AzTrials
AzTrials

Vaginosis, BacterialMAT072017NCT04171947

Vaginal Ovule With Flavonoid Tea Extract for the Correction of Imbalance in the Vaginal Environment

A study testing Matuzalem ovule in people with Vaginosis, Bacterial and Vaginal Flora Imbalance, run by Value Outcomes Ltd. at 14 sites in Czechia.

Completed

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

Official record
Search all trials

Trial summary

Randomized, blinded vehicle-controlled multicenter clinical trial (MAT072017) to determine the effect of vaginal ovules containing 2 mg of the tea extract Matuzalem on the subjective symptoms (5-point scale pruritus (itching), dolor (pain), rubor (redness), fluor (discharge), and fetor (odor)), and objective symptoms… Read more about this study

Who is it for?
Ages 18 to 55 years, women only
Conditions the study is for
Vaginosis, Bacterial, Vaginal Flora Imbalance
What is being tested?
Matuzalem ovule
Type of treatment
Medical device
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
274 participants
Where
14 sitesCzechia
Study dates
4 Dec 2017to 9 May 2018
Phase
Interventional
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
  • No healthy volunteers
  • Adult

Who may be able to join

  • premenopausal participants
  • disturbed vaginal environment
  • not in need of antibiotic or antimycotic treatment
  • participants were citizens of the Czech Republic
  • age between 18 and 55 years
  • either a vaginal pH > 4.5 or/and vaginal discomfort
  • able to follow the prescribed regimen
  • informed consents prior to any intervention, including diagnostic procedures.

Who cannot join

  • no vaginal bleeding of unknown aetiology
  • hypersensitivity
  • pregnancy
  • lactation
  • period during enrollment
  • antibiotics in the previous 30 days
Show all 12Show fewer
  • treated with any products with similar indication
  • acute urogenital infection
  • diabetes mellitus
  • advanced oncologic disease
  • participant to other trial
  • Nugent score above 6

Trial locations and contacts

14 sites in 1 country.

14 sites in 1 country

Czechia14 sites
  • Centrum ambulantní gynekologie a primární péče, s.r.o.

    Brno, Czech Republic, 60200

  • MUDr. Milan Kučera. s.r.o.

    Kladno, Czech Republic, 27201

  • MUDr. Eva Novotná - FEMCARE s.r.o.

    Odolena Voda, Czech Republic, 25070

  • OB/GYN Associates, s.r.o.

    Prague, Czech Republic, 11000

  • MediStar s.r.o.

    Prague, Czech Republic, 12000

  • MUDr. Michal Jelšík

    Prague, Czech Republic, 12800

  • Gyn Por Ivf MUDr. Samer Asad s.r.o.

    Prague, Czech Republic, 147000

  • Mediva s.r.o.

    Prague, Czech Republic, 15500

  • GYNEKOLOGIE Studentský dům s.r.o.

    Prague, Czech Republic, 16000

  • LEVRET s.r.o.

    Prague, Czech Republic, 16000

  • T.B. Gyn s.r.o.

    Prague, Czech Republic, 16100

  • Gynelav s.r.o.

    Prague, Czech Republic, 16500

  • GYNEDAN s.r.o.

    Prague, Czech Republic

  • MUDr.Tereza Šmrhová-Kovács

    Tábor, Czech Republic, 39003

Other trials in Czechia

About this study

Official title: Medical Device Matuzalem Flavonoid Tea Extract Vaginal Ovule for the Correction of the Imbalance in the Vaginal Environment- Prospective, Multicentric, Two-arm, Randomized, Vehicle-controlled, Blinded, Comparative Clinical Trial

Randomized, blinded vehicle-controlled multicenter clinical trial (MAT072017) to determine the effect of vaginal ovules containing 2 mg of the tea extract Matuzalem on the subjective symptoms (5-point scale pruritus (itching), dolor (pain), rubor (redness), fluor (discharge), and fetor (odor)), and objective symptoms (pH, Nugent score) of bacterial vaginosis. An ovule containing only the vehicle (polyethylene glycol 3000 S) was used as a control. The study was blinded from the perspective of the subject, investigator, laboratory personnel and data analyst.

