ClinicalTrials.gg
Status unknownNCT05587283Updated Mar 9, 2023

Safety, Tolerability, and Acceptability Study of Intravaginal Administration of LABTHERA-001 Capsules in Healthy Women

A Phase 1 interventional study of Experimental: Low dose LABTHERA-001 capsule and Experimental: Medium dose LABTHERA-001 capsule in Bacterial Vaginosis, Vaginal Disease and Bacterial Infections, sponsored by AtoGen Co. Ltd. Status unknown at 1 site in Australia. Open to female participants aged 18 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-03-09.

Sponsored by AtoGen Co. Ltd (part of Yuhan Corporation) · Phase 1, Interventional, and Other

The sponsor has not verified this record recently (last verified Oct 2022), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 1
Study type
Interventional
Enrollment
24
Allocation
Randomized
Ages
18 Years to 45 Years
Sex
Female
01

Study summary

This is a phase 1, Single-Center, Double-Blind, Randomized, Placebo-Controlled, dose escalation, clinical trial enrolling 24 healthy participants. The main subject is to investigate the safety and tolerability of the LABTHERA-001 capsule and to explore the acceptability of the capsule.

Read the detailed description

Bacterial vaginosis (BV) is the most common vaginal syndrome frequently found in women. BV is currently mainly treated with antibiotics. However, antibiotic administration can cause various side effects. And one of them is destroying the normal bacteria in the vagina, affecting the balance of the vaginal flora, increasing the likelihood of bacterial vaginosis recurrence, and causing drug resistance of bacteria. Therefore, the importance of fundamental treatment with the recovery of balance in normal vaginal flora is being recognized increasingly. The study drug for this trial, LABTHERA-001, has been derived from the bacteria Lactobacillus plantarum ATG-K2. Administration of the ATG-K2 strain will temporarily colonize the vagina to encourage a more normal microbiome.

The main goals of this study are 1. to determine whether LABTHERA-001 is safe and well tolerated in healthy adult women. And 2. to investigate the acceptability of the LABTHERA-001 capsule or matching placebo by completing a satisfaction evaluation questionnaire.

02

Conditions studied

  • Bacterial Vaginosis
  • Vaginal Disease
  • Bacterial Infections
  • Vaginitis
  • Infection, Bacterial

Keywords

  • LBP
03

In context

Vaginosis, Bacterial

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

This study's planned enrollment of 24 is below the median of 100 across 203 interventional studies indexed under Vaginosis, Bacterial.

Browse Vaginosis, Bacterial studies →

Lead sponsor

This is the only study on the registry with AtoGen Co. Ltd as lead sponsor.

Unclear whether first submitted before or after AtoGen Co. Ltd became part of Yuhan Corporation.

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

  1. Healthy non-smoking woman aged 18 to 45 years old as of the date of written consent
  2. Agrees to maintain her method during the clinical trial if she has regular menstrual cycles (21-35 days) or has had amenorrhea for more than 12 weeks before the Screening Visit due to continued use of long-acting progestin or oral contraceptives.
  3. Confirmed normal cervical screen test (CST) performed at the Screening Visit
  4. Has had sexual experiences that included vaginal intercourse
  5. Has experienced gynecological examinations previously
  6. Agrees to discontinue the use of the following during the clinical trial period (Screening Visit to End of study visit or early termination visit):

    • products for vaginal insertion (e.g., tampons, menstrual cups, etc.)
    • Other vaginal products (e.g., contraceptive creams, vaginal cleaners, lubricants, etc.)
  7. Agrees to be sexually abstinent from 72 hours before the Day 1 visit until the first study visit after final administration of IP (nominally the Day 9 visit).
  8. Agrees to continue to use the following highly effective contraceptive methods during the clinical trial period and for at least 30 days after the final dose of study treatment, if woman of (has experienced menarche and is not permanently sterile or ):

