Treatment of the Intermediate Vaginal Microbiota With Vaginal Lactobacillus Casei Rhamnosus to Improve Pregnancy Outcome
LCR35&PTD
1 other identifier
interventional
120
1 country
1
Brief Summary
In the currently presented trial, investigators aim to evaluate the treatment of the intermediate vaginal microbiota during the first trimester of pregnancy with vaginal lactobacilli to restore the normal vaginal microbiota and therewith reduce the rate of PTD. All pregnant women between 10 + 0 (10 weeks plus 0 days) and 16 + 0 (16 weeks plus 0 days) gestational weeks in study group will be treated with vaginal Lactobacilli Capsules containing L. Casei rhamnosus LCR 35
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_3
Started May 2017
Typical duration for phase_3
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
November 28, 2016
CompletedFirst Posted
Study publicly available on registry
December 1, 2016
CompletedStudy Start
First participant enrolled
May 2, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
December 30, 2020
CompletedFebruary 24, 2021
August 1, 2018
3.5 years
November 28, 2016
February 23, 2021
Conditions
Outcome Measures
Primary Outcomes (1)
the recovery to the normal vaginal microbiota (Nugent score 0 to 3).
4 Weeks
Secondary Outcomes (1)
the gestational age at delivery, recorded as term delivery at or after 37 + 0 gestational weeks
9 Months
Study Arms (4)
A Nugent 4 + Lactobacilli
EXPERIMENTALIntermediate vaginal Flora Nugent 4 with Lactobacilli. Intervention with vaginal probiotics with 'Lactobacillus casei rhamnosus (Lcr 35 regenerans)
B Nugent 4 + Lactobacilli
ACTIVE COMPARATORIntermediate vaginal Flora Nugent 4 with Lactobacilli, NO Intervention
C Nugent 4 NO Lactobacilli
EXPERIMENTALIntermediate vaginal Flora Nugent 4 NO Lactobacilli, Intervention with vaginal probiotics, with 'Lactobacillus casei rhamnosus (Lcr 35 regenerans)
D Nugent 4 NO Lactobacilli
ACTIVE COMPARATORIntermediate vaginal Flora Nugent 4 NO Lactobacilli, No Intervention
Interventions
Probiotic vaginal tablets vith active probiotic strains
NO Intervention
Eligibility Criteria
You may qualify if:
- Pregnant women 10th to 16th Week of gestation
You may not qualify if:
- Vaginal Bleeding, Twins, vaginal infections, Antibiotics up to 4 weeks to randomisation
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Department of Obstetrics and Gynecology, Medical University of Vienna
Vienna, 1090, Austria
Related Publications (4)
Petricevic L, Witt A. The role of Lactobacillus casei rhamnosus Lcr35 in restoring the normal vaginal flora after antibiotic treatment of bacterial vaginosis. BJOG. 2008 Oct;115(11):1369-74. doi: 10.1111/j.1471-0528.2008.01882.x.
PMID: 18823487BACKGROUNDKiss H, Petricevic L, Husslein P. Prospective randomised controlled trial of an infection screening programme to reduce the rate of preterm delivery. BMJ. 2004 Aug 14;329(7462):371. doi: 10.1136/bmj.38169.519653.EB. Epub 2004 Aug 4.
PMID: 15294856BACKGROUNDFarr A, Kiss H, Hagmann M, Machal S, Holzer I, Kueronya V, Husslein PW, Petricevic L. Role of Lactobacillus Species in the Intermediate Vaginal Flora in Early Pregnancy: A Retrospective Cohort Study. PLoS One. 2015 Dec 11;10(12):e0144181. doi: 10.1371/journal.pone.0144181. eCollection 2015.
PMID: 26658473RESULTPetricevic L, Domig KJ, Nierscher FJ, Sandhofer MJ, Fidesser M, Krondorfer I, Husslein P, Kneifel W, Kiss H. Characterisation of the vaginal Lactobacillus microbiota associated with preterm delivery. Sci Rep. 2014 May 30;4:5136. doi: 10.1038/srep05136.
PMID: 24875844RESULT
Study Officials
- STUDY CHAIR
Ljubomir Petricevic, Prof
Medical University Vienna
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- INVESTIGATOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor
Study Record Dates
First Submitted
November 28, 2016
First Posted
December 1, 2016
Study Start
May 2, 2017
Primary Completion
November 1, 2020
Study Completion
December 30, 2020
Last Updated
February 24, 2021
Record last verified: 2018-08
Data Sharing
- IPD Sharing
- Will not share