Advanced Trials of Microbicides to check AIDS in women fail
By Kounteya Sinha (The Times of India - New Delhi) 19 February 2008: In a fresh setback to the world's search for a microbicide, Carraguard, the vaginal cream designed to protect women from the AIDS virus and the first to make it through late-stage testing, has failed.
In a fresh setback to the world's search for a microbicide, Carraguard,
the vaginal cream designed to protect women from the AIDS virus and the
first to make it through late-stage testing, has failed.
In large-scale phase III clinical trials for the past three years, the
microbicide, produced by the Population Council, was unable to prevent
transmission of the AIDS virus in women. The gel was, however, found to
be safe for long-term vaginal use.
The trial ran from March 2004 to March 2007 at three sites in South
Africa among 6,262 women. Half of the volunteers were given the
Carraguard gel and condoms, while the other half were given a placebo
gel and condoms. There were 134 new infections in the Carraguard group
and 151 new infections in the placebo group.
The setback comes just a week before India hosts Microbicides 2008, the
biannual international conference to discuss the latest developments in
microbicides. This is the first time that the meeting would be held in
the Asian region.
Speaking to TOI, Dr Kamini Walia from ICMR's epidimeology and
communicable diseases division said, "This is a serious setback. The
Council was working on its development over the past two decades.
Contrary to earlier candidate microbicides, this one did not cause
inflammation in women and was safe. However, it failed to stop HIV
transmission."
"We are disappointed that this trial did not show Carraguard to be
effective, nonetheless, the completion of this trial is a milestone in
HIV prevention research," said Population Council president Peter
Donaldson.

