History
# Registration date Revision Id
2 2019-09-29, 1398/07/07 110571
1 2016-09-30, 1395/07/09 23813
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  • Protocol summary

    The present study aims to compare the effects of fluconazole(150mg) with vaginal(lactovag) and oral(lactofem) probiotic capsules with fluconazole(150mg) on vulvovaginal candidiasis. This randomized, double blind study is conducted on 70 females suffering from vulvovaginal candidiasis. The study subjects are divided into two groups of 35 through random allocation vulvovaginal candidiasis. The diagnosis criteria are observation of yeast and pseudohyphae in gram stain. For group 1, vaginal and oral probiotic capsules are prescribed for 14 and 28 days respectively plus fluconazole(150mg) for single vulvovaginal candidiasis whereas women with recurrent vulvovaginal candidiasis will be prescribed with 3 fluconazole(150mg) weekly. While, for the second group, oral and vaginal placebo are prescribed for 14 and 28 days respectively plus fluconazole(150mg) for single vulvovaginal candidiasis whereas women with recurrent vulvovaginal candidiasis will be prescribed with 3 fluconazole(150mg) weekly.
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    این مطالعه با هدف مقایسه اثر فلوکونازول خوراکی (150میلی گرم) به همراه کپسول واژینال (لاکتوواژ) و خوراکی (لاکتوفم) پروبیوتیک به همراه فلوکونازول در مقایسه با مصرف فلوکونازول خوراکی با دارونمای خوراکی و واژینال در درمان ولوواژینیت کاندیدایی. مطالعه بصورت دوسوکور بر روی 70 بیمار مبتلا به ولوواژینیت کاندیدایی بر اساس مشاهده عوامل کاندیدا در لام محیطی و رشد در محیط کشت صورت می گیرد بیماران به صورت رندوم به دو گروه اختصاص داده می شوند. گروه 1 تحت درمان با پروبیوتیک واژینال و خوراکی به ترتیب 14 و 28 روز قرار می گیرند به همراه یک عدد فلوکونازول خوراکی (150میلی گرم) و در موارد واژینیت عود کننده تحت درمان سه عدد فلوکونازول هر هفته یک عدد قرار می گیرند . گروه 2 تحت درمان با دارونمای واژینال و خوراکی دارونما به ترتیب 14 و 28 روز قرار می گیرند به همراه یک عدد فلوکونازول خوراکی (150میلی گرم) و در موارد واژینیت عود کننده تحت درمان سه عدد فلوکونازول هر هفته یک عدد قرار می گیرند .
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    The compare the effects of fluconazole(150mg) with vaginal(lactovag) and oral(lactofem) probiotic capsules with Fluconazole(150mg) on vulvovaginal candidiasis.
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    مقایسه اثر فلوکونازول خوراکی (150میلی گرم) به همراه کپسول واژینال (لاکتوواژ) و خوراکی (لاکتوفم) پروبیوتیک به همراه فلوکونازول در مقایسه با مصرف فلوکونازول خوراکی با دارونمای خوراکی و واژینال در درمان ولوواژینیت کاندیدایی.
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    A randomized, double blinded controlled clinical trial with a parallel group design of 80 patients, enrolled between July 2017and April 2019, and followed for 30-35 days.
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    یک مطالعه کارآزمای بالینی دو سویه کور تصادفی، موازی و طراحی شده با 80 بیمار، ورود به مطالعه بین مرداد ماه 1396 و اردیبهشت 1398 بود و پیگیری بعد از 35-30 روز.
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    Imam Reza Gynecology Clinic and Naghavi Hospital of Kashan
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    کلینیک تخصصی زنان و زایمان امام رضا و بیمارستان نقوی دانشگاه علوم پزشکی کاشان، استان اصفهان
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    Inclusion criteria: 1- married women aged 18-45 years old 2- None pregnant absence of menstruation 3- Not using vaginal medications, antibiotics, immonosupressive drugs and exogenous hormones such as oral contraceptives since 2 weeks before starting the research 4- Not having intercourse or using vaginal douche within the last 24hours 5- Absence of any diagnose medical disease such as diabetis and other auto immune diseases 6- Vulvovaginal candidiasis based on clinical symptoms and laboratory finding Exclusion criteria: 1- Allergic reactions to fluconazole, lactovag and lactofem 2- Pregnancy during therapy 3- Compulsion to use antibiotics or other anti fungal drugs.
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    معیار ورود: 1- زنان 45 – 18 سال و متاهل 2- عدم وجود حاملگي قاعده نبودن در هنگام مراجعه 3- عدم مصرف هر داروي واژينال، آنتي بيوتيک ها و داروهاي تضعيف کننده سيستم ايمني و هورمون های اگزوژن شامل قرصهای خوراکی ضد بارداری در طول 2 هفته قبل از شروع پژوهش عدم انجام دوش واژينال و نزدیکی جنسی در 24 ساعت گذشته 4- عدم وجود بيماري زمینه ای مانند ديابت و سایر بیماریهای اتو ایمیون 5- ولوواژینیت کاندیدیایی بر اساس علائم بالینی و نتایج آزمایشگاهی معيارهاي خروج: 1- واکنش های حساسیتی به فلوکونازول، لاکتوواژ و لاکتوفم 2- باردار شدن حين درمان 3 - اجبار به استفاده از آنتي بيوتيک ها و یا هر نوع داروی ضد قارچی
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    Patients with vulvovaginal Candidiasis are randomly assigned to two groups. Group 1 will be treated with vaginal and oral probiotics for 14 and 28 days, respectively, with one oral fluconazole (150 mg), and in cases of recurrent vaginitis, receive three fluconazoles once every 72 hours. Group 2 will be treated with vaginal and oral placebo for 14 and 28 days, respectively, with one oral fluconazole (150 mg), and in recurrent vaginitis, three fluconazole will be treated every 72 hours.Patients are evaluated after 35-30 days based on clinical symptoms and laboratory findings.
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    بیماران مبتلا به ولوواژینیت کاندیدایی به صورت تصادفی به دو گروه اختصاص داده می شوند. گروه 1 تحت درمان با پروبیوتیک واژینال و خوراکی به ترتیب 14 و 28 روز قرار می گیرند به همراه یک عدد فلوکونازول خوراکی (150میلی گرم) و در موارد واژینیت عود کننده تحت درمان سه عدد فلوکونازول هر 72 ساعت یک عدد قرار می گیرند . گروه 2 تحت درمان با دارونمای واژینال و خوراکی دارونما به ترتیب 14 و 28 روز قرار می گیرند به همراه یک عدد فلوکونازول خوراکی (150میلی گرم) و در موارد واژینیت عود کننده تحت درمان سه عدد فلوکونازول هر 72 ساعت یک عدد قرار می گیرند. بیماران بعد از 35 -30 روز برمبنای علائم بالینی و یافته های آزمایشگاهی مورد ارزیابی قرار میگیرند.
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    Clinical symptoms: itching, burning, discharge, and dyspareunia Laboratory findings: Direct smear and positive culture
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    علائم بالینی: خارش، سوزش، ترشحات و مقاربت دردناک یافته های آزمایشگاهی: لام مستقیم و کشت مثبت
  • General information

