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Natural prebiotic could beat antibiotics for thrush and BV
NCT ID NCT05434104
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether lactoferrin, a natural prebiotic from cow's milk, can be a good alternative to antibiotic tablets for women with bacterial vaginosis (BV) or thrush. Researchers will recruit 114 women and give half lactoferrin vaginal pessaries for 3 weeks, while the other half gets standard oral antibiotics. The goal is to see if women find lactoferrin acceptable and if it works well enough to justify a larger future trial.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- lactoferrin vaginal pessaries
- What this could lead to
- If it works, this could offer women a natural, antibiotic-free option for treating common vaginal infections, reducing side effects and antibiotic resistance.
- What could go wrong
- This is a small feasibility study, not a large trial. Lactoferrin may not work as well as standard antibiotics, and infections could return.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 114 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Apr 2026
- Expected to finish
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Dec 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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16 to 50 years
- Sex
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Female participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Aged 16-49 years * Having periods (apart from women with a Mirena IUCD or polycystic ovary syndrome) * Ability to consent * Clinical diagnosis of BV or thrush confirmed on Gram stain * Willing to be randomised to vaginal lactoferrin pessaries or oral antibiotics/antifungals * Agrees to provide vaginal samples at home and post/deliver them back to the research team. * Agrees to avoid douching during the study (as this can flush out lactobacilli needed for a healthy microbiome). Exclusion Criteria: * Pregnant or breast feeding * Currently has chlamydia, gonorrhoea or trichomonas (as treatment for these would affect the results). * Known allergy to metronidazole or azoles * Post-menopausal (because of diagnostic confusion between atrophic vaginitis and bacterial vaginosis)
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
2 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Guy's and St Thomas' Sexual Health Clinic
RECRUITINGLondon, United Kingdom
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St Thomas' NHS Trust
NOT_YET_RECRUITINGLondon, se1 7eh, United Kingdom
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- Can a simple Self-Test cut preterm births in High-Risk pregnancies?
- Vaginal device aims to boost infection treatment
- Blue light could soothe vaginal disorders without hormones
- New vaginal capsule aims to tackle stubborn bacterial vaginosis
- Can a probiotic stop bacterial vaginosis recurrence?