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CTRI Number  CTRI/2019/05/019113 [Registered on: 14/05/2019] Trial Registered Prospectively
Last Modified On: 02/11/2019
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Nutraceutical 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   A clinical study of a gel to be applied locally for adult female whose periods have stopped and who are having thinning, drying, swelling, pain and redness in the vagina.  
Scientific Title of Study   A Double Blind, Single Centric, Randomized Placebo-Controlled Study to Demonstrate the Efficacy and Safety of Meclon (Test Product) with Placebo in the Management of Symptoms of Vulvovaginal Atrophy in Postmenopausal Women. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Urvashi P Bhatara 
Designation  Principal Investigator 
Affiliation  Rajalakshmi Hospital 
Address  Rajalakshmi Hospital Department of OBG Ground Floor Lakshmipura Main Road Vidyaranyapura Post

Bangalore
KARNATAKA
560097
India 
Phone    
Fax    
Email  urvashibhatara@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Deepa Subramanian  
Designation  Chief Executive Officer  
Affiliation  Syncretic Clinical Research Services Pvt Ltd 
Address  Syncretic Clinical Research Services Pvt Ltd No 32 Door No 4 (Old No.38) 5th cross 11th Main Vasanthnagar.

Bangalore
KARNATAKA
560052
India 
Phone    
Fax    
Email  deepa@syncretic.in  
 
Details of Contact Person
Public Query
 
Name  Dr Deepa Subramanian  
Designation  Chief Executive Officer  
Affiliation  Syncretic Clinical Research Services Pvt Ltd 
Address  Syncretic Clinical Research Services Pvt Ltd No 32 Door No 4 (Old No.38) 5th cross 11th Main Vasanthnagar.

Bangalore
KARNATAKA
560052
India 
Phone    
Fax    
Email  deepa@syncretic.in  
 
Source of Monetary or Material Support  
GIELLEPI S.p.A Sede Legale: Via Saffi, 21-20123 Milano Sede Operativa:Via B. Celini, 37-20851 Lissone (MB) ITALY 
 
Primary Sponsor  
Name  GIELLEPI SpA 
Address  Sede Legale: Via Saffi, 21-20123 Milano Sede Operativa:Via B. Celini, 37-20851 Lissone (MB) ITALY 
Type of Sponsor  Other [ [Manufacturer, Limited Company] ] 
 
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 Urvashi P Bhatara  Rajalakshmi Hospital   Department of OBG First Floor Lakshmipura Main Road Vidyaranyapura Post
Bangalore
KARNATAKA 
9448696741

urvashibhatara@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Rajalakshmi Hospital Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: N768||Other specified inflammation of vagina and vulva,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Placebo   The 5ml placebo gel contained in the applicator will be inserted into vagina once daily during bedtime for 2 weeks then a maintenance dose for the rest of the course of trial which will be 2 times per week for 10 weeks. 
Intervention  Sea berry oil (Hippophae rhamnoides) Aloe vera (Aloe barbadensis) leaf juice  The 5ml test gel contained in the applicator will be inserted into vagina once daily during bedtime for 2 weeks then a maintenance dose for the rest of the course of trial which will be 2 times per week for 10 weeks. 
 
Inclusion Criteria  
Age From  50.00 Year(s)
Age To  65.00 Year(s)
Gender  Female 
Details  1.Patient should be able to give written informed consent.
2. Subjects should be postmenopausal women for atleast 2 years (age between 50 – 65 years)
3. Postmenopausal women with vulvovaginal atrophy
4. Subject should have at least one self-assessed symptom of vulvar and vaginal atrophy (VVA):
a. Vaginal dryness
b. Vaginal and/or vulvar irritation/itching
c. Vaginal pain associated with sexual activity
d. Vaginal bleeding associated with sexual activity
5.Vaginal Health index (VHI) score during screening should be less than 15.
6. Subject with no significant illness other than vulvovaginal atrophy as judged by the Investigator
7. Ability to comply with requirements of trial. 
 
ExclusionCriteria 
Details  1.Symptomatic Vaginal infection (urogenital infections including bacterial vaginosis, aerobic vaginitis, vulvovaginal candidiasis and trichomonas) requiring treatment
2. Genital bleeding of unknown cause
3. History of significant risk factors for endometrial cancer and breast cancer.
4. Known history of drug or alcohol abuse
5. Subjects who, in the opinion of the investigator, are mentally incapacitated such that informed consent cannot be obtained.
6. Subjects with clinically significant history of co-morbid condition (like,diabetes, immunodeficiency, HIV, HPV) that in the opinion of the
investigator could affect the efficacy and safety outcome of the study.
7. Subjects on Hormone replacement therapy or chemotherapy or radiotherapy.
8. Subjects participating in any other studies.
9. Presence of disease states that could affect safety and efficacy evaluation, such as hepatic (e.g., cirrhosis with Child-Pugh Class B or C or MELD score > 9), renal (e.g., requiring dialysis), gastrointestinal (e.g., acute or chronic diverticulitis, irritable bowel syndrome with epigastric pain as a predominant symptom or active inflammatory bowel disease), dermatological, hematologic, neurologic or brain disorders (e.g., strokes, and brain injury), psychiatric (e.g., bipolar disorder, severe active depression, severe active anxiety), or any other significant condition which, in the opinion of the Investigator, could confound or interfere with evaluation of efficacy, safety, or tolerability of the investigational drug, or prevent compliance with the study protocol.
10. Known hypersensitivity to, or intolerance of, study products or their formulation excipients. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment    
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
1.Change in objective symptoms assessed by Vaginal Health index
2.Change in subjective symptom
â–ª Vaginal dryness
â–ª Vaginal Itching
â–ª Vaginal Bleeding
â–ª Burning Sensation
3.Change in VAS scoring for Vaginal pain and Vaginal Dyspareunia
4.Overall treatment satisfaction questionnaire and tolerability
5.Improvement of sexual activity using
FSFI questionnaire score. 
Screening, Week 2, 4 and 12 
 
Secondary Outcome  
Outcome  TimePoints 
1.Physical Examination
2.Any reports of adverse or serious adverse events during the treatment period.
3.Significant change in laboratory parameters
4.Any abnormal vital signs.  
Screening, Week 2, 4 and 12 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
Final Enrollment numbers achieved (Total)= "60"
Final Enrollment numbers achieved (India)="60" 
Phase of Trial   N/A 
Date of First Enrollment (India)
Modification(s)  
10/06/2019 
Date of Study Completion (India) 30/09/2019 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="5"
Days="15" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   None yet 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary  
This Clinical study is being planned to assess the efficacy and safety of vaginal gel in comparison with Placebo in Post Menopausal women with vulvovaginal atrophy.
In this study, 60 post menopausal women suffering with vulvovaginal atrophy will be included for a period of 12 weeks. The treatment will check for Change in objective symptoms assessed by Vaginal Health index on screening week, 2,4 and 12. 
Change in subjective symptom like vaginal dryness, Vaginal Itching, Vaginal Bleeding, Burning sensation on Day 0, week 2, 4 and 12. Symptoms will be recorded by each subject daily in a diary distributed to them at visit 2. 
Change in Vas score for vaginal pain and vaginal dysperunia on Day 0 to and 12. 
Change in Questionnaire for FSFI on Day 0 and week 12. 

The objective of the study is to assess the efficacy and safety of vaginal gel in postmenopausal women with vulvovaginal atrophy when compared to placebo.

Type of the study -  Randomised placebo controlled for parallel groups.
 
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