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    2016-11-21, 1395/09/01
    2016-07-20, 1395/04/30
    2018-02-20, 1396/12/01
    2018-03-27, 1397/01/07
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    Increase the number and time of sampling.
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    افزایش تعداد و زمان نمونه گیری
    married women aged 18-45 years old
    none pregnant
    absence of menstruation at the time of attendance
    not using vaginal medications, antibiotics , immonosupressive drugs and exogenous hormones such as oral contraceptives since 2 weeks before starting the research; not having intercourse or using vaginal douche within the last 24hours
    absence of any diagnose medical disease such as diabetis and other auto immune diseases, by asking the patient
    not having intercourse or using vaginal douche within the last 24 hours
    verification of vulvovaginal candidiasis resulted clinical symptoms and KOH positive smear and culture
    - زنان 45 – 18 سال و متاهل
    عدم وجود حاملگي
    قاعده نبودن در هنگام مراجعه
    عدم مصرف هر داروي واژينال، آنتي بيوتيک ها و داروهاي تضعيف کننده سيستم ايمني و هورمون های اگزوژن شامل قرصهای خوراکی ضد بارداری در طول 2 هفته قبل از شروع پژوهش
    عدم انجام دوش واژينال و نزدیکی جنسی در 24 ساعت گذشته
    عدم وجود بيماري شناخته شده طبي مانند ديابت و سایر بیماریهای اتو ایمیون با پرسش از بیمار
    اثبات ولوواژینیت کاندیدیایی بر اساس علائم بالینی، مثبت شدن نمونه KOH وکشت
    allergic reactions to fluconazole, lactovag and lactofem
    pregnancy during therapy
    compulsion to use antibiotics or other anti fungal drugs.
    واکنش های حساسیتی به فلوکونازول، لاکتوواژ و لاکتوفم
    باردار شدن حين درمان
    اجبار به استفاده از آنتي بيوتيک ها و یا هر نوع داروی ضد قارچ دیگر
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    Randomization will be done by simple method and using random numbers generated by computer software (Stat Trek software). In this method the computer selects random numbers. with consideration of numbers, the two groups are randomized.
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    نحوه تصادفی سازی با روش ساده و استفاده از اعداد تصادفی ایجاد شده توسط نرم افزار کامپیوتری (نرم افزار Stat Trek) انجام خواهد شد. در اين روش كامپيوتر اعداد تصادفي انتخاب مي كند. با در نظرگرفتن اعداد براي دو گروه تصادف سازي انجام مي گيرد.
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    Placebo will be used to achieve participants,Care provider and investigators will be masking. The researchers and patients will be concealed until the final analyses by a trained staff.
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    از پلاسبو برای کور سازی استفاده شده است.شرکت کننده، مراقب بالینی و بیماران تا زمان آنالیز نهایی توسط یک کارمند آموزش دیده کور نگاه داشته خواهند شد.
    70 person
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  • Primary outcomes

