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Trial registered on ANZCTR
Registration number
ACTRN12616001684415
Ethics application status
Approved
Date submitted
5/12/2016
Date registered
7/12/2016
Date last updated
7/12/2016
Type of registration
Retrospectively registered
Titles & IDs
Public title
Development of a standard method for measurement of azithromycin concentration in vaginal cellular material – a pilot study
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Scientific title
Measurement of tissue azithromycin levels in self-collected vaginal swabs post treatment using liquid chromatography and tandem mass spectrometry (LC-MS/MS)
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Secondary ID [1]
290683
0
none
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Universal Trial Number (UTN)
NIL
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Trial acronym
NIL
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Linked study record
NIL
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Health condition
Health condition(s) or problem(s) studied:
genital chlamydia infection
301219
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Condition category
Condition code
Infection
300977
300977
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0
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Sexually transmitted infections
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Azithromycin 1g single dose (oral tablet), with food by direct observation.
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Intervention code [1]
296567
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Treatment: Drugs
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
300403
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Vaginal tissue concentrations of azithromycin (mcg/g) post-dose using self-collected vaginal swabs and measured with liquid-chromatography tandem-mass spectrometry
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Assessment method [1]
300403
0
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Timepoint [1]
300403
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Baseline (pre-dose), 1/2 hourly for up to 5 hours, 24 hours and then daily up to 9-days post-dose
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Secondary outcome [1]
329890
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Blood concentrations of azithromycin (mcg/ml) post-dose measured with liquid-chromatography tandem-mass spectrometry
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Assessment method [1]
329890
0
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Timepoint [1]
329890
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4 hours post-dose
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Eligibility
Key inclusion criteria
1 Women aged 18 years and older
2 Must have adequate English and comprehension skills to give informed consent.
3 Able to attend the clinic at regular intervals during the study to collect and drop of specimens.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
1 Pregnant women
2 Women currently menstruating
3 Women on medication likely to significantly interact with Azithromycin eg. Cyclosporin, digoxin
4 Women known to have any allergies associated with macrolides (very rare).
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
NIL
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
NIL
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
NIL
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Phase
Phase 4
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Type of endpoint/s
Pharmacokinetics
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Statistical methods / analysis
Absorption concentration over time will be monitored for each participant. Correlations with weight and height and medications will be assessed.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
23/07/2012
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Date of last participant enrolment
Anticipated
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Actual
4/06/2014
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Date of last data collection
Anticipated
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Actual
27/04/2016
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Sample size
Target
30
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Accrual to date
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Final
21
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment postcode(s) [1]
14796
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3053 - Carlton
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Funding & Sponsors
Funding source category [1]
295111
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Government body
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Name [1]
295111
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National Health and Medical Research Council
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Address [1]
295111
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Research Committee Secretariat NHMRC GPO Box 1421 Canberra ACT 2601
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Country [1]
295111
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Australia
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Primary sponsor type
University
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Name
University of Melbourne
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Address
Level 3, 207 Bouverie st
Carlton South, Victoria, 3053
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Country
Australia
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Secondary sponsor category [1]
293930
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None
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Name [1]
293930
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NIL
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Address [1]
293930
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NIL
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Country [1]
293930
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
296463
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Alfred Health Human Ethics Committee
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Ethics committee address [1]
296463
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Alfred Hospital 55 Commercial Rd, Melbourne VIC 300
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Ethics committee country [1]
296463
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Australia
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Date submitted for ethics approval [1]
296463
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22/12/2011
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Approval date [1]
296463
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10/04/2012
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Ethics approval number [1]
296463
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480/11
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Summary
Brief summary
There is considerable concern internationally about chlamydia treatment failure. Studies have found that chlamydia treatment failure may be at least 8%, considerably higher than the 2-3% failure expected based on results of previous chlamydia treatment trials that with the exception of one trial, all used the less sensitive culture to measure antimicrobial cure. A treatment failure rate of 8% rather than 2-3% means a further nearly 3,000 in Australia and 70,000 women in the USA were inadequately treated for chlamydia in 2009, leading to longer duration of infection, increased risk of developing sequelae and continued transmission. It remains uncertain if this treatment failure is because of (1) re-infection by an untreated partner; (2) failure of the drug itself due to poor absorption from the stomach or low concentrations in female genital tissue where it is needed to work (3) the body’s immune system’s inability to fight the infection. We have received NHMRC funding to conduct a large cohort study of 450 women that aims to estimate azithromycin treatment failure for genital chlamydia infection. In order to understand failure due to (2) above (poor absorption), we propose to develop a test to measure the concentration of the drug in female cervical cellular material. We wish to determine whether azithromycin is present at the cervix in sufficient concentrations to kill chlamydia. This was done by Worm and colleagues in the early 1990s. The purpose of this study is to develop a test and specimen collection method that measures azithromycin absorption in cervical cellular material (mucus and cells) using a specimen that is practical and acceptable to women – self-collected vaginal swabs.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
70946
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Prof Jane Hocking
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Address
70946
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University of Melbourne
Level 3, 207 Bouverie st
Carlton South 3053
Victoria, Australia
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Country
70946
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Australia
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Phone
70946
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+61 3 8344 0762
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Fax
70946
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+61 3 9349 5815
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Email
70946
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[email protected]
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Contact person for public queries
Name
70947
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Jane Hocking
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Address
70947
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University of Melbourne
Level 3, 207 Bouverie st
Carlton South 3053
Victoria, Australia
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Country
70947
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Australia
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Phone
70947
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+61 3 8344 0762
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Fax
70947
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Email
70947
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[email protected]
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Contact person for scientific queries
Name
70948
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Jane Hocking
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Address
70948
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University of Melbourne
Level 3, 207 Bouverie st
Carlton South 3053
Victoria, Australia
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Country
70948
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Australia
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Phone
70948
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+61 3 8344 0762
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Fax
70948
0
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Email
70948
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Measurement of tissue azithromycin levels in self-collected vaginal swabs post treatment using liquid chromatography and tandem mass spectrometry (LC-MS/MS).
2017
https://dx.doi.org/10.1371/journal.pone.0177615
N.B. These documents automatically identified may not have been verified by the study sponsor.
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