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CompletedNCT03761628Updated Jul 25, 2025Results posted

Clinical Performance of a Vaginal Pessary (pHyph) in Vulvovaginal Candidiasis

An interventional study of pHyph generation I in Vulvovaginal Candidiasis, sponsored by Gedea Biotech AB. Completed at 2 sites in Sweden. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-07-25.

Sponsored by Gedea Biotech AB · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
24
Allocation
Not applicable
Ages
18 Years and older
Sex
Female
01

Study summary

This is an open-label, single-armed, multi-center study to evaluate clinical performance, tolerability, and safety of Gedea Pessary in 24 adult women with vulvovaginal candidias (VVC). On Day 0, patients will have gynecological examination, vaginal samples taken, and will receive the investigational product to be self-administered. Patients will be examined after 7 days with respect to VVC signs and symptoms and if not cured, will receive prolonged treatment for one additional week. Patients will be followed-up by telephone up to 29 days after last treatment. Vaginal samples will be used for confirming diagnosis and microbiome analyzes. Patient questionnaires will be used for assessing VVC symptoms, usability, and adverse events (AEs).

02

Conditions studied

  • Vulvovaginal Candidiasis

Keywords

  • Vaginal Yeast Infection
  • Candidiasis, vulvovaginal
  • Genital diseases, female
  • Vaginitis
  • Vulvovaginitis
  • Vaginal diseases
03

In context

Candidiasis, Vulvovaginal

109 studies on the registry are indexed under Candidiasis, Vulvovaginal; 14 are open to participants now.

This study's enrollment of 24 is below the median of 126 across 91 interventional studies indexed under Candidiasis, Vulvovaginal.

Browse Candidiasis, Vulvovaginal studies →

Lead sponsor

Gedea Biotech AB is the lead sponsor of 8 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 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

  • Adult, post-menarchal, pre-menopausal women aged 18 years or older
  • Diagnosis of VVC, defined as having a white or creamy vaginal discharge plus the following findings:

    1. At least 2 of the following signs and symptoms of VVC that are characterized as at least moderate: itching, burning, irritation, edema, redness, or excoriation.
    2. Potassium hydroxide (KOH) or saline preparation from the inflamed vaginal mucosa or secretions revealing yeast forms (hyphae or pseudohyphae) or budding yeasts.
  • Having decisional capacity and providing written
  • Negative urine pregnancy test at screening
  • Refrain from using any intravaginal products (i.e., creams, gels, foams, sponges, lubricants, or tampons, etc.) during the study period
  • Refrain from sexual intercourse or use a condom until Day 7
  • Signed informed consent and willing and able to comply with all study requirements

Exclusion criteria

Exclusion Criteria:

  • Patients with known or apparent signs of other infectious causes of VVC (BV, Trichomonas vaginalis, Neisseria gonorrhoeae, Chlamydia trachomatis, Herpes simplex, or human papillomavirus) at screening
  • Patients who are pregnant or breastfeeding
  • Patients who were treated for VVC within the past 14 days
  • Patients who are currently receiving antifungal therapy unrelated to VVC or has taken antifungal therapy within the past 14 days
  • Patients who have used pH-modifying vaginal products within the last 14 days
  • Patients who have received an drug in a clinical investigation within 30 days prior to screening
  • Known/previous allergy or to any product constituent or fluconazole
  • Any medical condition that in the Investigator's judgments would make the patient unsuitable for inclusion
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
24 participants (actual)

Study arms

  • Experimental
    pHyph, Gedea Pessary

    Clinical performance, tolerability, safety and user experience of Gedea Pessary, a slow-release vaginal tablet for the treatment of VVC.

    Device: pHyph generation I

Interventions

  • DevicepHyph generation I

    A vaginal tablet for the treatment of VVC to be administered every 48 hours

    Also known as: Gedea pessary

06

What researchers measure

Primary outcomes

  1. Clinical Cure Rate

    Clinical cure was defined as the absence of signs and symptoms of vulvovaginal candidiasis (VVC) in terms of having a composite vulvovaginal signs-and-symptoms (CVVS) score equal to or below 3. * Each of the following 6 vulvovaginal signs and symptoms were individually scored using the scoring scale below and then added together to determine the CVVS score. * Vulvovaginal signs: erythema, edema, or excoriation * Vulvovaginal symptoms: itching, burning, or irritation * Scoring Scale: each score should be objectively defined. 0 = none (absent) 1. = mild (slight) 2. = moderate (definitely present) 3. = severe (marked, intense)

    Time frame: Day 7

Secondary outcomes

  1. Proportion of Patients Having a Reduction in CVVS Score

    Defined as the absence of signs and symptoms of vulvovaginal candidiasis (VVC) in terms of having a composite vulvovaginal signs-and-symptoms (CVVS) score equal to or below 3. \- Each of the following 6 vulvovaginal signs and symptoms were individually scored using the scoring scale below and then added together to determine the CVVS score. * Vulvovaginal signs: erythema, edema, or excoriation * Vulvovaginal symptoms: itching, burning, or irritation -Scoring Scale: each score should be objectively defined: 0 = none (absent) 1. = mild (slight) 2. = moderate (definitely present) 3. = severe (marked, intense)

    Time frame: Day 7 compared to Day 0

  2. Usability, Measured by Patient Questionnaire

    General assessment of the treatment on a integer scale that ranges from 1 to 10. The lower end of the scale is indicated with the term "Not satisfied" and the higher end with the term "Very satisfied". Question asked: How do you generally regard the treatment?

