ClinicalTrials.gg
CompletedNCT04989543CEBAMUpdated Dec 14, 2021

Study of the Composition and Bacterial Diversity of the Vaginal Microbiota in Healthy Versus Pathological Conditions (Bacterial Vaginosis) Using a Targeted Metagenomic Approach (RNA 16s)

An interventional study of vaginal swabs in Vaginosis, Bacterial, sponsored by Larena SAS. Completed at 1 site in France. Open to female participants aged 18 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-12-14.

Sponsored by Larena SAS · Not applicable, Interventional, and Diagnostic

From the registry’s dates

  • Registered 3 months after the study started (first participant enrolled Nov 2020, registered Mar 2021).
Phase
Not applicable
Study type
Interventional
Enrollment
61
Allocation
Randomized
Ages
18 Years to 45 Years
Sex
Female
01

Study summary

It aims to determine and compare the degree of vaginal bacterial alpha diversity in the absence (healthy population) or presence of bacterial vaginosis (pathological population).

02

Conditions studied

  • Vaginosis, Bacterial

Browse trials for

Keywords

  • Bacterial Vaginosis
03

In context

Vaginosis, Bacterial

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

This study's enrollment of 61 is below the median of 100 across 195 interventional studies indexed under Vaginosis, Bacterial.

Browse Vaginosis, Bacterial studies →

Lead sponsor

Larena SAS is the lead sponsor of 8 studies on the registry; 1 is open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

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

  • Woman aged between ≥ 18 and ≤ 45 years old,
  • In good general health (outside the gynaecological sphere), i.e. no chronic pathology and not taking medication at the time of inclusion and/or long-term,
  • Woman with a healthy or pathological vaginal flora according to Amsel's clinical diagnosis and Nugent's score :

Population with bacterial vaginosis (verification of at least the following 3 criteria + Nugent score):

  • Vaginal pH > 4.5
  • greyish, homogenous vaginal secretions adhering to the vaginal wall
  • characteristic vaginal odour of "rotten fish" after contact of the vaginal discharge with a few drops of 10% potash ("sniff test")
  • Presence of "Clue Cells" in the microscopic examination of fresh vaginal secretions. Clue cells are cells of the ectocervix lined with gram-negative bacilli.

    • Nugent Score ≥ 7

Healthy population (Verification of at least 3 following criteria + Nugent score) :

  • Absence of vaginal pH > 4.5
  • No greyish, homogenous vaginal secretions adhering to the vaginal wall
  • No characteristic vaginal odour of "rotten fish" after contact of the vaginal discharge with a few drops of 10% potash ("sniff test").
  • Absence of "Clue Cells" on microscopic examination of fresh vaginal secretions. Clue cells" are cells of the ectocervix lined with gram-negative bacilli.

    • Nugent Score ≤3

      • Able and willing to participate in the research by complying with the procedures of the protocol, especially regarding vaginal sampling,
      • Having given its free, informed and written consent.

Exclusion criteria

Exclusion Criteria:

  • Patient during menstruation,
  • Patient who has had vaginal sex within 48 hours,
  • Patient with irregular menstrual cycles,
  • Patient undergoing preventive or curative treatment for vaginal infections,
  • Patients suffering from other diseases of the vagina (herpes, chlamydia, syphillis),
  • Patients undergoing antibiotic or antifungal treatments or taken less than 3 months ago,
  • Patient under probiotic or prebiotic complementation or taken less than a month ago,
  • Patient with systemic or immunodeficient disease,
  • Patient with an alcohol consumption of more than 2 glasses per day,
  • Pregnant or breastfeeding woman, or woman planning to become pregnant within the next 8 weeks, or woman in the post-partum period,
  • Patient unable to understand information related to the study (mental or linguistic disability),
  • Patient participating or having participated within the previous 3 months in another clinical trial, or in a period of exclusion from a clinical trial,
  • Patient not affiliated to a social security scheme.
05

Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
61 participants (actual)

Study arms

  • Other
    healthy population

    Interventions: vaginal swabs: * Nugent scores, * cytobacteriological examination (in particular to determine the "Clue Cells") * evaluation of the vaginal microbiota. On receipt of the Nugent score results, the doctor will confirm whether or not the patient is included in one of the two arms under study: * healthy" population * pathological" population with bacterial vaginosis

    Diagnostic Test: vaginal swabs

  • Other
    pathological population

    Interventions: vaginal swabs: * Nugent scores, * cytobacteriological examination (in particular to determine the "Clue Cells") * evaluation of the vaginal microbiota. On receipt of the Nugent score results, the doctor will confirm whether or not the patient is included in one of the two arms under study: * healthy" population * pathological" population with bacterial vaginosis

    Diagnostic Test: vaginal swabs

Interventions

  • Diagnostic testvaginal swabs

    Nugent score: Vaginal swabbing with the dry swab, make two smears on slides. Cytobacteriological examination: swabbing at the exo-endocrine junction using the swab Evaluation of the vaginal microbiota: swabbing at the exo-endocrine junction using the swab

06

What researchers measure

Primary outcomes

  1. Determine and compare the degree of vaginal bacterial alpha diversity in the absence (healthy population) or presence of bacterial vaginosis (pathological population).

    The degree of vaginal bacterial alpha diversity in healthy and pathological conditions (bacterial vaginosis) will be evaluated by the Shannon index. It will be determined by the identification of the bacterial species (16s RNA analysis) present on a vaginal swab taken during the selection visit.

    Time frame: Day 0

Secondary outcomes

  1. Determine and compare in healthy versus pathological conditions (bacterial vaginosis) : - vaginal specific richness in enterotypes, - The diversity of vaginal bacterial species by other indices, - The overall composition of the vaginal microbiota.

    * Enterotypic richness will be assessed by 16 S analyses on the vaginal swab taken during the selection visit. * The α-diversity will be calculated using other indices. * The overall composition of the vaginal microbiota will be assessed from a taxonomic point of view on the vaginal swab taken during the selection visit by calculating the percentage (relative quantification).

    Time frame: Day 0

Other outcomes

  1. - Identify threshold values of bacterial diversity beyond which a bacterial vaginosis would be established; - Validate these thresholds by comparison with the Nugent score and the Amsel diagnosis.

    The possible thresholds of bacterial diversity above which bacterial vaginosis is observed will be validated by comparison with the Nugent score made during the screening visit and the Amsel diagnosis.

    Time frame: Day 0

07

Study locations

1 site
  • Institut FOURNIER
    Paris, 75014, France
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Nov 2020 to primary completion in Dec 2020, 0 months.

Of 51 interventional studies with no phase under Vaginosis, Bacterial, half reached primary completion within 12 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 56. This study's 0 months is below that.

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

Registered
Mar 10, 2021
First posted
Aug 4, 2021
StartActual
Nov 24, 2020
Primary completionActual
Dec 3, 2020
CompletionActual
Nov 3, 2021
Last update
Dec 14, 2021
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 Dec 14, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04989543
Lead sponsor
Larena SAS
Collaborators
CEN Biotech, Luxia Scientific
Responsible party
Sponsor
First posted
Aug 4, 2021
Start date
Nov 24, 2020
Primary completion
Dec 3, 2020
Completion
Nov 3, 2021
Last update
Dec 14, 2021

Study contacts

Samira AIT ABDELLAH
study director · Larena SAS

Oversight

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

Not currently enrolling

This study is completed, as verified in Apr 2021. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions 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.

Start the discussion