Table 1.
Study activities | S/E Visit | Visit 1a | Visit 2b | Visit 3c | Visit 4 | Visit 5 | Visit 6 | Visit 7 |
---|---|---|---|---|---|---|---|---|
Weeks from contraceptive initiation | a | b | 0 | Day 3 | 4 | 13 | 26 | |
Informed consent | X | |||||||
Detailed clinical assessment | X | |||||||
Interval history assessment | X | X | X | X | X | X | X | |
Randomization and contraceptive initiation | X | |||||||
Follow-up DMPA injection (if applicable) | X | X | ||||||
Lab tests and exams | ||||||||
Urine for pregnancy test | X | X | X | X | X | |||
Urine for GC/CT | X | X | X | X | X | X | ||
Urine for schistosomiasis, T. vaginalis, M. genitalium | X | |||||||
Fingerstick for HIV screening | X | |||||||
Blood for RPR/HSV | X | |||||||
Blood for serum hormone levels | X | X | X | X | X | X | ||
Speculum pelvic examination | X | X | X | X | X | X | ||
Vaginal swabs for wet mount, vaginal microbiome, PSA | X | X | X | X | X | X | ||
CVL for immune markers+ | X | X | X | X | X | X | ||
For HIV-positive women only: | ||||||||
Blood for CD4 | X | X | X | X | ||||
Blood for HIV RNA | X | X | X | X | X | X | ||
Blood and CVL ART levels | X | X | X | X | X | X | ||
Cervical and CVL HIV RNA/DNA | X | X | X | X | X | X | ||
HIV resistance testing | X | |||||||
For HIV-negative women only: | ||||||||
Fingerstick for follow-up HIV test | X | X | X | |||||
Cellular activation markers in blood and cervical cytobrush | X | X | X | X | X | X |
Immune markers include IL-6, IL-1, IL-Ra, IFN-a, TNF-a, IP-10, MCP-1, MIP-1a, MIP-3a, CCL22, sCD14, sCD163, sE-selectin, SP-selectin, IL-10, TGF-b, SLPI, HBD-2, HBD-3.
Abbreviations: S/E — Screening/Enrollment; DMPA — Depot Medroxyprogesterone Acetate; GC — Neisseria gonorrhoeae; CT — Chlamydia trachomatis; RPR — rapid plasma re-agin; HSV — herpes simplex virus; PSA — prostate-specific antigen (a marker of recent semen exposure); CVL — cervicovaginal lavage; RNA — ribonucleic acid; ART — antiretro-viral therapy; DNA — deoxyribonucleic acid.
Visit 1 occurs within 3 days after completion of the 1st menses following the Screening Visit, during the follicular phase.
Visit 2 occurs 2 weeks after Visit 1, in the luteal phase.
Visit 3 should occur within 7 days of the onset of the 2nd menses following the Screening Visit.