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Carrageenan Against Transmission of Cervical Human papillomavirus (HPV)
ISRCTN ISRCTN96104919
DOI 10.1186/ISRCTN96104919
ClinicalTrials.gov identifier
EudraCT number
Public title Carrageenan Against Transmission of Cervical Human papillomavirus (HPV)
Scientific title Randomized controlled trial evaluating the efficacy of carrageenan as a topical microbicide against HPV Infection
Acronym CATCH
Serial number at source N/A
Study hypothesis 1. To evaluate the efficacy of carrageenan in reducing genital HPV incidence, i.e., in preventing new HPV infection, in young sexually active women.
2. To evaluate the efficacy of carrageenan in reducing genital HPV prevalence, i.e., in accelerating clearance of existing infections, in young sexually active women.
Lay summary Lay summary under review 1
Ethics approval 1. The Institutional Review Board, McGill University, Canada, 13 December 2011 ref: A12-M93-09B
2. Health Canada - Natural Health Products Directorate, 18 July 2011 ref: 169160
Study design Randomized controlled trial
Countries of recruitment Canada
Disease/condition/study domain Human papillomavirus infection
Participants - inclusion criteria 1. Female 18-24 living in Montreal
2. Plan to remain in Montreal for at least the next year
3. Have had vaginal sex with a male partner during the last 30 days and expect that they will do so again in the next month, regardless of whether or not the male partner(s) will change
4. Not currently in a relationship that has lasted longer than 3 months
5. Be willing to follow study instructions
6. Understand French or English
7. Be willing to comply with follow-up for at least 12 months
8. Have an intact uterus
9. Have no history of cervical lesions/cancer or genital warts
10. Not previously vaccinated against HPV
11. Not be pregnant or planning to immediately become pregnant and not currently breast-feeding
12. Not had a recent (within the last 6 weeks) pregnancy, abortion, or genital surgery
13. Be using a medically acceptable method of contraception and intend to use it for the duration of the trial
14. Have no HIV infection
15. Have no known allergy or hypersensitivity to vaginal lubricants
16. Have no allergy to all of the ingredients of the study product or placebo
Participants - exclusion criteria Does not meet inclusion criteria
Anticipated start date 15/04/2012
Anticipated end date 15/04/2016
Status of trial Ongoing
Patient information material Not available in web format, please use the contact details below to request a patient information sheet
Target number of participants 465
Interventions Intervention: Treatment with carrageenan-containing vaginal gel, self-applied every other day (whether or not participants have intercourse) for the first month and prior to each act of vaginal or anal intercourse during the entire follow up period (1 year).

Control: Treatment with placebo vaginal gel, self-applied every other day (whether or not participants have intercourse) for the first month and prior to each act of vaginal or anal intercourse during the entire follow up period (1 year).

Prior to vaginal intercourse, participants will be asked to apply the study gel either directly inside their vagina and externally on the genitals. During intercourse, additional lubricant can be applied as desired. During the first month, participants will be asked to apply the gel both inside their vagina, as well as on to their genitals every other regardless of whether or not they have intercourse. Study participants will be asked to continue using the assigned intervention for the complete follow up period (1 year) along with any other methods of contraception and/or sexually tansmitted infection (STI) prevention (e.g., condoms).
Primary outcome measure(s) 1. Reduction in HPV incidence
2. Presence of:
2.1. A newly detected vaginal infection in someone who was HPV negative at enrolment or
2.2. HPV types other than those observed at enrolment
3. Clearance of infections with HPV types observed at baseline.

HPV DNA detection and genotyping of vaginal samples will be done by the PGMY polymerase chain reaction protocol. HPV infection status will be measured at baseline (enrolment/ time 0), 14 days and 1, 3, 6, 9 and 12 months after enrolment.
Secondary outcome measure(s) Reduction in HPV prevalence (i.e., clearance of infections with HPV types observed at baseline).

HPV DNA detection and genotyping of vaginal samples will be done by the PGMY polymerase chain reaction protocol. HPV infection status will be measured at baseline (enrolment/ time 0), 14 days and 1, 3, 6, 9 and 12 months after enrolment.
Sources of funding Canadian Institutes of Health Research (CIHR) (Canada)
Trial website http://www.mcgill.ca/catch
Publications
Contact name Dr  Eduardo  Franco
  Address McGill University
Division of Cancer Epidemiology
546, Pine Avenue West
  City/town Montreal
  Zip/Postcode H2W 1S6
  Country Canada
  Tel +1 514 398 8014
  Fax +1 514 398 5002
  Email eduardo.franco@mcgill.ca
Sponsor Canadian Institutes of Health Research (CIHR) (Canada)
  Address 160 Elgin Street
  City/town Ottawa
  Zip/Postcode K1A 0W9
  Country Canada
  Tel +1 613 941 2672
  Fax +1 613 954 1800
  Email info@cihr-irsc.gc.ca
  Sponsor website: http://www.cihr-irsc.gc.ca/e/193.html
Date applied 10/02/2012
Last edited 07/03/2012
Date ISRCTN assigned 07/03/2012
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