The comparative of Poulk vaginal gel and metronidazole vaginal gel effect on treatment of bacterial vaginosis in Vaginosis patients : A Double Blind Randomized Clinical Trial
The purpose of this study is to compare the effect of poulk vaginal gel and metronidazole gel in the treatment of bacterial vaginosis.
Design
In this double-blind study there are 112 women with bacterial vaginosis who have the criteria for entering the study. They are randomly divided into intervention and control groups.
Settings and conduct
This study was carried out in clinics affiliated with Lorestan University of Medical Sciences in women with diagnosis of trichomoniasis, based on patient complaints, clinical observations and wet and colored microscopic tests. Clinical observations and wet microscopic and staining tests are reviewed within 7 days of treatment.
Participants/Inclusion and exclusion criteria
Entering criteria into the study were as fallowing : Tending to cooperate ; positive Gram stain for BV ; Positive Whiff Test ; Positive clinical observations ; Existing criteria are fallowing entries : Having abnormal uterus bleeding ; Frequently vulvovaginits ; pregnancy ; Mensturation ; Lactating ; Use of vaginal douches frequently, consuming remedy for treatment in 3 recent months ; Consumig alcohol and anti coagulation remedies and recent consuming anti-parasite remedy, anti-biotic, weakening remedy of safety system and vaginalis remedy ;Multi partner ; Stricken to specific diseases like liver diseases ,kidney diseases and central chords system diseases ,blood dyscrasi ,diabetes ,impair of safety system ; President of allergy in using metronidazol tablet
Intervention groups
Intervention group: Vaginal gel of Poulk 5%, 50 mgr, made by Ahvaz School of Pharmacy 5 mg every night applicator vaginally for 7 nights.
Control group: Metronidazole vaginal gel 0.75%, 50 mg, 5 mg every night with applicator vaginally for 7 nights.
Main outcome variables
Bactrial Vaginosis ; Sexual function ; Sexual satisfaction
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20201201049560N1
Registration date:2021-02-15, 1399/11/27
Registration timing:prospective
Last update:2021-02-15, 1399/11/27
Update count:0
Registration date
2021-02-15, 1399/11/27
Registrant information
Name
Zohreh Shahrikh
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 38 3242 5099
Email address
shahrokh6244@gmail.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2021-05-12, 1400/02/22
Expected recruitment end date
2021-10-06, 1400/07/14
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
The comparative of Poulk vaginal gel and metronidazole vaginal gel effect on treatment of bacterial vaginosis in Vaginosis patients : A Double Blind Randomized Clinical Trial
Public title
The comparative of Poulk vaginal gel and metronidazole vaginal gel effect on treatment of bacterial vaginosis
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
willingness to cooperate
positive Whiff test
signs of bacterial vaginosis in examination
Positive cluecell
Exclusion criteria:
Multi partner
Stricken to specific diseases like liver diseases ,kidney diseases and central chords system diseases ,blood dyscrasi ,diabetes ,impair of safety system
Having abnormal uterus bleeding
Frequently vulvovaginits
pregnancy
Mensturation
Lactating
Use of vaginal douches frequently, consuming remedy for treatment in 3 recent months
Consumig alcohol and anti coagulation remedies and recent consuming anti-parasite remedy, anti-biotic, weakening remedy of safety system and vaginalis remedy
President of allergy in using metronidazol tablet
consuming remedy for treatment in 3 recent months
Age
From 18 years old
Gender
Female
Phase
2-3
Groups that have been masked
Participant
Investigator
Sample size
Target sample size:
112
Randomization (investigator's opinion)
Randomized
Randomization description
The allocation of individuals in the groups will be done in a random block with 19 blocks of 6 by allocation 1:1 in the two groups.In this way, the letters A and B will be assigned to each group, and randomized list provide by statistician. In this study, almost all possible cases of 19 blocks of 6 and assigning numbers to each of them are prepared randomly by a statistician using the WWW.Randomizer.org site. Poulk vaginl gel and metronidazole gel will be placed in the closed envelopes according to the randomized list and different codes by the person outside the study then assigned to any patient that enter the study. Poulk vaginal gel and metronidazole gel are identical in appearance, packaging, color.
Blinding (investigator's opinion)
Double blinded
Blinding description
In this study, Researcher and participants will be unaware of the type of treatment they receive Poulk vaginal gel or metronidazole gel and pharmacist will fill the tubes. For the purpose of blinding, Poulk vaginal gel and metronidazole gel tubes will be placed in closed envelopes according to the randomized list and different codes will be assigned to any patient that enters the study by a person outside the study. Poulk vaginal gel or metronidazole gel tubes are identical in appearance, packaging and color. The patients will be reminded that their placement in each of the groups will be random.
Placebo
Not used
Assignment
Parallel
Other design features
The patients will be assigned to two groups of Poulk gel (50 g, 5%) and Metranidazole gel (50g 75%) and written consent will be obtained from patients to participate in this study. In the first group, 75% of metranidazole gel will be given daily in an intravaginal applicator daily for 7 days and in second group, 5% of poulk gel will be given daily in applicator for 7 days. Patients will be advised to stay in the supine position for at least 30 minutes after taking the drug. Patients will also be given the Larson sexual satisfaction questionnaire and FSFI sexual function questionnaire.