    #1
    1 month (30dayes ) after the use of probiotics or placebo
    35-30 days after starting probiotic or placebo treatment
    یک ماه (30 روز) روز پس از استفاده از پروبیوتیک یا پلاسبو
    35-30 روز پس از شروع درمان با پروبیوتیک یا پلاسبو
  • Secondary outcomes

    #1
    1 month after initial fluconazole treatment with probiotics or placebo
    30-30 days after starting treatment with fluconazole and probiotic or placebo
    1 ماه پس از درمان با فلوکونازول به همراه پروبیوتیک یا دارونما
    30-35 روز پس از شروع درمان با فلوکونازول به همراه پروبیوتیک یا دارونما
    culture
    culture and direct smear
    کشت
    کشت و لام مستقیم
  • Intervention groups

    #1
    Oral Fluconazol treatment with Oral probiotic capsules containing Lactobacillus acidophilus,Lactobacillus plantarum, Lactobacillus fermentum, Lactobacillus gasseri 1×10 9 colony are known as lactofem for once a day for 27 days(4 weeks) plus Vaginal probiotic capsules containing Lactobacillus acidophilus, Lactobacillus rhamnosus, Lactobacillus gasseri, Lactobacillus plantarum 1×10 9colony are known as lacto Vage for once every night for 14days(4 weeks)
    Oral Fluconazol treatment with Oral probiotic capsules containing Lactobacillus acidophilus,Lactobacillus plantarum,Lactobacillus fermentum, Lactobacillus gasseri 1×10 9 colony are known as lactofem for once a day for 27 days(4 weeks) plus Vaginal probiotic capsules containing Lactobacillus acidophilus, Lactobacillus rhamnosus, Lactobacillus gasseri, Lactobacillus plantarum 1×10 9colony are known as lacto Vage for once every night for 14days(4 weeks)
  • Recruitment centers

