria gonorrhea, symptomatic bacterial vaginosis, or syphilis
• currently enrolled in any other research studies involving the application of vaginal formulations
• employed or supervised by the study investigators
• have any other condition that, in the opinion of the study physician, would contraindicate participation in the study

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Arm && Interventions

Group	Intervention	Description
4 mL vaginal gel	vaginal gel imaging	4 mL gel inserted vaginally for completion of vaginal gel imaging and computer aided self interview.
2 mL vaginal gel	computer aided self interview	2 mL gel inserted vaginally for completion of vaginal gel imaging and computer aided self interview.
2 mL vaginal gel	vaginal gel imaging	2 mL gel inserted vaginally for completion of vaginal gel imaging and computer aided self interview.
4 mL vaginal gel	computer aided self interview	4 mL gel inserted vaginally for completion of vaginal gel imaging and computer aided self interview.

Primary Outcome Measures

Name	Time	Method
number and frequency of adverse events	up to 6 months

Secondary Outcome Measures

Name	Time	Method
extent of vaginal gel coating	at imaging visit 1 (between 1-6 weeks after enrollment) and at imaging visit 2 (between 1 - 6 weeks after imaging visit 1)	extent of vaginal gel coating is measured by: algebraic and harmonic mean gel thickness, total vaginal surface area with detectable gel coating, fraction of total vaginal surface area containing detectable gel coating, linear extent of gel coating along the vaginal canal, ratio of linear extent of coating to the length of the vaginal canal
subject perception and preference of vaginal gel	at imaging visit 1 (between 1-6 weeks after enrollment) and at imaging visit 2 (between 1 - 6 weeks after imaging visit 1)	responses to the computer aided self interview questions, grouped into the following scales: Leaks with Application, Ease of Application, Portability, Intravaginal Feel, Perception of Leakage with Ambulation, Leaking with Ambulation, Leakage Across Time, Sticky with Ambulation, Perception of Natural Wetness, and Lubrication Moisture on Ambulation.
uniformity of vaginal gel coating	at imaging visit 1 (between 1-6 weeks after enrollment) and at imaging visit 2 (between 1 - 6 weeks after imaging visit 1)	uniformity of vaginal gel coating is measured by: coefficient of variation of local coating thickness and the number, location, and sizes of individual bare spots of uncoated vaginal surface within the overall gel coating envelope

Trial Locations

Locations (1)

Duke University Medical Center; 🇺🇸 Durham, North Carolina, United States