Efficacy and Safety of Natamycin and Lactulose Vaginal Suppositories in Treatment of Vulvovaginal Candidiasis

NCT ID: NCT06411314

Last Updated: 2024-05-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

218 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-12-29

Study Completion Date

2023-09-22

Brief Summary

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The purpose is to study superior efficacy of combination of Natamycin and Lactulose (Natamycin 100 mg + Lactulose 300 mg vaginal suppositories) compared to Pimafucin (Natamycin 100 mg vaginal suppositories), or Lactulose 300 mg vaginal suppositories. The second objective of the study was to investigate the safety of the combination suppositories in the treatment of vulvovaginal candidiasis in non-pregnant adult females.

Detailed Description

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Conditions

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Vulvovaginal Candidiasis, Genital

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Natamycin + Lactulose 100 mg + 300 mg vaginal suppositories

Group Type EXPERIMENTAL

Natamycin + Lactulose 100 mg + 300 mg vaginal suppositories

Intervention Type COMBINATION_PRODUCT

1 suppository once daily at bedtime for 6 days

Lactulose 300 mg vaginal suppositories

Group Type ACTIVE_COMPARATOR

Lactulose 300 mg vaginal suppositories

Intervention Type DRUG

1 suppository once daily at bedtime for 6 days

Pimafucin® (natamycin) 100 mg vaginal suppositories

Group Type ACTIVE_COMPARATOR

Pimafucin® (natamycin) 100 mg vaginal suppositories

Intervention Type DRUG

1 suppository once daily at bedtime for 6 days

Interventions

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Natamycin + Lactulose 100 mg + 300 mg vaginal suppositories

1 suppository once daily at bedtime for 6 days

Intervention Type COMBINATION_PRODUCT

Lactulose 300 mg vaginal suppositories

1 suppository once daily at bedtime for 6 days

Intervention Type DRUG

Pimafucin® (natamycin) 100 mg vaginal suppositories

1 suppository once daily at bedtime for 6 days

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* two or more of the following signs and symptoms of vulvovaginal candidiasis: white or yellowish-white curd-like, thick or creamy vaginal discharge; vulvar itching, burning and pain; anogenital itching and burning; discomfort in the vulva; itching, burning, painful urination (dysuria);
* yeast cells in the vaginal swab specimen;
* vaginal pH ≤ 4.5.

Exclusion Criteria

* a clinical and laboratory diagnosis of bacterial vaginosis; vulvovaginitis caused by specific pathogens such as Trichomonas vaginalis, Chlamydia trachomatis, Neisseria gonorrhoeae; chronic inflammatory, atrophic, or oncologic diseases of the female genital tract; previous surgery on external or internal genitalia within 6 months; childbirth and abortion within 6 months.
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Avva Rus, JSC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Department of Reproductive Medicine and Surgery at the A.I. Evdokimov Moscow State Medical and Dental University

Moscow, , Russia

Site Status

Countries

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Russia

References

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Volkova ON, Amel'chenko EV, Makeeva OV, Tolmachev SA, Lesovaya EA, Zacharia LC, Dikovskiy AV. Efficacy and safety of vaginal suppositories containing combination of Natamycin and Lactulose in treatment of vulvovaginal candidiasis: international, randomized, controlled, superiority clinical trial (combination of Natamycin and Lactulose for treatment of vulvovaginal candidiasis). BMC Womens Health. 2025 Feb 20;25(1):77. doi: 10.1186/s12905-025-03616-3.

Reference Type DERIVED
PMID: 39979898 (View on PubMed)

Other Identifiers

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12/21-AVVA RUS

Identifier Type: -

Identifier Source: org_study_id

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