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Evaluation of VagiVitalAC for Treatment of Candida Vulvovaginitis

Primary Purpose

Vaginal Candidiasis, Vulvovaginal Candidiasis, Candidal Vulvovaginitis

Status
Unknown status
Phase
Not Applicable
Locations
Sweden
Study Type
Interventional
Intervention
VagiVitalAC
Sponsored by
PepTonic Medical AB
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Vaginal Candidiasis

Eligibility Criteria

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

Inclusion Criteria:

  • Be a female, 18 years or older.
  • Signed informed consent form.
  • Women with earlier recurrent verified vaginal candidiasis.
  • Has seeked treatment for suspected fungal infection.
  • Be judged by an investigator as having an ongoing vulvovaginal candidiasis.
  • If of child-bearing potential, willing to use a reliable method of contraception during the duration of the study. The following methods of contraception are considered reliable: an intrauterine device or any of the following hormonal contraceptives: contraceptive pills, implants, transdermal patches, vaginal ring, injections with prolonged release. A woman is considered of childbearing potential (WOCBP), i.e. fertile, following menarche and until becoming post-menopausal unless permanently sterile. Permanent sterilisation methods include hysterectomy, bilateral salpingectomy and bilateral oophorectomy. A postmenopausal state is defined as no menses for 12 months without an alternative medical cause.
  • Be in general good health, as judged by an investigator.

Exclusion Criteria:

  • Be currently hospitalized.
  • First time with a vulvovaginal candidiasis infection.
  • Have a history of ongoing cardiovascular, hepatic, renal, pulmonary, hematologic, gastrointestinal, endocrine, immunologic, dermatologic, neurologic, psychological, or musculoskeletal disease or disorder that is clinically significant in the opinion of the Principal Investigator or Sub-Investigator.
  • Have a history of undiagnosed vaginal bleeding.
  • Have an ongoing urogenital infection at the screening visit, other than vulvovaginal candidiasis.
  • Any contraindication to the gel (VagiVitalAC) therapy and allergy to the use of any components of the investigational device.
  • Pregnant, as determined by urine pregnancy test.
  • Have been giving birth during the last 30 days.
  • Have a history of drug and/or alcohol abuse within one year of start of study.
  • Patient who are currently menstruating or anticipate they will start menstruating within 7 days of starting using the investigational device.
  • Have used any intravaginal or systemic antifungal medication within the previous 7 days or had used any intravaginal product such as a spermicide, medicated douche or feminine spray within two days before the start of the study.
  • Current treatment for any medical condition that include systemic antimycotics or immunosuppressive drugs.
  • Have any reason, which in the opinion of the Principal Investigator would prevent the patient from safely participating in the study or complying with protocol requirements.
  • Have participated in another clinical trial within 30 days prior to screening, have received an investigational drug within one month prior to the initial dose of the investigational medical device, or be likely to participate in another clinical trial or receive another investigational medication during the study.

Sites / Locations

  • Karolinska University HospitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

No Intervention

Arm Label

VagiVitalAC

No treatment

Arm Description

Outcomes

Primary Outcome Measures

Presence or not of candida fungi in the vaginal culture after 7 days treatment

Secondary Outcome Measures

Presence or not of candida fungi in the vaginal culture after 30 days treatment
For patients with initial treatment effect (i.e., no presence of candida fungi in the vaginal culture) after 7 days treatment, relapse at day 30, after continued treatment
Change in self-reported vulvovaginal symptoms (vaginal itching/burning and/or soreness and/or vaginal discharge and/or pain during sexual intercourse) after 7 days treatment compared to baseline (patient's own experience)
Change in self-reported vulvovaginal symptoms after 7 days treatment compared with baseline (patient's own experience), that has been self-identified by the patient as being the most bothersome to her
Change in self-reported vulvovaginal symptoms (vaginal itching/burning and/or soreness and/or vaginal discharge and/or pain during sexual intercourse) after 30 days treatment compared to baseline (patient's own experience)
Change in self-reported vulvovaginal symptoms after 30 days treatment (patient's own experience), that has been self-identified by the patient at baseline as being the most bothersome to her
Frequency of Adverse events Adverse Events (AEs)/Serious Adverse Events (SAEs)/Device Deficiencies (DDs)/Adverse Device Effects (ADEs)/Serious Adverse Device Effects (SADEs) at 7 days
Frequency of Adverse events AEs/SAEs/DDs/ADEs/SADEs at 30 days
Presence or not of candida fungi in the vaginal culture after 90 days treatment.
Only applicable for randomized part
For patients with initial treatment effect by VagiVitalAC (i.e. no presence of candida fungi in the vaginal culture) after 7 and 30 days treatment, relapse at day 90, after continued treatment.
Only applicable for randomized part
Change in self-reported vulvovaginal symptoms after 7 days treatment compared to baseline, Investigational device group compared to comparator group (patient's own experience).
Only applicable for randomized part
Change in self-reported vulvovaginal symptoms after 7 days treatment, Investigational device group compared to comparator group (patient's own experience), that has been self-identified by the patient at baseline as being the most bothersome to her.
Only applicable for randomized part
Change in self-reported vulvovaginal symptoms (vaginal itching/burning and/or soreness and/or vaginal discharge and/or pain during sexual intercourse) after 90 days treatment compared to baseline (patient's own experience).
Only applicable for randomized part
Change in self-reported vulvovaginal symptoms after 90 days treatment (patient's own experience), that has been self-identified by the patient at baseline as being the most bothersome to her.
Only applicable for randomized part
Frequency of Adverse events AEs/SAEs/DDs/ADEs/SADEs at 7 days, Investigational device group compared to comparator group
Only applicable for randomized part
Frequency of Adverse events AEs/SAEs/DDs/ADEs/SADEs at 90 days.
Only applicable for randomized part

