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HealthyPhase 1NCT02713893

Tolerability and Pharmacokinetic Study of Econazole Nitrate and Benzydamine HCl Intravaginal Cream

A Phase 1 study testing Econazole nitrate 1% plus Benzydamine HCl 0.12% intravaginal cream in people with Healthy, run by Aziende Chimiche Riunite Angelini Francesco S.p.A at 1 site in Switzerland.

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 primary objective of the study is to evaluate local tolerability of the new Econazole/Benzydamine product, in comparison with the Econazole and Benzydamine stand-alone products and placebo. Read more about this study

Who is it for?
Ages 18 to 55 years, women onlyHealthy volunteers can take part
Conditions the study is for
Healthy
What is being tested?
Econazole nitrate 1% plus Benzydamine HCl 0.12% intravaginal cream
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
48 participants
Where
1 siteSwitzerland
Study dates
Sep 2015to 15 Jun 2016
Phase
Phase 1
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 55 years
  • Women only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Informed consent: signed written informed consent before inclusion in the study;
  • Sex and age: females, aged 18-55 years old inclusive;
  • Body Mass Index (BMI): 18.5-30 kg/m2 inclusive;
  • Vital signs: systolic blood pressure 100-139 mmHg, diastolic blood pressure 50-89 mmHg, heart rate 50-90 bpm, measured after 5 min at rest (sitting position);
  • Full comprehension: ability to comprehend the full nature and purpose of the study, including possible risks and side effects; ability to co-operate with the investigator and to comply with the requirements of the entire study;
  • Sexual abstinence: agreement to sexual abstinence during the study;
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  • Contraception and fertility: women of child-bearing potential, even if sexual abstinent during the study as required by the study inclusion criteria, must be using at least one reliable method of contraception, as follows:
  • hormonal oral, implantable, transdermal, or injectable contraceptives for at least 2 months before the screening visit;
  • a non-hormonal intrauterine device [IUD] for at least 2 months before the screening visit;
  • a male sexual partner who agrees to use a male condom;
  • a vasectomised sexual partner. Female participants of non-child-bearing potential will be admitted. For all female subjects, pregnancy test result must be negative at screening and at each scheduled evaluation;
  • PAP test: negative result at PAP test (i.e. normal PAP test result without atypical cells) at screening.

Who cannot join

  • ECG (12-leads, supine position): clinically significant abnormalities;
  • Physical findings: clinically significant abnormal physical findings which could interfere with the objectives of the study as judged by the investigator;
  • Laboratory analyses: clinically significant abnormal laboratory values indicative of physical illness;
  • Allergy: ascertained or presumptive hypersensitivity (including allergies) to the active ingredients (econazole and/ or benzydamine) and/or formulations' excipients or related drugs, e.g. other azoles; history of anaphylaxis to drugs or allergic reactions in general, which the investigator considers may affect the outcome of the study;
  • Diseases: relevant history of renal, hepatic, gastrointestinal, genitourinary, cardiovascular, respiratory, skin, haematological, endocrine or neurological diseases that may interfere with the aim of the study or affect the subject's safety;
  • Genitourinary disease: presence of any specific genitourinary symptoms detected at Visit 2 with the relevant questionnaire (genitourinary symptoms questionnaire);
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  • Infection history: history of bacterial urinary tract or bacterial and fungal vaginal infections for 3 weeks before the screening visit;
  • Infections: bacterial or fungal infections (microbiology assessment);
  • Gynaecological findings: clinically significant abnormal findings at the gynaecological visit performed by the study gynaecologist;
  • Mucosa conditions: altered mucosa conditions affecting the site of application (e.g. open lesion or other);
  • Vaginal conditions: use of vaginal detergents, soaps and washes that, in the investigator's opinion, may have an influence on vaginal pH and/or change the vaginal flora;
  • Medications: any medication (topical or systemic), including over the counter, herbal medication, topical drugs on the application area and anticoagulants, such as warfarin and acenocoumarol, for 2 weeks before the start of the study. Hormonal contraceptives and hormonal replacement therapies are allowed. Paracetamol will be allowed as a counter-measure for adverse events, on a case by case basis, if deemed appropriate by the investigator;
  • Investigative drug studies: participation in the evaluation of any drug for 3 months before this study, calculated from the first day of the month following the last visit of a previous study and the first day of the present study (date of the informed consent signature);
  • Blood donation: blood donations for 3 months before this study;
  • Drug, alcohol, caffeine, tobacco: history of drug, alcohol (> 1 drink/day, defined according to USDA Dietary Guidelines 2010), tobacco (≥ 10 cigarettes/day) or caffeine (> 5 cups coffee/tea/day) abuse;
  • Diet: Abnormal diets (< 1600 or > 3500 kcal/day) or substantial changes in eating habits in the 4 weeks before this study; vegetarians
  • Pregnancy: positive or missing pregnancy test at screening or day 1, pregnant or lactating women or females of child-bearing potential not following adequate contraceptive procedures;
  • Non-compliance: subjects suspected to have a high potential for non-compliance to the study procedures according to the investigator's judgement, including non-compliance to sexual abstinence during the study;
  • Drug test (cocaine, amphetamine, methamphetamine, cannabinoids, opiates and ecstasy): positive result at the drug test at screening
  • Alcohol test: positive alcohol breath test at day 1

Trial locations and contacts

1 site in 1 country.

