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
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.
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 →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.
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:
Exclusion Criteria:
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®
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
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
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
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
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
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
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
| Milestone | POLYGYNAX® | Miconazole + Placebo |
|---|---|---|
| Started | 326 | 332 |
| Full analysis set (fas) | 302 | 309 |
| Per protocol set (pps) | 277 | 275 |
| Safety population | 325 | 328 |
| Completed | 270 | 261 |
| Not completed | 56 | 71 |
* 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.
| Participants | POLYGYNAX® | Miconazole + Placebo |
|---|---|---|
| Success | 275 | 268 |
| Failure | 27 | 41 |
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
| mm | POLYGYNAX® | Miconazole + Placebo |
|---|---|---|
| Vaginal discharge absolute change | 31.43 (29.94 to 32.91) | 29.54 (28.07 to 31.01) |
| Vaginal burning absolute change | 27.89 (26.66 to 29.12) | 27.03 (25.81 to 28.25) |
| Vaginal pain absolute change | 16.93 (15.86 to 18.01) | 17.17 (16.10 to 18.24) |
| Vaginal irritation absolute change | 29.37 (28.06 to 30.67) | 28.79 (27.51 to 30.08) |
| Vaginal combined clinical symptoms score absolute | 28.96 (26.79 to 31.14) | 28.20 (26.04 to 30.35) |
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.
| Participants | POLYGYNAX® | Miconazole + Placebo |
|---|---|---|
| Leucorrhoea score change - Deterioration | 1 | 7 |
| Leucorrhoea score change - No change | 19 | 24 |
| Leucorrhoea score change - Improvement | 280 | 276 |
Success and Failure (same definition as the primary outcome measure)
| Participants | POLYGYNAX® | Miconazole + Placebo |
|---|---|---|
| Success | 252 | 250 |
| Failure | 45 | 53 |
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.
| Participants | POLYGYNAX® | Miconazole + Placebo |
|---|---|---|
| Very good - Good | 265 | 252 |
| Somewhat good - Somewhat bad | 25 | 40 |
| Bad - Very bad | 10 | 15 |
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.
| Participants | POLYGYNAX® | Miconazole + Placebo |
|---|---|---|
| Very good - Good | 239 | 233 |
| Somewhat good - Somewhat bad | 50 | 63 |
| Bad - Very bad | 3 | 2 |
Collected over 22 days. Non-serious events are listed at a 2% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| POLYGYNAX® | 0/325 (0%) | 1/325 (0.3%) | 18/325 (5.5%) |
| Miconazole + Placebo | 0/328 (0%) | 0/328 (0%) | 5/328 (1.5%) |
| Event | POLYGYNAX® | Miconazole + Placebo |
|---|---|---|
| Patient pregnant exposed to study medicationsInjury, poisoning and procedural complications | 1/325 | 0/328 |
| Event | POLYGYNAX® | Miconazole + Placebo |
|---|---|---|
| HeadacheNervous system disorders | 18/325 | 5/328 |
| Age, Continuous(years) | POLYGYNAX® | Miconazole + Placebo | Total |
|---|---|---|---|
| Mean | 34.70 ± 10.13 | 33.73 ± 10.07 | 34.21 ± 10.11 |
| Sex: Female, Male(Participants) | POLYGYNAX® | Miconazole + Placebo | Total |
|---|---|---|---|
| Female | 302 | 309 | 611 |
| Male | 0 | 0 | 0 |
This study is completed, as verified in Aug 2018. You cannot join it, but the record below documents what was studied.
Get an email when the registry record changes — status, dates, results — or when someone posts here.
Sign in to followQuestions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.
Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.
Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.
Laboratoire Innotech International