Can Lactobacillus crispatus CRP21 reduce recurrent bacterial vaginosis after antibiotics?
Official title: Evaluation of the Ability of Lactobacillus Crispatus CRP21 to Reduce the Incidence of Recurrent Bacterial Vaginosis: A Multicenter, Randomized, Double-Blind, Placebo-Controlled Clinical Trial
Run by Liaquat University of Medical & Health Sciences · NCT07474831 · Data updated 2026-11-12
This trial tests whether a probiotic capsule containing Lactobacillus crispatus CRP21 can lower recurrence of bacterial vaginosis in women after standard antibiotic treatment.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 45 Years |
| Sex | Women only |
| Enrollment | 132 (estimated) |
| Sponsor | Liaquat University of Medical & Health Sciences Academic / other |
| Locations | 11 sites (Forlì, Emilia-Romagna and 10 other locations) |
| Status | Recruiting |
| Started | March 23, 2026 |
| Main results expected | March 19, 2027 |
| Study ends | April 16, 2027 |
| Registry record updated | September 2, 2026 |
| Trial ID | NCT07474831 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Women 18–45 years old with a diagnosis of recurrent BV (≥3 episodes in the prior 12 months) who have completed initial antibiotic treatment.
✕Probably not a fit
Individuals who do not experience a reduction in BV recurrences or who have adverse reactions to the probiotic may not receive benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This multicenter, randomized, double-blind, placebo-controlled study will enroll women aged 18–45 with a history of recurrent bacterial vaginosis. After completing an acute episode treatment, participants are randomized to receive either the Crispavag probiotic or a placebo daily for 12 weeks, followed by 12 weeks of follow-up. The primary goal is to see if the probiotic reduces BV episodes during the treatment and post-treatment period. Safety and tolerability will also be monitored. The study aims to clarify whether restoring beneficial vaginal bacteria can sustain balance and prevent recurrence.
Why it matters
Potential benefit: If successful, participants may experience fewer BV recurrences and improved vaginal microbiota balance.
How similar studies have gone: Previous research supports a protective role for Lactobacillus crispatus in vaginal health, with mixed but encouraging results for probiotic approaches in BV prevention.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Women aged 18-45 years * Diagnosis of recurrent bacterial vaginosis (≥3 episodes of bacterial vaginosis within 12 months prior to enrollment) * Presence of a diagnosis of bacterial vaginosis at the time of enrollment, carried out through the presence of 3 out of 4 of the Amsel Criteria * Accepted written informed consent for study participation obtained prior to the start of the study Exclusion Criteria: * Age \<18 years or \>45 years * Concomitant presence of Candida vulvovaginitis * Pregnancy * Breastfeeding * Use of other therapies for the prevention of bacterial vaginosis in the previous 30 days * Alcohol or drug abuse * Known allergy to the components of the product used * Lack of acceptance of written informed consent
Where it's running
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Studio medico
Forlì, Emilia-Romagna, Italy Recruiting -
Olympus Centro Medico Polispecialistico
Ravenna, Emilia-Romagna, Italy Recruiting -
AIED Centre
Rome, Lazio, Italy Recruiting -
Clinica Villa Margherita
Rome, Lazio, Italy Recruiting -
Dipartimento di Ostetricia e Ginecologia, Policlinico Tor Vergata, Università Roma Tor Vergata
Rome, Lazio, Italy Recruiting -
UOC Ginecologica ed Ostetricia, Poliambulanza Istituto Ospedaliero
Brescia, Lombardy, Italy Recruiting
Show 5 more locations
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Department of Obstetrics and Gynecology, Fondazione IRCCS Policlinico San Matteo, Università Degli Studi di Pavia
Pavia, Lombardy, Italy Recruiting -
Department of Obstetrics and Gynecology, Ospedale Maria Vittoria
Turin, Piedmont, Italy Recruiting -
Gynecology and Obstetrics Department, San Marco Hospital
Catania, Sicily, Italy Recruiting -
Screening and Secondary Prevention Unit, Institute for Cancer Research, Prevention and Oncological Network (ISPRO)
Florence, Tuscany, Italy Recruiting -
UOC Ostetricia e Ginecologia, Ospedale Apuane, AUSL Toscana Nord-Ovest
Massa, Tuscany, Italy Recruiting
Study contacts
- Study coordinator: Davide Sisti, PhD
- Email: davide.sisti@uniurb.it
- Phone: 0722 303301
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Using Vagitab-T to treat bacterial vaginosis
This study is testing if a new vaginal tablet called Vagitab-T can help people with bacterial vaginosis feel better and prevent it from coming back.
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Transplanting vaginal microbiota to treat recurrent bacterial vaginosis
This study is testing if a vaginal microbiota transplant can help women with recurring bacterial vaginosis feel better compared to a saline solution.
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GenSci142 as a vaginal treatment for bacterial vaginosis
This study tests whether GenSci142 given as vaginal doses is safe and may help BV patients aged 18–50 compared with clindamycin cream.
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Vaginal gel to treat and prevent bacterial vaginosis and yeast infections
This trial will test whether a vaginal gel called Multi-Gyn FemiTotal can treat and prevent bacterial vaginosis and vulvovaginal candidiasis in adult women.
-
Using a device to treat bacterial vaginosis and fungal infections in women
This study tests if a new medical device can help premenopausal women get rid of bacterial vaginosis and fungal infections.
-
Examining the genital microbiome of male partners of women with recurrent bacterial vaginosis
This study is testing if the bacteria in the genital area of men can affect how often their female partners get bacterial vaginosis and whether cleaning with a certain solution can help reduce this risk.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.