    #1
    Name of recruitment center - English: Naghavi hospital
    Name of recruitment center - Persian: بیمارستان نقوی
    Full name of responsible person - English: Dr. Zahra Vahedipoor
    Full name of responsible person - Persian: دکتر زهرا واحدی پور
    Street address - English: Shahid Rajaei Street, P.O.Box: 87137/43444, Kashan, IRAN
    Street address - Persian: کاشان، خیابان شهید رجایی بیمارستان نقوی، کلینیک تخصصی زنان
    City - English: Kashan
    City - Persian: کاشان
    Province:
    Country: Iran (Islamic Republic of)
    Postal code:
    Phone:
    Fax:
    Email:
    Web page address:
    Name of recruitment center - English: Naghavi hospital
    Name of recruitment center - Persian: بیمارستان نقوی
    Full name of responsible person - English: Dr. Zahra Vahedipoor
    Full name of responsible person - Persian: دکتر زهرا واحدی پور
    Street address - English: Shahid Rajaei Street, P.O.Box: 87137/43444, Kashan, IRAN
    Street address - Persian: کاشان، خیابان شهید رجایی بیمارستان نقوی، کلینیک تخصصی زنان
    City - English: Kashan
    City - Persian: کاشان
    Province: Isfehan
    Country: Iran (Islamic Republic of)
    Postal code: 87444 13743
    Phone: +98 31 5545 1515
    Fax:
    Email: zahravahedpoor@g.commail
    Web page address:
    #2
    Name of recruitment center - English: Imam Reza Clinic
    Name of recruitment center - Persian: کلینیک امام رضا
    Full name of responsible person - English: Dr. Zahra Vahedipoor
    Full name of responsible person - Persian: زهرا واحدی پور
    Street address - English: Imam Reza Clinic, Beheshti Ave, Kashan
    Street address - Persian: کاشان، خیابان بهشتی، کلینیک امام رضا
    City - English: Kashan
    City - Persian: کاشان
    Province: Isfehan
    Country: Iran (Islamic Republic of)
    Postal code: 1134845764
    Phone: +98 31 5546 6301
    Fax:
    Email: zahravahedpoor@g.commail
    Web page address:
  • Sponsors / Funding sources

    #1
    contact.organization_id:
    Name of organization / entity - English: Kashan University of Medical Scinces and Health Services
    Name of organization / entity - Persian: دانشگاه علوم پزشکی وخدمات بهداشتی درمانی کاشان
    Full name of responsible person - English: Dr. Hamidi
    Full name of responsible person - Persian: دکتر حمیدی
    Street address - English: 5th of Qotb –e Ravandi Blvd. P.O.Box: 8715988141, Kashan, IRAN
    Street address - Persian: کاشان، کیلومتر 5 بلوار قطب راوندی دانشکده پزشکی
    City - English: Kashan
    City - Persian: کاشان
    Province:
    Country: Iran (Islamic Republic of)
    Postal code:
    Phone:
    Fax:
    Email:
    Web page address:
    contact.organization_id:
    Name of organization / entity - English: Kashan University of Medical Scinces and Health Services
    Name of organization / entity - Persian: دانشگاه علوم پزشکی وخدمات بهداشتی درمانی کاشان
    Full name of responsible person - English: Dr. Hamidi
    Full name of responsible person - Persian: دکتر حمیدرضا بنفشه
    Street address - English: 5th of Qotb –e Ravandi Blvd. P.O.Box: 8715988141, Kashan, IRAN
    Street address - Persian: کاشان، کیلومتر 5 بلوار قطب راوندی دانشکده پزشکی
    City - English: Kashan
    City - Persian: کاشان
    Province: Isfehan
    Country: Iran (Islamic Republic of)
    Postal code: 8814187159
    Phone: +98 31 5557 8011
    Fax:
    Email: banafshe57@hotmail.com
    Web page address:
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    Public
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    Academic
    معاونت تحقیقات و فناوری دانشگاه علوم پزشکی و
    Vice Chancellor of Research & Technology of Kashan University of Medical Scinces
    معاونت تحقیقات و فناوری دانشگاه علوم پزشکی کاشان
    #2
    contact.organization_id:
    Name of organization / entity - English: Zist Takhmir company
    Name of organization / entity - Persian: شرکت زیست تخمیر
    Full name of responsible person - English: Dr. Sahar Bahmani
    Full name of responsible person - Persian: دکتر سحر بهمنی
    Street address - English: Farjam St., Heidarkhani cross road
    Street address - Persian: خیابان فرجام - چهارراه حیدر خانی - پلاک 597
    City - English: Tehran
    City - Persian: تهران
    Province:
    Country: Iran (Islamic Republic of)
    Postal code:
    Phone:
    Fax:
    Email:
    Web page address:
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    Yes
    empty
    empty
    empty
    Zist Takhmir company
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    شرکت زیست تخمیر
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  • Person responsible for general inquiries

