Exploring the Effects of an Intravaginal Lactic Acid Gel on the Vaginal Microbiome

Trial statusRecruiting
Trial phaseEarly Phase 1
Trial typeInterventional
Biological sexFemale
Age18-54
SponsorQueen's Medical Center

About this trial

This project aims to investigate if the contraceptive method, Phexxi, causes changes to the composition of the vaginal microbiome. The investigators hypothesize that regular use of Phexxi will cause increased colonization of lactic acid-producing lactobacilli, which could have positive effects in the way of preventing recurrent episodes of BV and candida infections.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Age 18-54

Female

Pre-menopausal

Can speak and read in English

Disqualifiers

Pregnant or trying to become pregnant

Post-menopausal

Using NuvaRing device

A past medical history of kidney disease, recurrent UTI, and/or urinary tract abnormalities

Trial design

Design model

Single group

Treatments tested in this trial

  • Phexxi

    Drug

    intravaginal gel twice weekly for 4 weeks.

Treatment groups

22 Participants
are divided into 1 treatment group
Group A: Study groupExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

To assess participant's baseline vaginal microbiome makeup

NextGen analysis pre-intervention

Time frame
Within one week of recruitment, unless menstruating. If this is the case, the participant will be asked to wait 10 days from the cessation of menses in order to allow restoration of baseline vaginal microbiome
2

To assess if the use of Phexxi causes changes in the vaginal microbiome from baseline after thirty days of use

NextGen analysis immediately post-intervention

Time frame
30 days after baseline vaginal swab collection
3

To assess if the use of Phexxi causes changes in the vaginal microbiome

NextGen analysis 30 days post-completion of intervention

Time frame
60 days after baseline vaginal swab collection
4

To assess participant's baseline vulvovaginitis symptoms

Survey to be completed pre-intervention

Time frame
On day of recruitment to the study

Secondary outcomes

1

To assess patient satisfaction/acceptability of this intervention as a therapeutic/prophylactic agent for recurrent vulvovaginitis

Survey at 2 time points: immediately post-intervention, and 30 days post-completion of intervention. This survey is a validated tool to assess for the acceptability, appropriateness, and feasability of an intervention (Acceptability of Intervention Measure, or AIM, Intervention Appropriateness measure, or IAM, and Feasibility of Intervention Measure, or FIM). It lists a number of statements to assess the above measures and asks the participant to circle the ones which apply to them.

Time frame
30 and 60 days after baseline swab collection

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Queen's Medical Center

Lead sponsor

University of Hawaii Foundation

Collaborator