Trial Outcomes & Findings for A Study to Compare Efficacy and Safety of an Ovule Containing Terconazole, Clindamycin and Fluocinolone Versus an Ovule Containing Metronidazole, Nystatin and Fluocinolone in the Treatment of Secondary Vulvar/ or Vaginal Symptoms of Infectious Vaginitis/ and Infectious Vaginosis (NCT NCT01867164)

NCT ID: NCT01867164

Last Updated: 2013-12-24

Results Overview

Participants were evaluated for presence or absence of symptoms (itching, burning and sudden vulvar pain) in response to treatment.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

160 participants

Primary outcome timeframe

3 days after treatment (Day 7 for Gynoclin V or Day 13 for Vagitrol V)

Results posted on

2013-12-24

Participant Flow

Participant milestones

Participant milestones
Measure
Gynoclin V (Terconazole+Clindamycin+Fluocinolone Acetonide)
One ovule containing 80 milligram (mg) terconazole, 100 mg clindamycin and 0.5 mg fluocinolone acetonide was administered vaginally, every 24 hours at night, for 3 days.
Vagitrol V (Metronidazole+Fluocinolone Acetonide+Nystatin)
One ovule containing 500 mg metronidazole, 0.5 mg fluocinolone acetonide and 100,000.00 microgram/milliliter (mcg/ml) nystatin was administered vaginally, every 24 hours at night, for 10 days.
Overall Study
STARTED
81
79
Overall Study
COMPLETED
81
79
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Study to Compare Efficacy and Safety of an Ovule Containing Terconazole, Clindamycin and Fluocinolone Versus an Ovule Containing Metronidazole, Nystatin and Fluocinolone in the Treatment of Secondary Vulvar/ or Vaginal Symptoms of Infectious Vaginitis/ and Infectious Vaginosis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Gynoclin V (Terconazole+Clindamycin+Fluocinolone Acetonide)
n=81 Participants
One ovule containing 80 mg terconazole, 100 mg clindamycin and 0.5 mg fluocinolone acetonide was administered vaginally, every 24 hours at night, for 3 days.
Vagitrol V (Metronidazole+Fluocinolone Acetonide+Nystatin)
n=79 Participants
One ovule containing 500 mg metronidazole, 0.5 mg fluocinolone acetonide and 100,000.00 mcg/ml nystatin was administered vaginally, every 24 hours at night, for 10 days.
Total
n=160 Participants
Total of all reporting groups
Age Continuous
30.69 Years
STANDARD_DEVIATION 7.17 • n=5 Participants
30.56 Years
STANDARD_DEVIATION 7.50 • n=7 Participants
30.63 Years
STANDARD_DEVIATION 7.33 • n=5 Participants
Sex: Female, Male
Female
81 Participants
n=5 Participants
79 Participants
n=7 Participants
160 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 3 days after treatment (Day 7 for Gynoclin V or Day 13 for Vagitrol V)

Population: Participants who received at least 1 dose of study medication and who were evaluated for efficacy parameters were included in Intent-to-treat (ITT) population. Here 'N' specifies participants who were evaluated for this outcome measure.

Participants were evaluated for presence or absence of symptoms (itching, burning and sudden vulvar pain) in response to treatment.

Outcome measures

Outcome measures
Measure
Gynoclin V (Terconazole+Clindamycin+Fluocinolone Acetonide)
n=79 Participants
One ovule containing 80 mg terconazole, 100 mg clindamycin and 0.5 mg fluocinolone acetonide was administered vaginally, every 24 hours at night, for 3 days.
Vagitrol V (Metronidazole+Fluocinolone Acetonide+Nystatin)
n=77 Participants
One ovule containing 500 mg metronidazole, 0.5 mg fluocinolone acetonide and 100,000.00 mcg/ml nystatin was administered vaginally, every 24 hours at night, for 10 days.
Percentage of Participants With Presence or Absence of Symptoms 3 Days After Treatment
Itching: Absent
67.1 Percentage of Participants
79.2 Percentage of Participants
Percentage of Participants With Presence or Absence of Symptoms 3 Days After Treatment
Itching: Present
32.9 Percentage of Participants
20.8 Percentage of Participants
Percentage of Participants With Presence or Absence of Symptoms 3 Days After Treatment
Burning: Absent
78.5 Percentage of Participants
88.3 Percentage of Participants
Percentage of Participants With Presence or Absence of Symptoms 3 Days After Treatment
Burning: Present
21.5 Percentage of Participants
11.7 Percentage of Participants
Percentage of Participants With Presence or Absence of Symptoms 3 Days After Treatment
Sudden vulvar pain: Absent
95.0 Percentage of Participants
90.9 Percentage of Participants
Percentage of Participants With Presence or Absence of Symptoms 3 Days After Treatment
Sudden vulvar pain: Present
5.0 Percentage of Participants
9.1 Percentage of Participants

PRIMARY outcome

Timeframe: 8 days after treatment (Day 12 for Gynoclin V or Day 18 for Vagitrol V)

Population: Participants who received at least 1 dose of study medication and who were evaluated for efficacy parameters were included in ITT population. Here 'N' specifies participants who were evaluated for this outcome measure.

