PMID- 12869836 OWN - NLM STAT- MEDLINE DCOM- 20040824 LR - 20200930 IS - 1525-4135 (Print) IS - 1525-4135 (Linking) VI - 33 IP - 4 DP - 2003 Aug 1 TI - Safety and acceptability of penile application of 2 candidate topical microbicides: BufferGel and PRO 2000 Gel: 3 randomized trials in healthy low-risk men and HIV-positive men. PG - 476-83 AB - OBJECTIVES: To assess safety and acceptability of penile application of BufferGel (ReProtect, Baltimore, MD) and PRO 2000 Gel (Indevus Pharmaceuticals, Lexington, MA)compared with placebo among low-risk sexually abstinent men and HIV-positive sexually abstinent men. DESIGN: Seventy-two healthy low-risk men (36 uncircumcised) and 25 HIV-positive men (12 uncircumcised) were enrolled in 3 double-blind, single-center studies as follows: 36 low-risk men in a study of BufferGel and K-Y Jelly (McNeil-PPC, Skillman, NJ) placebo; 36 low-risk men in a study of PRO 2000 Gel and vehicle placebo; and 25 HIV-positive men in a crossover study of BufferGel, PRO 2000 Gel, and K-Y Jelly placebo. METHODS: Participants applied product to the penis on 7 consecutive nights, kept study diaries, and were then interviewed and examined. Urine was tested for inflammation by leukocyte esterase. RESULTS: No serious adverse events (AEs) or urethral inflammation was detected. During use of BufferGel, 3 low-risk men (13%) reported 6 AEs and 2 HIV-positive men (8%) reported 3 AEs. During use of PRO 2000 Gel, 4 low-risk men (17%) reported 6 AEs and 1 HIV-positive participant (4%) had 1 AE. AE rates during use of BufferGel and PRO 2000 Gel use were not significantly different from rates observed during placebo. One low-risk man (4%) would object to his partners using BufferGel and 3 (13%) to PRO 2000 Gel. Two HIV-positive men (8%) reported they would object to partners using either BufferGel or PRO 2000 Gel. CONCLUSIONS: Daily application of BufferGel and PRO 2000 Gel directly to the penis consecutively for 7 days was generally safe and well tolerated among healthy low-risk men and HIV-positive men. These microbicides have acceptable safety profiles to proceed with planned phase 3 vaginal microbicide trials. FAU - Tabet, Stephen R AU - Tabet SR AD - Department of Medicine, University of Washington, Seattle, WA 98104, USA. stabet@u.washington.edu FAU - Callahan, Marianne M AU - Callahan MM FAU - Mauck, Christine K AU - Mauck CK FAU - Gai, Fang AU - Gai F FAU - Coletti, Anne S AU - Coletti AS FAU - Profy, Albert T AU - Profy AT FAU - Moench, Thomas R AU - Moench TR FAU - Soto-Torres, Lydia E AU - Soto-Torres LE FAU - Poindexter III, Alfred N AU - Poindexter III AN FAU - Frezieres, Ron G AU - Frezieres RG FAU - Walsh, Terri L AU - Walsh TL FAU - Kelly, Clifton W AU - Kelly CW FAU - Richardson, Barbra A AU - Richardson BA FAU - Van Damme, Lut AU - Van Damme L FAU - Celum, Constance L AU - Celum CL LA - eng GR - U01-AI-46749/AI/NIAID NIH HHS/United States GR - U01-AI-47981/AI/NIAID NIH HHS/United States PT - Clinical Trial PT - Clinical Trial, Phase I PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - J Acquir Immune Defic Syndr JT - Journal of acquired immune deficiency syndromes (1999) JID - 100892005 RN - 0 (Acrylic Resins) RN - 0 (BufferGel) RN - 0 (Naphthalenesulfonates) RN - 0 (PRO 2000) RN - 0 (Polymers) RN - 0 (Spermatocidal Agents) SB - IM EIN - J Acquir Immune Defic Syndr. 2003 Sep 1;34(1):118 MH - Acrylic Resins MH - Administration, Topical MH - Adult MH - Aged MH - Cross-Over Studies MH - Double-Blind Method MH - HIV Infections/*prevention & control MH - Humans MH - Male MH - Middle Aged MH - Naphthalenesulfonates/*administration & dosage/adverse effects MH - Polymers/*administration & dosage/adverse effects MH - Spermatocidal Agents/*administration & dosage/adverse effects EDAT- 2003/07/19 05:00 MHDA- 2004/08/25 05:00 CRDT- 2003/07/19 05:00 PHST- 2003/07/19 05:00 [pubmed] PHST- 2004/08/25 05:00 [medline] PHST- 2003/07/19 05:00 [entrez] AID - 10.1097/00126334-200308010-00008 [doi] PST - ppublish SO - J Acquir Immune Defic Syndr. 2003 Aug 1;33(4):476-83. doi: 10.1097/00126334-200308010-00008.