Evidence map›Paper›PMID 24898857›Full record

Trial reportSexually transmitted infections2014

HPTN 035 phase II/IIb randomised safety and effectiveness study of the vaginal microbicides BufferGel and 0.5% PRO 2000 for the prevention of sexually transmitted infections in women.

M Bradford Guffey, Barbra Richardson, Marla Husnik, Bonus Makanani, David Chilongozi, Elmer Yu, Gita Ramjee, Nyaradzo Mgodi, Kailazarid Gomez, Sharon L Hillier and 2 more

Registry-linked trialAbstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Sexually transmitted infections, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00074425 (Phase II/IIb Safety and Effectiveness Study of the Vaginal Microbicides BufferGel and 0.5% PRO 2000/5 Gel), which is not on this map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
2.6field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00074425 phase2completednot on this map

Phase II/IIb Safety and Effectiveness Study of the Vaginal Microbicides BufferGel and 0.5% PRO 2000/5 Gel (P) for the Prevention of HIV Infection in Women

TypeinterventionalSponsorNational Institute of Allergy and Infectious Diseases (NIAID)Ran2005 to 2008Enrolled3,101ConditionsHIV InfectionsArmsBufferGel, PRO 2000/5 Gel, Placebo gel
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Topical microbicides for preventing sexually transmitted infections.The Cochrane database of systematic reviews · 2021
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Article
  6. Article
  7. Article
  8. Designing & Conducting Trials To Reliably Evaluate HIV Prevention Interventions.Statistical communications in infectious diseases · 2019
    Article
  9. Article
  10. Article
  11. [Lactic acid inhibits the formation of semen-derived amyloid fibrils].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2017
    Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 10 institutions in 5 countries.

M Bradford GuffeyDepartments of Medicine and Pediatrics, University of Alabama at Birmingham, Birmingham, Alabama, USA Centre for Infectious Disease Research in Zambia, Lusaka, Zambia.
Barbra RichardsonFred Hutchinson Cancer Research Center, Seattle, Washington, USA Department of Biostatistics, University of Washington, Seattle, Washington, USA.
Marla HusnikFred Hutchinson Cancer Research Center, Seattle, Washington, USA.
Bonus MakananiDepartment of Obstetrics and Gynaecology, University of Malawi College of Medicine, Blantyre, Malawi.
David ChilongoziUniversity of North Carolina Project, Lilongwe, Malawi.
Elmer YuDepartment of Psychiatry, University of Pennsylvania, Philadelphia, Pensylvania, USA.
Gita RamjeeHIV Prevention Research Unit, South African Medical Research Council, Durban, KwaZulu-Natal, South Africa.
Nyaradzo MgodiDepartment of Obstetrics and Gynaecology, University of Zimbabwe-University of California San Francisco Collaborative Research Programme, Belgravia, Harare, Zimbabwe.
Kailazarid GomezFHI 360, Science Facilitation, Research Triangle Park, North Carolina, USA.
Sharon L HillierDepartment of Obstetrics, Gynecology and Reproductive Sciences, Magee-Womens Research Institute, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Salim Abdool KarimUniversity of KwaZulu-Natal, CAPRISA, Durban, KwaZulu-Natal, South Africa.
HIV Prevention Trials Network (HPTN) 035 Study Team
Centre for Infectious Disease Research in Zambia · ZMFred Hutch Cancer Center · USSouth African Medical Research Council · ZATriangle · USUniversity of KwaZulu-Natal · ZAUniversity of Malawi · MWUniversity of Pennsylvania · USUniversity of Pittsburgh · USUniversity of Washington · USUniversity of Zimbabwe-University of California San Francisco · ZW

