HIV Prevention Trials Network

Studies

HPTN 055

HIV Prevention Preparedness Study

 

What is HPTN 055?

Topical microbicides are antimicrobial agents formulated for application to the surface of the vagina and/or rectum for the prevention of HIV transmission during sexual intercourse. This prevention strategy is urgently needed throughout the world because many individuals at high risk of transmitting or acquiring HIV infection cannot or will not use condoms with every act of sexual intercourse. Reasons for lack of effective condom use include power imbalances in relationships that result in the inability of the receptive partner to negotiate condom use, physical discomfort and decreased sexual pleasure.

 

HPTN 055 was a prospective cohort study that repared sites for implementation of HPTN 035, a Phase III Safety and Effectiveness study of two vaginal microbicides for HIV prevention.  The study was conducted at HPTN study sites located in South Africa (2 sites), Tanzania and Zambia.  Each study site targeted enrollment of 240 study participants over the course of a six-month accrual period. The primary objective of this study was to estimate rates of HIV seroincidence among women targeted for inclusion in HPTN 035.


HPTN 055 paper published!

The HPTN 055 study paper was published in the January 1, 2008 issue of the Journal of AIDS.

This paper provides the results from the HPTN 055 study. The study concluded that preparatory studies provide accurate local estimates of HIV incidence, recruitment and retention rates, and behavioral characteristics of targeted populations for large-scale clinical trials. Determining these factors allows for better preparation for design, sample size, and appropriate population for future selection of trial sites. Because of the lower than expected HIV incidence observed at the Moshi, Tanzania site, only the South African and Zambian sites were selected for the phase 2/IIb trial.

 

Please find the reference for the paper below.   Click on the title to view the paper's abstract and to gain access to the full text version on the Journal of AIDS website.

 

Ramjee G, Kapiga S, Weiss S, Peterson L, Leburg C, Kelly C, Masse B; the HPTN 055 Study Team. The Value of Site Preparedness Studies for Future Implementation of Phase 2/IIb/III HIV Prevention Trials: Experience From the HPTN 055 Study. Journal of AIDS. 2008 Jan 1; 47(1):93-100.

 


Protocol Status: Concluded

 

Study Summary

 

Study Purpose: To prepare for implementation of HPTN 035, A Phase II/III Safety and Effectiveness Study of the Vaginal Microbicides BufferGel and PRO 2000/5 Gel (P) for the Prevention of HIV Infection in Women

 

Study Design: Prospective cohort study with a six-month accrual period and 6-12 months of follow-up for each enrolled participant

 

Study Population: Sexually active HIV-uninfected women from the study sites

 

Study Size: 240 participants per site

 

Study Duration: Accrual will require six months. Each participant will be maintained in follow-up for a minimum of six months and a maximum of 12 months. At each site, the duration of follow-up will depend on the timing of initiation of HPTN 035.

 

Treatment Regimen: None, however HIV/STD pre-test, risk reduction, and post-test counseling is provided each quarter, and STD treatment is provided as clinically indicated

 

Primary Objectives: To estimate rates of HIV seroincidence among women targeted for inclusion in HPTN 035.

 

Secondary Objectives: To develop and describe the accrual process and estimate rates of accrual into a standardized HIV-related research study among women targeted for inclusion in HPTN 035. To estimate rates of retention in a standardized HIV-related research study among women targeted for inclusion in HPTN 035. To describe the demographic characteristics and HIV risk behaviors of women targeted for inclusion in HPTN 035. To estimate prevalence and incidence rates of the following among women targeted for inclusion in HPTN 035: Genital lesions involving deep epithelial disruption; Genital ulcer disease; Other genital signs and symptoms; Bacterial vaginosis; Candidiasis; Chlamydia infection; Gonorrhea infection; Syphilis infection; Trichomoniasis


 

Protocol Co-Chair: Gita Ramjee get info

Protocol Co-Chair: Saidi Kapiga get info

Protocol Co-Chair: Stephen Weiss get info

 

Site Target
Enrollment
Cumulative
Enrollment
Implementation
Status
More
Info

R. K. Khan CRS

30302

Chatsworth, South Africa

240

240

De-Registered

get more

Medical Research Council-Hlabisa

30291

Hlabisa, South Africa

240

239

De-Registered

get more

Kilimanjaro Christian Medical CRS

12901

Moshi, Tanzania

240

240

De-Registered

get more

Chilenje Clinic, Lusaka District Health Management Team

30266

Lusaka, Zambia

240 across Lusaka sites; 119 participants enrolled at Chilenje

239

De-Registered

get more

Kamwala Clinic CRS

30285

Lusaka, Zambia

240 across Lusaka sites; 120 participants enrolled at Kamwala

239

De-Registered

get more

 

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