WHAT IS THE FEMALE CONDOM? The female condom being examined in this study is investigational (experimental) and is not yet approved by the Food and Drug Administration (FDA). The female condom is made up of a pouch that adjusts to the shape of the vagina. The female condom that will be used in this study is not lubricated, but a water-based lubricant will be provided for you to use with it. Also, the female condoms used in this study will be provided to you at no cost. WHY IS THIS STUDY BEING DONE? The purpose of this study is to find out: * How well the female condom works to prevent pregnancy * How well the female condom works to prevent transmission of sexually transmitted diseases * How safe the female condom is to use * If urinary tract infections and symptomatic vaginal infections occur while using the female condom * How well women like the female condom * How well the female condom performs. WHAT DOES THE STUDY INVOLVE? There will be approximately 10 clinics in the study with about 500 women from all over the United States participating in this study. You are being asked to participate in a research study because you are a woman between the ages of 18 and 40, are in general good health, have regular menstrual cycles, do not want to become pregnant for at least the next 7 months, and are willing to rely on the female condom as your primary method of contraception during study participation. HOW LONG DOES THE STUDY LAST? Enrollment for this study is expected to last about 12 months. You will need to come to the clinic for a screening/admission visit and then 2 or more visits. You will also be asked to complete a diary every day about your use of the female condoms. The clinical staff will help set up your planned clinical visits during the study.
This is a Phase III multicenter, open-label, non-comparative trial of the Woman's Condom to evaluate contraceptive efficacy as the primary method of contraception. Secondary evaluations include safety assessment, incidence of UTIs, symptomatic vaginal infection, performance of the Woman's Condom (clinical breakage, slippage, misdirection, and invagination) and overall acceptability of the product. We will perform a Substudy to assess the semen biomarker as a means of detecting product failure in a subset of subjects.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
PREVENTION
Masking
NONE
Enrollment
511
The Woman's Condom (WC) is an investigational device manufactured by Shanghai Dahua Medical Apparatus Corp., Ltd (Dahua). Dahua's quality management system complies with ISO9001:2000, ISO13485:2003, MDD93/42/EEC. The WC consists of a 0.03-mm-thick pliable plastic pouch that easily conforms to the shape of the vagina. It is 22.9 cm (± 0.3 cm)(9 inches ± 0.1 inch) long and has a flexible soft outer ring that is designed to hug the external genitalia. The foam shapes on the outside of the pouch cling lightly to vaginal walls, ensuring stability of the device. The insertion capsule is made from dissolvable polyvinyl alcohol (PVA) and is similar to the PVA used in C-Film (Apothecus Pharmaceutical Corporation, New York, NY). The WC is a non-lubricated device. It is supplied with water-soluble lubricant with a chemical composition similar to a commercially available lubricant used in previous studies of the WC. Women will receive instruction sheets on the use of the WC and lubricant.
California Family Health Council, Inc
Los Angeles, California, United States
Johns Hopkins Bayview Medical Center
Baltimore, Maryland, United States
NYU Medical Center Family Planning
New York, New York, United States
Columbia University
New York, New York, United States
University of Cininnati College of Medicine
Cincinnati, Ohio, United States
Oregon Health Scieces University
Portland, Oregon, United States
University of Pennsylvania Medical Center
Philadelphia, Pennsylvania, United States
Magee-Womens Hospital
Pittsburgh, Pennsylvania, United States
UT Southwestern Medical Center Dept. of OB/Gyn
Dallas, Texas, United States
Jones Institute of Reproductive Medicine
Norfolk, Virginia, United States
6 Month Pregnancy Probabilities With Typical Use
Kaplan-Meier methods will be used to estimate the six-month cumulative pregnancy probability of women in the MITT population. Pregnancies are not included if they are found to have occurred before a subject was enrolled or after she has discontinued using the study product as her primary method of contraception. The pregnancy probability is reported as a percentage.
Time frame: Assessed at 1 Month, 3 Months, and 6 Months, up to 6 Months
6 Month Pearl Rate With Typical Use
Pearl rate will be calculated based on the number of woman-months that the subject was at risk for pregnancy. Woman-months of pregnancy risk is defined as the (last date study product considered primary means of contraception - date of enrollment + 1) / 30.4 for women who are not pregnant and as (date of conception - date of enrollment + 1) / 30.4 for women who became pregnant during the study.
