Safety and Clinical and Microbiological Efficacy of the Combination of Fluconazole and Secnidazole for the Treatment of Symptomatic Vaginal Discharge

NCT ID: NCT02111629

Last Updated: 2014-04-11

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: PHASE3
• Total Enrollment: 118 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2012-05-31
• Study Completion Date: 2013-05-31

Brief Summary

Genital tract infections (GTIs) have increased in the past decade and there is an association between sexually transmitted infections (STIs) and other infections like bacterial vaginosis (BV), with the HIV transmission. BV and Candida are the most common causes of vaginal infections in symptomatic women, the prevalence of BV being 22-50% and the prevalence of Candida 17-39%. In an effort to reduce the transmission of GTIs, the World Health Organization (WHO) proposed a syndromic diagnostic approach as a low cost alternative in places with no access to laboratory diagnostic tests.

Justification. In patients with syndrome of vaginal discharge, an effective treatment against Candida albicans, Trichomonas vaginalis, and bacterial vaginosis is adviced, therefore, for syndromic management of symptomatic vaginal discharge the combination of fluconazole and secnidazole could be used. No studies evaluating this combination were found in the literature reviewed.

Objectives: To describe the safety and the clinical and microbiological efficacy of a single oral dose of a combined treatment with secnidazole + fluconazole for the syndromic management of symptomatic vaginal discharge.

Methods: Design: open label, uncontrolled clinical trial to estimate clinical efficacy and safety of the combination of fluconazole and secnidazole for the treatment of symptomatic vaginal discharge. The participants will be sexually active women with lower genital tract symptoms (leukorrhea, itching, burning, pain, foul-smelling vaginal discharge, or urethral symptoms) compatible with symptomatic vaginal discharge syndrome. The study will be conducted in an outpatient service of a hospital in Bogota, Colombia. Given the descriptive character of the study, no a priori hypothesis is considered. A consecutive convenience sample size of 100 symptomatic patients is calculated. The statistical analysis will be performed with STATA 11.0 software (College Station, Texas, USA). Simple and relative frequencies and measures of central tendency and dispersion appropriate for the distribution of the variables will be calculated. The study has been submitted and approved by the Ethics Committee of the Faculty of Medicine of the National University of Colombia and the Institutional Review Board of the participating institution. All women must sign a written informed consent form agreeing to voluntarily participate in the study.

Conditions

Vaginal Discharge

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Fluconazole and Secnidazole

Group Type: EXPERIMENTAL

Fluconazole and Secnidazole

Intervention Type: DRUG

Interventions

Fluconazole and Secnidazole

Intervention Type: DRUG

Eligibility Criteria

Inclusion Criteria

• sexually active women with lower genital tract symptoms compatible with BV or vaginitis

Exclusion Criteria

• patients with a clinical diagnosis of cervicitis
• severe medical conditions
• liver disease
• allergies, or known reactions to the drugs under study were excluded from the study
• pregnant women
• women who were not yet sexually active
• women who had previously participated in the study
• women who had received antibiotic therapy in the previous 14 days

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 50 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: No

Sponsors

Universidad Nacional de Colombia

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Edith Muller, M.D

Role: PRINCIPAL_INVESTIGATOR

Universidad Nacional de Colombia

Jorge A Rubio, M.D., MsC

Role: STUDY_CHAIR

Universidad Nacional de Colombia

Andrea E Rodriguez, MD, MsC

Role: STUDY_CHAIR

Universidad Nacional de Colombia

Ariel I Ruiz, MD, MsC

Role: STUDY_CHAIR

Universidad Nacional de Colombia

Locations

Hospital de Engativá

Bogotá D.C, Bogota D.C., Colombia

Countries

Colombia

Other Identifiers

309010018168

Identifier Type: -

Identifier Source: org_study_id