Read the detailed description

The objective was to determine whether vaginal ovule with tea extract once-daily for 5-7 days improves symptoms of intermediate vaginal flora and prevents the development of bacterial vaginosis.

Composite primary endpoint designed as a drop in the Nugent score, vaginal pH, or improvement of subjective symptoms was compared between the active and vehicle (polyethylene-glycol) arm after 7 days of application and following 7 days after the application.

Secondary outcome measures were (1) Correction of the vaginal environment (as previously defined) 7 days after the completion of the prescribed 7-day regimen (day 14); (2) change in each parameter separately; (3) change in individual subjective symptoms, (4) exploratory analysis of the microbial environment at each subject visit.

The study was approved and supervised by the National authority and Ethics committee and prospectively registered in the Czech national medical device trial registry RZPRO and the European medical device trial registry EUDAMED.

Being tested
Matuzalem ovule, Vehicle ovule
Keywords
Tea, Polyphenols, Nugent score, Antioxidants, Vaginal pH, complementary medicine
Medical subject headings
Vaginosis, Bacterial

What participants receive

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

  • Matuzalem ovuleDevice

    vaginal ovule with 2 mg tea extract

  • Vehicle ovuleDevice

    polyethylene glycol vaginal ovule

Study groups in NCT04171947
Study groupRoleWhat they receive
MatuzalemExperimentalTea extract vaginal ovule daily for 7 consecutive days
Receives: Device: Matuzalem ovule
VehicleSham comparatorPolyethylene glycol vaginal ovule daily for 7 consecutive days
Receives: Device: Vehicle ovule

What is being measured

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

  1. Composite endpoint (vaginal pH, Nugent score, subjective symptoms via questionnaire) after treatment completion

    Correction of the vaginal environment after 7 days of once-daily application of the ovule was defined as: a drop-in Nugent score to < 4 and/or a drop in vaginal pH to < 4.5, or a subjective improvement in at least 2 symptoms by at least 2 points on a 5-point scale in patients whose baseline pH was < 4.5 and NS < 4. Subjective symptoms: Pruritus, dolor, rubor, fluor and fetor reported by the patient on 5-point scale (0=no problem to 4=severe problem)

    Measured: following 7 days of the ovule daily application

Secondary outcomes (39)
  1. Composite endpoint (vaginal pH, Nugent score, subjective symptoms via questionnaire) after 7 days since treatment completion

    Correction of the vaginal environment after 7 days after treatment completion defined as: a drop-in NS to < 4 and/or a drop in vaginal pH to < 4.5, or a subjective improvement in at least 2 symptoms by at least 2 points on a 5-point scale in patients whose baseline pH was < 4.5 and NS < 4. Subjective symptoms: Pruritus, dolor, rubor, fluor and fetor reported by the patient on 5-point scale (0=no problem to 4=severe problem)

    Measured: 7 days after the completion of the 7-day treatment

  2. Change in the pH alone after treatment completion

    Correction of the pH measured via pH strips

    Measured: following 7 days of the ovule daily application

  3. Change in the Nugent score alone after treatment completion

    Nugent score determined under 1000x magnification

    Measured: following 7 days of the ovule daily application

  4. Change in the subjective symptoms (questionnaire) after treatment completion

    Pruritus, dolor, rubor, fluor and fetor reported by the patient on 5-point scale (0=no problem to 4=severe problem)

    Measured: following 7 days of the ovule daily application

  5. Change in the pH alone after 7 days since treatment completion

    Correction of the pH measured via pH strips

    Measured: 7 days after the completion of the 7-day treatment

  6. Change in the Nugent score alone 7 days after treatment completion

    Nugent score determined under 1000x magnification

    Measured: 7 days after the completion of the 7-day treatment

  7. Change in the subjective symptoms (questionnaire) 7 days after treatment completion

    Pruritus, dolor, rubor, fluor and fetor reported by the patient on 5-point scale (0=no problem to 4=severe problem)