    • Female: combined (estrogen and progestogen containing) hormonal/ contraception associated with inhibition of ovulation (oral or transdermal), progestogen-only hormonal contraception associated with inhibition of ovulation (oral, injectable, implantable), intrauterine device (IUD; if inserted more than 12 weeks before the Screening visit), intrauterine hormone-releasing system (IUS), bilateral tubal occlusion, vasectomized partner, sexual abstinence
    • Male partner: 'Vasectomy,' 'condom'
  9. Able and willing to insert a hard capsule into her vagina
  10. Able and willing to answer questions about her health status and sexual life
  11. Able and willing to undergo vaginal and cervical examinations by the Investigator
  12. Agrees and can comply with the planned clinical trial procedures after receiving a full explanation and voluntarily decides to participate and gives written

Exclusion criteria

Exclusion Criteria:

  1. Confirmed to have the following urogenital infections from the vaginal discharge test performed at the Screening Visit, or had the following diagnosed urogenital infections within three weeks before the Screening Visit, or has a history of urogenital infections at the discretion of the Investigator:

    • Urinary tract infection, bacterial vaginosis, candida vaginitis, trichomonas vaginalis, Neisseria gonorrhoeae, chlamydia trachomatis, treponema pallidum, herpes simplex
  2. History of recurrent genital herpes
  3. Has the following diagnosed urogenital infections, or had two or more clinically significant urogenital infections within 24 weeks before the Screening Visit, at the discretion of the Investigator:

    • [Gonococcus, chlamydia trachomatis, syphilis treponema, trichomonas vaginitis, candida vaginitis, etc.]
  4. Has vaginitis symptoms (abnormal vaginal discharge, itching, burning sensation, etc.) at Screening or pre-dose at the Day 1 visit, or between the Screening and Day 1 visits.
  5. Is pregnant, lactating, within eight weeks of childbirth, or is planning pregnancy within 60 days of the last dose of IP.
  6. Is menopausal, defined as being amenorrhoeic for at least 12 months without an alternative cause.
  7. Has had an intrauterine device (IUD) inserted within 12 weeks before the Screening Visit
  8. Underwent pelvic surgery within 12 weeks before the Screening Visit
  9. Received cervical cryotherapy or cervical laser treatment within 12 weeks before the Screening Visit
  10. Started to use long-acting hormonal within 12 weeks before the Screening Visit [e.g., DMPA (depot formulation including medroxyprogesterone acetate)] (However, participants who have continuously used the contraceptive for more than 12 weeks can be enrolled at the discretion of the Investigator.)
  11. Has a clinically significant medical history or current medical condition as assessed by the Investigator including but not limited to the cardiovascular system, respiratory system, kidney, endocrine system, hematology, digestive system, central nervous system, psychiatric disorder, or infectious disease, that may affect the safety evaluation of the product or jeopardize the individual's involvement in the study. History of any cancer (including non-melanoma skin cancer) is exclusionary.
  12. Positive test for SARS-CoV-2 (COVID-19) during the Screening period and pre-dose at the Day 1 visit (may be re-screened when eligible).
  13. Positive diagnosis of (HIV), or C at the Screening Visit
  14. Confirmed to have severe damage to the vaginal epithelium in the physical examination at the Screening Visit
  15. Used within four weeks before the Screening Visit
  16. Used antibiotics or antifungals within three days before the Screening Visit (However, enrollment is possible if the individual agrees to a equivalent to three times or more the half-life of the corresponding drugs as of the randomization date.)
  17. History of reactions to the components of the study drug or history of other serious drug hypersensitivity reactions, at the discretion of the Investigator
  18. History of or current drug or alcohol abuse; or tests positive to urine drug screen or alcohol breath test at the Screening or Day 1 visits; or does not agree to abstain from alcohol 24 hours before each study visit and to consume no more than 10 standard drinks per week with no more than 4 standard drinks on any one day at any other time during their participation in the study. One standard drink contains 10 g alcohol. Urine drug screen may be repeated once only at the discretion of the Investigator.
  19. Current tobacco smoker; or smoked more than one pack of cigarettes (or tobacco equivalent) per day for more than 10 years; or uses nicotine-replacement therapy (including vaping); or does not agree to abstain from using tobacco or nicotine-containing products during the study.
  20. Received other investigational products within four weeks before the Screening Visit
  21. Received COVID-19 vaccination or any other vaccination within 8 weeks before the first dose of IP, and/or is planning or scheduled to be vaccinated (including COVID-19 initial, second or booster dose) during the study period up to the final follow-up visit.
  22. Judged by the Investigator to be unsuitable for participation in this clinical trial.
Terms in these criteria, in plain language(11)

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.

