Title

Use of Boric Acid in Combination With Probiotics for the Treatment of Vaginal Infections
Multicenter Pilot Study to Compare the Efficacy of a Combination of Vaginal Capsules With Acid Boric, L.Gasseri and L.Rhamnosus Versus the Reference Medication in Patients With Vaginal Candidiasis or Bacterial Vaginosis
  • Phase

    Phase 4
  • Study Type

    Interventional
  • Study Participants

    48
The purpose of this study is to determine whether a formula of boric acid and probiotics for vaginal application is effective in the treatment of symptomatic episodes of vulvovaginitis in comparison to pharmacological reference controls (depending on the suspected diagnosis).
Multicentre, Open, Prospective, Randomized, Controlled. Women with suspected vaginal infection will be randomized and distributed into two groups (control or boric acid + probiotics). Follow-up will last for three months and consists in 3 visits and a telephone interview.
Study Started
Jul 12
2016
Primary Completion
Oct 16
2017
Study Completion
Nov 30
2017
Results Posted
Nov 04
2019
Last Update
Nov 19
2019

Device Boric acid and probiotics

Vaginal capsules administered once a day during 7 days.

Drug Antibiotic (Clindamycin)

Vaginal capsules containing a reference antibiotic (when bacterial vaginosis is suspected) administered once a day during 3 days.

  • Other names: Clindamycin

Drug Antifungal (Clotrimazole)

Vaginal capsules containing a reference anti-fungal (when candidiasis is suspected) administered once a day during 6 days.

  • Other names: Clotrimazole

Boric acid and probiotics Experimental

Boric acid with L.gasseri and L.rhamnosus

Antibiotic/Antifungal Active Comparator

Antibiotic: Clindamicine Antifungal: Clotrimazol

Criteria

Inclusion Criteria:

Age over 18 years and agreement to participate by signing the consent form.
Women with clinical manifestations of acute infectious vulvovaginitis (burning, pruritus, erythema, oedema, and abnormal vaginal discharge).

Exclusion Criteria:

Clinical findings compatible with Chlamydia trachomatis, Neisseria gonorrhoeae or Trichomonas vaginalis infection.
Use of anti-fungal, antibiotic or probiotic medication within last 2 weeks prior to the study.
Patients receiving other treatment (drug, probiotics or vitamin supplements) that can significantly interfere with study evaluations during the 3 months of follow-up.
Pregnant or high risk for pregnancy.

Summary

Boric Acid and Probiotics

Antibiotic/Antifungal

All Events

Event Type Organ System Event Term

Change in the Presence of Vaginitis Clinical Symptoms Determined by Sobel Score.

Semi-quantitative scale where itching, erythema, edema, stinging and abnormal vaginal discharge are scored from 0 to 3: absent (0), mild (1), moderate (2), severe (3). Worse result is 3 (severe)

Boric Acid and Probiotics Baseline

abnormal vaginal discharge

1.67
score on a scale (Mean)
Standard Deviation: 0.96

Edema Sobel Score

0.5
score on a scale (Mean)
Standard Deviation: 0.78

Erythema Sobel Score

0.92
score on a scale (Mean)
Standard Deviation: 0.93

Itching Sobel Score

1.63
score on a scale (Mean)
Standard Deviation: 0.85

Stinging sobel score

1.13
score on a scale (Mean)
Standard Deviation: 0.85

Antibiotic/Antifungal Baseline

abnormal vaginal discharge

1.96
score on a scale (Mean)
Standard Deviation: 1.08

Edema Sobel Score

0.42
score on a scale (Mean)
Standard Deviation: 0.72

Erythema Sobel Score

0.96
score on a scale (Mean)
Standard Deviation: 1.12

Itching Sobel Score

1.58
score on a scale (Mean)
Standard Deviation: 1.02

Stinging sobel score

1.21
score on a scale (Mean)
Standard Deviation: 1.06

Boric Acid and Probiotics Visit 1

abnormal vaginal discharge

0.23
score on a scale (Mean)
Standard Deviation: 0.53

Edema Sobel Score

0.05
score on a scale (Mean)
Standard Deviation: 0.21

Erythema Sobel Score

0.14
score on a scale (Mean)
Standard Deviation: 0.64

Itching Sobel Score

0.41
score on a scale (Mean)
Standard Deviation: 0.80

Stinging sobel score

0.18
score on a scale (Mean)
Standard Deviation: 0.50

Antibiotic/Antifungal Visit 1

abnormal vaginal discharge

0.35
score on a scale (Mean)
Standard Deviation: 0.83

Edema Sobel Score

Erythema Sobel Score

0.17
score on a scale (Mean)
Standard Deviation: 0.65

Itching Sobel Score

0.57
score on a scale (Mean)
Standard Deviation: 0.95

Stinging sobel score

0.22
score on a scale (Mean)
Standard Deviation: 0.67

Change in the Level of Lactobacillus in Vaginal Flora Determined by Vaginal Cultures.

Lactobacillus spp count. in vaginal discharge at baseline and at visit 1, determined by vaginal cultures.

Boric Acid and Probiotics Baseline

51.59
Count of Organism/counting chamber (Mean)
Standard Deviation: 50.74

Antibiotic/Antifungal Baseline

49.3
Count of Organism/counting chamber (Mean)
Standard Deviation: 59.77

Boric Acid and Probiotics Visit 1

81.82
Count of Organism/counting chamber (Mean)
Standard Deviation: 84.34

Antibiotic/Antifungal Visit 1

66.09
Count of Organism/counting chamber (Mean)
Standard Deviation: 77.27

Number of Participants With Recurrent Infections

Descriptive of the proportion of patients with vulvovaginitis recurrence

Boric Acid and Probiotics

No recurrence

Recurrence

Antibiotic/Antifungal

No recurrence

Recurrence

Total

48
Participants

Age, Continuous

36.83
years (Mean)
Standard Deviation: 7.22

Age, Categorical

Race/Ethnicity, Customized

Region of Enrollment

Sex: Female, Male

Overall Study

Boric Acid and Probiotics

Antibiotic/Antifungal