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Use of Oral Probiotics as an Adjunctive Therapy to Fluconazole in the Treatment of Yeast Vaginitis

The recruitment status of this study is unknown. The completion date has passed and the status has not been verified in more than two years.
Verified May 2007 by Faith Mediplex.
Recruitment status was:  Recruiting
Chr Hansen
Information provided by:
Faith Mediplex Identifier:
First received: May 29, 2007
Last updated: NA
Last verified: May 2007
History: No changes posted
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 1

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Double
Primary Purpose: Prevention
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

Resource links provided by NLM:

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


Ages Eligible for Study:   18 Years to 50 Years   (Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No

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
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, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT00479947

Contact: Martin U Duru, MSc 234+8056650828
Contact: Kingsley C Anukam, PhD, MHPM 519-646-6000 ext 61547

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
Chr Hansen
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.
Study Chair: ALFRED AIYEBELEHIN, MBBS Faith Mediplex
  More Information

Publications: Identifier: NCT00479947     History of Changes
Other Study ID Numbers: UB-CHr-N
Study First Received: May 29, 2007
Last Updated: May 29, 2007

Keywords provided by Faith Mediplex:
Yeast vaginitis

Additional relevant MeSH terms:
Candidiasis, Vulvovaginal
Vaginal Diseases
Genital Diseases, Female
Vulvar Diseases
Antifungal Agents
Anti-Infective Agents
14-alpha Demethylase Inhibitors
Cytochrome P-450 Enzyme Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action
Steroid Synthesis Inhibitors
Hormone Antagonists
Hormones, Hormone Substitutes, and Hormone Antagonists
Physiological Effects of Drugs
Cytochrome P-450 CYP2C9 Inhibitors
Cytochrome P-450 CYP2C19 Inhibitors processed this record on September 21, 2017