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CompletedNCT02515656PRISMUpdated Jan 22, 2019Results posted

Assessment of the Efficacy of POLYGYNAX® in the Empirical Treatment of Infectious Vaginitis

A Phase 3 interventional study of POLYGYNAX® and GYNODAKTARIN® in Vaginitis, sponsored by Laboratoire Innotech International. Completed at 4 sites in 4 countries. Open to female participants aged 18 Years to 64 Years. Per ClinicalTrials.gov, last updated 2019-01-22.

Sponsored by Laboratoire Innotech International · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
661
Allocation
Randomized
Ages
18 Years to 64 Years
Sex
Female
01

Study summary

POLYGYNAX® is a broad spectrum combination of nystatin, neomycin and polymixin B indicated for the local treatment of vaginitis due to sensitive germs and treatment of non specific vaginitis of adults. POLYGYNAX® has been marketed in France since 1969.

Nevertheless, despite the well established use of POLYGYNAX®, there is no clinical study supporting the interest of the combination of antifungal and antibiotics agents versus antifungal agent alone.

The aim of this project is to demonstrate that POLYGYNAX® is more effective than miconazole in the treatment of women experiencing symptoms of infectious vaginitis.

02

Conditions studied

  • Vaginitis

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03

In context

Vaginitis

115 studies on the registry are indexed under Vaginitis; 16 are open to participants now.

This study's enrollment of 661 is above the median of 100 across 90 interventional studies indexed under Vaginitis.

Browse Vaginitis studies →

Lead sponsor

Laboratoire Innotech International is the lead sponsor of 5 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 64 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Patient with an abnormal vaginal discharge associated with one (or more) functional vaginal complaints: vaginal burning and/or vaginal pain and/or vaginal irritation clinically evoking an infectious vaginitis:

    • bacterial vaginitis
    • non-specific vaginitis (atypical symptoms)
    • mixed vaginitis (i.e. suprainfected fungal vaginitis) and able to receive an empirical local treatment

Exclusion criteria

Exclusion Criteria:

  1. Recurrent patient; i.e. a patient who has had at least 4 episodes of infectious vaginitis in the 12 months prior to inclusion
  2. Vaginal infection justifying systemic therapy
  3. History of atrophic vaginitis or suspected atrophic vaginitis at inclusion
  4. Patient presenting with signs of genital herpes or signs of non-infectious vulvar pathology (vulvodynia, psoriasis, eczema, lichen sclerosus, lichen planus, contact dermatitis, candida intertrigo, vulval intraepithelial neoplasia (VIN))
  5. Patient with current Sexually Transmitted Infection (STI) and/or patients with clinical suspicion of STI
  6. Disease or concomitant treatment that could cause decreased immunity (i.e. diabetes mellitus, corticosteroids treatments)
  7. Systemic anti-infective treatment (antibiotic, antifungal) within two weeks prior to inclusion
  8. Patient menstruating or patient with menometrorrhagia due to hormonal imbalance at the time of inclusion
  9. Pregnant or lactating women or delivery within last 1 month
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
661 participants (actual)

Study arms

  • Experimental
    POLYGYNAX®

    Name : POLYGYNAX® Active components : nystatin 100 000 IU + neomycin sulphate 35 000 IU + polymyxin B sulphate 35 000 IU Dosage : 1 capsule intravaginally per day (administered at bedtime lying down) 12 vaginal soft capsules

    Drug: POLYGYNAX®

  • Active comparator
    miconazole + placebo

    Name : GYNODAKTARIN® Active components : miconazole nitrate 400 mg Dosage : 1 capsule intravaginally per day (administered at bedtime, lying down) 3 vaginal soft capsules followed by 9 placebo vaginal soft capsules

    Drug: GYNODAKTARIN® · Drug: Placebo

Interventions

  • DrugPOLYGYNAX®
  • DrugGYNODAKTARIN®
  • DrugPlacebo
06

What researchers measure

Primary outcomes

  1. Clinical Treatment Efficacy Assessed by the Investigator After Thorough Gynaecological Examination and Patient's Interview at End of Treatment Visit

    * Success is defined by resolution (return to patient's usual gynaecological conditions, i.e. before the episode which warranted inclusion in the study) OR substantial improvement of clinical signs of infectious vaginitis (i.e. abnormal vaginal discharge), and/or vaginal symptoms (vaginal burning and/or vaginal pain, and/or vaginal irritation). * Failure is defined by persistence or worsening of symptoms and clinical signs or requirement of an alternative or specific treatment. Not considered as "Treatment Failure": * The need to initiate a specific treatment because of a Sexually Transmitted Infection (STI) (trichomoniasis; gonococcal and chlamydial infections) detected from the vaginal sample at Visit 1 / D1. * Patients presenting with only vulvar complaints not considered as related to infectious vaginitis.

