PMID- 19214122 OWN - NLM STAT- MEDLINE DCOM- 20090414 LR - 20211020 IS - 1525-4135 (Print) IS - 1525-4135 (Linking) VI - 50 IP - 4 DP - 2009 Apr 1 TI - A randomized controlled trial of the safety of candidate microbicide SPL7013 gel when applied to the penis. PG - 375-80 LID - 10.1097/QAI.0b013e318198a7e6 [doi] AB - OBJECTIVES: To determine the safety of the candidate vaginal microbicide SPL7013 gel (VivaGel) when applied to the penis. METHODS: A randomized, double-blind, placebo-controlled study. Thirty-six healthy men (18 circumcised, 18 uncircumcised) were randomized in a 2:1 ratio and treated with 3% SPL7013 gel (n = 24) or placebo gel (n = 12), applied once daily for 7 days. Genital toxicity was determined by interview, diary, and examination. RESULTS: There were 10 genital adverse events (AEs) in 6 men (25%) receiving SPL7013 gel and 5 genital AEs in 4 men (33%) receiving the placebo that were possibly or probably related to the study product (difference of -8%, 95% confidence interval: -40% to 23%, P = 0.70). The most common genital AEs were genital pruritus and application site erythema. All genital AEs were mild (grade 1), and all but 1 in the placebo group were transient. Analysis of vital signs, nongenital AEs, and laboratory results indicated no safety or tolerability issues with SPL7013 gel, irrespective of circumcision status. There was no detectable absorption of SPL7013 into the plasma. CONCLUSIONS: Three percent SPL7013 gel was safe and well tolerated, and comparable with placebo, when administered to the penis of both circumcised and uncircumcised men once daily for 7 days, with no evidence of systemic absorption or toxicity. FAU - Chen, Marcus Y AU - Chen MY AD - Melbourne Sexual Health Centre, The Alfred Hospital, and School of Population Health, University of Melbourne, Melbourne, Australia. mchen@mshc.org.au FAU - Millwood, Iona Y AU - Millwood IY FAU - Wand, Handan AU - Wand H FAU - Poynten, Mary AU - Poynten M FAU - Law, Matthew AU - Law M FAU - Kaldor, John M AU - Kaldor JM FAU - Wesselingh, Steve AU - Wesselingh S FAU - Price, Clare F AU - Price CF FAU - Clark, Laura J AU - Clark LJ FAU - Paull, Jeremy R A AU - Paull JR FAU - Fairley, Christopher K AU - Fairley CK LA - eng GR - U19 AI060598-03/AI/NIAID NIH HHS/United States PT - Clinical Trial, Phase I PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - United States TA - J Acquir Immune Defic Syndr JT - Journal of acquired immune deficiency syndromes (1999) JID - 100892005 RN - 0 (Anti-Infective Agents) RN - 0 (Dendrimers) RN - 0 (Gels) RN - 25104-18-1 (Polylysine) RN - F8H3J9KSY9 (astodrimer) SB - IM MH - Adult MH - Aged MH - Anti-Infective Agents/administration & dosage/*adverse effects MH - Dendrimers MH - Double-Blind Method MH - Female MH - Gels MH - HIV Infections/*prevention & control MH - Humans MH - Male MH - Medication Adherence MH - Middle Aged MH - Penis MH - Polylysine/administration & dosage/*adverse effects PMC - PMC2680448 MID - NIHMS94892 EDAT- 2009/02/14 09:00 MHDA- 2009/04/15 09:00 PMCR- 2010/04/01 CRDT- 2009/02/14 09:00 PHST- 2009/02/14 09:00 [entrez] PHST- 2009/02/14 09:00 [pubmed] PHST- 2009/04/15 09:00 [medline] PHST- 2010/04/01 00:00 [pmc-release] AID - 10.1097/QAI.0b013e318198a7e6 [doi] PST - ppublish SO - J Acquir Immune Defic Syndr. 2009 Apr 1;50(4):375-80. doi: 10.1097/QAI.0b013e318198a7e6.