    contact.organization_id:
    Name of organization / entity - English: Department of Medical Parasitology and Mycology, Medical faculty, kashan university of medical scien
    Name of organization / entity - Persian: گروه انگل شناسی و قارچ شناسی پزشکی، دانشکده پزشکی دانشگاه علوم پزشکی کاشان
    Full name of responsible person - English: Mehdi Nazeri
    Full name of responsible person - Persian: مهدی ناظری
    Position - English: Assistant Professor of Medical mycology
    Position - Persian: استادیار قارچ شناسی پزشکی
    Latest degree:
    Area of specialty/work: 0
    Area of specialty/work title - English:
    Area of specialty/work title - Persian:
    Street address - English: 5th of Qotb –e Ravandi Blvd. P.O.Box: 8715988141, Kashan, IRAN
    Street address - Persian: کیلومتر 5 بلوار قطب راوندی دانشکده پزشکی، گروه انگل شناسی
    City - English: Kashan
    City - Persian: کاشان
    Province:
    Province - English:
    Province - Persian:
    contact.provinces_available: 1
    Country: Iran (Islamic Republic of)
    Postal code: 8715988141
    Phone: +98 31 5554 1112
    Mobile: +98 913 264 5495
    Fax: +98 31 5554 1112
    Email: nazeri_me@kaums.ac.ir
    Web page address:
    contact.organization_id:
    Name of organization / entity - English: Department of Medical Parasitology and Mycology, Medical faculty, kashan university of medical scien
    Name of organization / entity - Persian: گروه انگل شناسی و قارچ شناسی پزشکی، دانشکده پزشکی دانشگاه علوم پزشکی کاشان
    Full name of responsible person - English: Mehdi Nazeri
    Full name of responsible person - Persian: مهدی ناظری
    Position - English: Assistant Professor of Medical mycology
    Position - Persian: استادیار قارچ شناسی پزشکی
    Latest degree: phd
    Area of specialty/work: 70
    Area of specialty/work title - English:
    Area of specialty/work title - Persian:
    Street address - English: 5th of Qotb –e Ravandi Blvd. P.O.Box: 8715988141, Kashan, IRAN
    Street address - Persian: کیلومتر 5 بلوار قطب راوندی دانشکده پزشکی، گروه انگل شناسی
    City - English: Kashan
    City - Persian: کاشان
    Province: Isfehan
    Province - English:
    Province - Persian:
    contact.provinces_available: 1
    Country: Iran (Islamic Republic of)
    Postal code: 8715988141
    Phone: +98 31 5554 1112
    Mobile: +98 913 264 5495
    Fax: +98 31 5554 1112
    Email: nazeri_me@kaums.ac.ir
    Web page address:
  • Person responsible for scientific inquiries

    contact.organization_id:
    Name of organization / entity - English: Department of Medical Parasitology and Mycology, Medical faculty, kashan university of medical scien
    Name of organization / entity - Persian: گروه انگل شناسی و قارچ شناسی پزشکی، دانشکده پزشکی دانشگاه علوم پزشکی کاشان
    Full name of responsible person - English: Mehdi Nazeri
    Full name of responsible person - Persian: مهدی ناظری
    Position - English: Assistant Professor of Medical mycology
    Position - Persian: استادیار قارچ شناسی پزشکی
    Latest degree:
    Area of specialty/work: 0
    Area of specialty/work title - English:
    Area of specialty/work title - Persian:
    Street address - English: 5th of Qotb –e Ravandi Blvd. P.O.Box: 8715988141, Kashan, IRAN
    Street address - Persian: کیلومتر 5 بلوار قطب راوندی دانشکده پزشکی، گروه انگل شناسی
    City - English: Kashan
    City - Persian: کاشان
    Province:
    Province - English:
    Province - Persian:
    contact.provinces_available: 1
    Country: Iran (Islamic Republic of)
    Postal code: 8715988141
    Phone: +98 31 5554 1112
    Mobile: +98 913 264 5495
    Fax: +98 31 5554 1112
    Email: nazeri_me@kaums.ac.ir
    Web page address: www.kAUMS.AC.IR

