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Subjects will be using investigational or control tampons during their menstrual period but these tampons are not intended to prevent, treat or diagnose an infection or other disease condition. A total 450 women will participate in this study at two study sites. Subjects will be randomly assigned to one of three tampon groups. The first group will test an experimental test tampon containing glycerol monolaurate (GML) on the cover. The second group will test an identical tampon, but without GML. The third group will not be issued study tampons but will be instructed to use their normal tampon brand. This study is intended to determine whether the effects of GML observed in the laboratory can be demonstrated in healthy menstruating women.
Subjects will be using investigational or control tampons during their menstrual period but these tampons are not intended to prevent, treat or diagnose an infection or other disease condition. This study will be a randomized, single-blinded, multi-center study of women using Tampons with GML, Tampons without GML or the Tampons Normally Used for one menstrual period. Subjects will undergo Baseline microflora evaluations taken from the vaginal walls 5-10 days following their menstrual period (Baseline evaluation). Subjects will be randomly assigned to use one of the three study products during their next menstrual period. Microflora will be re-evaluated in samples taken from the tampons and from the vaginal walls during use of the study tampons, and from vaginal walls soon after the end of the menstrual period. Evaluations of microflora will be done by quantitative cultures of tampons and vaginal swabs, and also by Nugent scoring of the vaginal swabs. Staphylococcal α-hemolysin and TSST-1 will be analyzed in extracts of the study tampons from subjects found to be colonized with S. aureus. Vaginal pH will be measured, using electronic meters, at each clinic visit. All samples (tampons and vaginal swabs) will be analyzed at a central microbiology laboratory. Extracts of tampons found to contain S. aureus will be forwarded to another central laboratory for the toxin assays. Personnel in the central laboratories will be blinded to the group assignment (study product) for each subject until completion of the study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Tampon with GML | Experimental | Regular and Super Tampon with GML added to the cover |
|
| Tampon without GML | Sham Comparator | Regular and Super Tampon without GML |
|
| Tampon Normally Used | Sham Comparator | Type and Size of Tampon Normally Used by Subjects |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Experimental - Tampon with GML | Device | Regular and Super Tampon with Glycerol Monolaurate (GML) added to the cover |
|
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Subjects Showing Unfavorable Changes in Primary Microflora | Percentage of subjects showing unfavorable changes of at least 1-log in lactobacilli (decrease), C. albicans (increase), or G. vaginalis (increase) | Mid-Cycle Baseline to Mid-Menstrual Samples |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Subjects Showing Unfavorable Changes in Primary Microflora | Percentage of subjects showing unfavorable changes of at least 1-log in lactobacilli (decrease), C. albicans (increase), or G. vaginalis (increase) | Mid-Cycle Baseline to Post-Menstrual Samples |
| Percentage of Subjects With Selected Microflora in Tampons |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| David J Chase, PhD | Johnson & Johnson Consumer and Personal Products Worldwide | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hill Top Research | Scottsdale | Arizona | 85251 | United States | ||
| Hill Top Research |
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| ID | Title | Description |
|---|---|---|
| FG000 | Tampon With GML | Regular and Super Tampon with GML added to the cover |
| FG001 | Tampon Without GML | Regular and Super Tampon without GML added to the cover |
| FG002 | Tampon Normally Used | Type and Size of Tampon Normally Used by Subjects |
| Title | Milestones | Reasons Not Completed | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Tampon With GML | Regular and Super Tampon with GML added to the cover |
| BG001 | Tampon Without GML | Regular and Super Tampon without GML added to the cover |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Customized | Number |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Percentage of Subjects Showing Unfavorable Changes in Primary Microflora | Percentage of subjects showing unfavorable changes of at least 1-log in lactobacilli (decrease), C. albicans (increase), or G. vaginalis (increase) | Microbiological analyses are for the "per protocol" population, and no data imputation was performed. Analysis was limited to those subjects whose samples were viable for culture upon receipt at the laboratory. | Posted | Number | Percentage of Participants | Mid-Cycle Baseline to Mid-Menstrual Samples |
|
Up to 35 days
One Menstrual Cycle
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Tampon With GML | Regular and Super Tampon with GML added to the cover |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Pregnancy | Reproductive system and breast disorders | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Reproductive System Discomfort | Reproductive system and breast disorders | Systematic Assessment | Includes vaginal itching, dryness, irritation, odor, burning, light period, short period, heavy menstrual cramps, uterine infection, perineal irritation, groin irritation, abnormal pap smear, precancerous breast tissue, continual spotting |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Joyce Hauze, RPS Senior Specialist, Clinical Research Operations | Johnson & Johnson Consumer and Personal Products Worldwide | 928-277-0715 | jhauze@its.jnj.com |
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| Sham Control - Tampons without GML | Device | There is no intervention associated with these arms - they are sham controls. |
|
|
