Clinical epidemiology of Herpes Simplex Virus type two and the impact of interventions against sexually transmitted infections to reduce human immunodeficiency virus incidence in high risk women from gold mining communities in Tanzania

ISRCTN ISRCTN35385041
DOI https://doi.org/10.1186/ISRCTN35385041
Secondary identifying numbers 066688
Submission date
22/07/2005
Registration date
22/07/2005
Last edited
06/02/2015
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Infections and Infestations
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Deborah Watson-Jones
Scientific

London School of Hygiene and Tropical Medicine
Department of Infectious and Tropical Diseases
Keppel Street
London
WC1E 7HT
United Kingdom

Phone +44 (0)20 7927 2116
Email deborah.watson-jones@lshtm.ac.uk

Study information

Study designDouble-blind randomised placebo-controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Other
Study typeTreatment
Scientific titleClinical epidemiology of Herpes Simplex Virus type two and the impact of interventions against sexually transmitted infections to reduce human immunodeficiency virus incidence in high risk women from gold mining communities in Tanzania
Study acronymAMREF HSV Project
Study objectivesThe main aim of this trial is to determine whether intervening against herpes simplex virus type 2 (HSV-2) using suppressive therapy with aciclovir will reduce the acquisition of human immunodeficiency virus (HIV) in HIV-negative women and whether suppressive therapy will reduce genital HIV and HSV viral shedding in women who are HIV-infected.
Ethics approval(s)Ethics approval received from the London School of Hygiene and Tropical Medicine ethics committee and the Medical Research Coordinating Committee of Tanzania
Health condition(s) or problem(s) studiedHuman immunodeficiency virus (HIV)
InterventionA double-blind, randomised, placebo-controlled trial of HSV-2 suppressive therapy with aciclovir 400 mg twice a day (bd), as a strategy to reduce HIV incidence, HSV-2 and HIV viral shedding. The trial is being conducted in a cohort of female bar, guesthouse and other recreational facility workers in goldmining communities and along truck-routes in NW Tanzania.

Please note that this trial has extended follow-up to 30 months for first 1001 participants enrolled and enrolled another 304 participants who will be followed for 12 months. Therefore there is a new anticipated end date of 30th April 2007. The previous anticipated end date was 30/09/2006.
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Aciclovir
Primary outcome measureHIV acquisition study:
1. HIV incidence by treatment arm
2. Frequency of genital ulceration by treatment arm
3. Adherence to therapy

HIV-positive women at enrolment:
1. Prevalence and quantity (log copies/ml) of cervico-vaginal HIV-1 RNA shedding by treatment arm
2. Plasma viral load by treatment arm
3. Prevalence and quantity of cervico-vaginal proviral HIV-1 DNA shedding
4. Prevalence and quantity of cervico-vaginal HSV-2 DNA shedding
5. Adherence to therapy
Secondary outcome measuresNo secondary outcome measures
Overall study start date01/10/2003
Completion date30/04/2007

Eligibility

Participant type(s)Patient
Age groupAdult
SexFemale
Target number of participants1305
Key inclusion criteria1. Aged 16 to 35 years
2. HSV-2 seropositive
3. Not planning to leave study sites within next 24 months
4. No history of epilepsy
5. Able to understand aims and procedures of trial
Key exclusion criteria1. Pregnant or planning pregnancy within next 24 months
2. HSV-2 seronegative or indeterminate
3. Breastfeeding at time of enrolment
4. History of epilepsy
5. Temporary visitor in study sites
6. Unable to give informed consent
Date of first enrolment01/10/2003
Date of final enrolment30/04/2006

Locations

Countries of recruitment

  • England
  • Tanzania
  • United Kingdom

Study participating centre

London School of Hygiene and Tropical Medicine
London
WC1E 7HT
United Kingdom

Sponsor information

London School of Hygiene and Tropical Medicine (UK)
University/education

Research Grants and Contracts Office
Keppel Street
London
WC1E 7HT
England
United Kingdom

Phone +44 (0)20 7827 2678
Email Penny.Ireland@lshtm.ac.uk
Website http://www.lshtm.ac.uk
ROR logo "ROR" https://ror.org/00a0jsq62

Funders

Funder type

Charity

Wellcome Trust
Private sector organisation / International organizations
Location
United Kingdom

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 10/04/2008 Yes No
Results article results 01/09/2009 Yes No
Results article results 01/05/2010 Yes No