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Trial registered on ANZCTR
Registration number
ACTRN12610000744055
Ethics application status
Approved
Date submitted
1/09/2010
Date registered
7/09/2010
Date last updated
28/06/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
Garlic and Candida: A Randomised Controlled Trial (PAThWAY Study)
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Scientific title
A randomised controlled study comparing the effect of oral garlic tablets compared to oral placebo tablets on vaginal colonisation with Candida in women of childbearing age with a history of vulvovaginal candidiasis
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Secondary ID [1]
252460
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Nil
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Universal Trial Number (UTN)
U1111-1116-6012
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Trial acronym
PAThWAY
(Potential Alternative Therapy: Women, Allicin, Yeast)
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Recurrent vulvovaginal candidiasis
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Condition category
Condition code
Alternative and Complementary Medicine
258135
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0
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Herbal remedies
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Skin
258136
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0
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Dermatological conditions
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
3 garlic tablets (enteric coated tablets containing 350mg garlic powder) twice a day, with total daily dose of 2,100mg (6 tablets) per day for 2 weeks. The pilot study for this trial has already been registered (ACTRN12610000532000).
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Intervention code [1]
257023
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Treatment: Drugs
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Intervention code [2]
257028
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Prevention
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Intervention code [3]
257157
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Treatment: Other
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Comparator / control treatment
3 lactose placebo tablets twice a day, with a total of 6 tablets per day
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Vaginal colonisation with Candida in intervention and control groups assessed by daily vaginal swabs for 14 days during the luteal part of the menstrual cycle, for one cycle only, until menstruation.
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Assessment method [1]
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Timepoint [1]
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Daily colony counts of Candida from day 14-28 of the menstrual cycle for one cycle only
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Secondary outcome [1]
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Comparison of daily diary with daily quantitative colony counts of Candida to ascertain whether medications (e.g.antibiotics, vaginal creams etc) diet, sexual activity or other physical activity correlates with colony counts of Candida
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Assessment method [1]
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Timepoint [1]
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Daily diary will be kept by each participant throughout the 2 weeks of the study, for approximately 14 days in the second half of the menstrual cycle until menstruation.
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Eligibility
Key inclusion criteria
18-50 years, of reproductive age
Previous history of vulvovaginal candidiasis (VVC)
Asymptomatic for vaginitis (i.e. no abnormal vaginal discharge or itchiness)
Able to take two vaginal swabs and post them daily for approximately 14 days
Able and willing to take 2 herbal tablets twice a day for approximately 14 days
Agree not to self medicate with over the counter medications, herbal or complementary medicines, and abstain from added garlic in diet for the duration of the study
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Minimum age
18
Years
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Maximum age
50
Years
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Sex
Females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Allergy to garlic
Bleeding disorders / taking warfarin / peptic ulcers
Intended surgery during or immediately after the study period
Pregnant or breastfeeding
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Randomisation schedule will be devised by statistician at Dept of General Practice, University of Melbourne. This schedule will be given directly to pharmacist at Royal Women's Hospital, who allocates placebo/intervention according to schedule. The containers are then sealed and given to researcher for distribution in order of enrolment.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation will be performed by using a randomisation table created by a computer software (i.e., computerised sequence generation).
Participants respond to advertisement. Eligibility will be determined via direct communication with participant. Eligible women sent plain language statement, consent form and entry questionnaire.
Simple randomisation will be performed by using a randomisation table created by a computer software (i.e., computerised sequence generation).