Time frame: 6 Months
6 Month Pregnancy Probabilities With Perfect Use
Kaplan-Meier methods will be used to estimate the six-month cumulative pregnancy probability of women in the Efficacy Evaluable population. Each woman in the Efficacy Evaluable population contributes efficacy for menstrual cycles where she has used the assigned product consistently and correctly as reflected in her diary recordings. Pregnancies that are found to have occurred before a subject was enrolled or after she has discontinued using the study product as her primary method of contraception are not included. The pregnancy probability is reported as a percentage.
Time frame: Assessed at 1 Month, 3 Months, and 6 Months, up to 6 Months
Incidence of Chlamydia During the Study
Incidence of acquisition of Chlamydia evaluated at screening and end of the study.
Time frame: Visit 1 (Screening) and Visit 3 (Exit), up to 6 months
Incidence of Gonorrhea During the Study
Incidence of acquisition of Gonorrhea evaluated at screening and end of the study.
Time frame: Visit 1 (Screening) and Visit 3 (Exit), up to 6 months
Change From Baseline in Urinary Tract Infections (UTIs)
Change from Baseline of urinary tract infections (UTIs)
Time frame: Visit 1/Screening and Visit 3/Exit, up to 6 months
Change From Baseline in Bacterial Vaginosis (BV)
Change from Baseline of bacterial vaginosis (BV)
Time frame: Visit 1/Screening and Visit 3/Exit, up to 6 months
Change From Baseline in Monilia
Change from Baseline of Monilia
Time frame: Visit 1/Screening and Visit 3/Exit, up to 6 months
Incidence of Trichomoniasis During the Study
Incidence of acquisition of Trichomoniasis evaluated at screening and end of the study.
Time frame: Visit 1 (Screening) and Visit 3 (Exit), up to 6 months
Number of Women That Preferred Female Condom Over Male Condom After Cycle 6
Acceptability of the Woman's Condom as measured by an acceptability questionnaire administered at study exit (visit 3, after menstrual cycle 6 or early discontinuation).
Time frame: Visit 3 (Cycle 6), up to 6 months
Percentage of Uses With Clinical Breakage With the Woman's Condom
Performance of the Woman's Condom as assessed by self-reported clinical breakage based on percent of uses. Breakage of the female condom during intercourse or during withdrawal of the condom from the vagina. Clinical breakage is breakage with potential adverse health consequences and includes events in which the outer frame or ring breaks. It is calculated by dividing the number of female condoms reported to have broken during intercourse or withdrawal by the number of female condoms used during intercourse.
Time frame: Up to 6 months of use
Percentage of Uses With Misdirection With the Woman's Condom
Performance of the Woman's Condom as assessed by self-reported misdirection based on percent of uses. Vaginal penetration whereby the penis is inserted between the female condom and the vaginal wall and is calculated by dividing the number of reported incidences of misdirection by the number of female condoms used during intercourse.
Time frame: Up to 6 months of use
Percentage of Uses With Slippage With the Woman's Condom
Performance of the Woman's Condom as assessed by self-reported slippage based on percent of uses. A female condom that slips completely out of the vagina during intercourse and is calculated by dividing the number of female condoms that slipped during intercourse by the number of female condoms used during intercourse.
Time frame: Up to 6 months of use
Percentage of Uses With Invagination With the Woman's Condom
Performance of the Woman's Condom as assessed by self-reported invagination based on percent of uses. As part of the entire external component of the female condom being pushed into the vagina during intercourse and is calculated by dividing the number of reported incidences of invagination during intercourse by the number of female condoms used during intercourse.
Time frame: Up to 6 months of use
Percentage of Uses With Total Clinical Failure With the Woman's Condom
Performance of the Woman's Condom as assessed by total clinical failure based on percent of uses. Total Clinical Failure is defined as the number of female condoms that clinically break, slip, or are associated with reported incidences of misdirection or invagination during intercourse (i.e., any event that might lead to semen spillage) and is calculated by dividing the sum of these events by the number of female condoms used during intercourse.
Time frame: Up to 6 months of use
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