    Name of organization / entity - English:
    Name of organization / entity - Persian:
    Full name of responsible person - English: Mehdi Nazeri
    Full name of responsible person - Persian: مهدی ناظری
    Position - English: Assistant Professor of Medical mycology
    Position - Persian: استادیار قارچ شناسی پزشکی
    Latest degree: phd
    Area of specialty/work: 70
    Area of specialty/work title - English:
    Area of specialty/work title - Persian:
    Street address - English: Ghotbe Ravandi Boulevard, Kashan
    Street address - Persian: کاشان، بلوار قطب راوندی
    City - English: Kashan
    City - Persian: کاشان
    Province: Isfehan
    Province - English:
    Province - Persian:
    contact.provinces_available: 1
    Country: Iran (Islamic Republic of)
    Postal code: 8715988141
    Phone: +98 31 5554 1112
    Mobile: +98 913 264 5495
    Fax:
    Email: nazeri_me@kaums.ac.ir
    Web page address:
  • Person responsible for updating data

    contact.organization_id:
    Name of organization / entity - English: Department of Medical Parasitology and Mycology, Medical faculty, Kashan University of Medical Scien
    Name of organization / entity - Persian: گروه انگل شناسی و قارچ شناسی پزشکی، دانشکده پزشکی دانشگاه علوم پزشکی کاشان
    Full name of responsible person - English: Mehdi Nazeri
    Full name of responsible person - Persian: مهدی ناظری
    Position - English: Assistant Professor of Medical Mycology
    Position - Persian: استادیار قارچ شناسی پزشکی
    Latest degree:
    Area of specialty/work: 0
    Area of specialty/work title - English:
    Area of specialty/work title - Persian:
    Street address - English: 5th of Qotb –e Ravandi Blvd. P.O.Box: 8715988141, Kashan, IRAN
    Street address - Persian: کیلومتر 5 بلوار قطب راوندی دانشکده پزشکی، گروه انگل شناسی
    City - English: Kashan
    City - Persian: کاشان
    Province:
    Province - English:
    Province - Persian:
    contact.provinces_available: 1
    Country: Iran (Islamic Republic of)
    Postal code: 8715988141
    Phone: +98 31 5554 1112
    Mobile: +98 913 264 5495
    Fax: +98 31 5554 1112
    Email: nazeri_me@kaums.ac.ir
    Web page address: www.KAUMS.ac.ir
    contact.organization_id:
    Name of organization / entity - English: Department of Medical Parasitology and Mycology, Medical faculty, Kashan University of Medical Scien
    Name of organization / entity - Persian: گروه انگل شناسی و قارچ شناسی پزشکی، دانشکده پزشکی دانشگاه علوم پزشکی کاشان
    Full name of responsible person - English: Mehdi Nazeri
    Full name of responsible person - Persian: مهدی ناظری
    Position - English: Assistant Professor of Medical Mycology
    Position - Persian: استادیار قارچ شناسی پزشکی
    Latest degree: phd
    Area of specialty/work: 0
    Area of specialty/work title - English:
    Area of specialty/work title - Persian:
    Street address - English: 5th of Qotb –e Ravandi Blvd. P.O.Box: 8715988141, Kashan, IRAN
    Street address - Persian: کیلومتر 5 بلوار قطب راوندی دانشکده پزشکی، گروه انگل شناسی
    City - English: Kashan
    City - Persian: کاشان
    Province: Isfehan
    Province - English:
    Province - Persian:
    contact.provinces_available: 1
    Country: Iran (Islamic Republic of)
    Postal code: 8715988141
    Phone: +98 31 5554 1112
    Mobile: +98 913 264 5495
    Fax: +98 31 5554 1112
    Email: nazeri_me@kaums.ac.ir
    Web page address: http://www.kaums.ac.ir/
  • Sharing plan

    undecided
    undecided
    undecided
    undecided
    undecided
    undecided
    undecided
    empty
    Undecided - It is not yet known if there will be a plan to make this available.
    empty
    هنوز تصمیم نگرفته‌ام - برنامه انتشار آن هنوز مشخص نیست

