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Bacterial VaginosisPhase 1NCT00537576

Safety Study of Lactobacillus Administered Vaginally to Healthy Women

A Phase 1 study testing Low dose LACTIN-V applicator, Medium dose LACTIN-V applicator and High dose LACTIN-V applicator in people with Bacterial Vaginosis, run by Osel, Inc. at 1 site in United States.

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

The purpose of this study is to compare the safety, tolerability, and acceptability of LACTIN-V (Active Ingredient: Lactobacillus crispatus CTV-05) with a matching placebo at three doses using pre-filled vaginal applicators in healthy pre-menopausal women. Read more about this study

Who is it for?
Ages 18 to 40 years, women onlyHealthy volunteers can take part
Conditions the study is for
Bacterial Vaginosis
What is being tested?
Low dose LACTIN-V applicator, Medium dose LACTIN-V applicator and High dose LACTIN-V applicator
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
12 participants
Where
1 siteUnited States
Study dates
Nov 2007to Apr 2008
Phase
Phase 1
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 40 years
  • Women only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Healthy pre-menopausal women 18- 40 years of age at date of screening.
  • Regular menstrual cycles (21-35 days) or amenorrheic for at least 3 months (long acting progestin contraceptives).
  • Normal Pap smear collected at the screening visit.
  • Previous sexual experience including vaginal intercourse.
  • Previous experience of gynecological examinations.
  • Currently in a mutually monogamous sexual relationship or not sexually active.
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  • Agree to be sexually abstinent thoughout the trial.
  • Agree to abstain from the use of any other intravaginal product thoughout the trial
  • Agree to use an adequate method of birth control for the duration of the study to avoid pregnancy.

Who cannot join

  • Urogenital infection at screening or within the 21 days prior to screening (UTI, bacterial vaginosis, Trichomonas vaginalis, Neisseria gonorrhoeae, Chlamydia trachomatis, Treponema pallidum or Herpes simplex).
  • History of recurrent genital herpes.
  • Diagnosis of N. gonorrhoeae, C. trachomatis, T. pallidum or T. vaginalis on two or more occasions during the six months prior to screening.
  • Pregnancy or within 2 months of last pregnancy.
  • Lactation.
  • Antibiotic or antifungal therapy within 30 days of enrollment visit.
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  • Concurrent investigational drug use within 30 days or 10 half-lives of the drug, of enrollment visit or during the study.
  • Menopause.
  • IUD insertion or removal, pelvic surgery, cervical cryotherapy or cervical laser within the last 3 months.
  • Use of a NuvaRing® within 3 days of the screening visit or during the course of the study.
  • New (less than 3 months)long-acting treatments (e.g. depot formulation including medroxyprogesterone acetate (DMPA) form of hormonal birth control). - - Diabetes or other significant disease or acute illness.
  • Known HIV infection or positive HIV test at screening.
  • Immunosuppressive drug within 60 days.
  • Previous participation in a L. crispatus CTV-05 clinical study.
  • Colposcopic findings at the enrollment visit involving significant deep disruption of the epithelium.
  • Abnormal results for the pap smear at the screening visit.
  • Known allergy to any component of LACTIN-V, other significant drug allergy or to latex (condoms).
  • Known drug or alcohol abuse.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • San Francisco General Hospital

    San Francisco, California, 94110

Other trials in United States

About this study

Official title: A Phase I Study of the Safety of LACTIN-V Administered Vaginally to Healthy Women

The purpose of this study is to compare the safety, tolerability, and acceptability of LACTIN-V (Active Ingredient: Lactobacillus crispatus CTV-05) with a matching placebo at three doses using pre-filled vaginal applicators in healthy pre-menopausal women. The study hypothesis is that LACTIN-V will be safe, tolerable, and acceptable at each dose and will not differ significantly from the placebo controls.

Read the detailed description

The purpose of this study is to demonstrate that LACTIN-V is safe, well tolerated, and acceptable to healthy pre-menopausal women when administered vaginally using pre-filled applicators at doses of 150 mg (5.0 x 10^8 CFU), 300 mg (1.0 x 10^9 CFU), or 600 mg (2.0 x 10^9 CFU) daily for 5 consecutive days as compared to placebo applicators containing 150 mg, 300 mg, or 600 mg of a matching placebo formulation without Lactobacillus crispatus CTV-05.

Safety will be assessed by:

  • Incidence and severity of adverse events through assessing symptoms, physical examination findings, and signs of irritation involving the external genitalia, cervix or vagina, including disruption of the epithelium and blood vessels as seen on pelvic examination and colposcopy.
  • Laboratory parameters including urinalysis, a complete blood count (CBC) with differential, and chemistry panels to assess systemic effects of the study product.

