ClinicalTrials.gg
CompletedNCT07893782Updated Oct 26, 2026

Probiotics as an Adjunct to Antibiotics for Recurrent Bacterial Vaginosis

A Phase 4 interventional study of Probiotic Combination Cap/Tab and Placebo capsules in Recurrent Bacterial Vaginosis, sponsored by Nishtar Medical University. Completed at 1 site in Pakistan. Open to female participants aged 20 Years to 45 Years. Per ClinicalTrials.gov, last updated 2026-10-26.

Sponsored by Nishtar Medical University · Phase 4, Interventional, and Prevention

From the registry’s dates

  • Registered 1 year 2 months after the study started (first participant enrolled Aug 2025, registered Oct 2026).
Updated Oct 26, 2026Newly registeredGo to Updates ↓
Phase
Phase 4
Study type
Interventional
Enrollment
70
Allocation
Randomized
Ages
20 Years to 45 Years
Sex
Female
01

Study summary

This randomized clinical trial aims to compare the recurrence of bacterial vaginosis (BV) in women receiving probiotics alongside antibiotic treatment versus women receiving antibiotic treatment alone. Bacterial vaginosis is a common vaginal condition that can recur after successful treatment.

The main question this study aims to answer is:

- Does adding probiotics to standard antibiotic treatment reduce the recurrence of bacterial vaginosis compared with antibiotic treatment alone?

The study will include 70 non-pregnant women aged 20-45 years diagnosed with recurrent bacterial vaginosis. All participants will initially receive metronidazole to treat the current episode. After successful treatment is confirmed, participants will be randomly assigned to one of two groups:

  • Group A: Probiotic capsules containing Lactobacillus plantarum, Lactobacillus rhamnosus, and Bifidobacterium animalis subsp. lactis, followed by monthly maintenance dosing for four months.
  • Group B: Placebo capsules, followed by the same monthly maintenance schedule.

Participants will undergo monthly vaginal examinations for four months to assess whether bacterial vaginosis recurs. Recurrence will be diagnosed using Amsel's criteria, which include assessment of vaginal discharge, vaginal pH, clue cells on microscopy, and a characteristic fishy odor test.

The researchers will compare the frequency of bacterial vaginosis recurrence between the two groups to determine whether adjunctive probiotic treatment reduces recurrence.

02

Conditions studied

  • Recurrent Bacterial Vaginosis

Keywords

  • Bacterial vaginosis
  • Recurrent bacterial vaginosis
  • Probiotics
  • Metronidazole
  • Lactobacillus plantarum
  • Lactobacillus rhamnosus
  • Bifidobacterium animalis subsp. lactis
  • Vaginal Infection
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 70 is below the median of 100 across 203 interventional studies indexed under Vaginosis, Bacterial.

Browse Vaginosis, Bacterial studies →

Lead sponsor

Nishtar Medical University is the lead sponsor of 29 studies on the registry; 9 are open to participants now.

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

04

Who can participate

Ages eligible
20 Years to 45 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

  • Negative urinary pregnancy test
  • Recurrent bacterial vaginosis - foul smelling vaginal discharge and vulvar irritation of duration ≤ 2-weeks

Exclusion criteria

Exclusion Criteria:

  • Diabetes Mellitus
  • drugs
Terms in these criteria, in plain language(1)

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.

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.

05

Study design

Phase
Phase 4
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
70 participants (actual)

Study arms

  • Experimental
    Probiotic Adjunctive to Standard Antibiotic Treatment

    Participants will receive standard antibiotic treatment with oral metronidazole 500 mg twice daily for 7 days to treat bacterial vaginosis. After successful treatment is confirmed according to Amsel's criteria, participants will receive probiotic

    Dietary Supplement: Probiotic Combination Cap/Tab

  • Placebo comparator
    Placebo Adjunctive to Standard Antibiotic Treatment

    Participants will receive standard antibiotic treatment with oral metronidazole 500 mg twice daily for 7 days to treat bacterial vaginosis. After successful treatment is confirmed according to Amsel's criteria, participants will receive placebo

    Drug: Placebo capsules

Interventions

  • Dietary supplementProbiotic Combination Cap/Tab

    Participants will receive one probiotic capsule (Lactobacillus plantarum PBS067, Lactobacillus rhamnosus LRH020, and Bifidobacterium animalis subsp. lactis BL050) daily for 14 days after successful treatment of bacterial vaginosis. Subsequently, one capsule daily will be taken for 7 days each month, starting on the first day of menstruation, for 4 months.

  • DrugPlacebo capsules

    Participants will receive placebo capsules matching the probiotic capsules in appearance and dosing schedule. One capsule will be taken daily for 14 days after successful treatment of bacterial vaginosis. Followed by one capsule daily for 7 days each month, starting on the first day of menstruation, for 4 months.

06

What researchers measure

Primary outcomes

  1. Recurrence of Bacterial Vaginosis

    Proportion of participants with recurrent bacterial vaginosis, diagnosed when at least three of the four Amsel criteria are met during follow-up after successful initial treatment.

    Time frame: From confirmation of initial cure through the 4-month follow-up period, with monthly assessments.

07

Study locations

1 site
  • Nishtar Medical University
    Multan, Punjab Province 60000, Pakistan
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update 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 Aug 2025 to primary completion in Jan 2026, 5 months.

Of 17 phase 4 interventional studies under Vaginosis, Bacterial, half reached primary completion within 23 months of starting (the median), counting those still running; a quarter within 13 and three quarters within 41. This study's 5 months is below that.

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

Registered
Oct 19, 2026
First posted
Oct 26, 2026
StartActual
Aug 1, 2025
Primary completionActual
Jan 31, 2026
CompletionActual
Jan 31, 2026
Last update
Oct 26, 2026
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.
Registered
First appeared on the registry. No changes since
Oct 26, 2026
Show all 1 update
  1. Oct 26, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07893782
Lead sponsor
Nishtar Medical University
Responsible party
Dr. Komal Saleem (Principal Investigator, Nishtar Medical University) — Principal investigator
First posted
Oct 26, 2026
Start date
Aug 1, 2025
Primary completion
Jan 31, 2026
Completion
Jan 31, 2026
Last update
Oct 26, 2026

Study contacts

Saima A Professor, FCPS
study chair · Nishtar Medical University

Oversight

Data monitoring committee
No
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 Oct 2026. 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