Clinical Trial: Maternal Effects of Bacterial Vaginosis (BV) Treatment in Pregnancy

Study Status: Completed
Recruit Status: Completed
Study Type: Interventional

Official Title: Maternal Effects of Bacterial Vaginosis (BV) Treatment in Pregnancy (Randomized Trial of BV Treatment in Pregnancy)

Brief Summary:

The goal of this study is to examine acceptability and efficacy of 2 kinds of BV treatment among women at low risk for preterm delivery. The objectives are:

  1. To examine the side effects and patient acceptability of oral versus intravaginal metronidazole.
  2. To compare the efficacy of oral and intravaginal metronidazole for the treatment of BV
  3. To study the efficacy of oral and intravaginal metronidazole for the prevention of hospital admission during the 3rd trimester, chorioamnionitis, preterm delivery, and maternal infectious morbidity.

Detailed Summary: This is a randomized, placebo-controlled intervention trial. Women diagnosed as BV+ by Gram stain at 12-16 weeks gestation are randomly assigned to the following treatment groups: oral metronidazole (250 mg TID x 7 days) with intravaginal placebo; intravaginal metronidazole (5g 0.75% gel BID x 5 days) with oral placebo. African American, Hispanic, Asian/Pacific Islander, Native American, and white women are eligible. Women with a prior preterm delivery, multiple gestation, chronic hypertension or pre-existing diabetes, antibiotic use before enrollment in the study, allergy to metronidazole, history of alcohol abuse in past year, and women under age 18 are excluded.
Sponsor: Centers for Disease Control and Prevention

Current Primary Outcome: changes in vaginal flora

Original Primary Outcome: Same as current

Current Secondary Outcome:

  • preterm delivery
  • low birth weight
  • chorioamnionitis


Original Secondary Outcome: Same as current

Information By: Centers for Disease Control and Prevention

Dates:
Date Received: September 8, 2005
Date Started: October 1999
Date Completion: March 2005
Last Updated: September 8, 2005
Last Verified: September 2005