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CTRI Number  CTRI/2025/08/093368 [Registered on: 20/08/2025] Trial Registered Prospectively
Last Modified On: 28/07/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Probiotic 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparing Combination therapy with Probiotics and Estrogen vaginal cream versus Estrogen vaginal cream for treatment of urinary and genital problems in Postmenopausal women  
Scientific Title of Study   Combination therapy with Probiotics and Estrogen vaginal cream versus Estrogen vaginal cream for treatment of genitourinary syndrome in Postmenopausal women – A Randomized open label clinical trial  
Trial Acronym  nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Bommareddy Pooja 
Designation  post graduate 
Affiliation  SRM Medical College Hospital and research center 
Address  SRM medical college hospital and research center, Potheri Kattankulathur- 603203 Tamil nadu

Kancheepuram
TAMIL NADU
603203
India 
Phone  9010915705  
Fax    
Email  pooja.nsm@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Karthiga Prabhu 
Designation  Professor, MS.OBGY 
Affiliation  SRM Medical College Hospital and research centre 
Address  SRM medical college hospital and research center, Potheri Kattankulathur- 603203 Tamil nadu

Kancheepuram
TAMIL NADU
603203
India 
Phone  9894269895  
Fax    
Email  j.karthigaprabhu@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Bommareddy Pooja 
Designation  Post graduate 
Affiliation  SRM Medical College Hospital and research centre 
Address  SRM medical college hospital and research center, Potheri Kattankulathur- 603203 Tamil nadu

Kancheepuram
TAMIL NADU
603203
India 
Phone  09010915705  
Fax    
Email  pooja.nsm@gmail.com  
 
Source of Monetary or Material Support  
SRM MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE, POTHERI, KATTANKULATHUR TAMIL NADU- 603203 INDIA 
 
Primary Sponsor  
Name  Dr.Bommareddy Pooja 
Address  SRM medical college hospital and research center,potheri, kattankulathur KANCHEEPURAM DISTRICT TAMIL NADU- 603203 INDIA 
Type of Sponsor  Other [self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Bommareddy Pooja   SRM medical college hospital and research centre  I-G Block,04, Department of Obstetrics and Gynaecology,SRM medical college hospital and research centre Potheri,Kattankulathur- 603203
Kancheepuram
TAMIL NADU 
9010915705

pooja.nsm@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
SRM Medical College and Research Centre Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: N958||Other specified menopausal and perimenopausal disorders,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Oral probiotics and vaginal estrogen cream   Multiflora-V per oral 1 tablet daily at night after food for 3months and estrogen cream(0.1% estriol cream) per vaginum to be applied in the upper vagina at bedtime for first two weeks followed by twice weekly till 8weeks as maintainence dose 
Comparator Agent  Vaginal estrogen cream  vaginal estrogen cream(0.1% estriol cream) per vaginum to be applied in the upper vagina everyday at bedtime for 2weeks followed by twice weekly till 8weeks as maintainence dose.  
 
Inclusion Criteria  
Age From  45.00 Year(s)
Age To  65.00 Year(s)
Gender  Female 
Details  Postmenopausal women with genitourinary syndrome
Diagnosis of GSM in our study will be based on the presence of at least 1 symptoms with pH more than or equal to 4.5 and the symptoms not attributed to any other pathology
Symptoms
Genital -Dryness, Burning, Irritation
Sexual -Lack of lubrication, discomfort or pain
Urinary- Urgency, Dysuria, Recurrent UTI
 
 
ExclusionCriteria 
Details  Previous local or systemic menopausal hormone therapy
Hormone -dependent tumors
Vaginal bleeding of unknown cause
Taken antibiotics 2 weeks prior to start treatment
Any other lesions in cervix, vagina and vulva
Acute infections of the genital tract, use of any vaginal therapy, severe systemic diseases, all contraindications for administration of estrogen, and participation in another study.
Patients already taking probiotics.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
CHECK FOR THE NUGENT SCORE
VAGINAL PH
CLINICAL IMPROVEMENT
VAGINAL HEALTH INDEX 
CHECK FOR THE NUGENT SCORE
VAGINAL PH
CLINICAL IMPROVEMENT
VAGINAL HEALTH INDEX
at 8weeks and 12weeks 
 
Secondary Outcome  
Outcome  TimePoints 
nil  nil 
 
Target Sample Size   Total Sample Size="120"
Sample Size from India="120" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 2/ Phase 3 
Date of First Enrollment (India)   20/08/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="3"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   Combination therapy with Probiotics and Estrogen vaginal cream versus Estrogen vaginal cream for treatment of genitourinary syndrome in Postmenopausal women
Patient will be assessed on clinical symptoms vaginal PH Nugent score vaginal health index
patients will be assessed initially and after 8 and 12weeks regarding the progress of usage of probiotics and vaginal estrogen cream
Outcome Changes in Nugents score, Vaginal pH, VHI and severity of patient reported symptoms
 
 
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