Participants were evaluated for presence or absence of symptoms (itching, burning and sudden vulvar pain) in response to treatment.

Outcome measures

Outcome measures
Measure
Gynoclin V (Terconazole+Clindamycin+Fluocinolone Acetonide)
n=77 Participants
One ovule containing 80 mg terconazole, 100 mg clindamycin and 0.5 mg fluocinolone acetonide was administered vaginally, every 24 hours at night, for 3 days.
Vagitrol V (Metronidazole+Fluocinolone Acetonide+Nystatin)
n=75 Participants
One ovule containing 500 mg metronidazole, 0.5 mg fluocinolone acetonide and 100,000.00 mcg/ml nystatin was administered vaginally, every 24 hours at night, for 10 days.
Percentage of Participants With Presence or Absence of Symptoms 8 Days After Treatment
Itching: Absent
88.3 Percentage of Participants
85.3 Percentage of Participants
Percentage of Participants With Presence or Absence of Symptoms 8 Days After Treatment
Itching: Present
11.7 Percentage of Participants
14.7 Percentage of Participants
Percentage of Participants With Presence or Absence of Symptoms 8 Days After Treatment
Burning: Absent
93.5 Percentage of Participants
92 Percentage of Participants
Percentage of Participants With Presence or Absence of Symptoms 8 Days After Treatment
Burning: Present
6.5 Percentage of Participants
8 Percentage of Participants
Percentage of Participants With Presence or Absence of Symptoms 8 Days After Treatment
Sudden vulvar pain: Absent
97.4 Percentage of Participants
89.3 Percentage of Participants
Percentage of Participants With Presence or Absence of Symptoms 8 Days After Treatment
Sudden vulvar pain: Present
2.6 Percentage of Participants
10.7 Percentage of Participants

PRIMARY outcome

Timeframe: 3 days after treatment (Day 7 for Gynoclin V or Day 13 for Vagitrol V)

Population: Participants who received at least 1 dose of study medication and who were evaluated for efficacy parameters were included in ITT population. Here 'N' signifies participants who were evaluated for this outcome measure including the participants for whom no culture was performed.

Percentage of participants with the presence of microorganisms (Candida albicans, Candida species, Gardnerella vaginalis, Vaginal flora, Lactobacillus species) in the wet mount, KOH, gram stain and vaginal discharge culture (candida and symptomatology) 3 days after treatment.

Outcome measures

Outcome measures
Measure
Gynoclin V (Terconazole+Clindamycin+Fluocinolone Acetonide)
n=78 Participants
One ovule containing 80 mg terconazole, 100 mg clindamycin and 0.5 mg fluocinolone acetonide was administered vaginally, every 24 hours at night, for 3 days.
Vagitrol V (Metronidazole+Fluocinolone Acetonide+Nystatin)
n=76 Participants
One ovule containing 500 mg metronidazole, 0.5 mg fluocinolone acetonide and 100,000.00 mcg/ml nystatin was administered vaginally, every 24 hours at night, for 10 days.
Percentage of Participants With the Presence of Microorganisms (Single-celled, Tiny Organisms That Include Fungi, Bacteria, Viruses) 3 Days After Treatment
Candida albicans
2.5 Percentage of Participants
0 Percentage of Participants
Percentage of Participants With the Presence of Microorganisms (Single-celled, Tiny Organisms That Include Fungi, Bacteria, Viruses) 3 Days After Treatment
Candida species, Gardnerella vaginalis
9.8 Percentage of Participants
1.3 Percentage of Participants
Percentage of Participants With the Presence of Microorganisms (Single-celled, Tiny Organisms That Include Fungi, Bacteria, Viruses) 3 Days After Treatment
Vaginal Flora
55.6 Percentage of Participants
58.2 Percentage of Participants
Percentage of Participants With the Presence of Microorganisms (Single-celled, Tiny Organisms That Include Fungi, Bacteria, Viruses) 3 Days After Treatment
Lactobacillus species
28.4 Percentage of Participants
36.7 Percentage of Participants
Percentage of Participants With the Presence of Microorganisms (Single-celled, Tiny Organisms That Include Fungi, Bacteria, Viruses) 3 Days After Treatment
No culture performed
3.7 Percentage of Participants
3.8 Percentage of Participants

SECONDARY outcome

Timeframe: 8 days after treatment (Day 12 for Gynoclin V or Day 18 for Vagitrol V)

Population: Participants who received at least 1 dose of study medication and who were evaluated for efficacy parameters were included in ITT population. Here 'N' specifies participants who were evaluated for this outcome measure.

