ClinicalTrials.gg
TerminatedNCT04578015Updated Jun 15, 2023Results posted

A Randomized Controlled Trial of Treatment of Bacterial Vaginosis

A Phase 4 interventional study of Metronidazole and Placebo in Bacterial Vaginoses, sponsored by Ohio State University. Terminated at 1 site in United States. Open to female participants aged 18 Years to 50 Years. Per ClinicalTrials.gov, last updated 2023-06-15.

Sponsored by Ohio State University · Phase 4, Interventional, and Treatment

Why this study was terminated
After screening many patients for BV, it was determined that the rate of BV is less in our population that the 30% rate mentioned in the literature. It was determined that completing the study will not be feasible due to cost and time constraints.
Phase
Phase 4
Study type
Interventional
Enrollment
16
Allocation
Randomized
Ages
18 Years to 50 Years
Sex
Female
01

Study summary

This is a double-blinded, placebo controlled, multi-center randomized trial of 482 pregnant women who are diagnosed with Bacterial Vaginosis (BV) in the late 3rd trimester (>34 weeks). During routine clinic visit after 34 weeks, prospective patients will be counseled about the study. Patients who agree to be enrolled, will sign informed consent. Following enrollment, patients will be screened for BV. Those patients who are BV positive by clinical diagnosis, will be randomized to receive either metronidazole 500 mg BID orally for 7 days or identically appearing placebo.

02

Conditions studied

  • Bacterial Vaginoses

Keywords

  • Bacterial Vaginoses
  • Cesarean delivery
  • Surgical site infection
  • Endometritis
  • Infection
  • Vaginitis
03

In context

Vaginosis, Bacterial

228 studies on the registry are indexed under Vaginosis, Bacterial; 39 are open to participants now.

This study's enrollment of 16 is below the median of 100 across 194 interventional studies indexed under Vaginosis, Bacterial.

Browse Vaginosis, Bacterial studies →

Lead sponsor

Ohio State University is the lead sponsor of 658 studies on the registry; 145 are open to participants now.

Of its 66 completed or terminated interventional studies of FDA-regulated products, 49 (74%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 50 Years
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

  • Pregnant women 18 to ≤50 years with the ability to give informed consent.
  • Patients expected to have a vaginal delivery with no obstetric contraindication for vaginal delivery at time of screening.
  • Diagnosed with bacterial BV per Amsel criteria at time of screening in clinic.
  • Gestational age ≥ 35 weeks

Exclusion criteria

Exclusion Criteria:

  • Plan for elective cesarean delivery
  • Allergy or contraindications to metronidazole
  • Receipt of metronidazole or clindamycin on admission for delivery for other indications.
  • Hemodialysis
  • Severe liver dysfunction
  • Patient reports BV to nurse or clinician provider at current clinic visit or has been treated for BV within the past 3 months.
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
16 participants (actual)

Study arms

  • Active comparator
    Metronidazole 500 mg

    Participants in this arm will receive metronidazole 500 mg twice daily, orally for 7 days

    Drug: Metronidazole

  • Placebo comparator
    Placebo

    Participants in this arm will receive placebo

    Drug: Placebo

Interventions

  • Participants in this arm will receive metronidazole 500 mg twice daily, orally for 7 days

  • DrugPlacebo

    Participants in this arm will receive placebo

06

What researchers measure

Primary outcomes

  1. Evaluating Composite of Chorioamnionitis, Postpartum Endometritis, SSI, Wound Infection, or Other Post-cesarean Infections (Occurring Within 6 Weeks After Delivery)

    Time frame: Through study completion, approximately 9.5 months

Secondary outcomes

  1. Evaluating Incidence of Individual Infections.

    Chorioamnionitis, endometritis, wound infection (including necrotizing fascitis), other infections including abscess, septic thrombosis, pneumonia, pyelonephritis and breast infection.

    Time frame: At the time of admission for labor trough study completion, approximately 9.5 months

  2. Evaluating Incidence of Maternal Death

    Time frame: After delivery through study completion, approximately 9.5 months

  3. Evaluating Incidence of Puerperal Fever.

    Temperature \> 100.4 F at least twice 30 minutes apart, or once with the use of antipyretic, or ≥101 F once.

    Time frame: Through study completion, approximately 9.5 months

  4. Evaluating Incidence of Use of Resources.

    Hospital stay, postpartum clinic or emergency room visit within 4 weeks of delivery, need for imaging or other invasive procedures, postpartum antibiotic use.

