Use of Oral Probiotics as an Adjunctive Therapy to Fluconazole in the Treatment of Yeast Vaginitis - Full Text View

Purpose

Yeast vaginitis is a very common ailment affecting premenopausal women in Nigeria. This condition is more prevalent in the age group between 21-30 years. More than 75% of premenopausal women and university students are diagnosed with yeast infections annually. In most of these women, recurrent rate of vaginal candidiasis with empiric therapy, stands between 70 and 80%. In addition, resistance to anti-fungal agents is increasing at an alarming speed, particularly with species other than Candida albicans such as C tropicalis and C glabrata. The healthy vaginal environment is composed mainly of lactobacilli and when these organisms are suppressed overgrowth of a large number of pathogens occur including yeasts. In this pilot study,we hypothesize that oral administration of two well documented strains of lactobacilli (L.rhamnosis GR-1 and L.reuteri RC-14 ) given to women with recurrent yeast vaginitis, following standard therapy with fluconazole will result in a significant reduction in recurrence rate of the disease.

Condition	Intervention	Phase
Vaginal Candidiasis	Drug: Probiotics (Natural product) Drug: Probiotics (L. rhamnosus GR-1 and L. reuteri RC-14)	Phase I

MedlinePlus related topics:

Yeast Infections

ChemIDplus related topics:

Fluconazole

U.S. FDA Resources

Study Type:	Interventional
Study Design:	Prevention, Randomized, Double-Blind, Placebo Control, Crossover Assignment, Efficacy Study

Official Title:	A Double-Blind,Randomized Placebo-Controlled Study Using Probiotic Lactobacillus GR-1 and RC-14 as an Adjunctive Therapy to Fluconazole in the Treatment of Yeast Vaginitis

Further study details as provided by Faith Mediplex:

Primary Outcome Measures:

In the placebo group of patients, it is anticipated that at the 3 month period, a recurrence rate of 50% will occur, whereas, in the treatment arm a reduction in recurrence to 25% will be achieved [ Time Frame: 3 months ]

Secondary Outcome Measures:

Reduction in clinic visits for urogenital care and cost savings [ Time Frame: 6 months ]

Estimated Enrollment:	100
Study Start Date:	May 2007
Estimated Study Completion Date:	December 2007

Show Detailed Description

Eligibility

Ages Eligible for Study:	18 Years to 50 Years
Genders Eligible for Study:	Female
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

Premenopausal women suffering from acute or chronic yeast vaginitis and a past history of 3 or 4 episodes over the 12 months will be selected.
All participants must be symptomatic, i.e. the participant must have identified herself as suffering from one or more of the following: abnormal/odourless vaginal discharge, dyspareunia or dysuria, localized irritation or discomfort around the vagina.

Exclusion Criteria:

Participants must not be suffering from other urogenital infections or conditions such as HIV that will potentially alter their response to disease. Participants will be tested and excluded for the presence of Trichomonas vaginalis and Bacterial vaginosis at inclusion. Other conditions will be ruled out on the basis of medical history and clinical assessment.
Participants must not be pregnant.
Participants must not be younger than 18 or older than 50 years.
Participants must not be menstruating during diagnosis or treatment

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00479947

Contacts


Contact: Martin U Duru, MSc	234+8056650828	durumartin@yahoo.co.uk

Contact: Kingsley C Anukam, PhD, MHPM	519-646-6000 ext 61547	anukamkc@yahoo.com

Locations


Nigeria, Edo
	FaithMediplex	Recruiting
	Benin, Edo, Nigeria
	Principal Investigator: Chinonye C EZE-OKOROIKPA, MBBS
	Sub-Investigator: ALFRED AIYEBELEHIN, MBBS
	Sub-Investigator: Martin U Duru, MSc

Sponsors and Collaborators

Faith Mediplex

UrexBiotech

Chr-Hansen

Investigators


Study Chair:	Chinonye C EZE-OKOROIKPA, MBBS	Faith Mediplex

Study Director:	MARTIN U DURU, MSc	Faith Mediplex

Principal Investigator:	KINGSLEY C ANUKAM, PhD	Benson Idahosa University, Benin City and Canadian R & D Centre for Probiotics, Lawson Health Research Intsitute, London, Ontario, Canada. anukamkc@yahoo.com

Study Chair:	ALFRED AIYEBELEHIN, MBBS	Faith Mediplex

More Information

Publications:

Falagas ME, Betsi GI, Athanasiou S. Probiotics for prevention of recurrent vulvovaginal candidiasis: a review. J Antimicrob Chemother. 2006 Aug;58(2):266-72. Epub 2006 Jun 21. Review.

Osset J, Garcia E, Bartolome RM, Andreu A. [Role of Lactobacillus as protector against vaginal candidiasis] Med Clin (Barc). 2001 Sep 22;117(8):285-8. Spanish.

Study ID Numbers:	UB-CHr-N
First Received:	May 29, 2007
Last Updated:	May 29, 2007
ClinicalTrials.gov Identifier:	NCT00479947
Health Authority:	Nigeria: The National Agency for Food and Drug Administration and Control

Keywords provided by Faith Mediplex:

Yeast vaginitis

Probiotics

Lactobacilli

Fluconazole

Study placed in the following topic categories:

Fluconazole

Genital Diseases, Female

Vulvovaginitis

Mycoses

Candidiasis, Vulvovaginal

Candidiasis

Clotrimazole

Miconazole

Vaginitis

Tioconazole

Vaginal Diseases

Vulvar Diseases

Additional relevant MeSH terms:

Anti-Infective Agents

Therapeutic Uses

Antifungal Agents

Vulvitis

Pharmacologic Actions

ClinicalTrials.gov processed this record on October 15, 2008

Sponsors and Collaborators:	Faith Mediplex UrexBiotech Chr-Hansen
Information provided by:	Faith Mediplex
ClinicalTrials.gov Identifier:	NCT00479947