Funding

Microbicide Trials NetworkU01AI068633 · NIAID · MAGEE-WOMEN'S RES INST AND FOUNDATION · PI HILLIER, SHARON L. · 2006 to 2010
$77.0M
HIV PREVENTION TRIALS NETWORK LEADERSHIP GROUPU01AI046749 · NIAID · FAMILY HEALTH INTERNATIONAL · PI CATES, WILLARD · 1999 to 2005
$73.5M
University of North Carolina Global HIV Prevention and Treatment Clinical Trials Unit 2024 SupplementUM1AI069423 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Joseph J Eron, MINA CHRISTINE HOSSEINIPOUR · 2012 to 2026
$71.8M
Statistical and Data Management Center (SDMC): Microbicide Trials NetworkUM1AI068615 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI BROWN, ELIZABETH RENATA · 2011 to 2021
$66.5M
South African Medical Research Council Clinical Trials Unit (MRC CTU)UM1AI069422 · NIAID · MEDICAL RESEARCH COUNCIL OF SOUTH AFRICA · PI ABDULLAH, MAHOMED FAREED ABOOBAKER, GOGA, AMEENA · 2012 to 2020
$37.4M
University of KwaZulu-Natal - CAPRISA HIV/AIDS Clinical Trials UnitUM1AI069469 · NIAID · UNIVERSITY OF KWAZULU-NATAL · PI QUARRAISHA ABDOOL KARIM · 2012 to 2026
$36.4M
Leadership for HIV/AIDS Clinical Trials Networks; Microbicide Trials NetworkU01AI068615 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI RICHARDSON, BARBRA A · 2006 to 2010
$20.4M
NIAID NIH HHS U01 AI046749NIAID NIH HHS U01 AI068615NIAID NIH HHS U01 AI068633NIAID NIH HHS U01AI068633NIAID NIH HHS U01AI46749NIAID NIH HHS UM1 AI068615NIAID NIH HHS UM1 AI069422NIAID NIH HHS UM1 AI069423NIAID NIH HHS UM1 AI069469NIAID NIH HHS UO1AI068615
6 · The paper itself

Abstract

objectivesTo estimate the effectiveness of candidate microbicides BufferGel and 0.5% PRO 2000 Gel (P) (PRO 2000) for prevention of non-ulcerative sexually transmitted infections (STIs).

methodsBetween 2005 and 2007, 3099 women were enrolled in HIV Prevention Trials Network (HPTN) protocol 035, a phase II/IIb evaluation of the safety and effectiveness of BufferGel and PRO 2000 for prevention of STIs, including Neisseria gonorrhoeae (NG), Chlamydia trachomatis (CT) and Trichomonas vaginalis (TV). Incidences of STIs were determined by study arm, and HRs of BufferGel and PRO 2000 versus placebo gel or no gel control groups were computed using discrete time Andersen-Gill proportional hazards model.

resultsThe overall incidence rates were 1.6/100 person-years at risk (PYAR) for NG, 3.9/100 PYAR for CT and 15.3/100 PYAR for TV. For BufferGel versus placebo gel, HRs were 0.99 (95% CI 0.49 to 2.00), 1.00 (95% CI 0.64 to 1.57) and 0.95 (95% CI 0.71 to 1.25) for prevention of NG, CT and TV, respectively. For PRO 2000, HRs were 1.66 (95% CI 0.90 to 3.06), 1.16 (95% CI 0.76 to 1.79) and 1.18 (95% CI 0.90 to 1.53) for prevention of NG, CT and TV, respectively.

conclusionsThe incidence of STIs was high during HIV Prevention Trials Network 035 despite provision of free condoms and comprehensive risk-reduction counselling, highlighting the need for effective STI prevention programmes in this population. Unfortunately, candidate microbicides BufferGel and PRO2000 had no protective effect against gonorrhoea, chlamydia or trichomoniasis. TRIAL REGISTRATION NUMBER: NCT00074425.

Indexed as

Acrylic ResinsAdministration, TopicalAdultAnti-Infective AgentsChlamydia InfectionsCondomsDirective CounselingFemaleGonorrheaHealth PromotionHIV InfectionsHumansMalawiNaphthalenesulfonatesPolymersRisk Reduction BehaviorAcrylic ResinsAnti-Infective AgentsBufferGelNaphthalenesulfonatesPolymersPRO 2000CHLAMYDIA TRACHOMATISMICROBICIDESNEISSERIA GONORRHOEAPREVENTIONTRICHOMONAS

Identifiers

PMID24898857
PMCPMC4278566
OpenAlexW2058336946

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.