E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
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MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 9.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10046898 |
E.1.2 | Term | Vaginal candidiasis |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
non-inferior efficacy in terms of overall response defined as clinical (resolution of clinical signs and symptoms) and mycological cure (negative microscopy and negative culture) 10 to 14 days post application of clotrimazole 500 mg vaginal ovule compared to clotrimazole 500 mg vaginal tablet |
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E.2.2 | Secondary objectives of the trial |
• non-inferior efficacy in terms of overall response (defined as clinical and mycological cure) 6-8 weeks post application of a s.d. of clotrimazole 500 mg vaginal ovule compared to a s.d. of clotrimazole 500 mg vaginal tablet. • non-inferior efficacy in terms of clinical cure 10-14 days and 6-8 weeks post application of a single dose of clotrimazole 500 mg vaginal ovule compared to a single dose of clotrimazole 500 mg vaginal tablet • non-inferior efficacy in terms of mycological cure 10-14 days and 6-8 weeks post application of a single dose of clotrimazole 500 mg vaginal ovule compared to a single dose of clotrimazole 500 mg vaginal tablet . • non-inferior safety and tolerability profile in terms of number and severity of adverse drug reactions
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Non-pregnant females aged at least 14 years in Germany or at least 16 years in Russia and not older than 50 years. 2. Subjects presenting a symptomatic vulvovaginal yeast infection confirmed by microscopic evaluation (wet mount preparation). 3. Subjects must be cooperative, able to understand the requirements of the trial participation, and willing to participate in the trial. For adolescents the informed consent has to be provided to a legal representative in addition. 4. Subjects of childbearing potential must use an acceptable method of contraception. Hormonal or oral contraceptive drugs, intra-uterine devices (IUD) and abstinence are considered acceptable methods of contraception. 5. Negative saline smear for Trichomonas vaginalis.
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E.4 | Principal exclusion criteria |
1. Subjects with known hypersensitivity to imidazoles or triazoles and their analogues or any other ingredient of the formulations under investigation. 2. Subjects presenting a protozoan infection as confirmed by microscopic investigation. 3. Pregnant, breast feeding or lactating subjects. 4. Subjects with suspected bacterial vaginal infection. 5. Subjects with abdominal pain, fever, or foul smelling vaginal discharge. 6. Subjects with irregular or abnormal vaginal bleeding. 7. Subjects who had a vaginal infection, or who had used an intravaginal or systemic antimycotic treatment within 60 days prior to visit 1. 8. Subjects using or wishing to use intra-vaginal or systemic anti-infectives or systemic antifungal therapy during the trial. 9. Subjects wishing to use contraceptive foams, creams, jellies, sponges, therapeutic ointments, condoms, diaphragms, and OTC vaginal products during treatment and 3 days thereafter (i.e. until day 4). 10. Subjects unable to refrain from the use of vaginal tampons during treatment and for 3 days thereafter (i.e. until day 4). 11. Subjects unable to refrain from the use of feminine hygiene products (e.g. douches, feminine deodorant products) for 2 weeks (i.e. from visit 1 until visit 2). 12. Subjects suffering from chronic/recurrent vulvovaginal mycosis, defined as 4 or more mycologically proven symptomatic episodes during the last 12 months. 13. Subjects suffering from diseases (e.g. diabetes, decreased cellular immunity) or being treated with drugs (e.g. immunosuppressants, corticosteroids, anti-infectives) which may predispose them to mycological infections. 14. Subjects who received another investigational drug within 30 days before visit 1. 15. Unwillingness to refrain from sexual activity during 3 days thereafter. 16. Actual menstruation at visit 1 or expected menstruation within 4 days after visit 1.
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E.5 End points |
E.5.1 | Primary end point(s) |
Responder rate/overall response |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | Yes |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | Yes |
E.8.1.7.1 | Other trial design description |
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E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Yes |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 3 |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
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E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | |
E.8.9.1 | In the Member State concerned months | 9 |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial months | 9 |