Percentage of subjects with selected relevant microorganisms in tampons during menses |
| During Menses |
| Abundance of Selected Microflora in Tampons | Abundance of selected relevant microorganisms in tampons during menses, in log10 colony forming units (CFU) per gram of menstrual fluid add-on to the tampon, in subjects who had detectable counts of the microorganism. | During Menses |
| Changes in Nugent Score | Percentage of subjects who showed a change in Nugent score from a score of </= 3 to a score of >/= 4. | Mid-Cycle Baseline to Mid-Menstrual Samples |
| Changes in Nugent Score | Percentage of subjects who showed a change in Nugent score from a score of </= 3 to a score of >/= 4. | Mid-Cycle Baseline to Post-Menstrual Samples |
| St. Petersburg |
| Florida |
| 33710 |
| United States |
| Adverse Event |
|
| Protocol Violation |
|
| Pregnancy |
|
| Inadequate Number of Tampons Used |
|
| BG002 | Tampon Normally Used | Type and Size of Tampon Normally Used by Subjects |
| BG003 | Total | Total of all reporting groups |
| Participants |
|
| Sex/Gender, Customized | Number | participants |
|
| Race/Ethnicity, Customized | Number | Participants |
|
| Race/Ethnicity, Customized | Number | Participants |
|
| Region of Enrollment | Number | participants |
|
| Weight 39-169 kg, inclusive | Number | Participants |
|
| Height 143-148 cm, inclusive | Number | Participants |
|
| Body Mass Index 15-54, inclusive | Number | Participants |
|
| Average Cycle 17-35 Days, inclusive | Average Days per Cycle in the past 4-6 months | Number | Participants |
|
| Average Flow 3-10 Days, inclusive | Average Days of Flow in the past 4-6 months | Number | Participants |
|
| Number of Pregnancies Less than 14 | Number | Participants |
|
| Years of Tampon Use | Number | Participants |
|
Regular and Super Tampon without GML added to the cover
| OG002 | Tampon Normally Used | Type and Size of Tampon Normally Used by Subjects |
|
|
| Secondary | Percentage of Subjects Showing Unfavorable Changes in Primary Microflora | Percentage of subjects showing unfavorable changes of at least 1-log in lactobacilli (decrease), C. albicans (increase), or G. vaginalis (increase) | Microbiological analyses are for the "per protocol" population, and no data imputation was performed. Analysis was limited to those subjects whose samples were viable for culture upon receipt at the laboratory. | Posted | Number | Percentage of Participants | Mid-Cycle Baseline to Post-Menstrual Samples |
|
|
|
| Secondary | Percentage of Subjects With Selected Microflora in Tampons | Percentage of subjects with selected relevant microorganisms in tampons during menses | Microbiological analyses are for the "per protocol" population, and no data imputation was performed. Analysis was limited to those subjects whose samples were viable for culture upon receipt at the laboratory. | Posted | Number | Percentage of Participants | During Menses |
|
|
|
| Secondary | Abundance of Selected Microflora in Tampons | Abundance of selected relevant microorganisms in tampons during menses, in log10 colony forming units (CFU) per gram of menstrual fluid add-on to the tampon, in subjects who had detectable counts of the microorganism. | Microbiological analyses are for the "per protocol" population, and no data imputation was performed. Analysis was limited to those subjects whose samples were viable for culture upon receipt at the laboratory. | Posted | Mean | Standard Deviation | CFU/gm | During Menses |
|
|
|
| Secondary | Changes in Nugent Score | Percentage of subjects who showed a change in Nugent score from a score of </= 3 to a score of >/= 4. | Microbiological analyses are for the "per protocol" population, and no data imputation was performed. Analysis was limited to those subjects whose samples were viable for culture upon receipt at the laboratory. | Posted | Number | Percentage of Participants | Mid-Cycle Baseline to Mid-Menstrual Samples |
|
|
|
| Secondary | Changes in Nugent Score | Percentage of subjects who showed a change in Nugent score from a score of </= 3 to a score of >/= 4. | Microbiological analyses are for the "per protocol" population, and no data imputation was performed. Analysis was limited to those subjects whose samples were viable for culture upon receipt at the laboratory. | Posted | Number | Percentage of Participants | Mid-Cycle Baseline to Post-Menstrual Samples |
|
|
|
| 1 |
| 162 |
| 17 |
| 162 |
| EG001 | Tampon Without GML | Regular and Super Tampon without GML added to the cover | 3 | 159 | 17 | 159 |
| EG002 | Tampon Normally Used | Type and Size of Tampon Normally Used by Subjects | 0 | 161 | 12 | 161 |
|
| Upper Respiratory Discomfort | Respiratory, thoracic and mediastinal disorders | Systematic Assessment | Includes common cold, bronchitis, cough, head/sinus congestion/infection, upper respiratory infection, itching of the ears, laryngitis |
|
| Nervous System Discomfort | Nervous system disorders | Systematic Assessment | Includes headache, tension headache, anxiety, emotional stress |
|
| Dental Pain or Procedure | General disorders | Systematic Assessment | Includes tooth extraction, orthodontic pain, gum pain, dental pain |
|
| Gastrointestinal Discomfort | Gastrointestinal disorders | Systematic Assessment | Includes diarrhea and bloating |
|
| Injuries | Injury, poisoning and procedural complications | Systematic Assessment | Includes injured knee, cut ankles, muscle tension, swollen legs |
|
No paper that incorporates Sponsor Confidential Information will be submitted for publication without Sponsor's prior written consent. The Institution will provide Sponsor with at least sixty (60) days for review of a manuscript, and if requested in writing, the Institution and Principal Investigators will withhold such publication for up to an additional sixty (60) days to allow for filing of a patent application.
| Title | Measurements |
|---|---|
|
| G. vaginalis |
|
| E. coli |
|
| Staphylococcus aureus |
|
| Group B Streptococcus |
|
| Enterococcus sp. |
|
|
| G. vaginalis |
|
| E. coli |
|
| Staphylococcus aureus |
|
| Group B Streptococcus |
|
| Enterococcus sp. |
|