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Vulvar DiseasesPhase 3NCT00496184

Efficacy Study of Topical Application of Nifedipine Cream to Treat Vulvar Vestibulitis

A Phase 3 study testing Nifedipine cream topical application in people with Vulvar Diseases and Vulvar Pain, run by Western Galilee Hospital-Nahariya at 2 sites in Israel.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

To evaluate the use of topical application of Nifedipine cream for the treatment of Provoked localized Vulvodynia (vestibulitis, vestibulodynia). Read more about this study

Who is it for?
Ages 18 to 45 years, women only
Conditions the study is for
Vulvar Diseases, Vulvar Pain, Vestibulitis
What is being tested?
Nifedipine cream topical application
How many people
30 participants
Where
2 sitesIsrael
Study dates
Apr 2006to May 2008
Phase
Phase 3
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 45 years
  • Women only
  • No healthy volunteers
  • Adult

Who may be able to join

  • Women diagnosed with vestibulitis according to Friedrich's criteria:
  • Severe pain with vestibular touch or attempted vaginal entry.
  • A positive Q-tip test: pain produced by touching the vestibule with a cotton tipped applicator.
  • Physical findings limited to varying degree of vestibular erythema.
  • Non-pregnant women aged 18-45.
  • Women use effective contraception and are not interested in becoming pregnant during the study period.
  • No known Nifedipine allergy.
  • No medical diseases.

Who cannot join

  • Women who have undergone vestibulectomy.
  • Active vaginal or pelvic infection.
  • A medical disease uch as Diabetes, immune suppression.

Trial locations and contacts

2 sites in 1 country.

Israel2 sites
  • Colposcopy Clinic, Obstetrics and Gynecology Department, Western galilee Hospital

    Nahariya

  • Department of Obstetrics and Gynecology

    Nahariya

Other trials in Israel

About this study

Official title: Topical Application of Nifedipine Cream for the Treatment of Vulvar Vestibulitis Syndrome

To evaluate the use of topical application of Nifedipine cream for the treatment of Provoked localized Vulvodynia (vestibulitis, vestibulodynia).

Read the detailed description

30 women aged 18-45 diagnosed with Provoked localized Vulvodynia will be included. 10 women will use topical Nifedipine cream 0.2% 4 times a day for 6 weeks (except for menstrual period). 10 other women will use topical Nifedipine cream 0.4% 4 times a day for 6 weeks (except for menstrual period).

10 women will be a control group and will use a placebo cream. The study will be randomized and double blind. Participants will be examined before starting the treatment, at the end of the treatment and 3 months after completion the treatment. A special detailed questionnaire has been prepared in three languages and will be used to compare dyspareunia and associate variables between the groups.

The Q-tip tests will be performed and findings will be drawn in each examination. Differences between the groups will be examined, and uni- and multi-variate analysis will be performed.

Being tested
Nifedipine cream topical application
Keywords
Nifedipine treatment, Vestibulitis, Placebo
Medical subject headings
Vulvar Diseases, Vulvodynia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Nifedipine cream topical applicationDrug

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Complete resolution of vestibulitis.

    Measured: Participants will be examined before starting the treatment, at the end of the treatment and 3 months after completion the treatment, using the questionnaire and the Q-tip applicator for detection of vestibular sensitivity.

Secondary outcomes (1)
  1. Safety of the Nifedipine treatment.

    Measured: Participants will be examined before starting the treatment, at the end of the treatment and 3 months after completion the treatment, using the questionnaire.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted4 Jul 2007 (estimated)
  2. Study startApr 2006
  3. Primary completionOct 2007
  4. Study completionMay 2008

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Enrolment
30 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00496184
Sponsor's protocol ID
20050989
Status last verified
May 2008
First submitted
2 Jul 2007
Last updated
8 May 2008
Results posted
No
Data monitoring committee
No

Publications

  • Walsh KE, Berman JR, Berman LA, Vierregger K. Safety and efficacy of topical nitroglycerin for treatment of vulvar pain in women with vulvodynia: a pilot study. J Gend Specif Med. 2002 Jul-Aug;5(4):21-7.

    PubMed 12192883
  • Nelson R. Non surgical therapy for anal fissure. Cochrane Database Syst Rev. 2003;(4):CD003431. doi: 10.1002/14651858.CD003431.

    PubMed 14583976
  • Bornstein J, Zarfati D, Goldik Z, Abramovici H. Vulvar vestibulitis: physical or psychosexual problem? Obstet Gynecol. 1999 May;93(5 Pt 2):876-80. doi: 10.1016/s0029-7844(98)00535-3.

    PubMed 10912437

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Nifedipine cream topical application in people with Vulvar Diseases and Vulvar Pain, run by Western Galilee Hospital-Nahariya at 2 sites in Israel.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 8 May 2008. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Israel. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Complete resolution of vestibulitis. (time frame: Participants will be examined before starting the treatment, at the end of the treatment and 3 months after completion the treatment, using the questionnaire and the Q-tip applicator for detection of vestibular sensitivity.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00496184, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 May 2008.

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