ClinicalTrials.gg
CompletedNCT03762083Updated Jul 25, 2025Results posted

Clinical Performance of a Vaginal Pessary (pHyph) in Bacterial Vaginosis

An interventional study of pHyph generation I in Bacterial Vaginosis, 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 confirmed bacterial vaginosis (BV) according to fulfillment of at least 3 of the 4 Amsel criteria. 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 3 Amsel criteria (the criterion: "pH of vaginal fluid above 4.5" is only included at study inclusion for diagnosis), 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 BV symptoms, usability, and adverse events (AEs).

02

Conditions studied

  • Bacterial Vaginosis

Keywords

  • vaginitis
  • vaginal disease
  • vulvovaginitis
  • genital disease, female
  • vaginitis, bacterial
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 24 is below the median of 100 across 203 interventional studies indexed under Vaginosis, Bacterial.

Browse Vaginosis, Bacterial 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 BV according to Amsel's criteria, defined as having at least 3 of the 4 following criteria:

    1. Thin, white, yellow, homogenous discharge
    2. Clue cells on microscopy (more than 20 percent of epithelial cells)
    3. pH of vaginal fluid above 4.5
    4. Release of fishy odor "i.e. a positive whiff test" when alkali (10% potassium hydroxide [KOH] solution) is added
  • 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 BV (vulvovaginal candidiasis, Trichomonas vaginalis, Neisseria gonorrhoeae, Chlamydia trachomatis, Herpes simplex, or human papillomavirus) at screening

  • Anticipated menstruation during the treatment period (Day 0 till Day 7)
  • Patients who are pregnant or breastfeeding
  • Patients who were treated for BV within the past 14 days
  • Patients who are currently receiving antibiotic therapy unrelated to BV or have received antibiotic 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
  • 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

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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 BV.

    Device: pHyph generation I

Interventions

  • DevicepHyph generation I

    A vaginal tablet for the treatment of BV with administration every 48 hours.

    Also known as: Gedea pessary

06

What researchers measure

Primary outcomes

  1. Clinical Cure Rate

    Defined as absence of all of the following 3 Amsel criteria: 1. Thin, white, yellow, homogenous discharge 2. Clue cells on microscopy (more than 20% of epithelial cells) 3. Release of fishy odor "i.e. a positive whiff test" when alkali (10% potassium hydroxide \[KOH\] solution) is added

    Time frame: Day 7

Secondary outcomes

  1. Proportion of Patients Being Negative for Each of the 3 Amsel Criteria - Criterion 1

    Defined as absence of one of the following Amsel criteria: 1. Thin, white, yellow, homogenous discharge 2. Clue cells on microscopy (more than 20% of epithelial cells) 3. Release of fishy odor "i.e. a positive whiff test" when alkali (10% potassium hydroxide \[KOH\] solution) is added

    Time frame: Day 7 compared to Day 0

  2. Proportion of Patients Being Negative for Each of the 3 Amsel Criteria - Criterion 2

    Defined as absence of one of the following Amsel criteria: 1. Thin, white, yellow, homogenous discharge 2. Clue cells on microscopy (more than 20% of epithelial cells) 3. Release of fishy odor "i.e. a positive whiff test" when alkali (10% potassium hydroxide \[KOH\] solution is added

    Time frame: Day 7 compared to Day 0

  3. Proportion of Patients Being Negative for Each of the 3 Amsel Criteria - Criterion 3

    Defined as absence of one of the following Amsel criteria: 1. Thin, white, yellow, homogenous discharge 2. Clue cells on microscopy (more than 20% of epithelial cells) 3. Release of fishy odour "i.e. a positive whiff test" when alkali (10% potassium hydroxide \[KOH\] solution) is added

    Time frame: Day 7 compared to Day 0

  4. 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

  5. Proportion of Patients Having a Recurrence of the BV

    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
Started24
Completed21
Not completed3
Withdrew: Withdrawal by subject2
Withdrew: Physician decision1

Outcome measures

PrimaryClinical Cure Rate

Defined as absence of all of the following 3 Amsel criteria: 1. Thin, white, yellow, homogenous discharge 2. Clue cells on microscopy (more than 20% of epithelial cells) 3. Release of fishy odor "i.e. a positive whiff test" when alkali (10% potassium hydroxide \[KOH\] solution) is added

Time frame:
Day 7
Reported as:
Count of participants · Participants
Clinical Cure Rate
ParticipantspHyph, Gedea Pessary
Clinical Cure Rate18
Statistical analysis
  • pHyph, Gedea Pessary · Clinical cure rate: 81.9
SecondaryProportion of Patients Being Negative for Each of the 3 Amsel Criteria - Criterion 1

