Efficacy Study of Topical Application of Nifedipine Cream to Treat Vulvar Vestibulitis
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Purpose
To evaluate the use of topical application of Nifedipine cream for the treatment of Provoked localized Vulvodynia (vestibulitis, vestibulodynia).
| Condition | Intervention | Phase |
|---|---|---|
|
Vulvar Diseases Vulvar Pain Vestibulitis Vestibulodynia Vulvodynia |
Drug: Nifedipine cream topical application |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double-Blind Primary Purpose: Treatment |
| Official Title: | Topical Application of Nifedipine Cream for the Treatment of Vulvar Vestibulitis Syndrome |
- Complete resolution of vestibulitis. [ Time Frame: Participants will be examined before starting the treatment, at the end of the treatment and 3 months after completion the treatment, using the questionnaire and the Q-tip applicator for detection of vestibular sensitivity. ]
- Safety of the Nifedipine treatment. [ Time Frame: Participants will be examined before starting the treatment, at the end of the treatment and 3 months after completion the treatment, using the questionnaire. ]
| Estimated Enrollment: | 30 |
| Study Start Date: | April 2006 |
| Study Completion Date: | May 2008 |
| Primary Completion Date: | October 2007 (Final data collection date for primary outcome measure) |
30 women aged 18-45 diagnosed with Provoked localized Vulvodynia will be included. 10 women will use topical Nifedipine cream 0.2% 4 times a day for 6 weeks (except for menstrual period). 10 other women will use topical Nifedipine cream 0.4% 4 times a day for 6 weeks (except for menstrual period).
10 women will be a control group and will use a placebo cream. The study will be randomized and double blind. Participants will be examined before starting the treatment, at the end of the treatment and 3 months after completion the treatment. A special detailed questionnaire has been prepared in three languages and will be used to compare dyspareunia and associate variables between the groups.
The Q-tip tests will be performed and findings will be drawn in each examination. Differences between the groups will be examined, and uni- and multi-variate analysis will be performed.
Eligibility| Ages Eligible for Study: | 18 Years to 45 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Women diagnosed with vestibulitis according to Friedrich's criteria:
- Severe pain with vestibular touch or attempted vaginal entry.
- A positive Q-tip test: pain produced by touching the vestibule with a cotton tipped applicator.
- Physical findings limited to varying degree of vestibular erythema.
- Non-pregnant women aged 18-45.
- Women use effective contraception and are not interested in becoming pregnant during the study period.
- No known Nifedipine allergy.
- No medical diseases.
Exclusion Criteria:
- Women who have undergone vestibulectomy.
- Active vaginal or pelvic infection.
- A medical disease uch as Diabetes, immune suppression.
Contacts and Locations| Israel | |
| Department of Obstetrics and Gynecology | |
| Nahariya, Israel | |
| Colposcopy Clinic, Obstetrics and Gynecology Department, Western galilee Hospital | |
| Nahariya, Israel | |
| Principal Investigator: | Jacob Bornstein, MD | Western Galilee Hospital, Nahariya, Israel |
| Principal Investigator: | Doron Zarfati, MD | Western Galilee Hospital, Nahariya, Israel |
More Information
Publications:
| ClinicalTrials.gov Identifier: | NCT00496184 History of Changes |
| Other Study ID Numbers: | 20050989 |
| Study First Received: | July 2, 2007 |
| Last Updated: | May 2, 2008 |
| Health Authority: | Israel: Ministry of Health |
Keywords provided by Western Galilee Hospital-Nahariya:
|
Nifedipine treatment Vestibulitis Placebo |
Additional relevant MeSH terms:
|
Vulvar Diseases Vulvar Vestibulitis Vulvodynia Genital Diseases, Female Vulvitis Nifedipine Tocolytic Agents Reproductive Control Agents |
Physiological Effects of Drugs Pharmacologic Actions Therapeutic Uses Calcium Channel Blockers Membrane Transport Modulators Molecular Mechanisms of Pharmacological Action Cardiovascular Agents Vasodilator Agents |
ClinicalTrials.gov processed this record on May 19, 2013