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Effect of 2016 FDA guidance on study population and clinical response rates in patients with bacterial vaginosis: a phase 3 post hoc analysis
Journal article   Open access   Peer reviewed

Effect of 2016 FDA guidance on study population and clinical response rates in patients with bacterial vaginosis: a phase 3 post hoc analysis

P. Nyirjesy, M. Padula and J. L. Amprey
Clinical and experimental obstetrics & gynecology, v 46(4), pp 615-617
01 Jan 2019
url
https://www.imrpress.com/journal/CEOG/46/4/10.12891/ceog4892.2019/pdfView
Published, Version of Record (VoR) Open
url
https://doi.org/10.12891/ceog4892.2019View
Published, Version of Record (VoR) Open

Abstract

Life Sciences & Biomedicine Obstetrics & Gynecology Science & Technology
Purpose of Investigation: In 2016, the US Food and Drug Administration updated the enrollment and clinical response criteria for clinical studies of bacterial vaginosis (BV). The purpose of this post hoc analysis was to determine the effects of these differences on the results of a previously published phase 3 clinical study of the use of a single oral dose of secnidazole 2 grams to treat BV. Results: The updated guidelines for enrollment include a more stringent baseline Nugent score cutoff, which reduced the number of subjects from the initial study by 16.8% (secnidazole group) and 7.0% (placebo group). The updated efficacy guidelines changed the clinical outcome responder rates to 64.0% (secnidazole) and 26.4% (placebo) on assessment days 7-14 (p < 0.001), and to 58.4% and 24.5%, respectively, on days 21-30 (p < 0.001). Conclusion: Although the guidelines did not significantly affect efficacy outcomes, future BV studies will need to screen more patients to compensate for the new, more stringent enrollment criteria.

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Obstetrics & Gynecology
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