Trial Outcomes & Findings for Trial of Trimosan Gel Effect on Pessary-associated Bacterial Vaginosis (NCT NCT01471457)

NCT ID: NCT01471457

Last Updated: 2020-04-22

Results Overview

The primary outcome is the rate of bacterial vaginosis after pessary fitting as measured by OSOM BV blue (Genzyme) and gram stain, measured in women using and women not using Trimo-San gel after pessary fitting, at 3 months, with the denominator being the number of women having a gram stain at the 3 months time point in each group

Recruitment status

COMPLETED

Study phase

PHASE2/PHASE3

Target enrollment

184 participants

Primary outcome timeframe

3 months

Results posted on

2020-04-22

Participant Flow

Participant milestones

Participant milestones
Measure
Trimo-San Group
Pessary wearers are instructed to apply one fingertip (approx 1 tablespoon) of Trimo-San gel inside the vagina or to the pessary (for women removing and cleaning pessary before reinsertion after cleaning) once nightly Trimo-San gel: Pessary wearers are instructed to apply one fingertip (approx 1 tablespoon) of Trimo-San gel inside the vagina or to the pessary (for women removing and cleaning pessary before reinsertion after cleaning) once nightly
Control Group
Pessary wearers are informed on standard care of pessary, which includes topical estrogen application if they are using. Pessary wearers do not use Trimo-San gel
Overall Study
STARTED
92
92
Overall Study
COMPLETED
73
74
Overall Study
NOT COMPLETED
19
18

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Trial of Trimosan Gel Effect on Pessary-associated Bacterial Vaginosis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Trimo-San Group
n=92 Participants
Pessary wearers are instructed to apply one fingertip (approx 1 tablespoon) of Trimo-San gel inside the vagina or to the pessary (for women removing and cleaning pessary before reinsertion after cleaning) once nightly Trimo-San gel: Pessary wearers are instructed to apply one fingertip (approx 1 tablespoon) of Trimo-San gel inside the vagina or to the pessary (for women removing and cleaning pessary before reinsertion after cleaning) once nightly
Control Group
n=92 Participants
Pessary wearers are informed on standard care of pessary, which includes topical estrogen application if they are using. Pessary wearers do not use Trimo-San gel
Total
n=184 Participants
Total of all reporting groups
Age, Continuous
58 years
STANDARD_DEVIATION 15 • n=93 Participants
60 years
STANDARD_DEVIATION 17 • n=4 Participants
59 years
STANDARD_DEVIATION 16 • n=27 Participants
Sex: Female, Male
Female
92 Participants
n=93 Participants
92 Participants
n=4 Participants
184 Participants
n=27 Participants
Sex: Female, Male
Male
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race/Ethnicity, Customized
White/Caucasian
56 Participants
n=93 Participants
48 Participants
n=4 Participants
104 Participants
n=27 Participants
Race/Ethnicity, Customized
Black/African American
6 Participants
n=93 Participants
13 Participants
n=4 Participants
19 Participants
n=27 Participants
Race/Ethnicity, Customized
Hispanic
23 Participants
n=93 Participants
20 Participants
n=4 Participants
43 Participants
n=27 Participants
Race/Ethnicity, Customized
Asian
1 Participants
n=93 Participants
3 Participants
n=4 Participants
4 Participants
n=27 Participants
Race/Ethnicity, Customized
Other
5 Participants
n=93 Participants
8 Participants
n=4 Participants
13 Participants
n=27 Participants
Body Mass Index
29 kilograms per square meters
STANDARD_DEVIATION 7.6 • n=93 Participants
28 kilograms per square meters
STANDARD_DEVIATION 7.4 • n=4 Participants
28 kilograms per square meters
STANDARD_DEVIATION 7.5 • n=27 Participants
Smoking
Current smoker
8 Participants
n=93 Participants
6 Participants
n=4 Participants
14 Participants
n=27 Participants
Smoking
Past Smoker
26 Participants
n=93 Participants
28 Participants
n=4 Participants
54 Participants
n=27 Participants
Smoking
Non-smoker (never smoker)
58 Participants
n=93 Participants
58 Participants
n=4 Participants
116 Participants
n=27 Participants
Charleston Comorbidity Index
0.77 units on a scale
STANDARD_DEVIATION 1.1 • n=93 Participants
0.89 units on a scale
STANDARD_DEVIATION 1.8 • n=4 Participants
0.82 units on a scale
STANDARD_DEVIATION 1.5 • n=27 Participants

