ClinicalTrials.gg
TerminatedNCT03301480CHARAUpdated Feb 7, 2019

Contraceptive/HIV Affecting Risk in Adolescents

An observational study in Contraception and Hiv, sponsored by University of Pittsburgh. Terminated at 1 site in United States. Open to female participants aged 18 Years to 45 Years. Per ClinicalTrials.gov, last updated 2019-02-07.

Primary conditionAcquired Immunodeficiency Syndrome(the registry's first term)UnverifiedIs this wrong?The registry often attaches Acquired Immunodeficiency Syndrome to studies about something else, and this study's title and listed conditions do not name it. No better condition is named, so the registry's term is kept.

Sponsored by University of Pittsburgh · Observational

Why this study was terminated
An interim review of the data revealed that there was broad inter-participant variability.The study was stopped due to futility.

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Study type
Observational
Model
Case-control
Time perspective
Cross-sectional
Enrollment
120
Ages
18 Years to 45 Years
Sex
Female
01

Study summary

This study will evaluate the impact of hormonal contraceptives on HIV risk associated with changes to the innate immunity in the female genital tract in a cross-sectional study. HIV risk will be evaluated by the capacity of cervical tissue to replicate HIV when challenged ex vivo and correlated to the number of CD4 T cells, DCs, and macrophages; the capacity of cervicovaginal fluid to inhibit HIV will be correlated to soluble mucosal mediators, and the vaginal microbiota. The lower genital tract samples will be collected from 120 adolescents aged 18-19 (40 using no hormonal contraception, 40 using ENG-I, 40 using LNG-IUS). For comparison, 90 adult women aged 25-45 will be equally distributed between the same groupings.

02

Conditions studied

  • Contraception
  • Hiv

Browse trials for

03

In context

Acquired Immunodeficiency Syndrome Unverified

3,037 studies on the registry are indexed under Acquired Immunodeficiency Syndrome; 307 are open to participants now.

This study's enrollment of 120 is below the median of 289 across 504 observational studies indexed under Acquired Immunodeficiency Syndrome.

Browse Acquired Immunodeficiency Syndrome studies →

Lead sponsor

University of Pittsburgh is the lead sponsor of 1,420 studies on the registry; 169 are open to participants now.

Of its 9 completed or terminated interventional studies of FDA-regulated products, 4 (44%) have results posted.

Compared within Acquired Immunodeficiency Syndrome, the registry's first condition term, which may not be this study's main condition. Counted across the registry records on this site, refreshed daily. How we classify →

04

Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
Female
Sampling method
Non-probability sample

Study population

non-pregnant, HIV negative, healthy 18-19 year old women and 25-45 year old women

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Meets one of the following age groups (at the time of sample collection):

    1. Adolescent aged 18-19
    2. Adult aged 25-45
  2. Meets one of the following groups:

    1. Regular menstrual cycles by participant history (if not using hormonal contraception)
    2. Use of ENG-I (i.e. Implanon/Nexplanon) for at least 30 days by participant history
    3. Use of LNG-IUS (Mirena or Skyla) for at least 30 days by participant history
  3. uninfected Note: HIV testing will be done as part of screening. However, if a woman participated in a recent research study and has an HIV test result available from that study, this will suffice provided the date of the test is within 6 months of the study visit.
  4. Willing to undergo pelvic exam and collection of cervical
  5. Willing to provided written
  6. Agree to be sexually abstinent for 48 hours prior to the cervical biopsies and for one week after the biopsies.

Exclusion criteria

Exclusion Criteria:

  1. Use of any other hormonal other than ENG-I or LNG-IUS
  2. Use of a diaphragm or spermicide for contraception
  3. Pregnant or pregnancy within 90 days
  4. Currently breastfeeding
  5. Currently menstruating/bleeding (at time of specimen collection) Note: participant can return after cessation of bleeding for specimen collection
  6. Past participation in more than one study involving cervical per participant report
  7. Cervical biopsies within one month of specimen collection visit
  8. Abnormal vaginal discharge or other genital tract symptoms at the time of specimen collection
  9. Pelvic findings on the day of specimen collection consistent with cervicitis (i.e. MPC, erythema, edema) or anatomy making cervical biopsies difficult
  10. Menopausal
  11. Hysterectomy
  12. History of of the genital tract (including cervix, uterus, vagina, and vulva)
  13. History of (including infection, diabetes, and chronic use)
  14. Known history of a /bleeding/clotting disorder
  15. Use of a systemic or vaginal antimicrobial agent within 7 days of specimen collection
  16. Use of any vaginal product (i.e. douching, spermicide, lubricant) or device within 7 days of specimen collection Note: tampon use is acceptable
  17. Any other condition that in the opinion of the Study Investigator would preclude provision of or make study participation unsafe, complicate the interpretation of study outcome data, or otherwise interfere with achieving the study objectives.
Terms in these criteria, in plain language(8)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

05

Study design

Observational model
Case-control
Time perspective
Cross-sectional
Enrollment
120 participants (actual)
Patient registry
No

Groups and cohorts

  • No contraception/18-19 years old
  • Use of ENG-I/18 - 19 years old
  • LNG-IUS/18-19 years old
  • No Contraception/ 25 - 45 years old
  • Use of ENG-I/25 - 45 years old
  • LNG-IUS/25-45 years old
06

What researchers measure

Primary outcomes

  1. HIV replication in cervical tissue as measured by levels of HIV p24/viral transcripts

    cervical tissue testing

    Time frame: baseline

  2. number of immune cells in cervical tissue, including CD45, CD3, CD4, and CD8 and their expression of CCR5, CCR6 and CD69, and CD11c+ DCs and CD14+ macrophages

    cervical tissue testing

    Time frame: baseline

Secondary outcomes

  1. Prevalence of bacterial vaginosis defined as a Nugent score ≥7 on a vaginal smear

    vaginal specimen

    Time frame: baseline

  2. prevalence and quantity of lactobacillus species and bacterial vaginosis associated bacteria as measured by traditional culture methods and quantitative PCR

    vaginal specimen

    Time frame: baseline

  3. HIV inhibitory activity in mucosal fluid; and soluble mucosal factors identified through pathway analyses and confirmed by targeted ELISA/multiplexing technology (proteases/ anti-proteases, keratin, IFNε, and other molecules)

    mucosal fluid

    Time frame: baseline

07

Study locations

1 site
  • Magee-Womens Hospital of UPMC
    Pittsburgh, Pennsylvania 15213, United States
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jul 2017 to primary completion in Sep 2018, 13 months.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 8, 2017
First posted
Oct 4, 2017
StartActual
Jul 31, 2017
Primary completionActual
Sep 17, 2018
CompletionActual
Sep 17, 2018
Last update
Feb 7, 2019
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 7, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03301480
Responsible party
Katherine Bunge (Assistant Professor, University of Pittsburgh) — Principal investigator
First posted
Oct 4, 2017
Start date
Jul 31, 2017
Primary completion
Sep 17, 2018
Completion
Sep 17, 2018
Last update
Feb 7, 2019

Study contacts

Katherine Bunge, MD
principal investigator · University of Pittsburgh

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Feb 2019. You cannot join it, but the record below documents what was studied.

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