Phase III, Randomized, Double Blind, Parallel Groups, Placebo Controlled Clinical Study to Evaluate the Efficacy and Safety of the Lactobacillus Vaccine Gynevac, in the Treatment of Bacterial Vaginosis
试验速览
- 阶段
- 3 期
- 发起方
- 入组人数
- 240
- 试验地点
- 8
- 主要终点
- Therapeutic response
研究概览
简要总结
To investigate the efficacy (therapeutic response) of Gynevac vaccination following a 5-shot treatment period in patients with bacterial vaginosis, based on the Nugent Score and the Amsel criteria
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Triple (Participant, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 55 Years(Adult)
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Adult premenopausal females, 18 years and older.
- •Mentally competent patients that can comply with the study protocol and are able to complete and keep or study related material (patient diaries, etc.).
- •Signed and dated written informed consent.
- •Clinical diagnosis of BV according to Amsel criteria
- •Gram stains Nugent Score ≥7 or Nugent Score 4-6 with the presence of clue cells
- •Patient does not need an anti-infective treatment which would be required for specific treatment of vaginosis or to prevent the development of acute vaginitis and which may affect treatment outcome of BV.
- •Negative pregnancy test at screening.
排除标准
- •Patients with other infectious causes of vulvovaginitis (e.g. Vaginal candidiasis, Trichomonas vaginalis).
- •Patients with another vaginal or vulvar condition, which would confound the interpretation of clinical and or therapeutic response.
- •Patients who received antifungal or antimicrobial therapy (systemic or intravaginal), as part of standard clinical practice, or clinical trial, within 14 days of randomization.
- •Patients who are diagnosed with a chronic inflammatory disease (Rheumatoid Arthritis, psoriasis, Crohn's disease, Coeliac disease, spondyloarthritis rheumatica etc.)
- •Women who are scheduled to be under treatment during the study period for cervical intraepithelial neoplasia (CIN) or cervical carcinoma.
- •Pregnancy or lactation.
- •Patients with known hypersensitivity to formaldehyde.
- •Patients undergoing antibiotic treatment.
- •Patients with acute polyarthritis, known serious cardiac, liver, kidney diseases or unstable diabetes mellitus.
- •Known abnormalities of the blood circulation or of the haemopoietic system.
- •Use of any investigational drug within 30 days from randomization.
- •Patients who do not abstain from use of intravaginal products for at least 7 days prior to study randomization (e.g. douches, female deodorant sprays, spermicides, condoms, tampons, and diaphragms). Patients should also refrain from using intravaginal products 3 days prior to each study visit.
- •Patients who do not abstain from vaginal intercourse during at least 3 days prior to each study visit.
研究组 & 干预措施
Placebo
Placebo vehicle (0.9% NaCl solution)
干预措施: Placebo (Biological)
Gynevac
Gynevac suspension for injection, a vaccine containing Lactobacillus strains 15, 34, 79, 84, 127 inactivated by formaldehyde in 0.9% NaCl solution
干预措施: Gynevac (Biological)
结局指标
主要结局
Therapeutic response
时间窗: 3 weeks from the time of last vaccine administration (+3 days maximum)
The percentage of patients with remission according to Amsel's criteria at week 7: resolution of the clinical findings assessed at baseline, and remission according to Gram stain Nugent score: score \< 4 or 4 to 6 with no presence of clue cells at week 7.
次要结局
- Clearance of BV infection according to Nugent Score(3 weeks from the time of last vaccine administration (+3 days maximum))
- Clearance of BV infection according to Amsel criteria(3 weeks from the time of last vaccine administration (+3 days maximum))
- Overall therapeutic failure(3 weeks from the time of last vaccine administration (+3 days maximum))
- Change in pre- and post-vaccination IgA, IL17, and IFNγ(3 weeks from the time of last vaccine administration (+3 days maximum))
- Change in Nugent Score(3 weeks from the time of last vaccine administration (+3 days maximum))
