WO2000030626A2 - Methods and kits for treating vulvovaginal candidiasis with miconazole nitrate - Google Patents

Methods and kits for treating vulvovaginal candidiasis with miconazole nitrate Download PDF

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Publication number
WO2000030626A2
WO2000030626A2 PCT/US1999/027091 US9927091W WO0030626A2 WO 2000030626 A2 WO2000030626 A2 WO 2000030626A2 US 9927091 W US9927091 W US 9927091W WO 0030626 A2 WO0030626 A2 WO 0030626A2
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Prior art keywords
miconazole nitrate
cream
vaginally
patients
pharmaceutically acceptable
Prior art date
Application number
PCT/US1999/027091
Other languages
French (fr)
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WO2000030626A3 (en
Inventor
David H. Upmalis
Original Assignee
Mcneil-Ppc, Inc.
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Application filed by Mcneil-Ppc, Inc. filed Critical Mcneil-Ppc, Inc.
Priority to KR1020007007770A priority Critical patent/KR100701490B1/en
Priority to BR9907150-9A priority patent/BR9907150A/en
Priority to DE69930725T priority patent/DE69930725T2/en
Priority to AU20248/00A priority patent/AU777508B2/en
Priority to EP99963905A priority patent/EP1051162B1/en
Priority to JP2000583509A priority patent/JP2002530327A/en
Priority to CA002318125A priority patent/CA2318125C/en
Publication of WO2000030626A2 publication Critical patent/WO2000030626A2/en
Publication of WO2000030626A3 publication Critical patent/WO2000030626A3/en
Priority to HK01106686A priority patent/HK1036930A1/en

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00—Medicinal preparations containing organic active ingredients
    • A61K31/33—Heterocyclic compounds
    • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/40—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00—Medicinal preparations containing organic active ingredients
    • A61K31/33—Heterocyclic compounds
    • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/41—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with two or more ring hetero atoms, at least one of which being nitrogen, e.g. tetrazole
    • A61K31/4164—1,3-Diazoles
    • A61K31/4174—Arylalkylimidazoles, e.g. oxymetazolin, naphazoline, miconazole
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00—Medicinal preparations characterised by special physical form
    • A61K9/0012—Galenical forms characterised by the site of application
    • A61K9/0034—Urogenital system, e.g. vagina, uterus, cervix, penis, scrotum, urethra, bladder; Personal lubricants
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P15/00—Drugs for genital or sexual disorders; Contraceptives
    • A61P15/02—Drugs for genital or sexual disorders; Contraceptives for disorders of the vagina
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00—Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A61P31/10—Antimycotics
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00—Medicinal preparations characterised by special physical form
    • A61K9/02—Suppositories; Bougies; Bases therefor; Ovules

