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Lcr35® for Bacterial Vaginosis Prevention

Primary Purpose

Bacterial Vaginosis

Status
Completed
Phase
Phase 3
Locations
France
Study Type
Interventional
Intervention
placebo
Lcr35®
Sponsored by
Laboratoires Lyocentre
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Bacterial Vaginosis

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  • Patient presenting with a symptomatic vaginosis characterised by the presence of the following 3 clinical criteria (among the 4 Amsel criteria) at V1:

    • greyish uniform vaginal discharge,
    • characteristic "rotten fish" smell caused by the spontaneous release of amine or during the potassium test or "sniff test",
    • vaginal pH greater than 4.5.
  • Patient with a Nugent score ≥ 7 (using the sample taken at V1).
  • Patient clinically cured (none of the 3 Amsel criteria) after a 7-day course of Metronidazole (Flagyl®) Female.
  • Patient over 18 years of age.
  • For women with childbearing potential:

    • negative urine pregnancy test,
    • use of a contraceptive method deemed effective by the Investigator (excluding spermicides).
  • Patient having received information and voluntarily signed a written Informed Consent Form.
  • Patient covered by a national insurance scheme.

Exclusion Criteria:

  • Presence of a yeast infection that is bacterial (other than vaginosis) or viral in origin presumed or proven to be gynaecologically-linked, whether or not treated within the month preceding inclusion or present at the time of inclusion.
  • Presence of an existing gynaecological infection that may interfere with the assessment of the trial treatment(fibroma, severe dysplasia of the cervix or in situ carcinoma, invasive carcinoma, intra-epithelial cervical neoplasia, squamous intra-epithelial lesions etc.)
  • Antibiotics or antifungals taken by general route during the month preceding the screening visit, excluding treatment for an earlier episode of vaginosis.
  • Use of probiotics in the month preceding the screening visit, excluding treatment for an earlier episode of vaginosis.
  • Use of intravaginal antiseptics in the month preceding the screening visit, excluding treatment for an earlier episode of vaginosis.
  • Use of prebiotics (acidifiers) during the two weeks preceding the screening visit.
  • Use of products containing topical oestrogens during the month preceding the screening visit.
  • Allergy to one of the active ingredients or one of the excipients in the products.
  • patient in post-menopausal time
  • Patient unable to comply with the constraints of the Protocol.
  • Breastfeeding patient.
  • Patient with menstrual bleeds lasting more than 12 days a month.
  • Patient having taken part in a clinical trial in the 3 months preceding inclusion in the present Protocol.
  • Patient with a severe acute or chronic disease deemed by the Investigator to be incompatible with participation in the trial, or a serious infection that is life-threatening in the short term.
  • Immuno-suppressed patient.
  • Patient presenting with a previous illness which, according to the Investigator, is likely to interfere with the results of the trial or expose the patient to an additional risk.
  • Patient linguistically or mentally unable to understand and sign the Informed Consent Form.
  • Patient deprived of her liberty by order of the Courts or civil authorities or subject to a guardianship order.
  • Patient likely not to comply with treatment.
  • Patient unable to be contacted in the case of an emergency.

Sites / Locations

  • Lyocentre

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Lcr35®

placebo

Arm Description

Outcomes

Primary Outcome Measures

mean time before the onset of first clinical recurrence confirmed by laboratory tests

Secondary Outcome Measures

Full Information

First Posted
July 9, 2010
Last Updated
March 24, 2016
Sponsor
Laboratoires Lyocentre
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1. Study Identification

Unique Protocol Identification Number
NCT01160796
Brief Title
Lcr35® for Bacterial Vaginosis Prevention
Official Title
Study of the Efficacy and Safety of Treatment With Total Freeze-dried Culture of Lactobacillus Casei Var. Rhamnosus (Lcr35®) Administered Intravaginally in the Prevention of Bacterial Vaginosis. Randomized, Phase III, Multi-centre, Double-blind, Placebo-controlled Superiority Trial
Study Type
Interventional