Full Information

First Posted
August 4, 2021
Last Updated
September 16, 2021
Sponsor
PepTonic Medical AB
Collaborators
StatCons, Karolinska Trial Alliance
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1. Study Identification

Unique Protocol Identification Number
NCT05012852
Brief Title
Evaluation of VagiVitalAC for Treatment of Candida Vulvovaginitis
Official Title
A Two-part Study; Consisting of a Pilot Part Followed by a Randomized, Parallel Group Part; Comparing Topically Applied Novel Gel Containing Lactic Acid With no Treatment on Women With Candida Vulvovaginitis
Study Type
Interventional

2. Study Status

Record Verification Date
September 2021
Overall Recruitment Status
Unknown status
Study Start Date
September 2021 (Anticipated)
Primary Completion Date
February 2022 (Anticipated)
Study Completion Date
June 2022 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
PepTonic Medical AB
Collaborators
StatCons, Karolinska Trial Alliance

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
Candidiasis is an infection caused by a yeast (a type of fungus) called Candida. Candidiasis in the vagina is commonly called a "vaginal yeast infection." Another names for this infection is "vaginal candidiasis". The symptoms of vaginal candidiasis include: Vaginal itching or soreness, Pain during sexual intercourse, Pain or discomfort when urinating and Abnormal vaginal discharge. VagiVitalAC is a modified version of the existing gel VagiVital, formulated to act as a treatment for fungal infections. This clinical investigation is a two-part study consisting of a pilot part followed by a randomized part. The aim of the pilot part is to evaluate if VagiVitalAC is able to cure the vulvovaginal candidiasis in at least 70% of the patients after 7 days treatment. If the proportion of cured patients is at least 70 %, the next part, the randomized part, will be performed. In the randomized part, the treatment efficacy and safety of VagiVitalAC on candida vulvovaginitis will be evaluated by comparing a treatment group with a control group receiving no treatment.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Vaginal Candidiasis, Vulvovaginal Candidiasis, Candidal Vulvovaginitis

