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Bacterial VaginosisPhase 4NCT06458543

Optimization of Bacterial Vaginosis Treatment in Women of Reproductive Age

A Phase 4 study testing Longidaza and Metronidazole 500 mg in people with Bacterial Vaginosis, run by I.M. Sechenov First Moscow State Medical University at 2 sites in Russia.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The purpose of this clinical trial is to study the efficacy of bovgialuronidase azoximere in the treatment and duration of recurrence-free course of bacterial vaginosis in women of reproductive age. The main questions it aims to answer are: Is bovgialuronidase azoximer able to destroy G. Read more about this study

Who is it for?
Ages 18 to 45 years, women only
Conditions the study is for
Bacterial Vaginosis
What is being tested?
Longidaza and Metronidazole 500 mg
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
100 participants
Where
2 sitesRussia
Study dates
1 Jun 2024to 1 Jun 2026
Phase
Phase 4
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

  • The written informed consent of the patient to participate in the study;
  • Age (18 - 45 years old);
  • The established diagnosis of Bacterial vaginosis;
  • Absence of pregnancy and lactation.

Who cannot join

  • Refusal of the patient from further participation in the study;
  • Lack of patient adherence to treatment;
  • The occurrence of conditions and diseases related to the list of contraindications to the use of the studied drug during the study.
  • The presence of Neisseria gonorrhoeae, Trichomonas vaginalis, confirmed by laboratory;
  • The presence of contraindications to the use of the studied drug according to the instructions for the drug.

Trial locations and contacts

2 sites in 1 country.

Leonid Spivak, MD, Prof. contact

+7 (903) 749-05-97

leonid.spivak@gmail.com

Russia2 sites, 2 recruiting
  • LLC "Family polyclinic No. 4" Korolev

    Korolyov, 141060

    Leonid Spivak, MD, Prof., +7 (903) 749-05-97, leonid.spivak@gmail.com

    Kseniya Rossolovskaya, +7 (980) 164-77-99, rossolovskaya_k_a@staff.sechenov.ru

    Recruiting
  • I.M. Sechenov First Moscow State Medical University (Sechenov University)

    Moscow, 119991

    Leonid Spivak, MD, Prof., +7 (903) 749-05-97, leonid.spivak@gmail.com

    Kseniya Rossolovskaya, +7 (980) 164-77-99, rossolovskaya_k_a@staff.sechenov.ru

    Recruiting

Other trials in Russia

About this study

Official title: Efficacy of Bovhyaluronidase Azoximer on Biofilms Destruction in the Urogenital Tract of the Patients With Reccurent Bacterial Vaginosis.

The purpose of this clinical trial is to study the efficacy of bovgialuronidase azoximere in the treatment and duration of recurrence-free course of bacterial vaginosis in women of reproductive age. The main questions it aims to answer are:

  • Is bovgialuronidase azoximer able to destroy G. vaginalis associated biofilms of the vaginal epithelium
  • use of bovgialuronidase azoximer together with Metronidazole increases the effectiveness of treatment of bacterial vaginosis.
  • use of azoximers bovgialuronidase together with Metronidazole increases the duration of relapse-free course of bacterial vaginosis.
Read more

Participants in the experimental and control group will be:

  • Amsel criteria assessment
  • Colpotest-PH (vaginal acidity)
  • aminotest with 10% KOH solution ("fish odor")
  • microscopic examination of vaginal discharge
  • Bacteriologic culture of vaginal discharge
  • Polymerase chain reaction of epithelial cell scrapings from the vagina
  • electron microscopy of vaginal epithelial cell scrapings

Participants in the main group will be given the drug Bovgialuronidase azoximer and Metronidazole.

Participants in the control group: Metronidazole.

Researchers will compare the experimental and control groups to see if there are differences after treatment in biofilm structure, treatment efficacy, and duration of recurrence-free survival.