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
none
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Phase
Phase 1
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
10/09/2010
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Actual
1/10/2010
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Date of last participant enrolment
Anticipated
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Actual
14/07/2011
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Date of last data collection
Anticipated
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Actual
14/07/2011
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Sample size
Target
60
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Accrual to date
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Final
47
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Recruitment in Australia
Recruitment state(s)
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Recruitment postcode(s) [1]
3141
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3053
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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Shepherd Foundation
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Address [1]
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Shepherd Foundation
Suite 33, Cabrini Medical Centre
MALVERN VIC 3144
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Country [1]
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Australia
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Primary sponsor type
University
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Name
University of Melbourne
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Address
Department of General Practice
University of Melbourne
200 Berkeley St, Carlton 3053 VIC
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Country
Australia
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Secondary sponsor category [1]
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University
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Name [1]
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Royal Melbourne Institute of Technology (RMIT)
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Address [1]
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RMIT University Building 223
Level 1, Bundoora Campus Plenty Road
Bundoora, 3083 VIC
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Country [1]
256705
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Royal Women's Hospital
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Ethics committee address [1]
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Human Research Ethics Committee Royal Women's Hospital Cr Grattan St & Flemington Rd Parkville VIC 3052 AUSTRALIA
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Ethics committee country [1]
259504
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Australia
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Date submitted for ethics approval [1]
259504
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Approval date [1]
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03/05/2010
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Ethics approval number [1]
259504
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09/55
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Ethics committee name [2]
259505
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University of Melbourne
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Ethics committee address [2]
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Human Research Ethics Committee Melbourne Research Office The University of Melbourne Victoria 3101
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Ethics committee country [2]
259505
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Australia
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Date submitted for ethics approval [2]
259505
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Approval date [2]
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28/08/2010
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Ethics approval number [2]
259505
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0932243.1
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Summary
Brief summary
The initial pilot study for this trial was registered with ANZCTR (ACTRN12610000532000) and completed in July 2010. The purpose of this study is to ascertain whether oral garlic tablets reduce vaginal colonisation of Candida (the yeast that causes thrush) when taken in the second half of the menstrual cycle, in women of childbearing age. Women will be asked to take three garlic tablets (or placebo) for two weeks, as well as send daily vaginal swabs to the laboratory for analysis, and complete a daily diary. This will give information not yet known about colonisation patterns of Candida in the second half of the menstrual cycle, as well as whether or not oral garlic tablets may be helpful in reducing recurrences of episodes of vaginal thrush.
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Trial website
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Trial related presentations / publications
2013: Watson C, Grando D, Chondros P, Fairley CK, Myers S, Garland S, Pirotta M. The effect of oral garlic on vagina candida colony counts. A randomised placebo controlled double-blind trial. 1-9 British Journal of Obstetrics and Gynaecology. 2013: Watson C, Fairley CK, Grando D, Garland S, Myers S, Pirotta M. Associations of asymptomatic colonization of vaginal candida in women with a reported history of vulvovaginal candidiasis: an observational study. European Journal of Obstetrics and Reproductive Gynecology 169:376-379 2011 The effect of recurrent vulvovaginal candidiasis on women’s mental health status. ACNP conference, Brisbane 2012 Recruiting women for studies in sensitive subject matter. ASPOG 38th Scientific Meeting 2013 A Randomized Placebo Controlled Double Blind Trial of the Effects of Oral Garlic Supplements on Vaginal Candida Colony Counts. ISSVD World Congress, Mediterranean 2014 The Effect of Sexual Intercourse on Vaginal Colonisation with Candida. ASPOG Conference, Darwin Australia, 7th August 2014 2015 Workshop: Vulval Disorders. The 10th Conference of the Australian College of Nurse Practitioners, Melbourne 2015 Poster: The Effect of Sexual Intercourse on Vaginal Colonisation with Candida 2015 World STI & HIV Conference, Brisbane. 13-16th Sept
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Public notes
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Contacts
Principal investigator
Name
31529
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Address
31529
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Country
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Phone
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Fax
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Email
31529
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Contact person for public queries
Name
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Cathy Watson
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Address
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Department of General Practice
University of Melbourne
200 Berkeley St, Carlton 3052
Victoria
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Country
14776
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Australia
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Phone
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+61 3 9035 5685
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Fax
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+61 3 9347 6136
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Email
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[email protected]
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Contact person for scientific queries
Name
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Cathy Watson
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Address
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Department of General Practice
University of Melbourne
200 Berkeley St, Carlton 3052
Victoria
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Country
5704
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Australia
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Phone
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+61 3 9035 5685
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Fax
5704
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+61 3 9347 6136
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Email
5704
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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