Response to treatment was evaluated by participant using a 5-point numerical scale: 1=No response (no improvement or condition even worsened); 2=Poor (No symptoms disappeared and symptoms are moderate to severe) 3=Moderate (improvement and symptoms are of moderate intensity); 4=Good (much improvement, but there are still some occasional mild symptoms); 5=Excellent (all symptoms disappeared).

Outcome measures

Outcome measures
Measure
Gynoclin V (Terconazole+Clindamycin+Fluocinolone Acetonide)
n=77 Participants
One ovule containing 80 mg terconazole, 100 mg clindamycin and 0.5 mg fluocinolone acetonide was administered vaginally, every 24 hours at night, for 3 days.
Vagitrol V (Metronidazole+Fluocinolone Acetonide+Nystatin)
n=75 Participants
One ovule containing 500 mg metronidazole, 0.5 mg fluocinolone acetonide and 100,000.00 mcg/ml nystatin was administered vaginally, every 24 hours at night, for 10 days.
Percentage of Participants With Response to Treatment Assessed by Participant
Poor
1.30 Percentage of Participants
1.30 Percentage of Participants
Percentage of Participants With Response to Treatment Assessed by Participant
Moderate
0 Percentage of Participants
4.00 Percentage of Participants
Percentage of Participants With Response to Treatment Assessed by Participant
Good
36.40 Percentage of Participants
29.40 Percentage of Participants
Percentage of Participants With Response to Treatment Assessed by Participant
Excellent
62.30 Percentage of Participants
65.30 Percentage of Participants

SECONDARY outcome

Timeframe: 8 days after treatment (Day 12 for Gynoclin V or Day 18 for Vagitrol V)

Population: Participants who received at least 1 dose of study medication and who were evaluated for efficacy parameters were included in ITT population. Here 'N' specifies participants who were evaluated for this outcome measure.

Response to treatment was evaluated by Physician using a 5-point numerical scale: 1=No response (no improvement or condition even worsened); 2=Poor (No symptoms disappeared and symptoms are moderate to severe) 3=Moderate (improvement and symptoms are of moderate intensity); 4=Good (much improvement, but there are still some occasional mild symptoms); 5=Excellent (all symptoms disappeared).

Outcome measures

Outcome measures
Measure
Gynoclin V (Terconazole+Clindamycin+Fluocinolone Acetonide)
n=77 Participants
One ovule containing 80 mg terconazole, 100 mg clindamycin and 0.5 mg fluocinolone acetonide was administered vaginally, every 24 hours at night, for 3 days.
Vagitrol V (Metronidazole+Fluocinolone Acetonide+Nystatin)
n=75 Participants
One ovule containing 500 mg metronidazole, 0.5 mg fluocinolone acetonide and 100,000.00 mcg/ml nystatin was administered vaginally, every 24 hours at night, for 10 days.
Percentage of Participants With Response to Treatment Assessed by Physician
Poor
1.30 Percentage of Participants
1.30 Percentage of Participants
Percentage of Participants With Response to Treatment Assessed by Physician
Moderate
0 Percentage of Participants
5.30 Percentage of Participants
Percentage of Participants With Response to Treatment Assessed by Physician
Good
28.60 Percentage of Participants
26.70 Percentage of Participants
Percentage of Participants With Response to Treatment Assessed by Physician
Excellent
70.10 Percentage of Participants
66.70 Percentage of Participants

Adverse Events

Gynoclin V (Terconazole+Clindamycin+Fluocinolone Acetonide)

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Vagitrol V (Metronidazole+Fluocinolone Acetonide+Nystatin)

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Gynoclin V (Terconazole+Clindamycin+Fluocinolone Acetonide)
n=81 participants at risk
One ovule containing 80 mg terconazole, 100 mg clindamycin and 0.5 mg fluocinolone acetonide was administered vaginally, every 24 hours at night, for 3 days.
Vagitrol V (Metronidazole+Fluocinolone Acetonide+Nystatin)
n=79 participants at risk
One ovule containing 500 mg metronidazole, 0.5 mg fluocinolone acetonide and 100,000.00 mcg/ml nystatin was administered vaginally, every 24 hours at night, for 10 days.
Infections and infestations
Fungal Infections
0.00%
0/81 • Baseline up to Day 13 for Gynoclin V and Day 18 for Vagitrol V
1.3%
1/79 • Baseline up to Day 13 for Gynoclin V and Day 18 for Vagitrol V
Nervous system disorders
Headache
1.2%
1/81 • Baseline up to Day 13 for Gynoclin V and Day 18 for Vagitrol V
0.00%
0/79 • Baseline up to Day 13 for Gynoclin V and Day 18 for Vagitrol V

Additional Information

Clinical Research Director

Global Clinical Operations Mexico

Phone: +52 55 5484 3184

Results disclosure agreements

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