    Measured: 7 days after the completion of the 7-day treatment

  8. Exploratory analysis of the microbial environment after treatment completion: squamous epithelial cells

    Quantification of: squamous epithelial cells under 1000x magnification

    Measured: following 7 days of the ovule daily application

  9. Exploratory analysis of the microbial environment after 7 days after treatment completion: squamous epithelial cells

    Quantification of: squamous epithelial cells under 1000x magnification

    Measured: 7 days after the completion of the 7-day treatment

  10. Exploratory analysis of the microbial environment after treatment completion: clue cells

    Quantification of clue cells under 1000x magnification

    Measured: following 7 days of the ovule daily application

  11. Exploratory analysis of the microbial environment after 7 days after treatment completion: clue cells

    Quantification of clue cells under 1000x magnification

    Measured: 7 days after the completion of the 7-day treatment

  12. Exploratory analysis of the microbial environment after treatment completion: mixed flora

    Quantification of mixed flora under 1000x magnification

    Measured: following 7 days of the ovule daily application

  13. Exploratory analysis of the microbial environment after 7 days after treatment completion: mixed flora

    Quantification of mixed flora under 1000x magnification

    Measured: 7 days after the completion of the 7-day treatment

  14. Exploratory analysis of the microbial environment after treatment completion: yeast as pseudomycelia

    Quantification of yeast as pseudomycelia under 1000x magnification

    Measured: following 7 days of the ovule daily application

  15. Exploratory analysis of the microbial environment after 7 days after treatment completion: yeast as pseudomycelia

    Quantification of yeast as pseudomycelia under 1000x magnification

    Measured: 7 days after the completion of the 7-day treatment

  16. Exploratory analysis of the microbial environment after treatment completion: Gram negative diplococci

    Quantification of: Gram negative diplococci under 1000x magnification

    Measured: following 7 days of the ovule daily application

  17. Exploratory analysis of the microbial environment after 7 days after treatment completion: Gram negative diplococci

    Quantification of: Gram negative diplococci under 1000x magnification

    Measured: 7 days after the completion of the 7-day treatment

  18. Exploratory analysis of the microbial environment after treatment completion: fibrous Lactobacillus

    Quantification of: fibrous Lactobacillus under 1000x magnification

    Measured: following 7 days of the ovule daily application

  19. Exploratory analysis of the microbial environment after 7 days after treatment completion: fibrous Lactobacillus

    Quantification of: fibrous Lactobacillus under 1000x magnification

    Measured: 7 days after the completion of the 7-day treatment

  20. Exploratory analysis of the microbial environment after treatment completion: Gardnerella

    Quantification of: Gardnerella under 1000x magnification

    Measured: following 7 days of the ovule daily application

  21. Exploratory analysis of the microbial environment after 7 days after treatment completion: Gardnerella

    Quantification of: Gardnerella under 1000x magnification

    Measured: 7 days after the completion of the 7-day treatment

  22. Exploratory analysis of the microbial environment after treatment completion: spirochetes

    Quantification of: spirochetes under 1000x magnification

    Measured: following 7 days of the ovule daily application

  23. Exploratory analysis of the microbial environment after 7 days after treatment completion: spirochetes

    Quantification of: spirochetes under 1000x magnification

    Measured: 7 days after the completion of the 7-day treatment

  24. Exploratory analysis of the microbial environment after treatment completion: parabasal epithelial cells

    Quantification of: parabasal epithelial cells under 1000x magnification

    Measured: following 7 days of the ovule daily application

  25. Exploratory analysis of the microbial environment after 7 days after treatment completion: parabasal epithelial cells

