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Trial · NCT06263582

Pharmacokinetics of Intravaginal, Self-administered Artesunate Vaginal Pessaries Among Women in Kenya

NCT06263582, Phase 1, Completed, UNC Lineberger Comprehensive Cancer Center; results first posted 2025-08-19

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Pharmacokinetics of Intravaginal, Self-administered Artesunate Vaginal Pessaries Among Women in Kenya. Trials, record NCT06263582. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT06263582

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Trial

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

Title
Pharmacokinetics of Intravaginal, Self-administered Artesunate Vaginal Pessaries Among Women in Kenya
NCT number
NCT06263582
Status
Completed
Phases
Phase 1
Enrollment
12 participants, actual
Lead sponsor
UNC Lineberger Comprehensive Cancer Center
Conditions
Cervix Cancer, Cervix Intraepithelial Neoplasia Grade 3, Cervix; Intraepithelial Neoplasia, Grade I, Cervix; Intraepithelial Neoplasia, Grade II
Interventions
Artesunate pessary, blood draws for pharmacokinetics of the study drug
First posted
2024-02-16
Last updated
2025-08-19
Results first posted
2025-08-19
Limitations and caveats
Pharmacokinetic (PK) sampling from 0 to 8 hours after intravaginal administration of artesunate was not sufficient to capture the elimination phase of the drug and its metabolite. As a result, key plasma pharmacokinetic parameters including apparent clearance (CL/F), apparent volume of distribution (Vd/F), elimination half-life (t½), and area under the concentration-time curve from time zero to infinity (AUC₀-∞) could not be estimated.

Source ClinicalTrials.gov

Registered outcomes13

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

ListOutcomeTime frameDescription
PrimaryTo Determine the Area Under the Plasma Concentration Versus Time Curve (AUC) of DihydroartemisininDay 5
To determine the area under the plasma concentration versus time curve (AUC) of dihydroartemisinin (DHA) following five consecutive days of self-administration of 200mg Artesunate vaginal inserts (pessaries). Mean DHA AUC will be submitted.
SecondaryTo Determine the Area Under the Plasma Concentration Versus Time Curve (AUC) of Artesunate (AS)Day 5
To determine the area under the plasma concentration versus time curve (AUC) of Artesunate (AS) following five consecutive days of self-administration of 200mg Artesunate vaginal inserts (pessaries). Mean artesunate AUC will be submitted.
SecondaryTo Determine the Maximum Concentration of Artesunate (AS)Day 5
To determine the maximum concentration of Artesunate (AS) (Cmax) following five consecutive days of self-administration of 200mg Artesunate vaginal inserts (pessaries) among healthy women. Mean artesunate Cmax (ng/ml) value will be submitted.
SecondaryTo Determine the Maximum Concentration of Dihydroartemisinin (DHA) (Cmax)Day 5
To determine the maximum concentration of dihydroartemisinin (DHA) (Cmax) following five consecutive days of self-administration of 200mg Artesunate vaginal inserts (pessaries) among healthy women. Mean DHA Cmax (ng/ml) value will be submitted.
SecondaryTo Determine the Time to Maximum Concentration (Tmax) of Artesunate (AS) Following Five Consecutive DaysDay 5
To determine the time to maximum concentration (Tmax) of Artesunate (AS) following five consecutive days of self-administration of 200mg Artesunate vaginal inserts (pessaries) among healthy women. Mean DHA Tmax (hours) value will be submitted.
SecondaryTo Determine the Time to Maximum Concentration (Tmax) of Dihydroartemisinin (DHADay 5
To determine the time to maximum concentration (Tmax) of dihydroartemisinin (DHA) following five consecutive days of self-administration of 200mg Artesunate vaginal inserts (pessaries) among healthy women. Mean (Tmax) will be submitted.
SecondaryTo Determine the Half-life (t1/2) of Artesunate (AS)Day 5
To determine the half-life (t1/2) of Artesunate (AS) following five consecutive days of self-administration of 200mg Artesunate vaginal inserts (pessaries) among healthy women. Mean Artesunate half-life (t1/2) (mins) will be submitted.
SecondaryTo Determine the Half-life (t1/2) of Dihydroartemisinin (DHA)Day 5
To determine the half-life (t1/2) of dihydroartemisinin (DHA) following five consecutive days of self-administration of 200mg Artesunate vaginal inserts (pessaries) among healthy women. Mean DHA half-life (mins) will be submitted.
SecondaryTo Determine the Apparent Clearance (CL/F) of Artesunate (AS)Day 5
To determine the apparent clearance (CL/F) of Artesunate (AS) following five consecutive days of self-administration of 200mg Artesunate vaginal inserts (pessaries) among healthy women. Mean Artesunate clearance (L/Kg/hr) will be submitted.
SecondaryTo Determine the Apparent Clearance (CL/F) of Dihydroartemisinin (DHA)Day 5
To determine the apparent clearance (CL/F) of dihydroartemisinin (DHA) following five consecutive days of self-administration of 200mg Artesunate vaginal inserts (pessaries) among healthy women. Mean DHA clearance (L/Kg/hr) will be submitted.