    Time frame: Through study completion, approximately 9.5 months

  5. Evaluating Incidence of Adverse Events

    Allergic reactions (anaphylaxis, angioedema, skin rashes including Stevens Johnson and Toxic Epidermal necrolysis), GI symptoms (nausea, vomiting, diarrhea, constipation, ileus, etc)

    Time frame: Through study completion, approximately 9.5 months

  6. Evaluating Incidence of Suspected Sepsis for Newborns

    Time frame: Within 7 days of delivery

  7. Evaluating Incidence of Confirmed Sepsis for Newborns

    Time frame: Within 7 days of delivery

  8. Evaluating Incidence of Newborn Intensive Care Unit (NICU) Admission and Duration

    Time frame: After delivery through study completion, approximately 9.5 months

  9. Evaluating Incidence of Neonatal Morbidities

    Time frame: After delivery through study completion, approximately 9.5 months

07

Results

Posted Jun 15, 2023

Participant flow

Participant flow — Overall Study
MilestoneMetronidazole 500 mgPlacebo
Started88
Completed00
Not completed88

Outcome measures

PrimaryEvaluating Composite of Chorioamnionitis, Postpartum Endometritis, SSI, Wound Infection, or Other Post-cesarean Infections (Occurring Within 6 Weeks After Delivery)
Time frame:
Through study completion, approximately 9.5 months

No measurements were reported for this outcome.

SecondaryEvaluating Incidence of Individual Infections.

Chorioamnionitis, endometritis, wound infection (including necrotizing fascitis), other infections including abscess, septic thrombosis, pneumonia, pyelonephritis and breast infection.

Time frame:
At the time of admission for labor trough study completion, approximately 9.5 months

No measurements were reported for this outcome.

SecondaryEvaluating Incidence of Maternal Death
Time frame:
After delivery through study completion, approximately 9.5 months

No measurements were reported for this outcome.

SecondaryEvaluating Incidence of Puerperal Fever.

Temperature \> 100.4 F at least twice 30 minutes apart, or once with the use of antipyretic, or ≥101 F once.

Time frame:
Through study completion, approximately 9.5 months

No measurements were reported for this outcome.

SecondaryEvaluating Incidence of Use of Resources.

Hospital stay, postpartum clinic or emergency room visit within 4 weeks of delivery, need for imaging or other invasive procedures, postpartum antibiotic use.

Time frame:
Through study completion, approximately 9.5 months

No measurements were reported for this outcome.

SecondaryEvaluating Incidence of Adverse Events

Allergic reactions (anaphylaxis, angioedema, skin rashes including Stevens Johnson and Toxic Epidermal necrolysis), GI symptoms (nausea, vomiting, diarrhea, constipation, ileus, etc)

Time frame:
Through study completion, approximately 9.5 months

No measurements were reported for this outcome.

SecondaryEvaluating Incidence of Suspected Sepsis for Newborns
Time frame:
Within 7 days of delivery

No measurements were reported for this outcome.

SecondaryEvaluating Incidence of Confirmed Sepsis for Newborns
Time frame:
Within 7 days of delivery

No measurements were reported for this outcome.

SecondaryEvaluating Incidence of Newborn Intensive Care Unit (NICU) Admission and Duration
Time frame:
After delivery through study completion, approximately 9.5 months

No measurements were reported for this outcome.

SecondaryEvaluating Incidence of Neonatal Morbidities
Time frame:
After delivery through study completion, approximately 9.5 months

No measurements were reported for this outcome.

Adverse events

Collected over Through study termination. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Metronidazole 500 mg0/8 (0%)0/8 (0%)0/8 (0%)
Placebo0/8 (0%)0/8 (0%)0/8 (0%)

Baseline characteristics

Baseline analysis population data was not obtained as participants assigned to the treatment and placebo group did not complete the study, and this study was terminated due to lack of participant enrollment before data could be collected. No baseline data was collected.

Age, Categorical
Age, CategoricalMetronidazole 500 mgPlaceboTotal
<=18 years———
Between 18 and 65 years———
>=65 years———
Age, Continuous
Age, ContinuousMetronidazole 500 mgPlaceboTotal
Sex: Female, Male
Sex: Female, MaleMetronidazole 500 mgPlaceboTotal
Female———
Male———
Race and Ethnicity Not Collected
Race and Ethnicity Not CollectedMetronidazole 500 mgPlaceboTotal
Region of Enrollment
Region of Enrollment(participants)Metronidazole 500 mgPlaceboTotal
08

Study locations

1 site
  • The Ohio State University Wexner Medical Center OB/GYN Maternal and Fetal Medicine
    Columbus, Ohio 43210, United States
09

References and documents

Study documents

  • Protocol and statistical analysis plan · Nov 16, 2021

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Apr 2021 to primary completion in Feb 2022, 9 months.

Results were first posted in Jun 2023, 1 year 4 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 1, 2020
First posted
Oct 8, 2020
StartActual
Apr 26, 2021
Primary completionActual
Feb 9, 2022
CompletionActual
Feb 9, 2022
Results first posted
Jun 15, 2023
Last update
Jun 15, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 15, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04578015
Responsible party
Kartik K Venkatesh (MD, PhD Assistant Professor, Ohio State University) — Principal investigator
First posted
Oct 8, 2020
Start date
Apr 26, 2021
Primary completion
Feb 9, 2022
Completion
Feb 9, 2022
Results posted
Jun 15, 2023
Last update
Jun 15, 2023

Oversight

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

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Studies of the drug tested here: Metronidazole

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