Tolerability will be assessed by:

  • The proportion of participants who discontinue study product use due to overt adverse events
  • The proportion of participants who complete the full dosing schedule

Acceptability will be assessed by:

  • Self-administered questionnaires and focus group discussions about acceptability of the study product
Being tested
Low dose LACTIN-V applicator, Medium dose LACTIN-V applicator, High dose LACTIN-V applicator, Low dose Placebo applicator, Medium dose Placebo
Medical subject headings
Vaginosis, Bacterial

What participants receive

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

  • Low dose LACTIN-V applicatorBiological

    Also called Lactobacillus crispatus CTV-05

    Low dose LACTIN-V applicator (150 mg LACTIN-V, 5.0 x 10^8 CFU), administered vaginally once a day for 5 consecutive days

  • Medium dose LACTIN-V applicatorBiological

    Also called Lactobacillus crispatus CTV-05

    Medium dose LACTIN-V applicator (300 mg LACTIN-V, 1.0 x 10^9 CFU), administered vaginally once a day for 5 consecutive days

  • High dose LACTIN-V applicatorBiological

    Also called Lactobacillus crispatus CTV-05

    High dose LACTIN-V applicator (600 mg LACTIN-V, 2.0 x 10^9 CFU), administered vaginally once a day for 5 consecutive days

  • Low dose Placebo applicatorOther

    Also called Control substance

    Low dose Placebo applicator (150 mg Placebo), administered vaginally once a day for 5 consecutive days

  • Medium dose PlaceboOther

    Also called Control substance

    Medium dose Placebo applicator (300 mg Placebo), administered vaginally once a day for 5 consecutive days

  • High dose Placebo applicatorOther

    Also called Control substance

    High dose Placebo applicator (600 mg Placebo), administered vaginally once a day for 5 consecutive days

Study groups in NCT00537576
Study groupRoleWhat they receive
Low dose LACTIN-V applicatorExperimentalLow dose LACTIN-V applicator (150 mg LACTIN-V, 5.0 x 10^8 CFU), administered vaginally once a day for 5 consecutive days
Receives: Biological: Low dose LACTIN-V applicator
Medium dose LACTIN-V applicatorExperimentalMedium dose LACTIN-V applicator (300 mg LACTIN-V, 1.0 x 10^9 CFU), administered vaginally once a day for 5 consecutive days
Receives: Biological: Medium dose LACTIN-V applicator
High dose LACTIN-V applicatorExperimentalHigh dose LACTIN-V applicator (600 mg LACTIN-V, 2.0 x 10^9 CFU), administered vaginally once a day for 5 consecutive days
Receives: Biological: High dose LACTIN-V applicator
Low dose Placebo applicatorPlacebo comparatorLow dose Placebo applicator (150 mg Placebo), administered vaginally once a day for 5 consecutive days
Receives: Other: Low dose Placebo applicator
Medium dose Placebo applicatorPlacebo comparatorMedium dose Placebo applicator (300 mg Placebo), administered vaginally once a day for 5 consecutive days
Receives: Other: Medium dose Placebo
High dose Placebo applicatorPlacebo comparatorHigh dose Placebo applicator (600 mg Placebo), administered vaginally once a day for 5 consecutive days
Receives: Other: High dose Placebo applicator

What is being measured

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

  1. Safety of LACTIN-V in Healthy Pre-menopausal Women.

    Safety was measured by comparing the number of women experiencing adverse events of grade 3 or higher during the study.

    Measured: 35 days

Secondary outcomes (2)
  1. Tolerability of LACTIN-V in a Pre-filled Applicator.

    Tolerability was measured as proportion of women remaining in the study, and NOT prematurely exiting the trial due to an adverse event.

    Measured: 35 days

  2. Acceptability of LACTIN-V in Pre-filled Applicators

    Acceptability and overall satisfaction with the study product was measured using the response to the following question: "I would use the product again" with the following response options (strongly agree, agree, neutral, disagree, strongly disagree)

    Acceptability is reported as the number of women in each group who strongly agreed or agreed with the statement that they would use the product again.

    Measured: 35 days

Timeline

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

  1. First posted1 Oct 2007 (estimated)
  2. Study startNov 2007
  3. Primary completionMar 2008
  4. Study completionApr 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 1
Primary purpose
Other
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
12 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00537576
Sponsor's protocol ID
LV-005
Status last verified
Apr 2014
First submitted
27 Sep 2007
Last updated
16 Sep 2020
Data monitoring committee
No

Publications

  • Giorgi A, Torriani S, Dellaglio F, Bo G, Stola E, Bernuzzi L. Identification of vaginal lactobacilli from asymptomatic women. Microbiologica. 1987 Oct;10(4):377-84.

    PubMed 3695985
  • Antonio MA, Hawes SE, Hillier SL. The identification of vaginal Lactobacillus species and the demographic and microbiologic characteristics of women colonized by these species. J Infect Dis. 1999 Dec;180(6):1950-6. doi: 10.1086/315109.

