Safety and Effectiveness of TFV 1% Gel, TDF Tablets, and FTC/TDF Tablets in Preventing HIV in Women

Last updated: October 15, 2021
Sponsor: National Institute of Allergy and Infectious Diseases (NIAID)
Overall Status: Completed

Phase

2

Condition

Hiv Infections

Aids And Aids Related Infections

Hiv/aids

Treatment

N/A

Clinical Study ID

NCT00705679
MTN-003 (VOICE)
5U01AI068633-05
VOICE
10622
MTN-003
  • Ages 18-45
  • Female
  • Accepts Healthy Volunteers

Study Summary

A new approach to HIV prevention currently being studied includes the use of microbicides, substances that kill microbes. Tenofovir disoproxil fumarate (TDF) and emtricitabine/tenofovir disoproxil fumarate (FTC/TDF) are oral, FDA-approved, anti-HIV drugs, and tenofovir gel is an experimental microbicide. The purpose of this study is to determine the safety and effectiveness of daily tenofovir 1% gel compared to a vaginal placebo gel, and the safety and effectiveness of oral TDF and oral FTC/TDF compared to an oral placebo in preventing HIV infection among women at risk for sexually transmitted infections.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Willing to provide adequate locator information
  • Sexually active, defined as having vaginal intercourse at least once in the 3 monthsprior to screening
  • Agree to not participate in other research studies involving drugs, medical devices,or vaginal products for duration of study.
  • Agree to use effective method of contraception. More information on this criterion canbe found in the protocol.

Exclusion

Exclusion Criteria:

  • HIV infected
  • Known adverse reaction to any of the study products
  • Known adverse reaction to latex
  • Pathologic bone fracture not related to trauma
  • Non-therapeutic injection drug use in the 12 months prior to screening
  • Post-exposure prophylaxis for HIV exposure within 6 months prior to enrollment
  • Last pregnancy outcome 42 days or less prior to enrollment
  • Gynecologic or genital procedure 42 days or less prior to enrollment
  • Participation in any other research study involving drugs, medical devices, or vaginalproducts 30 days or less prior to enrollment
  • Currently using spermicide, interferon or interleukin therapy, or certain medications.More information on this criterion can be found in the protocol.
  • Any significant uncontrolled active or chronic disease. More information on thiscriterion can be found in the protocol.
  • Certain abnormal laboratory values. More information on this criterion can be found inthe protocol.
  • Intends to become pregnant in the 24 months after enrollment
  • Plans to relocate or travel away from the study site for more than 8 consecutive weeksin the 24 months after enrollment
  • Urinary tract infection
  • Pelvic inflammatory disease, an STI, or reproductive tract infection requiringtreatment
  • Grade 2 or higher pelvic exam finding
  • Any condition that, in the opinion of the investigator, would interfere with the study
  • Pregnant or breastfeeding

Study Design

Total Participants: 5029
Study Start date:
August 01, 2009
Estimated Completion Date:
August 31, 2012

Study Description

It is necessary to monitor both the adherence and blood levels of microbicides in order to gauge its efficacy in a study population. Utilizing an experimental microbicide (tenofovir gel) and anti-HIV drugs (TDF, FTC/TDF), this study will measure the effectiveness and safety to and blood levels of the three interventions in three regimens given to HIV uninfected women.

The expected duration of participation for each participant ranges from a minimum of 12 months to a maximum of 38 months. Study participants will be randomly assigned into one of five study groups, each with a different regimen. Group 1 participants will take one TDF tablet daily and one FTC/TDF placebo tablet daily. Group 2 participants will take one TDF placebo tablet daily and one FTC/TDF tablet daily. Group 3 participants will take one TDF placebo tablet daily and one FTC/TDF placebo tablet daily. Group 4 participants will apply tenofovir 1% gel vaginally once daily. Group 5 participants will apply tenofovir 1% placebo gel vaginally once daily.

Study visits will occur every 28 days after enrollment. Medical history, a physical exam, behavioral and adherence assessment, urine and blood collection, and counseling will occur at all visits. Blood will also be collected and archived for future research at select visits. Pharmacokinetic studies will occur at some visits. A pap smear will occur at select visits. Some participants may have hair samples collected on an optional basis at study visits every 2 months.

Connect with a study center

  • College of Med. JHU CRS

    Blantyre,
    Malawi

    Site Not Available

  • Soweto MTN CRS

    Johannesburg, Gauteng
    South Africa

    Site Not Available

  • Wits Reproductive Health and HIV Institute CRS (WRHI CRS)

    Johannesburg, Gauteng 2001
    South Africa

    Site Not Available

  • Overport CRS

    Asherville, KwaZulu-Natal 4091
    South Africa

    Site Not Available

  • Chatsworth CRS

    Chatsworth, KwaZulu-Natal 4030
    South Africa

    Site Not Available

  • eThekwini CRS

    Durban, KwaZulu-Natal 4001
    South Africa

    Site Not Available

  • Tongaat CRS

    Tongaat, KwaZulu-Natal 4400
    South Africa

    Site Not Available

  • Umkomaas CRS

    Umkomaas, KwaZulu-Natal 4170
    South Africa

    Site Not Available

  • Verulam CRS

    Verulam, KwaZulu-Natal 4340
    South Africa

    Site Not Available

  • Botha's Hill CRS

    Westville, KwaZulu-Natal 3630
    South Africa

    Site Not Available

  • Isipingo CRS

    Westville, KwaZulu-Natal 3630
    South Africa

    Site Not Available

  • CAPRISA Aurum CRS

    Klerksdorp, 2571
    South Africa

    Site Not Available

  • MU-JHU Research Collaboration CRS

    Kampala,
    Uganda

    Site Not Available

  • Seke South CRS

    Chitungwiza,
    Zimbabwe

    Site Not Available

  • Zengeza CRS

    Chitungwiza,
    Zimbabwe

    Site Not Available

  • Spilhaus CRS

    Harare,
    Zimbabwe

    Site Not Available

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