Defined as absence of one of the following Amsel criteria: 1. Thin, white, yellow, homogenous discharge 2. Clue cells on microscopy (more than 20% of epithelial cells) 3. Release of fishy odor "i.e. a positive whiff test" when alkali (10% potassium hydroxide \[KOH\] solution) is added

Time frame:
Day 7 compared to Day 0
Reported as:
Count of participants · Participants
Proportion of Patients Being Negative for Each of the 3 Amsel Criteria - Criterion 1
ParticipantspHyph, Gedea Pessary
Proportion of Patients Being Negative for Each of the 3 Amsel Criteria - Criterion 118
Statistical analysis
  • pHyph, Gedea Pessary · Prop. negative for amsel criterion 1.: 85.7 · 95% CI 63.7 to 97.0
SecondaryProportion of Patients Being Negative for Each of the 3 Amsel Criteria - Criterion 2

Defined as absence of one of the following Amsel criteria: 1. Thin, white, yellow, homogenous discharge 2. Clue cells on microscopy (more than 20% of epithelial cells) 3. Release of fishy odor "i.e. a positive whiff test" when alkali (10% potassium hydroxide \[KOH\] solution is added

Time frame:
Day 7 compared to Day 0
Reported as:
Count of participants · Participants
Proportion of Patients Being Negative for Each of the 3 Amsel Criteria - Criterion 2
ParticipantspHyph, Gedea Pessary
Proportion of Patients Being Negative for Each of the 3 Amsel Criteria - Criterion 218
Statistical analysis
  • pHyph, Gedea Pessary · Prop. negative for amsel criterion 2.: 90.0 · 95% CI 68.3 to 98.8
SecondaryProportion of Patients Being Negative for Each of the 3 Amsel Criteria - Criterion 3

Defined as absence of one of the following Amsel criteria: 1. Thin, white, yellow, homogenous discharge 2. Clue cells on microscopy (more than 20% of epithelial cells) 3. Release of fishy odour "i.e. a positive whiff test" when alkali (10% potassium hydroxide \[KOH\] solution) is added

Time frame:
Day 7 compared to Day 0
Reported as:
Count of participants · Participants
Proportion of Patients Being Negative for Each of the 3 Amsel Criteria - Criterion 3
ParticipantspHyph, Gedea Pessary
Proportion of Patients Being Negative for Each of the 3 Amsel Criteria - Criterion 319
Statistical analysis
  • pHyph, Gedea Pessary · Prop. negative for amsel criterion 3.: 86.4 · 95% CI 65.1 to 97.1
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 Questionnaire7.1 ± 2.3
SecondaryProportion of Patients Having a Recurrence of the BV

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 of the BV
ParticipantspHyph, Gedea Pessary
Day 141
Day 350
Statistical analysis
  • pHyph, Gedea Pessary · Recurrence rate day 14: 5.6 · 95% CI 0.1 to 27.3
  • pHyph, Gedea Pessary · Recurrence rate day 35: 0 · 95% CI 0 to 20.6

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 Pessary0/24 (0%)0/24 (0%)11/24 (45.8%)
Most frequent other events
Most frequent other events
EventpHyph, Gedea Pessary
HeadacheNervous system disorders10/24
DysmenorrhoeaReproductive system and breast disorders3/24

Baseline characteristics

A total of 24 participants were enrolled, and all 24 participants received study treatment.

Age, Categorical
Age, Categorical(Participants)pHyph, Gedea Pessary
<=18 years0
Between 18 and 65 years24
>=65 years0
Age, Continuous
Age, Continuous(years)pHyph, Gedea Pessary
Mean33.1 ± 8.8
Sex: Female, Male
Sex: Female, Male(Participants)pHyph, Gedea Pessary
Female24
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
Sweden24
Experience any bacterial vaginosis (BV) infection during the last 12 months
Experience any bacterial vaginosis (BV) infection during the last 12 months(Participants)pHyph, Gedea Pessary
Yes16
No8
08

Study locations

2 sites
  • Stortorgets Gynekologmottagning
    Helsingborg, Sweden
  • Sophiakliniken
    Lund, 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
NCT03762083
Lead sponsor
Gedea Biotech AB
Responsible party
Sponsor
First posted
Dec 3, 2018
Start date
Jan 7, 2019
Primary completion
Oct 22, 2019
Completion
Nov 18, 2019
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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