Definitions

  • the present invention relates to methods for the treatment of vulvovaginal
  • candidiasis with miconazole nitrate and more particularly to methods for the
  • Vulvovaginal candidiasis is a relatively common form of yeast infection.
  • nitrate is well known.
  • candidiasis with miconazole nitrate comprises the intra-vaginal application of a
  • kits for the treatment of vulvovaginal for the treatment of vulvovaginal
  • candidiasis with miconazole nitrate comprise a supply of vaginal suppositories or
  • the present invention is directed to a method for treating vulvovaginal
  • candidiasis consisting essentially of the steps of: (a) administering a single dose
  • the present invention is also directed to a kit for the treatment of
  • vulvovaginal candidiasis comprising: (a) a single dose of an effective amount of
  • miconazole nitrate in a pharmaceutically acceptable carrier and in a form adapted to
  • treatment regimens comprising 3 to 7 daily intra-vaginal doses of miconazole
  • intra-vaginal treatment regimens to treatment regimens comprising a single intra-
  • nitrate in accordance with the present invention comprise the steps of: (a)
  • nitrate in a pharmaceutically acceptable carrier to the vulva as needed.
  • carrier administered intra-vaginally may be in the form of a gelatin capsule, a
  • miconazole nitrate preferably comprises from about 400-2000 mg of miconazole
  • nitrate more preferably from about 600-1200 mg of miconazole nitrate. Delivery
  • miconazole nitrate are known to those of ordinary skill in the art.
  • the dose of miconazole nitrate applied to topically to the vulva may
  • topical cream comprising 2% miconazole nitrate is marketed by Advanced Care
  • the topical doses provide for immediate temporary relief of vulvovaginal candidiasis symptoms. Accordingly, the dose of miconazole nitrate applied to the
  • vulva is preferably applied 1-2 times daily as needed for up to about 7 days for the
  • Example 1 A study was performed comparing results of treatment of vulvovaginal
  • the study population was as follows. 278 patients with vulvovaginal
  • Example 2 a second population.
  • the study population was as follows. 280
  • microbiological cure rates (-12.7, 13.4) and therapeutic cure rates (-13.3, 14.2)
  • Group 1 a single intra-vaginal dose of 2.5 grams of 16% miconazole
  • VULVAR CREAM (with instructions to apply as necessary
  • Group 2 a single intra-vaginal dose of 5 grams of 8% miconazole
  • VULVAR CREAM (with instructions to apply as necessary
  • Group 3 a single intra-vaginal dose of 5 grams of 12% miconazole
  • VULVAR CREAM (with instructions to apply as necessary
  • Group 4 a single intra-vaginal dose of 5 grams of 16% miconazole
  • VULVAR CREAM (with instructions to apply as necessary
  • Group 5 7 daily doses of MONISTAT ® 7 (2% miconazole nitrate)
  • Vaginal Cream each containing 100 mg per dose of
  • vaginal dose plus topical cream regimens than Group 5 (7-day/dose intra-vaginal
  • NULNAR CREAM (with instructions to apply as necessary, up to twice daily, for
  • the study population was as follows. 263 patients were enrolled. 257

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  • Health & Medical Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Medicinal Chemistry (AREA)
  • Veterinary Medicine (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Public Health (AREA)
  • Chemical & Material Sciences (AREA)
  • Epidemiology (AREA)
  • Reproductive Health (AREA)
  • Gynecology & Obstetrics (AREA)
  • Urology & Nephrology (AREA)
  • Organic Chemistry (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Chemical & Material Sciences (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Oncology (AREA)
  • Engineering & Computer Science (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Endocrinology (AREA)
  • Communicable Diseases (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Medicinal Preparation (AREA)

Abstract

A method for treating vulvovaginal candidiasis including the steps of: (a) administering a single dose of an effective amount of miconazole nitrate in a pharmaceutically acceptable carrier intra-vaginally; and (b) applying miconazole nitrate in a pharmaceutically acceptable carrier to the vulva. Also a kit for the treatment of vulvovaginal candidiasis including: (a) a single dose of an effective amount of miconazole nitrate in a pharmaceutically acceptable carrier and in a form adapted to be administered intra-vaginally; and (b) an amount of miconazole nitrate in a pharmaceutically acceptable carrier adapted.