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
An single group pilot sub-study followed by a randomized, parallel, controlled sub-study. In the randomized part, the non cured patients in the control goup are given an option to change to active treatment after 7 days.
Masking
None (Open Label)
Allocation
Randomized
Enrollment
126 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
VagiVitalAC
Arm Type
Experimental
Arm Title
No treatment
Arm Type
No Intervention
Intervention Type
Device
Intervention Name(s)
VagiVitalAC
Intervention Description
In the Pilot part, the single intervention used is VagiVitalAC treatment for 30 days. In the randomized part, patients in the Interventional arm are treated with VagiVital AC for up to 90 days.
Primary Outcome Measure Information:
Title
Presence or not of candida fungi in the vaginal culture after 7 days treatment
Time Frame
Day 7
Secondary Outcome Measure Information:
Title
Presence or not of candida fungi in the vaginal culture after 30 days treatment
Time Frame
Day 30
Title
For patients with initial treatment effect (i.e., no presence of candida fungi in the vaginal culture) after 7 days treatment, relapse at day 30, after continued treatment
Time Frame
Day 30
Title
Change in self-reported vulvovaginal symptoms (vaginal itching/burning and/or soreness and/or vaginal discharge and/or pain during sexual intercourse) after 7 days treatment compared to baseline (patient's own experience)
Time Frame
Day 7
Title
Change in self-reported vulvovaginal symptoms after 7 days treatment compared with baseline (patient's own experience), that has been self-identified by the patient as being the most bothersome to her
Time Frame
Day 7
Title
Change in self-reported vulvovaginal symptoms (vaginal itching/burning and/or soreness and/or vaginal discharge and/or pain during sexual intercourse) after 30 days treatment compared to baseline (patient's own experience)
Time Frame
Day 30
Title
Change in self-reported vulvovaginal symptoms after 30 days treatment (patient's own experience), that has been self-identified by the patient at baseline as being the most bothersome to her
Time Frame
Day 30
Title
Frequency of Adverse events Adverse Events (AEs)/Serious Adverse Events (SAEs)/Device Deficiencies (DDs)/Adverse Device Effects (ADEs)/Serious Adverse Device Effects (SADEs) at 7 days
Time Frame
Day 7
Title
Frequency of Adverse events AEs/SAEs/DDs/ADEs/SADEs at 30 days
Time Frame
Day 30
Title
Presence or not of candida fungi in the vaginal culture after 90 days treatment.
Description
Only applicable for randomized part
Time Frame
Day 90
Title
For patients with initial treatment effect by VagiVitalAC (i.e. no presence of candida fungi in the vaginal culture) after 7 and 30 days treatment, relapse at day 90, after continued treatment.
Description
Only applicable for randomized part
Time Frame
Day 90
Title
Change in self-reported vulvovaginal symptoms after 7 days treatment compared to baseline, Investigational device group compared to comparator group (patient's own experience).
Description
Only applicable for randomized part
Time Frame
Day 7
Title
Change in self-reported vulvovaginal symptoms after 7 days treatment, Investigational device group compared to comparator group (patient's own experience), that has been self-identified by the patient at baseline as being the most bothersome to her.
Description
Only applicable for randomized part
Time Frame
Day 7
Title
Change in self-reported vulvovaginal symptoms (vaginal itching/burning and/or soreness and/or vaginal discharge and/or pain during sexual intercourse) after 90 days treatment compared to baseline (patient's own experience).
Description
Only applicable for randomized part
Time Frame
Day 90
Title
Change in self-reported vulvovaginal symptoms after 90 days treatment (patient's own experience), that has been self-identified by the patient at baseline as being the most bothersome to her.
Description
Only applicable for randomized part
Time Frame
Day 90
Title
Frequency of Adverse events AEs/SAEs/DDs/ADEs/SADEs at 7 days, Investigational device group compared to comparator group
Description
Only applicable for randomized part
Time Frame
Day 7
Title
Frequency of Adverse events AEs/SAEs/DDs/ADEs/SADEs at 90 days.
Description
Only applicable for randomized part
Time Frame
Day 90

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Be a female, 18 years or older. Signed informed consent form. Women with earlier recurrent verified vaginal candidiasis. Has seeked treatment for suspected fungal infection. Be judged by an investigator as having an ongoing vulvovaginal candidiasis. If of child-bearing potential, willing to use a reliable method of contraception during the duration of the study. The following methods of contraception are considered reliable: an intrauterine device or any of the following hormonal contraceptives: contraceptive pills, implants, transdermal patches, vaginal ring, injections with prolonged release. A woman is considered of childbearing potential (WOCBP), i.e. fertile, following menarche and until becoming post-menopausal unless permanently sterile. Permanent sterilisation methods include hysterectomy, bilateral salpingectomy and bilateral oophorectomy. A postmenopausal state is defined as no menses for 12 months without an alternative medical cause. Be in general good health, as judged by an investigator. Exclusion Criteria: Be currently hospitalized. First time with a vulvovaginal candidiasis infection. Have a history of ongoing cardiovascular, hepatic, renal, pulmonary, hematologic, gastrointestinal, endocrine, immunologic, dermatologic, neurologic, psychological, or musculoskeletal disease or disorder that is clinically significant in the opinion of the Principal Investigator or Sub-Investigator. Have a history of undiagnosed vaginal bleeding. Have an ongoing urogenital infection at the screening visit, other than vulvovaginal candidiasis. Any contraindication to the gel (VagiVitalAC) therapy and allergy to the use of any components of the investigational device. Pregnant, as determined by urine pregnancy test. Have been giving birth during the last 30 days. Have a history of drug and/or alcohol abuse within one year of start of study. Patient who are currently menstruating or anticipate they will start menstruating within 7 days of starting using the investigational device. Have used any intravaginal or systemic antifungal medication within the previous 7 days or had used any intravaginal product such as a spermicide, medicated douche or feminine spray within two days before the start of the study. Current treatment for any medical condition that include systemic antimycotics or immunosuppressive drugs. Have any reason, which in the opinion of the Principal Investigator would prevent the patient from safely participating in the study or complying with protocol requirements. Have participated in another clinical trial within 30 days prior to screening, have received an investigational drug within one month prior to the initial dose of the investigational medical device, or be likely to participate in another clinical trial or receive another investigational medication during the study.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Dan Markusson
Phone
+46104750800
Email
registrator@etikprovning.se
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Aino Fianu Jonasson, MD, PhD
Organizational Affiliation
Karolinska University Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Karolinska University Hospital
City
Huddinge
Country
Sweden
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Aino Fianu Jonasson, MD, PhD
First Name & Middle Initial & Last Name & Degree
Aino Fianu Jonasson, MD, PhD

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Evaluation of VagiVitalAC for Treatment of Candida Vulvovaginitis

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