Switzerland1 site
  • CROSS Research S.A., Phase I Unit

    Arzo, CH-6864

Other trials in Switzerland

About this study

Official title: A Phase I Study of a Novel Intravaginal Antimycotic Cream (Econazole Nitrate 1% Plus Benzydamine HCl 0.12%) Administered Once Daily for 15 Days to Healthy Women

The primary objective of the study is to evaluate local tolerability of the new Econazole/Benzydamine product, in comparison with the Econazole and Benzydamine stand-alone products and placebo. Pharmacokinetics of the study products after single and repeated applications once a day for 15 days, safety of the investigational products and comfort of use will also be evaluated as secondary objectives.

Conditions
Healthy
Being tested
Econazole nitrate 1% plus Benzydamine HCl 0.12% intravaginal cream, Placebo plus Econazole nitrate 1% intravaginal cream, Placebo plus Benzydamine HCl 0.12% intravaginal cream, Placebo intravaginal cream
Keywords
Pharmacokinetics, Econazole nitrate 1%, Benzydamine HCl 0.12%, Intravaginal cream, Antimycotic, Tolerability

What participants receive

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

  • Econazole nitrate 1% plus Benzydamine HCl 0.12% intravaginal creamDrug

  • Placebo plus Econazole nitrate 1% intravaginal creamDrug

  • Placebo plus Benzydamine HCl 0.12% intravaginal creamDrug

  • Placebo intravaginal creamDrug

Study groups in NCT02713893
Study groupRoleWhat they receive
Econazole nitrate 1% plus Benzydamine HCl 0.12%Experimental5 grams of Econazole nitrate 1% plus Benzydamine HCl 0.12% intravaginal cream, once daily for 15 consecutive days
Receives: Drug: Econazole nitrate 1% plus Benzydamine HCl 0.12% intravaginal cream
Placebo plus Econazole nitrate 1%Active comparator5 grams of Placebo plus Econazole nitrate 1% intravaginal cream, once daily for 15 consecutive days
Receives: Drug: Placebo plus Econazole nitrate 1% intravaginal cream
Placebo plus Benzydamine HCl 0.12%Active comparator5 grams of Placebo plus Benzydamine HCl 0.12% intravaginal cream, once daily for 15 consecutive days.
Receives: Drug: Placebo plus Benzydamine HCl 0.12% intravaginal cream
PlaceboPlacebo comparator5 grams of Placebo intravaginal cream, once daily for 15 consecutive days.
Receives: Drug: Placebo intravaginal cream

What is being measured

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

  1. Local Adverse Events (AEs)

    Occurrence of local Adverse Events (AEs) reported in the subject's diary as 1-3 scores for pruritus, burning sensation, pain, stinging, dryness; occurrence of all the other local AEs referred by the subject; occurrence of all the local Adverse Drug Reactions (ADRs) revealed by the Investigator

    Measured: Up to 7 days after administration

Secondary outcomes (10)
  1. Econazole (free base), benzydamine (free base) and benzydamine N-oxide (free base) plasma concentrations

    Measured: At pre-dose (0), 1, 2, 3, 4, 6, 8, 12, 24 hours after the first (days 1-2) and the last dose (days 15-16) and at pre-dose (0) on day 6±1, day 9±1 and day 12±1

  2. Area under the plasma concentration versus time curve [AUC(0-t)] of econazole (free base), benzydamine (free base) and benzydamine N-oxide (free base)

    Measured: At pre-dose (0), 1, 2, 3, 4, 6, 8, 12, 24 hours after the first (days 1-2) and the last dose (days 15-16) and at pre-dose (0) on day 6±1, day 9±1 and day 12±1

  3. Treatment Emergent Adverse Events (TEAEs)

    Measured: 15-16 days

  4. Change from screening in vital signs

    Measured: From screening (from day -21 to day -7) at days 1 and 15 at pre-dose (0), 12 and 24 hours post-dose

  5. Change from screening in 12-leads ECG

    Measured: From screening (from day -21 to day -7) at final visit (from day 17 to day 20)

  6. Change from screening in laboratory parameters

    Measured: From screening (from day -21 to day -7) and at final visit (from day 17 to day 20)

  7. Change from screening in vaginal pH measurement

    Measured: From screening (from day -21 to day -7), before the application on days 1, 2, 15, on days 6±1, 9±1, 12±1 at final visit (from day 17 to day 20)

  8. Change from screening in gynaecological examination findings

    Measured: From screening (from day -21 to day -7) at final visit (from day 17 to day 20)

  9. Overall tolerability assessment scale

    Measured: At final visit (from day 17 to day 20)

  10. Questionnaire for the comfort of use

    Measured: At final visit (from day 17 to day 20)

Timeline

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

  1. First posted21 Mar 2016 (estimated)
  2. Study startSep 2015
  3. Primary completionJun 2016
  4. Study completion15 Jun 2016

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
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
48 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02713893
Sponsor's protocol ID
030(4A)HO14387
Other IDs
CRO-PK-14-289
Status last verified
Aug 2016
First submitted
7 Aug 2015
Last updated
17 Jan 2018
Results posted
No
Data monitoring committee
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Econazole nitrate 1% plus Benzydamine HCl 0.12% intravaginal cream in people with Healthy, run by Aziende Chimiche Riunite Angelini Francesco S.p.A at 1 site in Switzerland.

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 12 inclusion and 20 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 17 Jan 2018. 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 Switzerland. 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?

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?

Local Adverse Events (AEs) (time frame: Up to 7 days after administration). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 17 Jan 2018.

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