Protocol summary

Study aim
The compare the effects of fluconazole(150mg) with vaginal(lactovag) and oral(lactofem) probiotic capsules with Fluconazole(150mg) on vulvovaginal candidiasis.
Design
A randomized, double blinded controlled clinical trial with a parallel group design of 80 patients, enrolled between July 2017and April 2019, and followed for 30-35 days.
Settings and conduct
Imam Reza Gynecology Clinic and Naghavi Hospital of Kashan
Participants/Inclusion and exclusion criteria
Inclusion criteria: 1- married women aged 18-45 years old 2- None pregnant absence of menstruation 3- Not using vaginal medications, antibiotics, immonosupressive drugs and exogenous hormones such as oral contraceptives since 2 weeks before starting the research 4- Not having intercourse or using vaginal douche within the last 24hours 5- Absence of any diagnose medical disease such as diabetis and other auto immune diseases 6- Vulvovaginal candidiasis based on clinical symptoms and laboratory finding Exclusion criteria: 1- Allergic reactions to fluconazole, lactovag and lactofem 2- Pregnancy during therapy 3- Compulsion to use antibiotics or other anti fungal drugs.
Intervention groups
Patients with vulvovaginal Candidiasis are randomly assigned to two groups. Group 1 will be treated with vaginal and oral probiotics for 14 and 28 days, respectively, with one oral fluconazole (150 mg), and in cases of recurrent vaginitis, receive three fluconazoles once every 72 hours. Group 2 will be treated with vaginal and oral placebo for 14 and 28 days, respectively, with one oral fluconazole (150 mg), and in recurrent vaginitis, three fluconazole will be treated every 72 hours.Patients are evaluated after 35-30 days based on clinical symptoms and laboratory findings.
Main outcome variables
Clinical symptoms: itching, burning, discharge, and dyspareunia Laboratory findings: Direct smear and positive culture

General information

Reason for update
Increase the number and time of sampling.
Acronym
IRCT registration information
IRCT registration number: IRCT2016090529710N1
Registration date: 2016-09-30, 1395/07/09
Registration timing: registered_while_recruiting

Last update: 2019-11-09, 1398/08/18
Update count: 1
Registration date
2016-09-30, 1395/07/09
Registrant information
Name
Mehdi Nazeri
Name of organization / entity
Department of Medical Parasitology and Mycology, Medical faculty, kashan university of medical scien
Country
Iran (Islamic Republic of)
Phone
+98 31 5555 1112
Email address
nazeri_me@kaums.ac.ir
Recruitment status
Recruitment complete
Funding source
1-Vice chancellor for Research & Technology, Kashan University of Medical Sciences; 2- zist takhmir company
Expected recruitment start date
2016-07-20, 1395/04/30
Expected recruitment end date
2018-03-27, 1397/01/07
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Effect of oral and vaginal administration probiotic in treatment of women with vaginal candidiasis
Public title
Effect of oral and vaginal administration probiotic in treatment of women with vaginal candidiasis
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
married women aged 18-45 years old none pregnant absence of menstruation at the time of attendance not using vaginal medications, antibiotics , immonosupressive drugs and exogenous hormones such as oral contraceptives since 2 weeks before starting the research; not having intercourse or using vaginal douche within the last 24hours absence of any diagnose medical disease such as diabetis and other auto immune diseases, by asking the patient not having intercourse or using vaginal douche within the last 24 hours verification of vulvovaginal candidiasis resulted clinical symptoms and KOH positive smear and culture
Exclusion criteria:
allergic reactions to fluconazole, lactovag and lactofem pregnancy during therapy compulsion to use antibiotics or other anti fungal drugs.
Age
From 18 years old to 55 years old
Gender
Female
Phase
2-3
Groups that have been masked
  • Participant
  • Care provider
  • Investigator
  • Outcome assessor
Sample size
Target sample size: 80
Randomization (investigator's opinion)
Randomized
Randomization description
Randomization will be done by simple method and using random numbers generated by computer software (Stat Trek software). In this method the computer selects random numbers. with consideration of numbers, the two groups are randomized.
Blinding (investigator's opinion)
Double blinded
Blinding description
Placebo will be used to achieve participants,Care provider and investigators will be masking. The researchers and patients will be concealed until the final analyses by a trained staff.
Placebo
Used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Kashan University of Medical Scinces and Health Services
Street address
5th of Qotb –e Ravandi Blvd. P.O.Box: 8715988141, Kashan, IRAN
City
kashan
Province
Isfehan
Postal code
8715988141
Approval date
2016-07-10, 1395/04/20
Ethics committee reference number
IR.KAUMS.REC.1395.30