Outcomes13

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYTo Determine the Area Under the Plasma Concentration Versus Time Curve (AUC) of DihydroartemisininDay 5ng/mL-hMEAN
SECONDARYTo Determine the Area Under the Plasma Concentration Versus Time Curve (AUC) of Artesunate (AS)Day 5ng/mL-hMEAN
SECONDARYTo Determine the Maximum Concentration of Artesunate (AS)Day 5ng/mLMEAN
SECONDARYTo Determine the Maximum Concentration of Dihydroartemisinin (DHA) (Cmax)Day 5ng/mLMEAN
SECONDARYTo Determine the Time to Maximum Concentration (Tmax) of Artesunate (AS) Following Five Consecutive DaysDay 5hoursMEAN
SECONDARYTo Determine the Time to Maximum Concentration (Tmax) of Dihydroartemisinin (DHADay 5hoursMEAN
SECONDARYTo Determine the Half-life (t1/2) of Artesunate (AS)Day 5
The plasma half-life of Artesunate could not be estimated because the concentration versus time profiles did not reach an elimination phase (i.e., the concentration versus time profile did not decrease) from 0 to 8h post administration of intravaginal artesunate.
SECONDARYTo Determine the Half-life (t1/2) of Dihydroartemisinin (DHA)Day 5
The plasma half-life of dihydroartemisinin (DHA) could not be estimated because the concentration versus time profiles did not reach an elimination phase (i.e., the concentration versus time profile did not decrease) from 0 to 8h post administration.
SECONDARYTo Determine the Apparent Clearance (CL/F) of Artesunate (AS)Day 5
The plasma apparent clearance (CL/F) of Artesunate could not be estimated because the concentration versus time profiles of both forms did not reach an elimination phase (i.e., the concentration versus time profile did not decrease) from 0 to 8h post administration of intravaginal artesunate.
SECONDARYTo Determine the Apparent Clearance (CL/F) of Dihydroartemisinin (DHA)Day 5
The plasma apparent clearance (CL/F) of dihydroartemisinin (DHA) could not be estimated because the concentration versus time profiles of both forms did not reach an elimination phase (i.e., the concentration versus time profile did not decrease) from 0 to 8h post administration.

Results by group11

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

OutcomeGroupCategoryValueSpreadUnits
To Determine the Area Under the Plasma Concentration Versus Time Curve (AUC) of DihydroartemisininArtesunate Vaginal Inserts/ Pessaries464.90Standard Deviation 228.70ng/mL-h
To Determine the Area Under the Plasma Concentration Versus Time Curve (AUC) of Artesunate (AS)Artesunate Vaginal Inserts/ Pessaries504.21Standard Deviation 281.11ng/mL-h
To Determine the Maximum Concentration of Artesunate (AS)Artesunate Vaginal Inserts/ Pessaries83.74Standard Deviation 42.73ng/mL
To Determine the Maximum Concentration of Dihydroartemisinin (DHA) (Cmax)Artesunate Vaginal Inserts/ Pessaries97.00Standard Deviation 53.12ng/mL
To Determine the Time to Maximum Concentration (Tmax) of Artesunate (AS) Following Five Consecutive DaysArtesunate Vaginal Inserts/ Pessaries4.17Standard Deviation 1.59hours
To Determine the Time to Maximum Concentration (Tmax) of Dihydroartemisinin (DHAArtesunate Vaginal Inserts/ Pessaries6.33Standard Deviation 1.67hours
Type, Frequency, Severity, and Duration of Adverse EventsArtesunate Vaginal Inserts/ Pessariesabdominal pain Grade 13Participants
Type, Frequency, Severity, and Duration of Adverse EventsArtesunate Vaginal Inserts/ Pessariesvaginal discharge Grade 18Participants
Type, Frequency, Severity, and Duration of Adverse EventsArtesunate Vaginal Inserts/ PessariesToothache- Grade 11Participants
Type, Frequency, Severity, and Duration of Adverse EventsArtesunate Vaginal Inserts/ Pessariesvaginal fistula- Grade 21Participants

Participant flow3

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDArtesunate Vaginal Inserts/ Pessaries12
Overall StudyCOMPLETEDArtesunate Vaginal Inserts/ Pessaries12
Overall StudyNOT COMPLETEDArtesunate Vaginal Inserts/ Pessaries0

Adverse events6

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAbdominal PainGastrointestinal disordersArtesunate Vaginal Inserts/ Pessaries312
otherVaginal dischargeReproductive system and breast disordersArtesunate Vaginal Inserts/ Pessaries812
otherToothacheGastrointestinal disordersArtesunate Vaginal Inserts/ Pessaries112
otherVaginal fistulaReproductive system and breast disordersArtesunate Vaginal Inserts/ Pessaries112
otherPain in the extremityMusculoskeletal and connective tissue disordersArtesunate Vaginal Inserts/ Pessaries112
otherVaginal pruritisReproductive system and breast disordersArtesunate Vaginal Inserts/ Pessaries112

Adverse event totals3

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityArtesunate Vaginal Inserts/ Pessaries012
Total, other adverse eventsArtesunate Vaginal Inserts/ Pessaries812
Total, serious adverse eventsArtesunate Vaginal Inserts/ Pessaries012

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants1

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.

ProjectTitlePrincipal investigatorsOrganizationFunderFiscal years
K12HD103085Advancing womens reproductive health through research: the UNC WRHR Career Development ProgramCHI, BENJAMIN H.; NEAL-PERRY, GENEVIEVE S.UNIV OF NORTH CAROLINA CHAPEL HILLEUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT2020 to 2025

Trial comparisons0

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

None in this release.

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/NCT06263582

GET https://conductscience.org/api/trials/v1/NCT06263582/registered