2. Study Status

Record Verification Date
March 2016
Overall Recruitment Status
Completed
Study Start Date
June 2010 (undefined)
Primary Completion Date
May 2011 (Actual)
Study Completion Date
April 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Laboratoires Lyocentre

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a national, multi-centre, randomized, double-blind placebo-controlled, phase III superiority trial. The main objective of the trial is to assess the efficacy of Lcr35® by comparing the mean time before the onset of the first clinical recurrence confirmed by laboratory tests in patients with bacterial vaginosis treated with Lcr35® versus placebo. Patients with bacterial vaginosis will be enroll by private gynecologists. Each patient will receive a treatment for the initial episode(Metronidazole)and a treatment to prevent the recurrence of bacterial vaginosis (Lcr35®).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Bacterial Vaginosis

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
352 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Lcr35®
Arm Type
Experimental
Arm Title
placebo
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
placebo
Intervention Description
1x14-day course of treatment during 4 cycles
Intervention Type
Drug
Intervention Name(s)
Lcr35®
Intervention Description
1x14-day course of treatment during 4 cycles
Primary Outcome Measure Information:
Title
mean time before the onset of first clinical recurrence confirmed by laboratory tests
Time Frame
4 months

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patient presenting with a symptomatic vaginosis characterised by the presence of the following 3 clinical criteria (among the 4 Amsel criteria) at V1: greyish uniform vaginal discharge, characteristic "rotten fish" smell caused by the spontaneous release of amine or during the potassium test or "sniff test", vaginal pH greater than 4.5. Patient with a Nugent score ≥ 7 (using the sample taken at V1). Patient clinically cured (none of the 3 Amsel criteria) after a 7-day course of Metronidazole (Flagyl®) Female. Patient over 18 years of age. For women with childbearing potential: negative urine pregnancy test, use of a contraceptive method deemed effective by the Investigator (excluding spermicides). Patient having received information and voluntarily signed a written Informed Consent Form. Patient covered by a national insurance scheme. Exclusion Criteria: Presence of a yeast infection that is bacterial (other than vaginosis) or viral in origin presumed or proven to be gynaecologically-linked, whether or not treated within the month preceding inclusion or present at the time of inclusion. Presence of an existing gynaecological infection that may interfere with the assessment of the trial treatment(fibroma, severe dysplasia of the cervix or in situ carcinoma, invasive carcinoma, intra-epithelial cervical neoplasia, squamous intra-epithelial lesions etc.) Antibiotics or antifungals taken by general route during the month preceding the screening visit, excluding treatment for an earlier episode of vaginosis. Use of probiotics in the month preceding the screening visit, excluding treatment for an earlier episode of vaginosis. Use of intravaginal antiseptics in the month preceding the screening visit, excluding treatment for an earlier episode of vaginosis. Use of prebiotics (acidifiers) during the two weeks preceding the screening visit. Use of products containing topical oestrogens during the month preceding the screening visit. Allergy to one of the active ingredients or one of the excipients in the products. patient in post-menopausal time Patient unable to comply with the constraints of the Protocol. Breastfeeding patient. Patient with menstrual bleeds lasting more than 12 days a month. Patient having taken part in a clinical trial in the 3 months preceding inclusion in the present Protocol. Patient with a severe acute or chronic disease deemed by the Investigator to be incompatible with participation in the trial, or a serious infection that is life-threatening in the short term. Immuno-suppressed patient. Patient presenting with a previous illness which, according to the Investigator, is likely to interfere with the results of the trial or expose the patient to an additional risk. Patient linguistically or mentally unable to understand and sign the Informed Consent Form. Patient deprived of her liberty by order of the Courts or civil authorities or subject to a guardianship order. Patient likely not to comply with treatment. Patient unable to be contacted in the case of an emergency.
Facility Information:
Facility Name
Lyocentre
City
Aurillac
ZIP/Postal Code
15000
Country
France

12. IPD Sharing Statement

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Lcr35® for Bacterial Vaginosis Prevention

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