Zinc-containing Vaginal Gel and Oral Fluconazole for Vulvovaginal Candidiasis.
Randomized Controlled Trial to Assess the Effectiveness of a Zinc-containing Vaginal Gel and Fluconazole on Treatment and Recurrence of Vulvovaginal Candidiasis.
1 other identifier
interventional
76
1 country
1
Brief Summary
Vaginitis is one of the most common gynecological problems in women. Candida albicans is responsible for more than 85% of vaginal fungal infections and reinfection after standard treatment is quite common. The aim of this study is to compare the effects of a zinc-containing vaginal gel and oral fluconazole on the treatment and recurrence of vulvovaginal candidiasis (VVC). The investigator's hypothesis is that zinc-containing vaginal gel may decrease the rate of reinfection after standard treatment with oral 150 mg fluconazole.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Jun 2023
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
May 15, 2023
CompletedFirst Posted
Study publicly available on registry
June 8, 2023
CompletedStudy Start
First participant enrolled
June 10, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
January 7, 2025
CompletedJune 13, 2023
June 1, 2023
1.6 years
May 15, 2023
June 12, 2023
Conditions
Outcome Measures
Primary Outcomes (1)
Clinical cure
The proportion of participants with clinical cure throughout the study period. Clinical cure is defined as follows: complete resolution of signs and symptoms pertaining to VVC and no new sign or symptom of VVC during the follow-up period.
12 weeks
Secondary Outcomes (13)
Time to initial symptom resolution.
12 weeks
Vaginal fungal culture for Candida species.
12 weeks
Clinical cure at days 28, 56, 84
12 weeks
Candida severity score
12 weeks
PRA-1 level
12 weeks
- +8 more secondary outcomes
Study Arms (2)
JUVIA zinc-containing vaginal gel and Fluconazole
EXPERIMENTALJUVIA zinc containing vaginal gel group. Receive oral fluconazole treatment (150 mg) and after that participants will use a zinc containing- vaginal gel for 12 weeks.
Fluconazole
ACTIVE COMPARATORControl group. Receive oral fluconazole treatment.
Interventions
Women receive a single oral dose of fluconazole (150mg) followed by treatment with JUVIA zinc containing vaginal gel (daily for 2 weeks and twice per week thereafter).
Women receive oral fluconazole treatment with a single dose of oral fluconazole (150 mg).
Eligibility Criteria
You may qualify if:
- Healthy, nonpregnant female participants aged ≥18 years with a clinical diagnosis of symptomatic acute VVC.
- Positive baseline potassium hydroxide (KOH) wet mount from a vaginal smear revealing filamentous hyphae/pseudohyphae or budding yeast cells.
- Presence of ≥1 vulvovaginal sign.
- Presence of ≥1 vulvovaginal symptom.
- Composite Candida severity score of ≥4.
You may not qualify if:
- Abnormal Papanicolaou smear in the preceding 12 months.
- Patients who had oral or intravenous antifungal agents within 4 weeks, or used topical vaginal antifungal drugs within 1 week before the study.
- Known human immunodeficiency virus infection,
- Liver disease or abnormal liver function tests, lactation, pregnancy, and allergy to azole agents or zinc.
- Women with non-albicans Candida species will be excluded from the final data analysis.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- FEMPHARMA Kft.lead
Study Sites (1)
Dr. Secret Private Clinic
Debrecen, HB, 4032, Hungary
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Bence Kozma, MD PhD
Dr. Secret Private Clinic Debrecen Hungary
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 15, 2023
First Posted
June 8, 2023
Study Start
June 10, 2023
Primary Completion
December 31, 2024
Study Completion
January 7, 2025
Last Updated
June 13, 2023
Record last verified: 2023-06