Efficacy and Safety of Clotrimazole+Lactulose Vaginal Suppositories Vs. Clotrimazole Monotherapy in Adult Women with Candidal Vaginitis/Vulvovaginitis

NCT ID: NCT06835361

Last Updated: 2025-02-19

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

RECRUITING

Clinical Phase

PHASE2/PHASE3

Total Enrollment

264 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-02-29

Study Completion Date

2025-11-30

Brief Summary

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This study aims to compare the efficacy and safety of the combination drug Clotrimazole+Lactulose with the monocomponent product Canesten® (clotrimazole) in adult women diagnosed with candidal vulvovaginitis. The primary objective was to confirm the superiority of the combination drug in terms of clinical and microbiological response on Day 25 of the study.

Detailed Description

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The study was conducted using an adaptive design to evaluate the impact of lactulose on the course of fungal infections. The primary endpoint was the proportion of patients achieving clinical and microbiological recovery on Day 25 (Visit 4). Secondary endpoints included assessment of symptom severity, changes in Lactobacillus content, and patient satisfaction with therapy. Participants were randomized into three groups: Clotrimazole+Lactulose, Canesten, and Lactulose.

Conditions

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Candidal Vulvovaginitis (ICD-10 Code: B37.3) Vulvovaginal Candidiasis (VVC)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors
Masking : Single (Evaluator-blinded)

Study Groups

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Clotrimazole+Lactulose

Vaginal suppositories containing clotrimazole (100 mg) and lactulose (300 mg)

Group Type EXPERIMENTAL

Clotrimazole+Lactulose.

Intervention Type DRUG

Vaginal suppositories containing clotrimazole (100 mg) and lactulose (300 mg)

Canesten (Clotrimazole)

Vaginal tablets containing clotrimazole (100 mg)

Group Type ACTIVE_COMPARATOR

Canesten (Clotrimazole)

Intervention Type DRUG

Vaginal tablets containing clotrimazole (100 mg)

Lactulose

Vaginal suppositories containing lactulose (300 mg)

Group Type PLACEBO_COMPARATOR

Lactulose

Intervention Type DRUG

Vaginal suppositories containing lactulose (300 mg)

Interventions

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Clotrimazole+Lactulose.

Vaginal suppositories containing clotrimazole (100 mg) and lactulose (300 mg)

Intervention Type DRUG

Canesten (Clotrimazole)

Vaginal tablets containing clotrimazole (100 mg)

Intervention Type DRUG

Lactulose

Vaginal suppositories containing lactulose (300 mg)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Women aged 18 to 60 years.
* Clinically and microbiologically confirmed diagnosis of candidal vulvovaginitis.
* Negative pregnancy test at screening.
* Agreement to use reliable contraception throughout the study and for 30 days after its completion.
* Signed informed consent.

Exclusion Criteria

* Pregnancy or breastfeeding.
* Diagnosed bacterial vaginosis.
* Chronic inflammatory or atrophic diseases of the female genital organs.
* History of malignant neoplasms.
* Use of systemic antibiotics or antifungal drugs within 2 weeks prior to screening.
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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AVVA Pharmaceuticals Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Healthcare Institution "1st Central District Polyclinic of the Central District of Minsk"

Minsk, Minsk City, Belarus

Site Status RECRUITING

Healthcare Institution "14th Central District Polyclinic of the Partizansky District of Minsk"

Minsk, , Belarus

Site Status RECRUITING

Healthcare Institution "2nd Central District Polyclinic of the Frunzensky District of Minsk"

Minsk, , Belarus

Site Status RECRUITING

Healthcare Institution "4th City Polyclinic" of Minsk

Minsk, , Belarus

Site Status RECRUITING

Healthcare Institution "5th City Clinical Polyclinic" of Minsk

Minsk, , Belarus

Site Status RECRUITING

State Institution "Republican Center of Medical Rehabilitation and Balneotherapy"

Minsk, , Belarus

Site Status RECRUITING

SBI RR "Regional Clinical Skin and Venereal Dispensary"

Ryazan, Ryazan Oblast, Russia

Site Status RECRUITING

Countries

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Belarus Russia

Central Contacts

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Sergey Tolmachev

Role: CONTACT

+7 495 2690016

Facility Contacts

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Alina V Krakasevich

Role: primary

Elena V Golovko

Role: primary

+375 17 200 18 96

Elena E Yarosh

Role: primary

+375 17 256 56 42

Elena A Malyavskaya

Role: primary

+375 17 374-67-69

Veronika D Babkova

Role: primary

+375 17 278 10 70

Larisa I Ershova

Role: primary

+375 17 358 90 92

Dmitry Sonin

Role: primary

+7 (4912) 27-50-82

Other Identifiers

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Clotrimazole+Lactulose-II/III

Identifier Type: -

Identifier Source: org_study_id

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