Description

METHODS AND KITS FOR TREATING VULVOVAGINAL CANDIDIASIS WITH MICONAZOLE NITRATE
Field of the Invention
The present invention relates to methods for the treatment of vulvovaginal
candidiasis with miconazole nitrate and more particularly to methods for the
treatment of vulvovaginal candidiasis employing a single dose of miconazole
nitrate applied intra-vaginally and additional doses of miconazole nitrate applied
topically to the vulva.
Background of the Invention
Vulvovaginal candidiasis is a relatively common form of yeast infection.
Treatment of vulvovaginal candidiasis with the anti-fungal composition miconazole
nitrate is well known. The most common regimen of treatment of vulvovaginal
candidiasis with miconazole nitrate comprises the intra-vaginal application of a
cream or other pharmaceutically acceptable carrier containing miconazole nitrate
once a day for 1, 3 or 7 days depending upon the concentration of miconazole
nitrate in the cream. Thus, commercial kits for the treatment of vulvovaginal
candidiasis with miconazole nitrate comprise a supply of vaginal suppositories or
cream containing miconazole nitrate and a suitable applicator for administering the
miconazole nitrate intra-vaginally.
While these methods of treating vulvovaginal candidiasis are highly
effective, there is a certain amount of discomfort and inconvenience for the patient
in having to repeatedly administer the miconazole nitrate intra-vaginally. Both of
these disadvantages can affect patient compliance and, therefore, the effectiveness
of the treatment. In addition, relief of symptoms can take 4-5 days or more. Accordingly, there is a need for improved methods for treating vulvovaginal
candidiasis with miconazole nitrate that are more convenient and comfortable than
known methods and that provide faster relief of vulvovaginal candidiasis.
Summary of the Invention
The present invention is directed to a method for treating vulvovaginal
candidiasis consisting essentially of the steps of: (a) administering a single dose
of an effective amount of miconazole nitrate in a pharmaceutically acceptable
carrier intra-vaginally; and (b) applying miconazole nitrate in a pharmaceutically
acceptable carrier to the vulva.
The present invention is also directed to a kit for the treatment of
vulvovaginal candidiasis comprising: (a) a single dose of an effective amount of
miconazole nitrate in a pharmaceutically acceptable carrier and in a form adapted to
be administered intra-vaginally; and (b) an amount of miconazole nitrate in a
pharmaceutically acceptable carrier adapted to be applied topically to the vulva.
Detailed Description of the Preferred Embodiment^
It has been discovered that the intra-vaginal administration of a
single dose of miconazole nitrate in combination with the topical administration of
a miconazole nitrate cream to the vulva is at least as effective as previously known
treatment regimens comprising 3 to 7 daily intra-vaginal doses of miconazole
nitrate and results in faster relief of vulvovaginal candidiasis symptoms. In
particular, studies comparing the effectiveness of standard 7 day miconazole nitrate
intra-vaginal treatment regimens to treatment regimens comprising a single intra-
vaginal dose of miconazole nitrate in combination with a miconazole nitrate cream
applied topically to the vulva found that the single dose miconazole nitrate intra- vaginal treatment in combination with a topical miconazole nitrate cream resulted
in faster therapeutic cure rates and equivalent microbiological and clinical cure
rates. Similar comparisons of 3 day to 7 day therapies have not shown such an
effect.
Methods for treating vulvovaginal candidiasis with miconazole
nitrate in accordance with the present invention comprise the steps of: (a)
administering a single dose of an effective amount of miconazole nitrate in a
pharmaceutically acceptable carrier intra-vaginally; and (b) applying miconazole
nitrate in a pharmaceutically acceptable carrier to the vulva as needed.
The dose of miconazole nitrate in a pharmaceutically acceptable
carrier administered intra-vaginally may be in the form of a gelatin capsule, a
cream, or any other intra-vaginal delivery system. The intra-vaginal dose of
miconazole nitrate preferably comprises from about 400-2000 mg of miconazole
nitrate, more preferably from about 600-1200 mg of miconazole nitrate. Delivery
systems and phamaceutically acceptable carriers for intra-vaginally delivered
miconazole nitrate are known to those of ordinary skill in the art.
The dose of miconazole nitrate applied to topically to the vulva may
be a cream or other pharmaceutically acceptable carrier containing from about 1%
to 4% mg miconazole nitrate in a form adapted to be applied topically. A preferred
topical cream comprising 2% miconazole nitrate is marketed by Advanced Care
Products, Personal Products Co. as MONISTAT® EXTERNAL VULNAR
CREAM. It is believed that in addition to the synergistic effect of the combining
the single intra-vaginal miconazole nitrate dose with the topical doses applied to the