    Time frame: 15 days after first treatment administration

Secondary outcomes

  1. Change in Vaginal Discharge and in Each Associated Vaginal Clinical Symptoms Reported by the Patient in the Diary

    This outcome was evaluated using a Visual Analogue Scale (VAS) completed by the patient. The scale measured the level of each vaginal symptom experienced during the day (vaginal discharge, vaginal burning, vaginal pain and vaginal irritation). Scale ranges = 0 to 100 0=none symptom 100=maximum intensity of symptom Time points used in the calculation= D1 to D14

    Time frame: during 14 days after first treatment intake

  2. Number of Patients With Change in Vaginal Discharge Assessed by the Investigator

    The vaginal discharge is assessed by the investigator by using a score: 0=absent 1. mild: insufficient for speculum collection 2. moderate: sufficient for speculum collection 3. abundant: visible at the introitus even before speculum introduction.

    Time frame: 15 days after first treatment administration

  3. Clinical Treatment Efficacy (Success/Failure) Assessed by the Investigator After Thorough Gynaecological Examination and Patient's Interview at End of Study Visit

    Success and Failure (same definition as the primary outcome measure)

    Time frame: 22 days after first treatment administration

  4. Investigator's Global Satisfaction

    The investigator filled the satisfaction questionnaire during the end of treatment visit. Six ratings are available: Very Bad, Bad, Somewhat Bad, Somewhat Good, Good and Very Good.

    Time frame: 15 days after first administration

  5. Patient's Global Satisfaction

    The patient filled the satisfaction questionnaire on her patient's diary at home the eve of the End of Treatment Visit. Six ratings are available: Very Bad, Bad, Somewhat Bad, Somewhat Good, Good and Very Good.

    Time frame: 15 days after first administration

07

Results

Posted Jan 22, 2019

Participant flow

Participant flow — Overall Study
MilestonePOLYGYNAX®Miconazole + Placebo
Started326332
Full analysis set (fas)302309
Per protocol set (pps)277275
Safety population325328
Completed270261
Not completed5671

Outcome measures

PrimaryClinical Treatment Efficacy Assessed by the Investigator After Thorough Gynaecological Examination and Patient's Interview at End of Treatment Visit

* Success is defined by resolution (return to patient's usual gynaecological conditions, i.e. before the episode which warranted inclusion in the study) OR substantial improvement of clinical signs of infectious vaginitis (i.e. abnormal vaginal discharge), and/or vaginal symptoms (vaginal burning and/or vaginal pain, and/or vaginal irritation). * Failure is defined by persistence or worsening of symptoms and clinical signs or requirement of an alternative or specific treatment. Not considered as "Treatment Failure": * The need to initiate a specific treatment because of a Sexually Transmitted Infection (STI) (trichomoniasis; gonococcal and chlamydial infections) detected from the vaginal sample at Visit 1 / D1. * Patients presenting with only vulvar complaints not considered as related to infectious vaginitis.

Time frame:
15 days after first treatment administration
Reported as:
Count of participants · Participants
Clinical Treatment Efficacy Assessed by the Investigator After Thorough Gynaecological Examination and Patient's Interview at End of Treatment Visit
ParticipantsPOLYGYNAX®Miconazole + Placebo
Success275268
Failure2741
SecondaryChange in Vaginal Discharge and in Each Associated Vaginal Clinical Symptoms Reported by the Patient in the Diary

This outcome was evaluated using a Visual Analogue Scale (VAS) completed by the patient. The scale measured the level of each vaginal symptom experienced during the day (vaginal discharge, vaginal burning, vaginal pain and vaginal irritation). Scale ranges = 0 to 100 0=none symptom 100=maximum intensity of symptom Time points used in the calculation= D1 to D14

