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Trial · NCT01539226

Safety and Efficacy Trial of a Dapivirine Vaginal Matrix Ring in Healthy HIV-Negative Women

NCT01539226, Not applicable, Completed, International Partnership for Microbicides, Inc.; results first posted 2022-10-19

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Safety and Efficacy Trial of a Dapivirine Vaginal Matrix Ring in Healthy HIV-Negative Women. Trials, record NCT01539226. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT01539226

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Safety and Efficacy Trial of a Dapivirine Vaginal Matrix Ring in Healthy HIV-Negative Women
NCT number
NCT01539226
Status
Completed
Phases
Not applicable
Enrollment
1,959 participants, actual
Lead sponsor
International Partnership for Microbicides, Inc.
Conditions
HIV Infections
Interventions
Placebo Vaginal Ring, Dapivirine Vaginal Ring, 25 mg
First posted
2012-02-27
Last updated
2022-10-19
Results first posted
2022-10-19
Limitations and caveats
Dapivirine residual levels in used rings and dapivirine plasma concentrations are two objective measures of adherence to DVR ring use; however, they were found to be an imperfect measure of adherence as they cannot distinguish different patterns of use during the month. In addition, self-reported adherence based on the adherence questionnaires was also considered to have limitations.

Source ClinicalTrials.gov

Registered outcomes8

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryHIV-1 Seroconversion According to Comprehensive HIV Testing Algorithm.24 monthsHIV-1 seroconversion measured by rapid and specialised laboratory testing according to the comprehensive HIV testing algorithm.
PrimaryAll Adverse Events24 months
Self-reports, physical examination, gynaecological assessments, including pelvic/speculum examination, laboratory tests and other indicated investigations. All AEs will be reported, regardless of grade or relatedness.
SecondaryThe Incidence Rate of HIV-2 Seroconversion.24 monthsRapid and specialised laboratory testing according to the comprehensive HIV testing algorithm in Appendix C of protocol.
SecondaryThe Incidence of Curable STIs24 monthsThe percentage of participants testing positive for any STI (gonorrhoea, chlamydia, trichomonas, syphilis) will be assessed.
SecondaryPercentage of Participants With Pregnancy in Each Trial Arm Over the IP Use Period;24 months
The percentage of participants with pregnancies in each treatment group. For each treatment group, the numerator will include the number of participants that had a positive urine pregnancy test during the trial period.
SecondaryThe Percentage of Women Who Report Adherence to the Use of the Vaginal Ring Inserted Once Every 4 Weeks Over the Trial Period;24 months
Questionnaires and qualitative data regarding sexual behaviour and adherence to the use of a vaginal ring inserted once every 4 weeks over the trial period. Dapivirine residual levels in used rings and dapivirine plasma concentrations are two objective measures of adherence to DVR ring use,
SecondaryThe Percentage of Women Who Report the Use of the Vaginal Ring as Acceptable;24 months
Questionnaires and qualitative data regarding the acceptability of use of a vaginal ring inserted once every 4 weeks over the trial period; Number of participants with positive response. Response of 'likely' or 'very likely' to the question: 'If in the future a vaginal ring was available that provided some protection against HIV, and it was similar to the one you used in this trial, how likely would you be to keep it inserted in your vagina every day?'
SecondaryThe Percentage of Participants With HIV-1 Drug Resistance Mutations Among Participants Who Acquire HIV-1.24 months
The analysis of HIV-1 drug resistance will be primarily descriptive in nature, and will depend on the pattern of resistance mutations observed in the HIV-1 seroconverters. The proportion of HIV-1 seroconverters with at least one HIV-1 drug resistant mutation will be presented overall, and by treatment arm, with corresponding 95% CIs.

Outcomes8

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYHIV-1 Seroconversion According to Comprehensive HIV Testing Algorithm.24 months
This population consisted of all participants included in the ITT population (all randomised), excluding those who were not identified as HIV-seropositive at the Enrollment Visit, but who were later found to be already HIV-1 infected at enrollment through HIV-1 RNA PCR testing.
ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYAll Adverse Events24 monthsThe safety population included all participants who had been randomized to IP and used at least one DVR or placebo ring.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYThe Incidence Rate of HIV-2 Seroconversion.24 months
This population consisted of all participants included in the ITT population, excluding those who were not identified as HIV-seropositive at the Enrollment Visit, but who were later found to be already HIV-1 infected at enrollment through HIV-1 RNA PCR testing.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYThe Incidence of Curable STIs24 monthsThe safety population included all participants who had been randomized to IP and used at least one DVR or placebo ring.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYPercentage of Participants With Pregnancy in Each Trial Arm Over the IP Use Period;24 monthsThe safety population included all participants who had been randomized to IP and used at least one DVR or placebo ring.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYThe Percentage of Women Who Report Adherence to the Use of the Vaginal Ring Inserted Once Every 4 Weeks Over the Trial Period;24 monthsThe objective measures (dapivirine residual levels in used rings and dapivirine plasma concentrations) used can only be determined for participants who used the active vaginal dapivirine ring.percentage of participants with dataNUMBER
SECONDARYThe Percentage of Women Who Report the Use of the Vaginal Ring as Acceptable;24 months
This population consisted of all participants included in the ITT population, excluding those who were not identified as HIV-seropositive at the Enrollment Visit, but who were later found to be already HIV-1 infected at enrollment through HIV-1 RNA PCR testing.
percentage of participants with dataNUMBER
SECONDARYThe Percentage of Participants With HIV-1 Drug Resistance Mutations Among Participants Who Acquire HIV-1.24 months
The virology population included all ITT participants with seroconversion, excluding those who never received investigational product, or were retrospectively found to be HIV-1 RNA positive at enrollment (m-ITT) or were HIV-1 infected after discontinuation of ring use. Seroconversions among participants who were continued on open-label DVR-004 were included in the DVR-004 group, independent of initial randomization.
ParticipantsCOUNT_OF_PARTICIPANTS