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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

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.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

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.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Washout period

A planned gap after a treatment, so that its effects can lessen before the study treatment or a study assessment. Ask the study team and the doctor who prescribed it before changing any medicine.

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
Phase 1
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
24 participants (estimated)

Study arms

  • Experimental
    Low dose LABTHERA-001 capsule

    Low dose LABTHERA-001 capsule (0.2 x 10\^9 CFU), administered intravaginally once a day for 7 consecutive days.

    Drug: Experimental: Low dose LABTHERA-001 capsule

  • Experimental
    Medium dose LABTHERA-001 capsule

    Medium dose LABTHERA-001 capsule (1 x 10\^9 CFU), administered intravaginally once a day for 7 consecutive days.

    Drug: Experimental: Medium dose LABTHERA-001 capsule

  • Experimental
    High dose LABTHERA-001 capsule

    High dose LABTHERA-001 capsule (5 x 10\^9 CFU), administered intravaginally once a day for 7 consecutive days.

    Drug: Experimental: High dose LABTHERA-001 capsule

  • Placebo comparator
    Low dose Placebo capsule

    Low dose Placebo (excipients of the study drug) capsule administered intravaginally once a day for 7 consecutive days.

    Other: Placebo Comparator: Low dose Placebo capsule

  • Placebo comparator
    Medium dose Placebo capsule

    Medium dose Placebo capsule (excipients of the study drug) administered intravaginally once a day for 7 consecutive days.

    Other: Placebo Comparator: Medium dose Placebo capsule

  • Placebo comparator
    High dose Placebo capsule

    High dose Placebo capsule (excipients of the study drug) administered intravaginally once a day for 7 consecutive days.

    Other: Placebo Comparator: High dose Placebo capsule

Interventions

  • DrugExperimental: Low dose LABTHERA-001 capsule

    Low dose LABTHERA-001 capsule, 0.2 x 10\^9 CFU/capsule with excipients.

    Also known as: Lactobacillus Plantarum ATG-K2

  • DrugExperimental: Medium dose LABTHERA-001 capsule

    Medium dose LABTHERA-001 capsule, 1 x 10\^9 CFU/capsule with excipients.

    Also known as: Lactobacillus Plantarum ATG-K2

  • DrugExperimental: High dose LABTHERA-001 capsule

    High dose LABTHERA-001 capsule, 5 x 10\^9 CFU/capsule with excipients.

    Also known as: Lactobacillus Plantarum ATG-K2

  • OtherPlacebo Comparator: Low dose Placebo capsule

    Medium dose Placebo capsule, filled with excipients; Lactose, and magnesium stearate.

    Also known as: Control substance

  • OtherPlacebo Comparator: Medium dose Placebo capsule

    Medium dose Placebo capsule, filled with excipients; Lactose, and magnesium stearate.

    Also known as: Control substance

  • OtherPlacebo Comparator: High dose Placebo capsule

    High dose Placebo capsule, filled with excipients; Lactose, and magnesium stearate.

    Also known as: Control substance

06

What researchers measure

Primary outcomes

  1. Number of AEs in participants throughout the study and their severity and relationship to the study product.

    Any incidence of adverse events will be evaluated for their severity and relationship to the study product. The number of AEs and other combined measurement results will be evaluated for the safety of the study product.

    Time frame: 35 days since the first dose administration

  2. Changes in Clinical Laboratory Tests, Vital signs (body temperature, respiratory rate, heart rate, blood pressure), Gynaecological Examination, and Physical Examination.

    Day 1 pre-dose results will be used as the baseline values. Abnormalities in clinical laboratory parameters, gynaecological examination findings, and vital signs will be based on predefined normal ranges and will be tabulated by dose group showing participant counts and percentages.

    Time frame: Baseline and each follow-up visit upto 35 days since the first dose administration (Day 1)

Secondary outcomes

  1. Acceptability evaluation

    5-point Likert scale, 1 (strongly disagree), 2 (disagree), 3 (neither disagree or agree), 4 (agree), and 5 (strongly agree), in response to 7 statements at visit 3 (Day 9) to evaluate how acceptable participants found using the study product.