    PubMed 10558952
  • Antonio MA, Hillier SL. DNA fingerprinting of Lactobacillus crispatus strain CTV-05 by repetitive element sequence-based PCR analysis in a pilot study of vaginal colonization. J Clin Microbiol. 2003 May;41(5):1881-7. doi: 10.1128/JCM.41.5.1881-1887.2003.

    PubMed 12734221
  • Sobel JD. Vaginitis in adult women. Obstet Gynecol Clin North Am. 1990 Dec;17(4):851-79.

    PubMed 2092246
  • Thomason JL, Gelbart SM, Scaglione NJ. Bacterial vaginosis: current review with indications for asymptomatic therapy. Am J Obstet Gynecol. 1991 Oct;165(4 Pt 2):1210-7. doi: 10.1016/s0002-9378(12)90729-2.

    PubMed 1951577
  • Pastore LM, Thorp JM Jr, Royce RA, Savitz DA, Jackson TP. Risk score for antenatal bacterial vaginosis: BV PIN points. J Perinatol. 2002 Mar;22(2):125-32. doi: 10.1038/sj.jp.7210654.

    PubMed 11896517
  • Gibney L, Macaluso M, Kirk K, Hassan MS, Schwebke J, Vermund SH, Choudhury P. Prevalence of infectious diseases in Bangladeshi women living adjacent to a truck stand: HIV/STD/hepatitis/genital tract infections. Sex Transm Infect. 2001 Oct;77(5):344-50. doi: 10.1136/sti.77.5.344.

    PubMed 11588280
  • Kamara P, Hylton-Kong T, Brathwaite A, Del Rosario GR, Kristensen S, Patrick N, Weiss H, Figueroa PJ, Vermund SH, Jolly PE. Vaginal infections in pregnant women in Jamaica: prevalence and risk factors. Int J STD AIDS. 2000 Aug;11(8):516-20. doi: 10.1258/0956462001916425.

    PubMed 10990336
  • Goldenberg RL, Klebanoff MA, Nugent R, Krohn MA, Hillier S, Andrews WW. Bacterial colonization of the vagina during pregnancy in four ethnic groups. Vaginal Infections and Prematurity Study Group. Am J Obstet Gynecol. 1996 May;174(5):1618-21. doi: 10.1016/s0002-9378(96)70617-8.

    PubMed 9065140
  • Sewankambo N, Gray RH, Wawer MJ, Paxton L, McNaim D, Wabwire-Mangen F, Serwadda D, Li C, Kiwanuka N, Hillier SL, Rabe L, Gaydos CA, Quinn TC, Konde-Lule J. HIV-1 infection associated with abnormal vaginal flora morphology and bacterial vaginosis. Lancet. 1997 Aug 23;350(9077):546-50. doi: 10.1016/s0140-6736(97)01063-5.

    PubMed 9284776
  • Jurney TH, de Ruyter H, Vigersky RA. Cushing's disease presenting as amenorrhoea with hyperprolactinaemia: report of two cases. Clin Endocrinol (Oxf). 1981 Jun;14(6):539-45. doi: 10.1111/j.1365-2265.1981.tb02963.x.

    PubMed 7197596
  • Hay PE, Lamont RF, Taylor-Robinson D, Morgan DJ, Ison C, Pearson J. Abnormal bacterial colonisation of the genital tract and subsequent preterm delivery and late miscarriage. BMJ. 1994 Jan 29;308(6924):295-8. doi: 10.1136/bmj.308.6924.295.

    PubMed 8124116
  • Eschenbach DA. Bacterial vaginosis and anaerobes in obstetric-gynecologic infection. Clin Infect Dis. 1993 Jun;16 Suppl 4:S282-7. doi: 10.1093/clinids/16.supplement_4.s282.

    PubMed 8324132
  • Hawes SE, Hillier SL, Benedetti J, Stevens CE, Koutsky LA, Wolner-Hanssen P, Holmes KK. Hydrogen peroxide-producing lactobacilli and acquisition of vaginal infections. J Infect Dis. 1996 Nov;174(5):1058-63. doi: 10.1093/infdis/174.5.1058.

    PubMed 8896509
  • Puapermpoonsiri S, Kato N, Watanabe K, Ueno K, Chongsomchai C, Lumbiganon P. Vaginal microflora associated with bacterial vaginosis in Japanese and Thai pregnant women. Clin Infect Dis. 1996 Oct;23(4):748-52. doi: 10.1093/clinids/23.4.748.

    PubMed 8909838

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Low dose LACTIN-V applicator, Medium dose LACTIN-V applicator and High dose LACTIN-V applicator in people with Bacterial Vaginosis, run by Osel, Inc. at 1 site in United States.

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 9 inclusion and 18 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 16 Sep 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. 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. Some participants in this study may receive a placebo. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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

Are results available for this study?

Yes. Results are posted in the registry (first posted 16 Sep 2020). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Safety of LACTIN-V in Healthy Pre-menopausal Women. (time frame: 35 days). 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 NCT00537576, which also lists 42 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 16 Sep 2020.

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