    Quantification of: parabasal epithelial cells under 1000x magnification

    Measured: 7 days after the completion of the 7-day treatment

  26. Exploratory analysis of the microbial environment after treatment completion: leukocytes

    Quantification of: leukocytes under 1000x magnification

    Measured: following 7 days of the ovule daily application

  27. Exploratory analysis of the microbial environment after 7 days after treatment completion: leukocytes

    Quantification of: leukocytes under 1000x magnification

    Measured: 7 days after the completion of the 7-day treatment

  28. Exploratory analysis of the microbial environment after treatment completion: yeast as blastospores

    Quantification of: yeast as blastospores under 1000x magnification

    Measured: following 7 days of the ovule daily application

  29. Exploratory analysis of the microbial environment after 7 days after treatment completion: yeast as blastospores

    Quantification of: yeast as blastospores under 1000x magnification

    Measured: 7 days after the completion of the 7-day treatment

  30. Exploratory analysis of the microbial environment after treatment completion: Gram pos. cocci in chains

    Quantification of: Gram pos. cocci in chains under 1000x magnification

    Measured: following 7 days of the ovule daily application

  31. Exploratory analysis of the microbial environment after 7 days after treatment completion: Gram pos. cocci in chains

    Quantification of: Gram pos. cocci in chains under 1000x magnification

    Measured: 7 days after the completion of the 7-day treatment

  32. Exploratory analysis of the microbial environment after treatment completion: Lactobacillus

    Quantification of: Lactobacillus under 1000x magnification

    Measured: following 7 days of the ovule daily application

  33. Exploratory analysis of the microbial environment after 7 days after treatment completion: Lactobacillus

    Quantification of: Lactobacillus under 1000x magnification

    Measured: 7 days after the completion of the 7-day treatment

  34. Exploratory analysis of the microbial environment after treatment completion: Mobilincus

    Quantification of: Mobilincus under 1000x magnification

    Measured: following 7 days of the ovule daily application

  35. Exploratory analysis of the microbial environment after 7 days after treatment completion: Mobilincus

    Quantification of: Mobilincus under 1000x magnification

    Measured: 7 days after the completion of the 7-day treatment

  36. Exploratory analysis of the microbial environment after treatment completion: Leptotrichia

    Quantification of: Leptotrichia under 1000x magnification

    Measured: following 7 days of the ovule daily application

  37. Exploratory analysis of the microbial environment after 7 days after treatment completion: Leptotrichia

    Quantification of: Leptotrichia under 1000x magnification

    Measured: 7 days after the completion of the 7-day treatment

  38. Exploratory analysis of the microbial environment after treatment completion: Trichomonas vaginalis

    Quantification of: Trichomonas vaginalis under 1000 magnification

    Measured: following 7 days of the ovule daily application

  39. Exploratory analysis of the microbial environment after 7 days after treatment completion: Trichomonas vaginalis

    Quantification of: Trichomonas vaginalis under 1000 magnification

    Measured: 7 days after the completion of the 7-day treatment

Timeline

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

  1. First posted21 Nov 2019
  2. Study start4 Dec 2017
  3. Primary completion9 May 2018
  4. Study completion9 May 2018

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 N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
vehicle-controlled two-arm
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
274 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04171947
Sponsor's protocol ID
MAT072017
Acronym
MAT072017
Status last verified
Nov 2019
First submitted
13 Nov 2019
Last updated
21 Nov 2019
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Secondary analyses in progress

Questions about this trial

What is this clinical trial studying?

A study testing Matuzalem ovule in people with Vaginosis, Bacterial and Vaginal Flora Imbalance, run by Value Outcomes Ltd. at 14 sites in Czechia.

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 12 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 21 Nov 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 14 sites in Czechia. 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.

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?

Composite endpoint (vaginal pH, Nugent score, subjective symptoms via questionnaire) after treatment completion (time frame: following 7 days of the ovule daily application). 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 21 Nov 2019.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in