Time frame:
during 14 days after first treatment intake
Reported as:
Least squares mean · mm
Change in Vaginal Discharge and in Each Associated Vaginal Clinical Symptoms Reported by the Patient in the Diary
mmPOLYGYNAX®Miconazole + Placebo
Vaginal discharge absolute change31.43 (29.94 to 32.91)29.54 (28.07 to 31.01)
Vaginal burning absolute change27.89 (26.66 to 29.12)27.03 (25.81 to 28.25)
Vaginal pain absolute change16.93 (15.86 to 18.01)17.17 (16.10 to 18.24)
Vaginal irritation absolute change29.37 (28.06 to 30.67)28.79 (27.51 to 30.08)
Vaginal combined clinical symptoms score absolute28.96 (26.79 to 31.14)28.20 (26.04 to 30.35)
SecondaryNumber of Patients With Change in Vaginal Discharge Assessed by the Investigator

The vaginal discharge is assessed by the investigator by using a score: 0=absent 1. mild: insufficient for speculum collection 2. moderate: sufficient for speculum collection 3. abundant: visible at the introitus even before speculum introduction.

Time frame:
15 days after first treatment administration
Reported as:
Count of participants · Participants
Number of Patients With Change in Vaginal Discharge Assessed by the Investigator
ParticipantsPOLYGYNAX®Miconazole + Placebo
Leucorrhoea score change - Deterioration17
Leucorrhoea score change - No change1924
Leucorrhoea score change - Improvement280276
SecondaryClinical Treatment Efficacy (Success/Failure) Assessed by the Investigator After Thorough Gynaecological Examination and Patient's Interview at End of Study Visit

Success and Failure (same definition as the primary outcome measure)

Time frame:
22 days after first treatment administration
Reported as:
Count of participants · Participants
Clinical Treatment Efficacy (Success/Failure) Assessed by the Investigator After Thorough Gynaecological Examination and Patient's Interview at End of Study Visit
ParticipantsPOLYGYNAX®Miconazole + Placebo
Success252250
Failure4553
SecondaryInvestigator's Global Satisfaction

The investigator filled the satisfaction questionnaire during the end of treatment visit. Six ratings are available: Very Bad, Bad, Somewhat Bad, Somewhat Good, Good and Very Good.

Time frame:
15 days after first administration
Reported as:
Count of participants · Participants
Investigator's Global Satisfaction
ParticipantsPOLYGYNAX®Miconazole + Placebo
Very good - Good265252
Somewhat good - Somewhat bad2540
Bad - Very bad1015
SecondaryPatient's Global Satisfaction

The patient filled the satisfaction questionnaire on her patient's diary at home the eve of the End of Treatment Visit. Six ratings are available: Very Bad, Bad, Somewhat Bad, Somewhat Good, Good and Very Good.

Time frame:
15 days after first administration
Reported as:
Count of participants · Participants
Patient's Global Satisfaction
ParticipantsPOLYGYNAX®Miconazole + Placebo
Very good - Good239233
Somewhat good - Somewhat bad5063
Bad - Very bad32

Adverse events

Collected over 22 days. Non-serious events are listed at a 2% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
POLYGYNAX®0/325 (0%)1/325 (0.3%)18/325 (5.5%)
Miconazole + Placebo0/328 (0%)0/328 (0%)5/328 (1.5%)
Most frequent serious events
Most frequent serious events
EventPOLYGYNAX®Miconazole + Placebo
Patient pregnant exposed to study medicationsInjury, poisoning and procedural complications1/3250/328
Most frequent other events
Most frequent other events
EventPOLYGYNAX®Miconazole + Placebo
HeadacheNervous system disorders18/3255/328

Baseline characteristics

Age, Continuous
Age, Continuous(years)POLYGYNAX®Miconazole + PlaceboTotal
Mean34.70 ± 10.1333.73 ± 10.0734.21 ± 10.11
Sex: Female, Male
Sex: Female, Male(Participants)POLYGYNAX®Miconazole + PlaceboTotal
Female302309611
Male000
08

Study locations

4 sites
  • TURKOVA
    Praha, Czechia
  • PERCEVAL
    Lyon, 69009, France
  • MARICIC
    Belgrade, Serbia
  • GATOVA
    Martin, Slovakia
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 22, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02515656
Lead sponsor
Laboratoire Innotech International
Collaborators
International Clinical Trials Association, Venn Life Sciences
Responsible party
Sponsor
First posted
Aug 5, 2015
Start date
Sep 2015
Primary completion
Aug 2016
Completion
Aug 2016
Results posted
Jan 22, 2019
Last update
Jan 22, 2019

Study contacts

Jean-Marc BOHBOT, Dr
principal investigator · Institut Alfred Fournier

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Aug 2018. You cannot join it, but the record below documents what was studied.

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