Microbicide Trials Network

MTN-003 Study Implementation Materials

ACASI Training Scripts
ACASI Audio Training Script Instructions (BEMBA)2009-Nov-1134.5 KB
ACASI Audio Training Script Instructions (NYANJA)2009-Nov-1133.54 KB
ACASI Audio Training Script Instructions (SHONA)2009-Sep-2929.8 KB
ACASI Audio Training Script Instructions (ZULU)2009-Sep-2135.81 KB
Informed Consent Support Materials
Circumcision Fact Sheet2009-Jun-30316.18 KB
Community Fact Sheet2009-Jun-30251.69 KB
Condoms Fact Sheet2009-Jun-30277.05 KB
English Booklet South Africa and Uganda2009-Jan-084.52 MB
English Booklet Zambia2009-Feb-234.28 MB
English Booklet Zimbabwe2009-Jan-084.2 MB
Gel Use Instructions2009-Jun-30466 KB
Male Partner Fact Sheet2009-Jun-30370.98 KB
Participant Fact Sheet2009-Jun-30269.13 KB
Resistance Fact Sheet2009-Jun-30155.19 KB
Side Effects Pamphlet2010-Aug-2257.8 KB
Table-Top Flip Chart2009-Jun-305.44 MB
Tablet Use Instructions2009-Jun-30612.78 KB
Other Materials
10 Key Messages for Product Use2011-May-0384.5 KB
ACASI Questionnaire Schedule2011-Mar-22203.91 KB
Adverse Event Reporting and Pregnancy2010-Nov-2452.69 KB
Creatinine Clearance Worksheet Convert2010-Feb-1644.5 KB
Creatinine Clearance Worksheet No Convert2010-Feb-1635.5 KB
CRF Request Form2012-Apr-1731.74 KB
DAIDS Site FDA Inspection Preparation Checklist2011-Mar-1034 KB
Enrollment Adherence Counseling2009-Aug-0673 KB
Enrollment Informed Consent Comprehension Checklist2009-May-0550.5 KB
Follow-up Adherence Counseling Worksheet, Version 2.02011-Apr-0941.5 KB
HIV Tests Performed During FOLLOW-UP in VOICE2010-May-2647.16 KB
MTN-003 Financial Disclosure Form2009-Sep-1571 KB
MTN-003 Visit Scheduling Tool2010-Nov-2249.5 KB
PK Collection Scenarios Fingerstick Sites2011-Jul-1491.68 KB
PK Collection Scenarios Non Fingerstick Sites2011-Jul-1495.54 KB
Procedures for HIV seroconversion in MTN-0032010-Aug-1035.5 KB
Product Ordering Tool2010-Jan-2921 KB
Product Returns Training Presentation2010-Nov-171.71 MB
Protocol Safety Team Review Query Form LOA22010-Sep-0946 KB
Publication Guidelines2016-May-27440.83 KB
Safety Line Call Record2009-Sep-0831.5 KB
Sample Adverse Event Tracking Log2009-Aug-0642.5 KB
Sample Certificate of Completion2011-Aug-1829 KB
Sample Informed Consent Cover Sheet2009-May-0571 KB
Sample Informed Consent PBMC2011-Jun-2439 KB
Sample Pregnancy Management Worksheet2009-Aug-0675 KB
Sample Product Use Instruction Checklist2011-May-0345 KB
Sample Safety Monitoring Flow Sheets2010-Jun-23238 KB
Seroconverter Specimen Collection Tool2011-Mar-2146.5 KB
VOICE Oral Truvada/Placebo PUEV Scheduling Tool2011-Dec-2045 KB
Visit Checklists
01: Screening, Part 12010-Apr-1597.5 KB
02: Between Screening Part 1 and Screening Part 2 Worksheet2010-Apr-1563 KB
03: Screening, Part 22010-Apr-1589.5 KB
04: Screening, Pelvic Exam2010-Apr-1570.5 KB
05: Between Screening Part 2 and Enrollment Worksheet2010-Apr-1567.5 KB
06: Enrollment2010-Apr-15129.5 KB
07: Month 1 Visit2010-Apr-15114 KB
08: Monthly Visit2010-Apr-15109.5 KB
09: Quarterly Visit2010-Apr-15110.5 KB
10: Follow-up Pelvic Exam2010-Apr-1567 KB
11: Semi Annual Visit2010-Apr-15118.5 KB
12: Annual Visit2010-Apr-1595 KB
13: Product Use End Visit (PUEV)2010-Apr-15107 KB
14: Termination/Study Exit Visit2010-Apr-1598 KB
15: Interim Vist Checklists2010-Aug-1575.5 KB
16: HIV Sample 2 Visit Checklist2010-Aug-1543.5 KB
17: Post-Seroconversion Checklist2011-Mar-2157.21 KB