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Ethics committee of Ahvaz University of Medical Sciences
Street address
Ahvaz, Expressway, Golestan University of Medical Sciences, Ahvaz,
City
Ahvaz
Province
Khouzestan
Postal code
6135715794
Approval date
2021-01-22, 1399/11/03
Ethics committee reference number
IR.AJUMS.REC.1399.833
Health conditions studied
1
Description of health condition studied
Bacterial Vaginosis
ICD-10 code
N76.7
ICD-10 code description
Other specified inflammation of vagina and vulva
Primary outcomes
1
Description
Bacterial Vaginosis
Timepoint
Before treatment and after treatment
Method of measurement
Based on the criteria of Amsell (Evaluation of vaginal discharge in terms of odor, color and presence of key cells with the emphasis on emphasis) and Nugent
Secondary outcomes
1
Description
Vaginal discharge
Timepoint
14-28 days after treatment
Method of measurement
Observation
2
Description
The acidity of vagina
Timepoint
14-28 days after treatment
Method of measurement
PH strip
3
Description
Whiff test
Timepoint
14-28 days after treatment
Method of measurement
Potassium hydroxide solution 10%
4
Description
clue cells
Timepoint
14-28 days after treatment
Method of measurement
Evaluation of clue cells on the wet lam
5
Description
Sexual Fanction score
Timepoint
Before and 14 days after treatment
Method of measurement
Rosen Sexual Function Questionnaire
6
Description
Sexual Satisfaction score
Timepoint
Before and 14 days after treatment
Method of measurement
Larson Sexual Satisfaction Questionnaire
Intervention groups
1
Description
5% vaginal gel, 50 g, 7 days, 1 applicator 5 g every night while sleeping inside the vagina. Extraction(Extraction of plant leaves using soaking method and using 80% aqueous solutions) and making of gel is done in school of pharmacy in Ahvaz Medical Science .
Category
Treatment - Drugs
2
Description
Control group: metronidazole vaginal gel(an applicator 75%) once a day for 7 days. Metranidazole gel made by Behsan Daroo comopany, Which is placed in tubes similar to poulk vaginal gel in school of pharmacy in Ahvaz Medical Science.
Category
Treatment - Drugs
Recruitment centers
1
Recruitment center
Name of recruitment center
Hazrate Rasol Clinic
Full name of responsible person
Zohreh Shahrokh
Street address
Mowlavi Crossroad
City
Shahrekord
Province
Chahar-Mahal-va-Bakhtiari
Postal code
8817613135
Phone
+98 38 3226 4833
Email
info@skums.ac.ir
Sponsors / Funding sources
1
Sponsor
Name of organization / entity
Ahvaz University of Medical Sciences
Full name of responsible person
Kourosh Zarea
Street address
Ahvaz Jundishapur University of Medical Sciences,Golestan Blvd, Ahvaz
City
Ahvaz
Province
Khouzestan
Postal code
6135715794
Phone
+98 61 3336 2414
Fax
+98 61 3336 1544
Email
itc@ajums.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Ahvaz University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic
Person responsible for general inquiries
Contact
Name of organization / entity
Ahvaz University of Medical Sciences
Full name of responsible person
Mina Iravani
Position
Associate Professor of Reproductive Health
Latest degree
Ph.D.
Other areas of specialty/work
Midwifery
Street address
Ahvaz Jundishapur University of Medical Sciences,Golestan Blvd, Ahvaz
City
Ahvaz
Province
Khouzestan
Postal code
6135715794
Phone
+98 61 3373 8331
Email
minairavani2004@yahoo.com
Person responsible for scientific inquiries
Contact
Name of organization / entity
Ahvaz University of Medical Sciences
Full name of responsible person
Mina iravani
Position
Associate Professor of Reproductive Health
Latest degree
Ph.D.
Other areas of specialty/work
Midwifery
Street address
Ahvaz,Golestan Blvd, University of Medical Sciences, Ahvaz,
City
Ahvaz
Province
Khouzestan
Postal code
6135715794
Phone
+98 61 3373 8331
Email
minairavani@yahoo.com
Person responsible for updating data
Contact
Name of organization / entity
Ahvaz University of Medical Sciences
Full name of responsible person
Zohreh Shahrokh
Position
Graduate Student Midwives
Latest degree
Bachelor
Other areas of specialty/work
Midwifery
Street address
Ahvaz,Golestan Blvd, University of Medical Sciences, Ahvaz,
City
Ahvaz
Province
Khouzestan
Postal code
6135715794
Phone
+98 38 3242 5099
Fax
Email
shahrokh6244@gmail.com
Sharing plan
Deidentified Individual Participant Data Set (IPD)
Undecided - It is not yet known if there will be a plan to make this available
Study Protocol
Undecided - It is not yet known if there will be a plan to make this available
Statistical Analysis Plan
Undecided - It is not yet known if there will be a plan to make this available
Informed Consent Form
Undecided - It is not yet known if there will be a plan to make this available
Clinical Study Report
Undecided - It is not yet known if there will be a plan to make this available
Analytic Code
Undecided - It is not yet known if there will be a plan to make this available
Data Dictionary
Undecided - It is not yet known if there will be a plan to make this available