Read the detailed description

Bacterial vaginosis is characterized by a decrease in the number of lactobacilli and the dominance of opportunistic anaerobic flora (primarily G.vaginalis, to a lesser extent Atopobium vaginae, Peptostreptococcus, Clostridiales spp., Prevotella spp., etc.). Modern ideas of the pathogenesis of bacterial vaginosis consist in the formation of polymicrobial biofilms on the surface of the mucosa of the vaginal epithelium. Biofilms are a community of microorganisms of one or more species attached to the surface of a polymeric matrix. Biofilms are formed predominantly by G.vaginalis and to a lesser extent by other pathogens associated with bacterial vaginosis (Atopobium vaginae, Peptostreptococcus, Clostridiales spp., Prevotella spp., etc.). Biofilm-associated bacterial vaginosis is characterized by increased resistance to pathogenetic therapy, the ability to evade defense mechanisms and prolonged persistence in the vaginal environment. These features of pathogenesis cause a high rate of recurrences and chronic course of bacterial vaginosis.

Thus, it is relevant to study in vivo the role of drug action on biofilms to destroy them in order to increase the effectiveness of antibacterial therapy and reduce the frequency of recurrences of bacterial vaginosis.

The standard and approved by the Ministry of Health of the Russian Federation method of treatment of bacterial vaginosis is Metronidazole.

The aim of this clinical trial is to investigate the efficacy of combination therapy with metronidazole and azoximera bovgialuronidase in the treatment and duration of relapse-free course of bacterial vaginosis in women of reproductive age compared with metronidazole monotherapy.

The main questions it aims to answer are:

  • Is bovgialuronidase azoximer able to destroy G. vaginalis associated biofilms of the vaginal epithelium
  • use of bovgialuronidase azoximer together with Metronidazole increases the effectiveness of treatment of bacterial vaginosis.
  • use of azoximers bovgialuronidase together with Metronidazole increases the duration of relapse-free course of bacterial vaginosis.

Participants in the experimental and control group will be:

  • Amsel criteria assessment
  • Colpotest-PH (vaginal acidity)
  • aminotest with 10% KOH solution ("fish odor")
  • microscopic examination of vaginal discharge
  • Bacteriologic culture of vaginal discharge
  • Polymerase chain reaction of epithelial cell scrapings from the vagina
  • electron microscopy of vaginal epithelial cell scrapings

Main group - patients with bacterial vaginosis receiving pathogenetic antibacterial therapy (Metronidazole) in combination with Bovgialuronidase azoximer.

Control group - patients with bacterial vaginosis receiving pathogenetic antibacterial therapy (Metronidazole) without Bovgialuronidase azoximer.

Researchers will compare the experimental and control groups to see if there are differences after treatment in biofilm structure, treatment efficacy, and duration of recurrence-free survival.

Being tested
Longidaza, Metronidazole 500 mg
Keywords
Bacterial Vaginosis, biofilms, bovhyaluronidase azoximer, treatment
Medical subject headings
Vaginosis, Bacterial

What participants receive

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

  • LongidazaDrug

    Also called Bovhyaluronidase azoximer

    Bovhyaluronidase azoximer, vaginal suppositories 3000 IU, 1 suppository vaginally every other day, course of 10 days

  • Metronidazole 500 mgDrug

    Also called Metronidazol

    Metronidazole, tablets 500 mg, 1 tablet 2 times a day, orally, course 7 days

Study groups in NCT06458543
Study groupRoleWhat they receive
ExperimentalExperimentalThe experimental group includes 50 women of reproductive age (18 - 45 years old) with an established diagnosis of bacterial vaginosis. Participants in the experimental group will be given the drug Bovgialuronidase azoximer and Metronidazole. Bovhyaluronidase azoximer, vaginal suppositories 3000 IU, 1 suppository vaginally every other day, course of 10 days Metronidazole, tablets 500 mg, 1 tablet 2 times a day, orally, course 7 days
Receives: Drug: Longidaza; Drug: Metronidazole 500 mg
ControlActive comparatorThe control group includes 50 women of reproductive age (18 - 45 years old) with an established diagnosis of bacterial vaginosis. Metronidazole, tablets 500 mg, 1 tablet 2 times a day, orally, course 7 days
Receives: Drug: Metronidazole 500 mg

What is being measured

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

  1. Reduction in the number of relapses of bacterial vaginosis

    Evaluated by clinical data (using Amsel criteria) and laboratory (microscopic examination - identification of "key cells")

    The Amsel criteria include 4 parameters, each of which is scored as one point:

    • gray/white/grayish-white vaginal discharge
    • Vaginal acidity pH greater than 4.5 (colpotest pH)
    • aminotest with 10% solution of potassium hydroxide KOH (appearance of "fishy", "rotten" odor)
    • Presence of "key cell" in microscopic examination of vaginal discharge

