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Trial registered on ANZCTR
Registration number
ACTRN12607000350426
Ethics application status
Approved
Date submitted
20/06/2007
Date registered
28/06/2007
Date last updated
10/02/2012
Type of registration
Prospectively registered
Titles & IDs
Public title
Bacterial Vaginosis Antibiotic Probiotic Study
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Scientific title
A randomised placebo-controlled trial to test the addition of vaginal clinidamycin or probiotic to oral metronidazole in the treatment of bacterial vaginosis
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Secondary ID [1]
279757
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None
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Universal Trial Number (UTN)
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Trial acronym
(BVAPS)
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Bacterial vaginosis (BV)
1907
0
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Condition category
Condition code
Reproductive Health and Childbirth
1998
1998
0
0
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Other reproductive health and childbirth disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
3 armed trial. All women received 400mg twice daily oral metronidazole for 7 days, and concurrently randomised to also receive either vaginal topical 2% clindamycin cream (1 applicator full once daily for 7 days); vaginal topical probiotic (L.acidophilus KS400)/0.03mg oestriol pessary (one pessary once daily for 12 days) or placebo pessary (one pessary once daily for 12 days).
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Intervention code [1]
1839
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Treatment: Drugs
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Comparator / control treatment
In addition to 400mg twice daily oral metronidazole for 7 days which all participants received, women in th eplacebo arm also received a vaginal placebo pessary (once daily for 12 nights). The placebo consisted of: Lactose DC, Dibasic sodium phosphate (anhydrous), Microcrystalline cellulose, sodium starch glycolate (Type A), and magnesium stearate. The placebo pessary was indentical in appearance and composition to the active pessary with the exception of no active probioic organisms and no oestriol.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Recurrence of bacterial vaginosis over six months
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Assessment method [1]
2820
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Timepoint [1]
2820
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Monitored at 1, 2, 3 and 6 months or at time of recurrence.
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Secondary outcome [1]
4753
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Factors associated with bacterial vaginosis recurrence, such as new sexual partner or vaginal douching.
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Assessment method [1]
4753
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Timepoint [1]
4753
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Monitored at 1, 2, 3 and 6 months or at time of recurrence.
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Eligibility
Key inclusion criteria
Women with BV on Nugent's criteria
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Minimum age
18
Years
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Maximum age
45
Years
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Pregnant, Human Immunodeficiency Virus (HIV)
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Study design
Purpose of the study
Treatment
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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)
An independent researcher will generate and hold a randomisation sequence. A research nurse will enrol participants and use the next numbered envelope to obtain the participants unique randomised controlled trial (RCT) number, which will also identify her intervention medications.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
An independent researcher will use a computer to generate a random sequence, block randomised in groups.
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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
The following groups will be blinded in this study: treating clinicians; all research staff involved in recruitment and data handling and analysis; and laboratory staff responsible for asessing the main trial outcome.
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Phase
Phase 3 / Phase 4
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Type of endpoint/s
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
1/09/2007
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
450
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
2139
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Government body
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Name [1]
2139
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National Health and Medical Reserach Council (NHMRC) Grant
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Address [1]
2139
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Canberra ACT
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Country [1]
2139
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Australia
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Primary sponsor type
Hospital
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Name
Bayside Health
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Address
P.O Box 315
Prahran. Vic. 3181.
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Country
Australia
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Secondary sponsor category [1]
1943
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None
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Name [1]
1943
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NA
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Address [1]
1943
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Country [1]
1943
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
3935
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Melbourne Sexual Health Centre (Bayside Health)
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Ethics committee address [1]
3935
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Ethics committee country [1]
3935
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Australia
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Date submitted for ethics approval [1]
3935
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Approval date [1]
3935
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Ethics approval number [1]
3935
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Summary
Brief summary
To determine if the addition of either topical clindamycin or a topical probiotic/oestrogen combination, reduces recurrent rates of bacterial vaginosis (BV), when added to the current recommended therapy of seven days of the oral antibiotic metronidazole. Hypotheses 1. Combination antibiotic therapy of oral metronidazole with vaginal clindamycin will be more effective than oral metronidazole alone in the treatment of bacterial vaginosis. 2. Restoring normal vaginal acidity and healthy bacteria through replacement of Lactobacillus bacteria and topical oestrogen (in addition to oral metronidazole), will achieve higher rates of cure than current recommended therapy oral metronidazole alone.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
27653
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Address
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Country
27653
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Phone
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Fax
27653
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Email
27653
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Contact person for public queries
Name
11028
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Marie Pirotta
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Address
11028
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Department of General Practice
200 Berkeley Street
Carlton VIC 3053
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Country
11028
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Australia
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Phone
11028
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+61 3 83449723
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Fax
11028
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+61 3 93476136
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Email
11028
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[email protected]
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Contact person for scientific queries
Name
1956
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Marie Pirotta
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Address
1956
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Department of General Practice
200 Berkeley Street
Carlton VIC 3053
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Country
1956
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Australia
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Phone
1956
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+61 3 83449723
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Fax
1956
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+61 3 93476136
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Email
1956
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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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