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CompletedNCT01039584Updated Jul 12, 2023Results posted

A Randomized Study Evaluating the Therapeutic Equivalence of Two Butoconazole Nitrate Vaginal Cream, 2% Formulations

An interventional study of Butoconazole Nitrate Vaginal Cream and Placebo in Vulvovaginal Candidiasis, sponsored by Padagis LLC. Completed at 1 site in United States. Open to female participants aged 18 Years to 75 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-07-12.

Sponsored by Padagis LLC · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
611
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
Female
01

Study summary

This was a study that compared the efficacy and safety of a generic butoconazole nitrate vaginal cream, 2% to Gynazole-1 (butoconazole nitrate) Vaginal Cream, 2% in the treatment of vulvovaginal candidiasis caused by Candida species.

02

Conditions studied

  • Vulvovaginal Candidiasis

Keywords

  • bioequivalence
  • butoconazole
  • vulvovaginal
  • candidiasis
03

In context

Candidiasis

265 studies on the registry are indexed under Candidiasis; 20 are open to participants now.

This study's enrollment of 611 is above the median of 99 across 186 interventional studies indexed under Candidiasis.

Browse Candidiasis studies →

Lead sponsor

Padagis LLC is the lead sponsor of 36 studies on the registry; none are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 5 (100%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

Inclusion criteria

  • Female subjects, at least 18 years of age
  • Presented with symptomatic vulvovaginitis consistent with a diagnosis of moniliasis
  • Signed and dated informed consent

Exclusion criteria

Exclusion Criteria:

  • Were pregnant, nursing, or planning a pregnancy within the study participation period
  • Had evidence of any bacterial, viral, or protozoal infection
  • Had hypersensitivity or allergy to the imidazoles, their analogues, and/or any of the Test Product ingredients
  • Had any medical condition, or used any medication which, in the opinion of the investigator, could have interfered with the conduct of the study
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Care provider)
Enrollment
611 participants (actual)

Study arms

  • Placebo comparator
    Placebo

    vehicle of the test product; applied intravaginally once within 48 hours of randomization

    Drug: Placebo

  • Experimental
    Test Product

    Butoconazole Nitrate Vaginal Cream; applied intravaginally once within 48 hours of randomization

    Drug: Butoconazole Nitrate Vaginal Cream

  • Active comparator
    Reference Product

    Gynazole 1 Vaginal Cream; applied intravaginally once within 48 hours of randomization

    Drug: Gynazole 1 vaginal cream

Interventions

  • DrugButoconazole Nitrate Vaginal Cream

    vaginal cream

  • DrugPlacebo

    vaginal cream

    Also known as: vehicle of the test product

  • DrugGynazole 1 vaginal cream

    vaginal cream

    Also known as: Gynazole 1

06

What researchers measure

Primary outcomes

  1. The Test of Equivalence Between the Test and Reference Products Was Based on the Therapeutic Cure Rates at Visit 3/Test-of-Cure.

    Therapeutic cure is defined as both the mycologically-proven eradication of infection caused by Candida species (mycological cure) and evidence of clinical success (clinical cure)

    Time frame: Visit 3: Day 22-31

Secondary outcomes

  1. Clinical Cure

    Clinical cure (clinical success) was defined as follows: 1. All signs or symptoms with a score of 1 (mild) or 2 (moderate) at Visit 1/Baseline had a score of 0 (absent) at Visit 3/Test-of-Cure, or all signs or symptoms with a score of 3 (severe) at Visit 1/Baseline had a score of 0 (absent) or 1 (mild) at Visit 3/Test-of-Cure 2. A new sign or symptoms was observed at Visit 3/Test-of-Cure that was not present at entry and was determined by the investigator to not be related to VVC (if related, the subject was considered a failure; if not related, the subject could have been considered a cure) 3. The subject did not require additional vulvovaginal or systemic antifungal therapy 4. The subject did not use any topical drug therapy other than the study medication for the treatment of vulvovaginal irritation and/or pruritus, such as topical analgesics or corticosteroid products

    Time frame: Visit 3: Day 22-31

  2. Mycological Cure

    Mycological cure was defined as a negative mycological culture (no growth)

