Randomised clinical trial comparing the efficacy between metronidazole and Shinus terebinthifolius Raddi (called aroeira) in vaginal use for the treatment of bacterial vaginosis

ISRCTN ISRCTN18987156
DOI https://doi.org/10.1186/ISRCTN18987156
Secondary identifying numbers N/A
Submission date
18/06/2007
Registration date
06/07/2007
Last edited
01/09/2021
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Infections and Infestations
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Prof Ricardo Ximenes
Scientific

Universidade Federal de Pernambuco
Departamento de Medicina Tropical
Recife
50670-421
Brazil

Study information

Study designRandomised double-blind controlled trial.
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Not specified
Study typeTreatment
Scientific titleRandomised clinical trial comparing the efficacy between metronidazole and Shinus terebinthifolius Raddi (called aroeira) in vaginal use for the treatment of bacterial vaginosis
Study objectivesBacterial vaginosis is a polymicrobial clinical syndrome where the Lactobacillus are replaced by anaerobic bacteria, Gardnerela vaginalis and Mycoplasma hominis.

The study hypothesis is that metronidazole and aroeira have similar efficacy in the treatment of bacterial vaginosis, but aroeira has less impact in the vaginal flora, because it is a natural substance, extracted from a tree caulis.
Ethics approval(s)Ethical Commitee in Research of the Instituto Materno Infantil (c/o Prof Fernando Figueira) approved in March 2007.
Health condition(s) or problem(s) studiedBacterial vaginosis
InterventionThe participants will be randomised into two groups of 150 women:
Control group: Metronidazole gel 0.75%, intravaginally, once a day for seven days.
Intervention group: Schinus terebinthifolius Raddi (aroeira) gel 3,996 ml/6 g, intravaginally, once a day for seven days.
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Specified
Drug / device / biological / vaccine name(s)Metronidazole, Shinus terebinthifolius Raddi (called aroeira)
Primary outcome measureTo compare the frequency of the clinical (Amsel Criteria) and bacteriological (Nugent criteria) cure assessed at baseline and after their next menses (approximately one month after therapy) between the two groups.
Secondary outcome measures1. To compare the frequencies of the adverse effects of the two drugs
2. To compare the frequencies of the effects in the vaginal flora, observing the presence of lactobacillus in Papanicolaou smears at baseline and after their next menses (approximately one month after therapy)
3. To compare the frequencies of the effects of the two treatments by the presence of bacterias and fungi in vaginal cultures at baseline and after their next menses (approximately one month after therapy)
Overall study start date20/06/2007
Completion date20/06/2008

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexFemale
Target number of participants300 women
Total final enrolment277
Key inclusion criteria1. Women aged between 18 and 40 years
2. Women with vaginal discharge caused by bacterial vaginosis, diagnosed using the Amsel (clinical) and Nugent (Gram stein) criteria
Key exclusion criteria1. Pregnant women
2. Women using antibiotics for other infections in the last 30 days
3. Women using any other vaginal treatment in the last 30 days
4. Women who have never had sexual intercourse
5. Women with other vaginal infections such as candidiasis or trichomoniasis
6. Women with a suggestive diagnosis of pelvic inflammatory disease
Date of first enrolment20/06/2007
Date of final enrolment20/06/2008

Locations

Countries of recruitment

  • Brazil

Study participating centre

Universidade Federal de Pernambuco
Recife
50670-421
Brazil

Sponsor information

Institute for Maternal/Infant Health (IMIP) (Brazil)
Hospital/treatment centre

Rua dos Coelhos
300 - Boa Vista
Recife
50070-550
Brazil

Website http://www.imip.org.br/
ROR logo "ROR" https://ror.org/01rtyyz33

Funders

Funder type

Industry

The vaginal treatments will be provided by Laboratório Hebron (www.hebron.com.br) (Brazil). The assessments will be carried out at the Instituto Materno Infantil (Brazil) - c/o Prof Fernando Figueira, where the study will take place.

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article 14/01/2011 01/09/2021 Yes No

Editorial Notes

01/09/2021: Publication reference and total final enrolment added.