Abstract:ObjectiveTo assess the safety of VivaGel® used vaginally twice daily for 14 days among healthy, sexually-abstinent women, aged 18–24 years in the USA and Kenya.DesignRandomized placebo controlled trial.MethodsParticipants were randomized 2∶1, VivaGel to placebo. Safety was assessed by comparing genitourinary (GU) adverse events (AEs), colposcopy findings, vaginal lactobacilli and laboratory abnormalities by arm.ResultsFifty-four women were enrolled; 35 in the VivaGel arm and 19 in the placebo arm. Twenty-six (… Show more
“…A second phase I study attempted increasing to twice daily administration of 3% gel. 311 Again, this was fairly well tolerated but mild symptoms were more frequently reported in the Vivagel than control groups (71% vs 53%) as were more frequent mild colposcopic irregularities (83% vs 53%) including cervical erythema. The latter observation is quite concerning as any degree of mucosal breakdown or lymphocyte recruitment could be potentially problematic as loss of mucosal integrity could favor viral transmission.…”
Section: Polymeric Micelles and Nanoparticlesmentioning
“…A second phase I study attempted increasing to twice daily administration of 3% gel. 311 Again, this was fairly well tolerated but mild symptoms were more frequently reported in the Vivagel than control groups (71% vs 53%) as were more frequent mild colposcopic irregularities (83% vs 53%) including cervical erythema. The latter observation is quite concerning as any degree of mucosal breakdown or lymphocyte recruitment could be potentially problematic as loss of mucosal integrity could favor viral transmission.…”
Section: Polymeric Micelles and Nanoparticlesmentioning
“…The product has an inhibitory effect on human deficiency virus (HIV), herpes simplex virus (HSV) and may be used for treatment of bacterial vaginosis [6][7][8].…”
“…Meanwhile, further development of polyanions and SPL7013 as microbicides was halted as a result of higher incidences of HIV-1 infection. The higher susceptibility was due to toxic effects that led to local inflammation in the female genital tract [29,83,84,145].…”
Section: Semen Diminishes the Antiviral Activity Of Microbicides And mentioning
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