    The presence of 3 or more of the 4 criteria speaks in favor of the diagnosis of "bacterial vaginosis" 2 and less points - absence of "bacterial vaginosis"

    Measured: 6 months after treatment

Secondary outcomes (4)
  1. changes in biofilm structure according to electron microscopy data

    Biofilms are a cooperation of microorganisms of one or more species that are incorporated into a polymeric matrix consisting of proteins, polysaccharides and nucleic acids. Electron microscopy allows to evaluate the structure of the biofilm, to distinguish between lactobacilli and anaerobes (G. vaginalis, Atopobium vaginae, Peptostreptococcus, Clostridiales spp., Prevotella spp., etc.). The destructive effect of azoximers bovgialuronidase on biofilms leads to disruption of biofilm structure: formation of holes in its structure, reduction of its size (volume), release of bacteria from the biofilm structure. Metronidazole has a bactericidal effect on G. vaginalis, Atopobium vaginae, Peptostreptococcus, Clostridiales spp., Prevotella spp., etc., which is expressed in the reduction of CFU/ml.

    Measured: 21 days after treatment

  2. decrease in the severity of characteristic complaints in female patients with BV

    The main complaints that patients with bacterial vaginosis present with are: vaginal discharge and unpleasant odor of vaginal discharge.

    The Amsel criteria are used to objectively assess these complaints

    The Amsel criteria include 4 parameters, each of which is scored as one point:

    • gray/white/grayish-white vaginal discharge
    • Vaginal acidity pH greater than 4.5 (colpotest pH)
    • aminotest with 10% solution of potassium hydroxide KOH (appearance of "fishy", "rotten" odor)
    • Presence of "key cell" in microscopic examination of vaginal discharge

    The presence of 3 or more of the 4 criteria speaks in favor of the diagnosis of "bacterial vaginosis" 2 and less points - absence of "bacterial vaginosis"

    After treatment the patient is expected to have no characteristic complaints

    Measured: 21 days after treatment

  3. Decreased vaginal acidity

    Normally, the acidity of the vagina is 4.5 or less (рН=4,5 оr less), meaning the vagina has an acidic environment.

    The pH is measured with the Kolpotest-PH rapid test. After applying vaginal discharge to the indicator screen of the test strip, it is colored. The color obtained is compared with the indicator scale placed on the Colpotest-pH jar. If the pH is 4.5 or less, it is normal.

    A pH result greater than 4.5 favors a diagnosis of bacterial vaginosis After treatment is expected to normalize vaginal acidity (pH = 4.5 or less)

    Measured: 21 days after treatment

  4. Normalization of the composition of the microflora of the urogenital tract

    Normally, the vagina of women of reproductive age is dominated by Lactobacilli (80-100%). A decrease in lactobacilli or their absence leads to the dominance of opportunistic microorganisms (e.g., G.vaginalis, Atopobium vaginae, Peptostreptococcus, Clostridiales spp., Prevotella spp., etc.), which causes the appearance of complaints characteristic of bacterial vaginosis (vaginal discharge, unpleasant odor of vaginal discharge, itching, burning).

    Microbiome is assessed by polymer chain reaction (Femoflor-16), which allows not only qualitative but also quantitative assessment of the composition of the vaginal microbiome.

    After treatment, the number of opportunistic anaerobes is expected to decrease and the number of lactobacilli is expected to be dominant

    Measured: 21 days after treatment

Timeline

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

  1. First posted13 Jun 2024
  2. Study start1 Jun 2024
  3. Primary completion1 Jun 2025 (estimated)
  4. Study completion1 Jun 2026 (estimated)

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 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
100 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06458543
Sponsor's protocol ID
Longidaza IMSechenovMMA
Status last verified
Jun 2024
First submitted
9 Jun 2024
Last updated
9 Apr 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Longidaza and Metronidazole 500 mg in people with Bacterial Vaginosis, run by I.M. Sechenov First Moscow State Medical University at 2 sites in Russia.

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 4 inclusion and 5 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: status not confirmed, as of the sponsor's last update on 9 Apr 2025. 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 Russia. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

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

Are results available for this study?

Results are not available in the source record.

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

Contact Leonid Spivak, MD, Prof. (+7 (903) 749-05-97, leonid.spivak@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Reduction in the number of relapses of bacterial vaginosis (time frame: 6 months after treatment). 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 9 Apr 2025.

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