A clinical study to compare the clinical efficacy of vaginal tablets containing 10mg dequalinium chloride (Fluomizin) with the clinical efficacy of 100mg clotrimazole in patients suffering from vulvovaginal candidiasis, to assess safety of the two medications during the treatment, and to evaluate women's satisfaction with the two treatments.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
150
One vaginal tablet for 6 days and 1 placebo tablet on day 7
one vaginal tablet for 7 days
Siriraj Gynaecologic ID and Female STD Unit, Department of Obstetrics & Gynaecology, Faculty of Medicine Siriraj Hospital, Mahidol University
Bangkok, Bangkok Noi District, Thailand
Clinical cure rate
Clinical cure rate is defined as Total Severity Score (TSC) ≤ 2
Time frame: Control 1 at day 4 after therapy end
Microbiological cure rate
Negative microscopy for showing yeast forms (hyphae/pseudohyphae) or budding yeasts and Negative Candida culture
Time frame: Control 1 at 4 days after therapy end
Therapeutic cure rate
Clinically and microbiologically cured
Time frame: Control 1 at 4 days after therapy end
Individual clinical signs and symptoms
4-point rating scale for vaginal itching, vaginal burning or soreness, vulvo/vaginal erythema or edema, and vulvar excoriation ofr fissure formation
Time frame: Control 1 at 4 days after therapy end
Presence of dyspareunia
yes/no
Time frame: Control 1 at 4 days after therapy end
Direct microscopy (wet smear)
Presence or absence of Candida hyphea or spores
Time frame: Control 1 at 4 days after therapy end
vaginal pH
Time frame: Control 1 at 4 days after therapy end
Candida culture
positive / negative for Candida spp
Time frame: Control 1 at 4 days after therapy end
Global assessment of efficacy
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4-point rating scale assessed by investigator and patient
Time frame: Control 1 at 4 days after therapy end
Patient Satisfaction
presence of vaginal discomfort, increased discharge, burning sensation
Time frame: Control 1 at 4 days after therapy end
Adverse event
Number of participants experiencing an adverse event
Time frame: Control 1 at 4 days after therapy end
Global assessment of tolerability
4-point rating scale by investigator and patient
Time frame: Control 1 at 4 days after therapy end
Clinical cure rate
Clinical cure rate defined as Total Symptom Score TSC ≤ 2
Time frame: Control 2 at 6 weeks after therapy end
Presence of external dysuria
yes/no
Time frame: Control 1 at 4 days after therapy end
Microbiological cure rate
Negative microscopy for showing yeast forms (hyphae/pseudohyphae) or budding yeasts and Negative Candida culture
Time frame: Control 2 at 6 weeks after therapy end
Therapeutic cure rate
Clinically and microbiologically cured
Time frame: Control 2 at 6 weeks after therapy end
Individual clinical signs and symptoms
4-point rating scale for vaginal itching, vaginal burning or soreness, vulvo/vaginal erythema or edema, and vulvar excoriation ofr fissure formation
Time frame: Control 2 at 6 weeks after therapy end
Presence of dyspareunia
yes/no
Time frame: Control 2 at 6 weeks after therapy end
Direct microscopy (wet smear)
Presence or absence of Candida hyphea or spores
Time frame: Control 2 at 6 weeks after therapy end
vaginal pH
Time frame: Control 2 at 6 weeks after therapy end
Candida culture
positive / negative for Candida spp
Time frame: Control 2 at 6 weeks after therapy end
Global assessment of efficacy
4-point rating scale assessed by investigator and patient
Time frame: Control 2 at 6 weeks after therapy end
Patient Satisfaction
presence of vaginal discomfort, increased discharge, burning sensation
Time frame: Control 2 at 6 weeks after therapy end
Adverse event
Number of participants experiencing an adverse event
Time frame: Control 2 at 6 weeks after therapy end
Global assessment of tolerability
4-point rating scale by investigator and patient
Time frame: Control 2 at 6 weeks after therapy end
Presence of external dysuria
yes/no
Time frame: Control 2 at 6 weeks after therapy end