Sexually Transmitted Diseases

Skip Navigation LinksHome > September 2012 - Volume 39 - Issue 9 > Trypan Blue Staining to Determine Vaginal Exposure in Two Ty...
Sexually Transmitted Diseases:
doi: 10.1097/OLQ.0b013e3182641f08

Trypan Blue Staining to Determine Vaginal Exposure in Two Types of Plastic Vaginal Applicators Containing Two Different Microbicide Formulations

Hemmerling, Anke MD, PhD, MPH*; Harrison, William G. MPH, MBA*; Brown, Joelle Morgan PhD, MPH*,†; Moscicki, Barbara MD; Oziemkowska, Maria MSc, MPH*; Bukusi, Elizabeth A. MBChB, MMed, PhD, MPH, PGD§; Cohen, Craig R. MD, MPH*

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Abstract: Dye staining of applicators has been shown to be a reliable and objective method to test vaginal insertion in clinical microbicide trials, but different plastics, dyes, and product formulations may impact the accuracy of this method. Reportedly used applicators returned from 3 clinical trials were stained with 1% trypan blue. In a phase 1 study (VivaGel), using gel-filled HTI polypropylene applicators, 1271 (97%) of applicators stained positive. In a phase 1 and a phase 2a study (LACTIN-V) using linear low-density polyethylene applicators to deliver a dry powder formulation, 57 (95%) and 135 (86%) tested positive, respectively. Dye staining of vaginal applicators is an objective low-cost measure suitable for low-resource settings.

© Copyright 2012 American Sexually Transmitted Diseases Association


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