    Time frame: Day 7

  3. Proportion of Patients Having a Recurrence

    Proportion of patients answering \[Yes\] to the question "Have the symptoms recurred?"

    Time frame: Up to day 35

07

Results

Posted Jul 25, 2025

Participant flow

Participant flow — Overall Study
MilestonepHyph, Gedea Pessary
Started23
Completed17
Not completed6
Withdrew: Withdrawal by subject3
Withdrew: Physician decision1
Withdrew: Pregnancy1
Withdrew: Lost to follow-up1

Outcome measures

PrimaryClinical Cure Rate

Clinical cure was defined as the absence of signs and symptoms of vulvovaginal candidiasis (VVC) in terms of having a composite vulvovaginal signs-and-symptoms (CVVS) score equal to or below 3. * Each of the following 6 vulvovaginal signs and symptoms were individually scored using the scoring scale below and then added together to determine the CVVS score. * Vulvovaginal signs: erythema, edema, or excoriation * Vulvovaginal symptoms: itching, burning, or irritation * Scoring Scale: each score should be objectively defined. 0 = none (absent) 1. = mild (slight) 2. = moderate (definitely present) 3. = severe (marked, intense)

Time frame:
Day 7
Reported as:
Count of participants · Participants
Clinical Cure Rate
ParticipantspHyph, Gedea Pessary
Clinical Cure Rate9
Statistical analysis
  • pHyph, Gedea Pessary · Clinical cure rate: 40.9
SecondaryProportion of Patients Having a Reduction in CVVS Score

Defined as the absence of signs and symptoms of vulvovaginal candidiasis (VVC) in terms of having a composite vulvovaginal signs-and-symptoms (CVVS) score equal to or below 3. \- Each of the following 6 vulvovaginal signs and symptoms were individually scored using the scoring scale below and then added together to determine the CVVS score. * Vulvovaginal signs: erythema, edema, or excoriation * Vulvovaginal symptoms: itching, burning, or irritation -Scoring Scale: each score should be objectively defined: 0 = none (absent) 1. = mild (slight) 2. = moderate (definitely present) 3. = severe (marked, intense)

Time frame:
Day 7 compared to Day 0
Reported as:
Count of participants · Participants
Proportion of Patients Having a Reduction in CVVS Score
ParticipantspHyph, Gedea Pessary
Proportion of Patients Having a Reduction in CVVS Score16
Statistical analysis
  • pHyph, Gedea Pessary · Proportion with reduction: 72.7 · 95% CI 49.8 to 89.3
SecondaryUsability, Measured by Patient Questionnaire

General assessment of the treatment on a integer scale that ranges from 1 to 10. The lower end of the scale is indicated with the term "Not satisfied" and the higher end with the term "Very satisfied". Question asked: How do you generally regard the treatment?

Time frame:
Day 7
Reported as:
Mean · Integer scale (1-10)
Usability, Measured by Patient Questionnaire
Integer scale (1-10)pHyph, Gedea Pessary
Usability, Measured by Patient Questionnaire6.4 ± 2.2
SecondaryProportion of Patients Having a Recurrence

Proportion of patients answering \[Yes\] to the question "Have the symptoms recurred?"

Time frame:
Up to day 35
Reported as:
Count of participants · Participants
Proportion of Patients Having a Recurrence
ParticipantspHyph, Gedea Pessary
Day 141
Day 350
Statistical analysis
  • pHyph, Gedea Pessary · Recurrence rate day 14: 12.5 · 95% CI 0.3 to 52.7
  • pHyph, Gedea Pessary · Recurrence rate day 35: 0 · 95% CI 0 to 45.9

Adverse events

Collected over Up to day 42. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
pHyph, Gedea Pessary0/23 (0%)0/23 (0%)12/23 (52.2%)
Most frequent other events
Most frequent other events
EventpHyph, Gedea Pessary
HeadacheNervous system disorders5/23
DysmenorrhoeaReproductive system and breast disorders4/23
NasopharyngitisInfections and infestations4/23
Abdominal pain upperGastrointestinal disorders2/23

Baseline characteristics

A total of 24 participants were enrolled, whereof 23 participants received study treatment.

Age, Categorical
Age, Categorical(Participants)pHyph, Gedea Pessary
<=18 years0
Between 18 and 65 years23
>=65 years0
Age, Continuous
Age, Continuous(years)pHyph, Gedea Pessary
Mean29.9 ± 8.0
Sex: Female, Male
Sex: Female, Male(Participants)pHyph, Gedea Pessary
Female23
Male0
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)pHyph, Gedea Pessary
Region of Enrollment
Region of Enrollment(participants)pHyph, Gedea Pessary
Sweden23
Experience of any vaginal candida infection during the last 12 months
Experience of any vaginal candida infection during the last 12 months(Participants)pHyph, Gedea Pessary
Yes22
No1
08

Study locations

2 sites
  • Hoftekliniken
    Helsingborg, Sweden
  • Annerokliniken
    Hofterup, Sweden
09

References and documents

Related links

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 25, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03761628
Lead sponsor
Gedea Biotech AB
Responsible party
Sponsor
First posted
Dec 3, 2018
Start date
Jan 7, 2019
Primary completion
Dec 16, 2019
Completion
Jan 15, 2020
Results posted
Jul 25, 2025
Last update
Jul 25, 2025

Study contacts

Monika Cardell, MD, PhD
principal investigator · Kvinnokliniken, Region Skåne

Oversight

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

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