    Time frame: Visit 3: Day 22-31

07

Results

Posted Jan 21, 2013

Participant flow

Participant flow — Overall Study
MilestoneTest ProductReference ProductPlacebo
Started246243122
Completed14314665
Not completed1039757
Withdrew: Withdrawal by subject421
Withdrew: Protocol violation1046
Withdrew: Lost to follow-up534
Withdrew: Negative baseline culture for candida595924
Withdrew: Lack of efficacy7610
Withdrew: Other131
Withdrew: Pap smear with significant pathology10103
Withdrew: Positive for chlamydia or gonorrhea7108

Outcome measures

PrimaryThe Test of Equivalence Between the Test and Reference Products Was Based on the Therapeutic Cure Rates at Visit 3/Test-of-Cure.

Therapeutic cure is defined as both the mycologically-proven eradication of infection caused by Candida species (mycological cure) and evidence of clinical success (clinical cure)

Time frame:
Visit 3: Day 22-31
Reported as:
Number · participants
The Test of Equivalence Between the Test and Reference Products Was Based on the Therapeutic Cure Rates at Visit 3/Test-of-Cure.
participantsTest ProductReference ProductPlacebo
The Test of Equivalence Between the Test and Reference Products Was Based on the Therapeutic Cure Rates at Visit 3/Test-of-Cure.737316
Statistical analysis
  • Test Product vs Reference Product · Wald's method · Yates continuity correction: 1.5 · 90% CI -9.1 to 12.3
SecondaryClinical Cure

Clinical cure (clinical success) was defined as follows: 1. All signs or symptoms with a score of 1 (mild) or 2 (moderate) at Visit 1/Baseline had a score of 0 (absent) at Visit 3/Test-of-Cure, or all signs or symptoms with a score of 3 (severe) at Visit 1/Baseline had a score of 0 (absent) or 1 (mild) at Visit 3/Test-of-Cure 2. A new sign or symptoms was observed at Visit 3/Test-of-Cure that was not present at entry and was determined by the investigator to not be related to VVC (if related, the subject was considered a failure; if not related, the subject could have been considered a cure) 3. The subject did not require additional vulvovaginal or systemic antifungal therapy 4. The subject did not use any topical drug therapy other than the study medication for the treatment of vulvovaginal irritation and/or pruritus, such as topical analgesics or corticosteroid products

Time frame:
Visit 3: Day 22-31
Reported as:
Number · participants
Clinical Cure
participantsTest ProductReference ProductPlacebo
Clinical Cure919232
Statistical analysis
  • Test Product vs Reference Product · Wald's method · Yates continuity correction: 1.5 · 90% CI -7.3 to 12.8
SecondaryMycological Cure

Mycological cure was defined as a negative mycological culture (no growth)

Time frame:
Visit 3: Day 22-31
Reported as:
Number · participants
Mycological Cure
participantsTest ProductReference ProductPlacebo
Mycological Cure837918
Statistical analysis
  • Test Product vs Reference Product · Wald's method · p = 0.05 · Yates continuity correction: 1.5 · 90% CI -11.7 to 9.4

Adverse events

Collected over From the signing of informed consent to 30 days post subject participation.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Test Product—0/246 (0%)0/246 (0%)
Reference Product—0/243 (0%)0/243 (0%)
Placebo—0/122 (0%)0/122 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Test ProductReference ProductPlaceboTotal
<=18 years85417
Between 18 and 65 years236238117591
>=65 years2013
Age, Continuous
Age, Continuous(years)Test ProductReference ProductPlaceboTotal
Mean32.1 ± 10.2932.1 ± 10.0233.3 ± 11.1532.3 ± 10.35
Sex: Female, Male
Sex: Female, Male(Participants)Test ProductReference ProductPlaceboTotal
Female246243122611
Male0000
Region of Enrollment
Region of Enrollment(participants)Test ProductReference ProductPlaceboTotal
United States10810754269
Central America545326133
South America848342209
08

Study locations

1 site
  • PharmaNet, Inc. (PharmaNet)
    Charlotte, North Carolina 28262, United States
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 12, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01039584
Lead sponsor
Padagis LLC
Responsible party
Sponsor
First posted
Dec 25, 2009
Start date
Feb 2008
Primary completion
Sep 2009
Completion
Dec 2009
Results posted
Jan 21, 2013
Last update
Jul 12, 2023

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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