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CompletedNCT00153517Updated May 29, 2024

Maternal Effects of Bacterial Vaginosis (BV) Treatment in Pregnancy

A Phase 2 interventional study of oral versus vaginal metronidazole in Vaginosis, Bacterial, Premature Birth and Birth Weight, sponsored by Centers for Disease Control and Prevention. Completed at 1 site in United States. Open to female participants aged 16 Years and older. Per ClinicalTrials.gov, last updated 2024-05-29.

Sponsored by Centers for Disease Control and Prevention · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Sep 2004, 22 years 2 months ago, and no results have been posted to the registry.
Phase
Phase 2
Study type
Interventional
Enrollment
126
Allocation
Randomized
Ages
16 Years and older
Sex
Female
01

Study summary

The goal of this study is to examine acceptability and efficacy of 2 kinds of BV treatment among women at low risk for preterm delivery. The objectives are:

  1. To examine the side effects and patient acceptability of oral versus intravaginal metronidazole.
  2. To compare the efficacy of oral and intravaginal metronidazole for the treatment of BV
  3. To study the efficacy of oral and intravaginal metronidazole for the prevention of hospital admission during the 3rd trimester, chorioamnionitis, preterm delivery, and maternal infectious morbidity.
Read the detailed description

This is a randomized, placebo-controlled intervention trial. Women diagnosed as BV+ by Gram stain at 12-16 weeks gestation are randomly assigned to the following treatment groups: oral metronidazole (250 mg TID x 7 days) with intravaginal placebo; intravaginal metronidazole (5g 0.75% gel BID x 5 days) with oral placebo. African American, Hispanic, Asian/Pacific Islander, Native American, and white women are eligible. Women with a prior preterm delivery, multiple gestation, chronic hypertension or pre-existing diabetes, antibiotic use before enrollment in the study, allergy to metronidazole, history of alcohol abuse in past year, and women under age 18 are excluded.

02

Conditions studied

  • Vaginosis, Bacterial
  • Premature Birth
  • Birth Weight
  • Chorioamnionitis

Keywords

  • Bacterial Vaginosis
  • Metronidazole
03

In context

Vaginosis, Bacterial

240 studies on the registry are indexed under Vaginosis, Bacterial; 39 are open to participants now.

This study's enrollment of 126 is above the median of 100 across 203 interventional studies indexed under Vaginosis, Bacterial.

Browse Vaginosis, Bacterial studies →

Lead sponsor

Centers for Disease Control and Prevention is the lead sponsor of 275 studies on the registry; 2 are open to participants now.

Of its 11 completed or terminated interventional studies of FDA-regulated products, 8 (73%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
16 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Tested positive for bacerial vaginosis (Nugent score >7)
  • African American, Hispanic, Asian/Pacific Islander, Native American, and white women

Exclusion criteria

Exclusion Criteria:

  • >20 weeks gestaion
  • history of preterm delivery
  • had a multiple gestation pregnancy
  • had major medical complications (e.g., chronic hypertension or pre-existing diabetes)
  • antibiotic use within 7 days of screening visit for enrollment in the study,
  • allergy to metronidazole
  • history of alcohol dependency in past year women under age 16
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
126 participants (actual)

Study arms

  • Active comparator
    Oral Treatment

    oral (250mg three times daily for 7 days) metronidazole

    Drug: oral versus vaginal metronidazole

  • Active comparator
    Vaginal Treatment

    intravaginal (5 g of 0.75% gel twice daily for 5 days) metronidazole

    Drug: oral versus vaginal metronidazole

Interventions

  • Drugoral versus vaginal metronidazole
06

What researchers measure

Primary outcomes

  1. Microbiological, Clinical, and Therapeutic Cure Rates at Follow-Up among Women Treated with Oral vs. Intravaginal Metronidazole

    Cure rates were assessed by Gram Stain Score (0-3, 4-6, 7-10); Abnormal clincial signs (0, 1-2, 3-4); Therapeutic cure (Gram Stain 0-3 and no symptoms) treatment

    Time frame: 4 weeks after treatment

Secondary outcomes

  1. preterm delivery

    rate of delivery before 37 completed weeks gestation in intervention groups

    Time frame: at delivery

  2. low birth weight

    birth weight less than 2500 grams

    Time frame: at delivery

07

Study locations

1 site
  • University of Washington
    Seattle, Washington 98185, United States
08

References and documents

Publications

  • Mitchell C, Balkus J, Agnew K, Lawler R, Hitti J. Changes in the vaginal microenvironment with metronidazole treatment for bacterial vaginosis in early pregnancy. J Womens Health (Larchmt). 2009 Nov;18(11):1817-24. doi: 10.1089/jwh.2009.1378. PubMed 19951217 ↗
  • Mitchell CM, Hitti JE, Agnew KJ, Fredricks DN. Comparison of oral and vaginal metronidazole for treatment of bacterial vaginosis in pregnancy: impact on fastidious bacteria. BMC Infect Dis. 2009 Jun 10;9:89. doi: 10.1186/1471-2334-9-89. PubMed 19515236 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Oct 1999, a primary completion of Sep 2004 and a completion of Sep 2004. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 8, 2005
First posted
Sep 12, 2005
Start
Oct 1999
Primary completionActual
Sep 2004
CompletionActual
Sep 2004
Last update
May 29, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 29, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00153517
Responsible party
Cynthia Ferre (Lead Health Scientist, Centers for Disease Control and Prevention) — Principal investigator
First posted
Sep 12, 2005
Start date
Oct 1999
Primary completion
Sep 2004
Completion
Sep 2004
Last update
May 29, 2024

Study contacts

Jane E Hitti, MD, MPH
principal investigator · University of Washington

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2024. You cannot join it, but the record below documents what was studied.

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