Health conditions studied

1

Description of health condition studied
Vulvovaginal Candidiasis
ICD-10 code
B37.3
ICD-10 code description
Candidiasis of vulva and vagina

Primary outcomes

1

Description
Vaginal candidiasis symptoms
Timepoint
35-30 days after starting probiotic or placebo treatment
Method of measurement
questionnaire

Secondary outcomes

1

Description
Dirct smear and Culture
Timepoint
30-30 days after starting treatment with fluconazole and probiotic or placebo
Method of measurement
culture and direct smear

Intervention groups

1

Description
Oral Fluconazol treatment with Oral probiotic capsules containing Lactobacillus acidophilus,Lactobacillus plantarum,Lactobacillus fermentum, Lactobacillus gasseri 1×10 9 colony are known as lactofem for once a day for 27 days(4 weeks) plus Vaginal probiotic capsules containing Lactobacillus acidophilus, Lactobacillus rhamnosus, Lactobacillus gasseri, Lactobacillus plantarum 1×10 9colony are known as lacto Vage for once every night for 14days(4 weeks)
Category
Treatment - Drugs

2

Description
Oral Fluconazol treatment with Oral placebo for once a day for 27 days(4 weeks) plus Vaginal placebo for once every night for 14days(4 weeks)
Category
Placebo

Recruitment centers

1

Recruitment center
Name of recruitment center
Naghavi hospital
Full name of responsible person
Dr. Zahra Vahedipoor
Street address
Shahid Rajaei Street, P.O.Box: 87137/43444, Kashan, IRAN
City
Kashan
Province
Isfehan
Postal code
87444 13743
Phone
+98 31 5545 1515
Email
zahravahedpoor@g.commail

2

Recruitment center
Name of recruitment center
Imam Reza Clinic
Full name of responsible person
Dr. Zahra Vahedipoor
Street address
Imam Reza Clinic, Beheshti Ave, Kashan
City
Kashan
Province
Isfehan
Postal code
1134845764
Phone
+98 31 5546 6301
Email
zahravahedpoor@g.commail

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Kashan University of Medical Scinces and Health Services
Full name of responsible person
Dr. Hamidi
Street address
5th of Qotb –e Ravandi Blvd. P.O.Box: 8715988141, Kashan, IRAN
City
Kashan
Province
Isfehan
Postal code
8814187159
Phone
+98 31 5557 8011
Email
banafshe57@hotmail.com
Grant name
Vice Chancellor of Research & Technology of Kashan University of Medical Scinces
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Kashan University of Medical Scinces and Health Services
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
Department of Medical Parasitology and Mycology, Medical faculty, kashan university of medical scien
Full name of responsible person
Mehdi Nazeri
Position
Assistant Professor of Medical mycology
Latest degree
Ph.D.
Other areas of specialty/work
Mycology
Street address
5th of Qotb –e Ravandi Blvd. P.O.Box: 8715988141, Kashan, IRAN
City
Kashan
Province
Isfehan
Postal code
8715988141
Phone
+98 31 5554 1112
Fax
+98 31 5554 1112
Email
nazeri_me@kaums.ac.ir
Web page address

Person responsible for scientific inquiries

Contact
Name of organization / entity
Kashan University of Medical Sciences
Full name of responsible person
Mehdi Nazeri
Position
Assistant Professor of Medical mycology
Latest degree
Ph.D.
Other areas of specialty/work
Mycology
Street address
Ghotbe Ravandi Boulevard, Kashan
City
Kashan
Province
Isfehan
Postal code
8715988141
Phone
+98 31 5554 1112
Fax
Email
nazeri_me@kaums.ac.ir
Web page address

Person responsible for updating data

Contact
Name of organization / entity
Department of Medical Parasitology and Mycology, Medical faculty, Kashan University of Medical Scien
Full name of responsible person
Mehdi Nazeri
Position
Assistant Professor of Medical Mycology
Latest degree
Ph.D.
Other areas of specialty/work
Street address
5th of Qotb –e Ravandi Blvd. P.O.Box: 8715988141, Kashan, IRAN
City
Kashan
Province
Isfehan
Postal code
8715988141
Phone
+98 31 5554 1112
Fax
+98 31 5554 1112
Email
nazeri_me@kaums.ac.ir
Web page address
http://www.kaums.ac.ir/

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
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