CTRI Number |
CTRI/2013/01/003288 [Registered on: 07/01/2013] Trial Registered Prospectively |
Last Modified On: |
22/01/2013 |
Post Graduate Thesis |
No |
Type of Trial |
Interventional |
Type of Study
|
Drug |
Study Design |
Randomized, Parallel Group, Active Controlled Trial |
Public Title of Study
|
Clotrimazole 500 mg Vaginal Tablet Therapeutic Equivalence Clinical Trial |
Scientific Title of Study
|
“An Active Control, Open label, Randomized, Parallel Group, Single
Dose Clinical Study to Evaluate the Therapeutic Equivalence of
Clotrimazole 500 mg Vaginal Tablet of Actor Pharma, South Africa
Versus Canesten® (Containing Clotrimazole 500 mg) Vaginal Tablet of
Bayer, South Africa in Healthy Adult Females with Vulvovaginal
Candidiasis.†|
Trial Acronym |
|
Secondary IDs if Any
|
Secondary ID |
Identifier |
NEX/CLZ/TE-6001/17/09/2011 |
Protocol Number |
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
Name |
Dr Prema Prabhudev |
Designation |
Principal Investigator |
Affiliation |
S . S . Institute of Medical Sciences & Research Centre |
Address |
S . S . Institute of Medical Sciences & Research Centre, NH4 Bypass road, Davangere - 577005, Karnataka
Davanagere KARNATAKA 577005 India |
Phone |
9902063706 |
Fax |
|
Email |
drpremaprabhudev@gmail.com |
|
Details of Contact Person Scientific Query
|
Name |
Dr Amit Bhatt |
Designation |
President & CEO |
Affiliation |
NEXUS CLINICAL RESEARCH (INDIA) LTD. |
Address |
32 A Nexus Center For Clinical Excellence
Sector 1, Shiravane Road, Service Industry,
Nerul (E), New Mumbai- 400 706
Maharashtra - India
Raigarh MAHARASHTRA 400706 India |
Phone |
02227714204 |
Fax |
|
Email |
dramit.bhatt@gmail.com |
|
Details of Contact Person Public Query
|
Name |
Dr Amit Bhatt |
Designation |
President & CEO |
Affiliation |
NEXUS CLINICAL RESEARCH (INDIA) LTD. |
Address |
32 A Nexus Center For Clinical Excellence
Sector 1, Shiravane Road, Service Industry,
Nerul (E), New Mumbai- 400 706
Maharashtra - India
Raigarh MAHARASHTRA 400706 India |
Phone |
02227714204 |
Fax |
|
Email |
dramit.bhatt@gmail.com |
|
Source of Monetary or Material Support
|
Actor Pharma (Pty) Ltd.,South Africa. |
|
Primary Sponsor
|
Name |
ACTOR PHARMA PTY LTD |
Address |
Unit 7, Royal Palm Business Estate,
646 Washington Street,
Halfway House, Midrand 1685. South Africa. |
Type of Sponsor |
Pharmaceutical industry-Global |
|
Details of Secondary Sponsor
|
|
Countries of Recruitment
|
India |
Sites of Study
|
No of Sites = 5 |
Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
Dr Neha Lad |
Dr. Lads Navjeevan Hospital Pvt. Ltd (Department of gynaecology) |
Dr. Lads Navjeevan Hospital Pvt. Ltd.,Near Mahamarg Bus Stand, Holkar road, Tidke Colony-422002, Nashik, Maharashtra. Nashik MAHARASHTRA |
9225100643
lad.nitin@yahoo.com |
Dr Minal Wairagade |
Family Multispeciality Hospital, Nursing Home and Research Centre (Department of gynaecology) |
Family Multispeciality Hospital, Nursing Home and Research Centre, 214,SaiShradha Appt., Nehru Nagar Square, Nandanvan Main Road, Nagpur-440009 Nagpur MAHARASHTRA |
9326007188
minalrk2008@india.com |
Dr Prema Prabhudev |
S.S.Institute of Medical Sciences & Research Centre (Department of gynaecology) |
S.S.Institute of Medical Sciences & Research Centre, NH4 Bypass Road, Davangere-577005 Davanagere KARNATAKA |
9902063706
drpremaprabhudev@gmail.com |
Dr Mamta Bhomia |
Sanjivani Super Speciality Hospital Pvt. Ltd. (Department of gynaecology) |
Sanjivani Super Speciality Hospital, 1, Uday Park Society, Near Sunrise park, Vastrapur, Ahmedabad-380015 Ahmadabad GUJARAT |
9909390010
vgb.sanjivani@gmail.com |
Dr Chitra Saxena |
Sharda General Hospital (Department of gynaecology) |
Sharda General Hospital, Madhyam Marg, Agarwal Farm, 112/15, Mansarover, Jaipur - 302020 Jaipur RAJASTHAN |
9414716655
drchitrasaxena@yahoo.co.in |
|
Details of Ethics Committee
|
No of Ethics Committees= 5 |
Name of Committee |
Approval Status |
Institutional Ethics Committee, Davangere |
Approved |
Magna Care Ethics Committee, Nashik |
Approved |
Midcity Independent Ethics Committee, Nagpur |