PRIMARY outcome

Timeframe: 3 months

The primary outcome is the rate of bacterial vaginosis after pessary fitting as measured by OSOM BV blue (Genzyme) and gram stain, measured in women using and women not using Trimo-San gel after pessary fitting, at 3 months, with the denominator being the number of women having a gram stain at the 3 months time point in each group

Outcome measures

Outcome measures
Measure
Trimo-San Group
n=62 Participants
Pessary wearers are instructed to apply one fingertip (approx 1 tablespoon) of Trimo-San gel inside the vagina or to the pessary (for women removing and cleaning pessary before reinsertion after cleaning) once nightly Trimo-San gel: Pessary wearers are instructed to apply one fingertip (approx 1 tablespoon) of Trimo-San gel inside the vagina or to the pessary (for women removing and cleaning pessary before reinsertion after cleaning) once nightly
Control Group
n=71 Participants
Pessary wearers are informed on standard care of pessary, which includes topical estrogen application if they are using. Pessary wearers do not use Trimo-San gel
Number of Patients With Bacterial Vaginosis at 3 Months
15 Participants
16 Participants

SECONDARY outcome

Timeframe: 3 months

Vaginal symptoms and effect of vaginal symptoms on pessary wearers measured before and after pessary fitting by questionnaire based on verified vaginal symptoms questionnaire at 3 months, with the denominator being the number of women completing the questionnaire at the 3 months time point in each group

Outcome measures

Outcome measures
Measure
Trimo-San Group
n=72 Participants
Pessary wearers are instructed to apply one fingertip (approx 1 tablespoon) of Trimo-San gel inside the vagina or to the pessary (for women removing and cleaning pessary before reinsertion after cleaning) once nightly Trimo-San gel: Pessary wearers are instructed to apply one fingertip (approx 1 tablespoon) of Trimo-San gel inside the vagina or to the pessary (for women removing and cleaning pessary before reinsertion after cleaning) once nightly
Control Group
n=75 Participants
Pessary wearers are informed on standard care of pessary, which includes topical estrogen application if they are using. Pessary wearers do not use Trimo-San gel
Participants With Any Bothersome Vaginal Symptom at 3 Months
30 Participants
24 Participants

Adverse Events

Trimo-San Group

Serious events: 0 serious events
Other events: 18 other events
Deaths: 0 deaths

Control Group

Serious events: 0 serious events
Other events: 13 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Trimo-San Group
n=92 participants at risk
Pessary wearers are instructed to apply one fingertip (approx 1 tablespoon) of Trimo-San gel inside the vagina or to the pessary (for women removing and cleaning pessary before reinsertion after cleaning) once nightly Trimo-San gel: Pessary wearers are instructed to apply one fingertip (approx 1 tablespoon) of Trimo-San gel inside the vagina or to the pessary (for women removing and cleaning pessary before reinsertion after cleaning) once nightly
Control Group
n=92 participants at risk
Pessary wearers are informed on standard care of pessary, which includes topical estrogen application if they are using. Pessary wearers do not use Trimo-San gel
Reproductive system and breast disorders
Any vaginal symptom attributable possibly to pessary
19.6%
18/92 • Number of events 18 • 3 months
Adverse events are worsening of vaginal symptoms since pessary fitting; this could be treatment related or not treatment related Serious adverse events were any recorded events that required hospitalization or were life-threatening, whether related or unrelated to treatment
14.1%
13/92 • Number of events 13 • 3 months
Adverse events are worsening of vaginal symptoms since pessary fitting; this could be treatment related or not treatment related Serious adverse events were any recorded events that required hospitalization or were life-threatening, whether related or unrelated to treatment

Additional Information

Kate Meriwether

University of New Mexico

Phone: 5052495967

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place