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VG101 Phase I/II to Treat Vulvar and Vaginal Atrophy in Post-Menopausal Women

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00453089
Recruitment Status : Unknown
Verified February 2012 by Bionovo.
Recruitment status was:  Not yet recruiting
First Posted : March 28, 2007
Last Update Posted : February 8, 2012
Information provided by:

Brief Summary:
To conduct a prospective, randomized, blinded, placebo controlled, dose escalation clinical trial in 4 cohorts of 10 postmenopausal women (total N=40) aged 45 to 65 years with at least one menopausal vaginal symptom, vaginal pH > 5.0 and > 20% parabasal vaginal epithelial cells.

Condition or disease Intervention/treatment Phase
Vaginal Atrophy Vulvar Atrophy Drug: VG101 Phase 1 Phase 2

Detailed Description:

Primary Aims:

  1. the optimal dose of VG101 based on the highest of 4 proposed dose levels that is not associated with unacceptable toxicity during 12 weeks of treatment. Toxicity will be based on National Cancer Institute (NCI) Common Toxicity Criteria for Adverse Events (CTCAE), version 3. Unacceptable toxicity will be defined as the occurrence of any Grade 3, 4, of 5 toxicity that is possibly or probably associated with study drug or any other unacceptable toxicity as determined by the Data and Safety Monitoring Board.
  2. Specific potential adverse effects of VG101

Secondary Aims:

  1. the preliminary efficacy of VG101 to:

    • relieve vulvar and/or vaginal dryness,
    • relieve vulvar and/or vaginal irritation
    • relieve vulvar and/or vaginal itching
    • relieve vulvar and/or vaginal discharge
    • relieve dyspareunia
    • improve sexual function
    • relieve dysuria
    • reduce frequency of urinary incontinence
    • improve quality of life
    • improve the physical examination assessment of vaginal atrophy
    • reduce vaginal fluid pH
    • improve the proportion of superficial vaginal epithelial cells
  2. participant adherence to VG101 administration

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 40 participants
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: A Phase I/II Dose Escalation Clinical Trial to Assess Safety and Efficacy of VG101 to Treat the Symptoms of Vulvar and Vaginal Atrophy in Post-Menopausal Women
Study Start Date : June 2012
Estimated Primary Completion Date : June 2013
Estimated Study Completion Date : August 2013

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Menopause

Primary Outcome Measures :
  1. Change in self-reported symptoms of vaginal atrophy from baseline to 12 weeks [ Time Frame: 4 and 12 weeks ]
  2. Change in percent superficial vaginal epithelial cells from baseline 12 weeks [ Time Frame: 4 and 12 weeks ]
  3. Change in the pH of vaginal secretions from baseline to 12 weeks [ Time Frame: 4 and 12 weeks ]

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

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Ages Eligible for Study:   45 Years to 65 Years   (Adult, Older Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  1. Women between the ages of 45 and 65
  2. Postmenopausal documented by: (a) at least one year of amenorrhea; (b) 6- 12 months of amenorrhea with serum FSH > 40 IU/ml; (c) 6 weeks post-surgical bilateral oophorectomy with or without hysterectomy, or (d) hysterectomy with serum FSH levels > 40 IU/ml.
  3. Self-report at least one moderate to severe symptom of vulvar or vaginal atrophy from the following list:

    • Vaginal dryness (none, mild, moderate or severe)
    • Vaginal and/or vulvar discomfort (none, mild, moderate, severe)
    • Vaginal and/or vulvar irritation (none, mild, moderate, severe)
    • Vaginal itching (none, mild, moderate, severe)
    • Vaginal pain associated with sexual activity (none, mild, moderate or severe)
  4. < 5% superficial cells on vaginal cytologic smear.
  5. Vaginal pH >5.0
  6. Willing to use an intravaginal cream containing Chinese herbs for the treatment of vaginal symptoms.
  7. Provide informed consent.

Exclusion Criteria:

  1. History of breast, uterine or ovarian cancer or melanoma.
  2. Abnormal mammogram or breast examination within the last 9 months suggestive of cancer.
  3. Abnormal Pap smear or pelvic examination within the last 9 months suggestive of cancer.
  4. Any uterine or vaginal bleeding within the six months prior to enrollment (except following the screening Pap smear).
  5. Double-wall endometrial thickness that exceeds 5 mm measured on transvaginal ultrasound.
  6. Pregnant or lactating.
  7. Use of any vaginal moisturizer (Replens, KY Silk-E, Astroglide Silken Secret, Senselle) within 30 days of screening.
  8. Use of any oral, transdermal, vaginal, or systemic estrogen or estrogen/progestin product within 30 days of screening.
  9. Use of raloxifene, tamoxifen or aromatase inhibitors within 12 weeks of screening.
  10. Current urinary tract infection (dipstick urinalysis positive for leukocyte estrace, nitrates or blood)
  11. History of cardiovascular disease.
  12. History of venous thromboembolic disease.
  13. Use of another investigational agent within 12 weeks of screening.
  14. Any medical or psychiatric condition that, in the investigator's opinion, would preclude the participant from completing questionnaires or measures, adhering to the protocol or completing the trial, including limited English literacy, severe illness, plans to move, substance abuse, significant psychiatric problems, or dementia.
  15. No access to a telephone

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00453089

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United States, Alabama
University of Alabama, Birmingham
Birmingham, Alabama, United States, 35294
Contact: Holly Richter, M.D., PhD    205-934-3180   
Principal Investigator: Holly Richter, M.D., PhD         
United States, California
University of California, San Francisco
San Francisco, California, United States, 94115
Contact: Deborah Grady, M.D., MPH    415-353-9748   
Principal Investigator: George Sawaya, M.D.         
Sponsors and Collaborators
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Principal Investigator: Mary Tagliaferri, MD Bionovo, Inc
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Responsible Party: Mary Tagliaferri, MD, Bionovo, Inc Identifier: NCT00453089    
Other Study ID Numbers: VG-101-001
First Posted: March 28, 2007    Key Record Dates
Last Update Posted: February 8, 2012
Last Verified: February 2012
Keywords provided by Bionovo:
Chinese Herbs
Vaginal Atrophy
Vulvar Atrophy
Additional relevant MeSH terms:
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Pathological Conditions, Anatomical