    Time frame: Visit 3 (Day 9)

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Mastromarino P, Vitali B, Mosca L. Bacterial vaginosis: a review on clinical trials with probiotics. New Microbiol. 2013 Jul;36(3):229-38. Epub 2013 Jun 30. PubMed 23912864 ↗
  • Kenyon C, Colebunders R, Crucitti T. The global epidemiology of bacterial vaginosis: a systematic review. Am J Obstet Gynecol. 2013 Dec;209(6):505-23. doi: 10.1016/j.ajog.2013.05.006. Epub 2013 May 6. PubMed 23659989 ↗
  • Workowski KA, Bachmann LH, Chan PA, Johnston CM, Muzny CA, Park I, Reno H, Zenilman JM, Bolan GA. Sexually Transmitted Infections Treatment Guidelines, 2021. MMWR Recomm Rep. 2021 Jul 23;70(4):1-187. doi: 10.15585/mmwr.rr7004a1. PubMed 34292926 ↗
  • Vicariotto F, Mogna L, Del Piano M. Effectiveness of the two microorganisms Lactobacillus fermentum LF15 and Lactobacillus plantarum LP01, formulated in slow-release vaginal tablets, in women affected by bacterial vaginosis: a pilot study. J Clin Gastroenterol. 2014 Nov-Dec;48 Suppl 1:S106-12. doi: 10.1097/MCG.0000000000000226. PubMed 25291116 ↗
  • De Seta F, Parazzini F, De Leo R, Banco R, Maso GP, De Santo D, Sartore A, Stabile G, Inglese S, Tonon M, Restaino S. Lactobacillus plantarum P17630 for preventing Candida vaginitis recurrence: a retrospective comparative study. Eur J Obstet Gynecol Reprod Biol. 2014 Nov;182:136-9. doi: 10.1016/j.ejogrb.2014.09.018. Epub 2014 Sep 17. PubMed 25305660 ↗
  • Strus M, Chmielarczyk A, Kochan P, Adamski P, Chelmicki Z, Chelmicki A, Palucha A, Heczko PB. Studies on the effects of probiotic Lactobacillus mixture given orally on vaginal and rectal colonization and on parameters of vaginal health in women with intermediate vaginal flora. Eur J Obstet Gynecol Reprod Biol. 2012 Aug;163(2):210-5. doi: 10.1016/j.ejogrb.2012.05.001. Epub 2012 Jun 19. PubMed 22721635 ↗
  • Hemalatha R, Mastromarino P, Ramalaxmi BA, Balakrishna NV, Sesikeran B. Effectiveness of vaginal tablets containing lactobacilli versus pH tablets on vaginal health and inflammatory cytokines: a randomized, double-blind study. Eur J Clin Microbiol Infect Dis. 2012 Nov;31(11):3097-105. doi: 10.1007/s10096-012-1671-1. Epub 2012 Jul 10. PubMed 22777592 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Nov 2022 (actual). Primary completion is estimated for Apr 2023, 5 months after the start.

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

Registered
Oct 17, 2022
First posted
Oct 20, 2022
StartActual
Nov 2, 2022
Primary completionEst.
Apr 2023
CompletionEst.
May 2023
Last update
Mar 9, 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 Mar 9, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05587283
Lead sponsor
AtoGen Co. Ltd
Collaborators
ATOGEN AUSTRALIA PTY LTD
Responsible party
Sponsor
First posted
Oct 20, 2022
Start date
Nov 2, 2022
Primary completion
Apr 2023 (estimated)
Completion
May 2023 (estimated)
Last update
Mar 9, 2023

Study contacts

Scientia Clinical Research Study Team
Contact
christopher.argent@scientiaclinicalresearch.com.au
+61 02 9382 5800
AtoGen Assistant Manager
Contact
skim@atogen.co.kr
+82 70 7725 2203
Christopher Argent, Dr.
principal investigator · Scientia Clinical Research Ltd

Oversight

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

Not currently enrolling

This study is status unknown, as verified in Oct 2022. You cannot join it, but the record below documents what was studied.

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