Approved |
Sanjivani Hospital Ethics Committee, Ahmadabad |
Approved |
Swastik Ethics Committee, Jaipur |
Approved |
|
Regulatory Clearance Status from DCGI
|
|
Health Condition / Problems Studied
|
Health Type |
Condition |
Healthy Human Volunteers |
Healthy Adult Females with Vulvovaginal Candidiasis |
|
Intervention / Comparator Agent
|
Type |
Name |
Details |
Comparator Agent |
Canesten®
(Containing Clotrimazole 500 mg)
Vaginal Tablet of Bayer, South Africa |
Single dose will be administered by inserting one tablet into the
vagina (Intra vaginal) at bedtime on Day 0. |
Intervention |
Clotrimazole 500 mg Vaginal Tablet of Actor
Pharma, South Africa |
Single dose will be administered by inserting one tablet into the
vagina (Intra vaginal) at bedtime on Day 0. |
|
Inclusion Criteria
|
Age From |
18.00 Year(s) |
Age To |
45.00 Year(s) |
Gender |
Female |
Details |
Female patients aged between 18 to 45 years.
Patient has a primary diagnosis of Vulvovaginal Candidiasis (VVC).
Patient willing to give their informed consent.
Postmenarcheal females with a diagnosis of VVC will be included based on the criteria listed below.
To be clinically evaluable, Patient should have a clinical diagnosis of VVC based on history and physical examination (including vaginal examination). Signs and symptoms to be evaluated include: itching, burning, irritation, edema, erythema and/or excoriation of the vagina/vulva. Each evaluated signs and/or symptoms should be given a numerical rating based on severity
Documented Papanicolaou (Pap) test at baseline or during the previous 12 months reported as either “negative for intraepithelial lesion or malignancy†or “ASCUS-atypical squamous cells of undetermined significance.â€
At baseline, ≥ 50% of the patient should have at least moderate severity of VVC, defined as having a minimum composite Vulvovaginal signs and symptoms score of 2.
Presence of at least one Vulvovaginal symptom (Vulvovaginal itching, burning, or irritation) as assessed by the investigator at baseline.
Presence of at least one Vulvovaginal sign (Vulvovaginal erythema, edema, or excoriation) as assessed by the investigator at baseline
Clinical diagnosis of symptomatic Vulvovaginal Candidiasis (VVC) confirmed at baseline by positive KOH wet mount test (i.e., when examined microscopically, vaginal secretions obtained by swab of the vaginal mucosa, placed on a slide and diluted with 10% room temperature potassium hydroxide (KOH) reveal filamentous hyphae/ pseudohyphae and/or budding yeast cells). |
|
ExclusionCriteria |
Details |
Pregnant or nursing women.
Patient has Menstruation at the time of diagnosis.
Diabetes mellitus [NOTE: If diabetic women are enrolled, it is important that their diabetes be
controlled (Fasting blood glucose should be <200 mg/dl) and the proportion of diabetic patient
be similar among all treatment groups, because cure rates might differ in diabetic versus non-diabetic women].
Insufficiency of liver and/or of kidney (Creatinine > 2.0 mg/dl).
Use of systemic, topical (applied to the vulva) or vaginal antibiotics, antifungals or anti-trichomonals within 7 days prior to randomization.
Use of any systemic corticosteroid, immunosuppressive, or immune-stimulating drug within 3
months prior to randomization.
Presence of concomitant vulvovaginitis caused by other infections (e.g., bacterial vaginosis,
Trichomonas vaginalis, Chlamydia trachomatis or Neisseria gonorrhoeae).
Patient with other infectious causes of vulvovaginitis (e.g., bacterial vaginosis, Trichomonas
vaginalis, Chlamydia trachomatis, Neisseria gonorrhoeae, Herpes simplex, or human papilloma
virus).
Sexual intercourse 24 hours before the KOH mount test.
Presence of another vaginal or vulvar condition that would confound the interpretation of
clinical response.
Women who will be under treatment or surgery during the study period for cervical
intraepithelial neoplasia (CIN) or cervical carcinoma.
History of allergy or sensitivity to clotrimazole, related compounds or any component of the
formulation.