Results by group42

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
HIV-1 Seroconversion According to Comprehensive HIV Testing Algorithm.Dapivirine Vaginal Ring82Participants
HIV-1 Seroconversion According to Comprehensive HIV Testing Algorithm.Placebo Vaginal Ring61Participants
All Adverse EventsDapivirine Vaginal Ring1147Participants
All Adverse EventsPlacebo Vaginal Ring561Participants
The Incidence Rate of HIV-2 Seroconversion.Dapivirine Vaginal Ring0Participants
The Incidence Rate of HIV-2 Seroconversion.Placebo Vaginal Ring0Participants
The Incidence of Curable STIsDapivirine Vaginal Ring682Participants
The Incidence of Curable STIsPlacebo Vaginal Ring315Participants
Percentage of Participants With Pregnancy in Each Trial Arm Over the IP Use Period;Dapivirine Vaginal Ring43Participants
Percentage of Participants With Pregnancy in Each Trial Arm Over the IP Use Period;Placebo Vaginal Ring20Participants

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDPlacebo Vaginal Ring652
Overall StudySTARTEDDapivirine Vaginal Ring1,307
Overall StudyCOMPLETEDPlacebo Vaginal Ring435
Overall StudyCOMPLETEDDapivirine Vaginal Ring902
Overall StudyNOT COMPLETEDPlacebo Vaginal Ring217
Overall StudyNOT COMPLETEDDapivirine Vaginal Ring405

Adverse events168

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherGynaecological chlamydia infectionInfections and infestationsPlacebo Vaginal Ring213652328
otherGynaecological chlamydia infectionInfections and infestationsDapivirine Vaginal Ring4271,306669
otherGenital infection femaleInfections and infestationsPlacebo Vaginal Ring126652166
otherGenital infection femaleInfections and infestationsDapivirine Vaginal Ring3001,306388
otherGenitourinary tract gonococcal infectionInfections and infestationsPlacebo Vaginal Ring108652146
otherGenitourinary tract gonococcal infectionInfections and infestationsDapivirine Vaginal Ring2521,306333
otherUpper respiratory tract infectionInfections and infestationsPlacebo Vaginal Ring115652247
otherUpper respiratory tract infectionInfections and infestationsDapivirine Vaginal Ring2311,306536
otherTrichomoniasisInfections and infestationsPlacebo Vaginal Ring103652150
otherTrichomoniasisInfections and infestationsDapivirine Vaginal Ring2251,306351

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPlacebo Vaginal Ring3652
Total, all-cause mortalityDapivirine Vaginal Ring21,306
Total, other adverse eventsPlacebo Vaginal Ring561652
Total, other adverse eventsDapivirine Vaginal Ring1,1471,306
Total, serious adverse eventsPlacebo Vaginal Ring9652
Total, serious adverse eventsDapivirine Vaginal Ring411,306

Papers6

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
27959766DERIVEDPubMed
29855975DERIVEDPubMed
33542153DERIVEDPubMed
36345569DERIVEDPubMed
38589266DERIVEDPubMed
42277878DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons8

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Dapivirine Vaginal Ring vs Placebo Vaginal Ring: Percentage of Participants With Pregnancy in Each Trial Arm Over the IP Use Period;Trial comparisons
Dapivirine Vaginal Ring vs Placebo Vaginal Ring: The Incidence Rate of HIV-2 Seroconversion.Trial comparisons
Dapivirine Vaginal Ring vs Placebo Vaginal Ring: The Percentage of Participants With HIV-1 Drug Resistance Mutations Among Participants Who Acquire HIV-1.Trial comparisons
Dapivirine Vaginal Ring vs Placebo Vaginal Ring: All Adverse EventsTrial comparisons
Dapivirine Vaginal Ring vs Placebo Vaginal Ring: HIV-1 Seroconversion According to Comprehensive HIV Testing Algorithm.Trial comparisons
Dapivirine Vaginal Ring vs Placebo Vaginal Ring: The Incidence of Curable STIsTrial comparisons
Dapivirine Vaginal Ring vs Placebo Vaginal Ring: deaths from any causeTrial comparisons
Dapivirine Vaginal Ring vs Placebo Vaginal Ring: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT01539226

GET https://conductscience.org/api/trials/v1/NCT01539226/results?page=2