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CTRI Number  CTRI/2022/03/041393 [Registered on: 25/03/2022] Trial Registered Prospectively
Last Modified On: 20/02/2024
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   A clinical study of Colloidal Nano Silver Gel in the treatment of vaginal infections 
Scientific Title of Study   A Multicentre, Randomized, Double blind, Placebo controlled Pilot Study to evaluate the Efficacy and Safety of Colloidal Nano Silver Gel (SilverSol®) in the treatment of Bacterial Vaginosis, Vulvovaginal Candidiasis and Trichomoniasis 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
BCR-VIR-001 Version 1.0 Dated 09 Nov 2021  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Padma Srivastava  
Designation  Principal Investigator 
Affiliation  Prarthna Clinic 
Address  Prarthna Clinic Picasso Kedari Arcade,Flat no 103, Salunke Vihar, Wanowrie Pune- 411040, Maharashtra

Pune
MAHARASHTRA
411040
India 
Phone  9810965671  
Fax    
Email  drpadma_srivastava@hotmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Neeta Nargundkar 
Designation  Managing Director 
Affiliation  Biosphere Clinical Research Pvt.Ltd 
Address  Office No. 02, 03 & 04, Second Floor, Highland Corporate Center,Kapurbawdi Junction, Thane (W),Maharashtra

Thane
MAHARASHTRA
400607
India 
Phone  02241006794  
Fax    
Email  drneeta@biospherecro.com  
 
Details of Contact Person
Public Query
 
Name  Dr Shashank S Jadhav 
Designation  Medical Director 
Affiliation  Viridis BioPharma Pvt Ltd  
Address  Universal Majestic, 1503, PL Lokhande Marg, Chembur, Mumbai, Maharashtra 400071, India

Mumbai
MAHARASHTRA
400071
India 
Phone  02262669600  
Fax    
Email  shashank@synergialifesciences.com  
 
Source of Monetary or Material Support  
Viridis BioPharma Pvt. Ltd 1503, Universal Majestic, P. L. Lokhande Marg, Ghatkopar - Mankhurd Link Road, Govandi, Mumbai - 400 043, INDIA. 
 
Primary Sponsor  
Name  Viridis BioPharma Pvt Ltd  
Address  1503, Universal Majestic, P. L. Lokhande Marg, Ghatkopar - Mankhurd Link Road, Govandi, Mumbai - 400 043, INDIA. 
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study
Modification(s)  
No of Sites = 3  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Alaka Godbole  Akshay Surgrical and Maternity Home  1st Floor, OPD room,Savio Apartments,Opp Kolbadnaka ,Old Agra Road, Thane West, 400601.
Thane
MAHARASHTRA 
9833967970

godbole369@gmail.com 
Dr Padma Srivastava  Prarthna Clinic  Picasso Kedari Arcade,Flat no 103, Salunke Vihar, Wanowrie Pune- 411040, Maharashtra
Pune
MAHARASHTRA 
9810965671

drpadma_srivastava@hotmail.com 
Dr Neena Nichlani   Titan Hospital  Ground floor, Soham Plaza,Near Manpada Circle,Godbhunder Road,Manpada-Thane West-400607.
Thane
MAHARASHTRA 
9820535378

neena0611@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 3  
Name of Committee  Approval Status 
Ethics Committee Inamdar Multispeciality Hospital   Submittted/Under Review 
V Care Independent Ethics Committee,  Approved 
Vcare Independent Ethics committee _Dr.Alaka Godbole  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: N771||Vaginitis, vulvitis and vulvovaginitis in diseases classified elsewhere,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Colloidal Nano Silver Gel (SilverSol®)  The dose is one 4 gm application inserted into the vagina once daily at bedtime for internal use and 2 gm gel for local application to vagina for external use twice daily for a period of 14 days. 
Comparator Agent  Placebo (Vehicle) gel  The dose is one 4 gm application inserted into the vagina once daily at bedtime for internal use and 2 gm gel for local application to vagina for external use twice daily for a period of 14 days.  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Female 
Details  1. Postmenarchal female subjects between 18 to 65 years of age (Both Inclusive).
2. Subjects must have a confirmed clinical diagnosis of vaginal infection with any one, two or all of the following inclusion criteria-
a) Diagnosis of bacterial vaginosis based on the presence of all four Amsel criteria.Homogeneous vaginal discharge (off white, milky or gray, thin), positive KOH whiff test,vaginal secretions,pH of > 4.5, Clue cells ≥ 20 percent of vaginal squamous epithelial cells on saline wet mount.
And/or
b) Diagnosis of Vulvovaginal Candidiasis(VVC) demonstrating presence of yeast forms (hyphae or pseudohyphae) or budding yeasts on the KOH or saline preparation from the inflamed vaginal mucosa or secretions with two or more signs and symptoms of VVC and Vaginal pH less than or equal to 4.5.(Signs: edema, redness, or excoriation. Symptoms: itching, burning, and/or irritation)
And/or
c) Diagnosis of Trichomoniasis at the screening visit as determined by Positive wet mount assessment for Trichomonas vaginalis with any one of the symptoms (i.e. itching, discharge and odor).
3. Subjects who agree to refrain from the use of intra-vaginal products throughout the study (e.g., douches, feminine deodorant sprays,Spermicides, tampons, and diaphragms).
4. Subjects who are willing to sign informed consent for participation in the study and willing to adhere to all protocol procedures. 
 
ExclusionCriteria 
Details  1. Subjects with other infectious causes of vulvovaginitis e.g Chlamydia trachomatis, Neisseria gonorrhoeae, Herpes simplex.
2. Presence of any condition or illness, including vulvar and vaginal conditions, that in the opinion of the investigator would preclude accurate evaluation of the subject’s condition and/or confound the interpretation of the subject’s treatment response.
3. Subject with history of cervical intra-epithelial neoplasia (CIN) or cervical carcinoma.
4. Subjects using systemic (oral, intravenous [IV], or intramuscular [IM]), intravaginal/ vulvovaginal antifungal, antimicrobial, or corticosteroid therapy within 14 days of participation in the study.
5. Subjects who are currently on any anticoagulation therapy or immunosuppressive therapy.
6. Pregnant, lactating, or planning to become pregnant during the study period.
7. Use of any investigational drug within 30 days of enrollment or plans to use other investigational products while enrolled in the study
8. History of hypersensitivity to Colloidal Silver or any other ingredient of the formulations. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Participant, Investigator, Outcome Assessor and Date-entry Operator Blinded 
Primary Outcome  
Outcome  TimePoints 
Proportion of subjects achieving clinical cure at end of study Visit.  15 days 
 
Secondary Outcome  
Outcome  TimePoints 
Proportion of subjects achieving microbiological cure at end of study Visit.  15 days 
The assessment of safety of Investigational Product will be based on the frequency of Adverse Events.  15 days 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="0" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)   11/04/2022 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Yet Recruiting 
Recruitment Status of Trial (India)  Completed 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   This study is  A Phase II, Multicentre, Randomized, Double blind, Placebo controlled Clinical Study to evaluate the Efficacy and Safety of Colloidal Nano Silver Gel (SilverSol®) in the treatment of Bacterial Vaginosis, Vulvovaginal Candidiasis and Trichomoniasis

The objective is to evaluate the efficacy an safety  of Colloidal Nano Silver Gel (SilverSol®) in the treatment of Bacterial Vaginosis, Vulvovaginal Candidiasis and Trichomoniasis.

Primary Endpoint:
-Proportion of subjects achieving clinical cure at end of study Visit.

Secondary Endpoint
Proportion of subjects achieving microbiological cure at end of study Visit.
 
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