HSV-II–Tzanck Smear positive patient. |
|
Method of Generating Random Sequence
|
Permuted block randomization, fixed |
Method of Concealment
|
An Open list of random numbers |
Blinding/Masking
|
Open Label |
Primary Outcome
|
Outcome |
TimePoints |
Primary endpoint of the study is the proportion of patient with therapeutic cure, defined as both
mycological cure and clinical cure, at the test-of-cure visits conducted on study days |
Visit 1 (Day -2)
Visit 2 (Day 0)
Visit 3 (Day 3±1)
Visit 4 (Day 14±2)
|
|
Secondary Outcome
|
Outcome |
TimePoints |
The type of AE(s), number of AE(s), frequency of AE(s) and proportion of patients with AE(s).
The severity, seriousness and the relationship of AE to the treatment.
Vital signs (sitting blood pressure, oral temperature, radial pulse rate and respiratory rate) will be measured at enrolment, prior to dosing (at the time of Check-in), 30 minutes after post dose, at the time of discharge and at follow up visit i.e. visit 3 and visit 4
|
Visit 2(Day 0),Visit 3(Day 3±1) |
|
Target Sample Size
|
Total Sample Size="80" Sample Size from India="80"
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 4 |
Date of First Enrollment (India)
|
07/01/2013 |
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="0" Months="3" Days="0" |
Recruitment Status of Trial (Global)
Modification(s)
|
Not Applicable |
Recruitment Status of Trial (India) |
Open to Recruitment |
Publication Details
|
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
|
Brief Summary
|
This
is a multi-centric, open label, randomized, parallel group, Single Dose
Clinical Study to Evaluate the Therapeutic Equivalence of Clotrimazole 500 mg
Vaginal Tablet of Actor Pharma, South Africa.
The
study will be conducted at 5 sites in India only.
Approximately
100 healthy adult females suffering from Vulvovaginal Candidiasis (50
per arm) will be enrolled in the study (Including dropouts/withdrawals). 80
completed patients excluding screen failures, drop-outs and withdrawals will be
considered for data analysis..
The
primary objective is to evaluate and
compare the therapeutic cure rates defined as clinical cure (resolution of
clinical signs and symptoms) and mycological cure (negative microscopy and
negative culture) at 3±1 days and 14±2 days of Clotrimazole 500 mg Vaginal
Tablet versus Canesten®
(Containing Clotrimazole 500 mg) Vaginal Tablet in healthy adult females
suffering from Vulvovaginal Candidiasis.
.Secondary objective is to
monitor the adverse events and to ensure the safety
of patient.
The main inclusion criteria for the
study are Female patients should be of age between 18 to 45 years.and should have
a primary diagnosis of Vulvovaginal Candidiasis (VVC).
The test drug used will be Clotrimazole
500 mg Vaginal Tablet of Actor Pharma, South Africa
whereas the reference drug is Canesten® (Containing Clotrimazole 500
mg) Vaginal Tablet of Bayer, South Africa
Enrolled
patients will receive single dose of either test drug or reference drug, the
drug will be administered by inserting one tablet into the vagina (Intra vaginal) at bedtime on Day 0 as
per the computer generated randomization sequence.
Duration
of Protocol Therapy is 1 day and duration of
patient participation is approximately 16±2 days [dosing (Day 0) and Follow-up
at 3±1 days and 14±2 days after administration of the vaginal tablet.]
Patients
fulfilling inclusion/exclusion criteria at the time of screening would be
subjected to medical screening (Day-2). Screening will include, clinical
evaluation and history of medication used in last 1 year. The Patient physical examination
will be performed including vaginal pH, speculum examination of the vagina, KOH
preparation and it will be evaluated by investigators. A vaginal specimen will
be obtained for culture and susceptibility testing results. Blood and urine
samples will be collected for baseline chemistry, hematology and urinalysis
tests. All the results from these procedures will be documented in e-CRF. During
treatment visit 2 (Day 0) Vital signs, General examination and AE monitoring
will be done on visit 2. Symptoms Relief Card will be filled by investigator.
Patient Diary will be provided to patient. All the data from Patient Diary will
be recorded in e-CRF in every visit by the investigator. The follow up visit (
post-treatment contact) will be initiated by the investigator at 2, 4, 6 and 8
days after the beginning of treatment. The Follow-up
Visit 3 & 4 (Test-of-Cure Visit) will start at 3±1 days after post dose,
this will be the First Test-of-Cure visit and second Test-of-Cure visit will be
at 14±2 days after post dose. At all these visits clinical examination, vaginal
examination and a vaginal semi-quantitative culture will be recorded by the
investigators. Speciation and susceptibility testing will be done on all
positive cultures.
Primary
endpoint of the
study is the
proportion of patient
with therapeutic cure,
defined as both
mycological cure and clinical cure, at the test-of-cure visits conducted on study days and Secondary
endpoints will be monitored as safety outcomes. Safety assessments can be
limited to local description of toxicity.
However, where appreciable systemic absorption occurs, hematology,
chemistry, and urine laboratory testing will be performed as per investigators
discretion.
|