vulva, the topical doses provide for immediate temporary relief of vulvovaginal candidiasis symptoms. Accordingly, the dose of miconazole nitrate applied to the
vulva is preferably applied 1-2 times daily as needed for up to about 7 days for the
immediate temporary relief of vulvovaginal candidiasis symptoms.
The invention will be clarified further by a consideration of the following
Examples, which are intended to be purely exemplary.
Examples
As used herein, "clinical cure" means that no symptoms of vulvovaginal
candidiasis were detected upon physical examination. "Microbiological cure"
means that a culture for candidiasis was negative. "Therapeutic cure" means that
no additional treatment was indicated for vulvovaginal candidiasis
Example 1 A study was performed comparing results of treatment of vulvovaginal
candidiasis with: (1) a single dose of 1200 mg of miconazole nitrate in a gelatin
capsule in an ointment base administered intra-vaginally in combination with
MONISTAT® EXTERNAL VULVAR CREAM (with instructions to apply as
necessary, up to twice daily, for symptomatic relief); versus (2) MONISTAT® 7
Vaginal Cream.
The study population was as follows. 278 patients with vulvovaginal
candidiasis were entered. 266 (96%) of the patients were valid for safety. 213
(77%) of the patients were valid for efficacy at return visit 1. 196 (71%) of the
patients were valid for overall efficacy. About 60% of the patients were white, with
most of the remaining patients either hispanic or black. Mean age of the patients
was 33-34 years. Just over one third of the patients reported oral contraceptive use.
Disease severity was mild or moderate in over 90% of the patients. 4-7% of the patients reported severe disease. The two treatment groups appeared comparable at
baseline.
Results of treatment in Example 1 are set forth in Tables 1 and 2.
Table 1
Figure imgf000007_0001
Table 2
Figure imgf000007_0002
Overall clinical, microbiological and therapeutic cure rates were almost
identical in the two treatment groups. There was no statistically significant
difference in the overall therapeutic cure rates (p = 0.96). The 95% confidence
intervals for the difference in overall cure rates, clinical cure rates (-10.5%, 11.2%),
microbiological cure rates (-9.7%, 14.8%) and therapeutic cure rates
(-11.1%, 14.3%) indicate that the two formulations are therapeutically equivalent.
However, relief of itching and burning/irritation was significantly higher in Group 1
at Day 3 (p = 0.025). Median time to symptom relief was four days in Group 1 and
five days in Group 2. Example 2
A study identical in design to that reported in Example 1 was performed on
a second population. In Example 2, the study population was as follows. 280
patients with vulvovaginal candidiasis were entered. 271 (97%) of the patients
were valid for safety. 205 (73%) of the patients were valid for efficacy at return
visit 1. 194 (69%) of the patients were valid for overall efficacy. Somewhat fewer
Group 2 patients were evaluable at both return visit 1 and overall because of more
screening failures in this group. About 70% of patients were white, with most of
the remaining patients either black or hispanic. Mean age of the patients was 36.3
years. About 20-25% of the patients reported oral contraceptive use. Disease
severity was mild or moderate in over 95% of the patients. 2% of the patients
reported severe disease. The two treatment groups appeared comparable at
baseline.
Results of treatment in Example 2 are set forth in Tables 3 and 4.
Table 3
Figure imgf000008_0001
Table 4
I GROUP 3; | GROUP 2:
Mϊcoaazθle Nitrate MONISTAT* ?
(1200 g) Vaginal Vagimat Cream
Ovule & MONISTAT® j External V«ϊvar Creans J
Relief at 3 days I 41/100 (41.0%) I 19/85 (22.4%)
Relief at 7 days 66/100 (66.0%) 59/85 (69.4%)
Overall clinical, microbiological and therapeutic cure rates were almost
identical in the two treatment groups. There was no statistically significant
difference in the overall therapeutic cure rates (p = 0.775). The 95% confidence
intervals for the difference in overall cure rates, clinical cure rates (-13.7, 12.2),
microbiological cure rates (-12.7, 13.4) and therapeutic cure rates (-13.3, 14.2)
indicate that the two formulations are therapeutically equivalent. However, relief of
itching and burning/irritation was significantly higher in Group 1 at day 3 (p =
0.008). Median time to symptom relief was three days in Group 1 and four days in
Group 2.
Example 3
A dose-ranging study was performed comparing: (1) various doses of
miconazole nitrate in one-dose cream formulations in combination with
MONISTAT® EXTERNAL VULVAR CREAM (with instructions to apply as
necessary, up to twice daily, for symptomatic relief); against (2) MONISTAT® 7
Vaginal Cream.
Patients were randomized equally to one of the following five regimens: Group 1 : a single intra-vaginal dose of 2.5 grams of 16% miconazole
nitrate vaginal cream containing 400 mg of miconazole
nitrate in combination with MONISTAT® EXTERNAL
VULVAR CREAM (with instructions to apply as necessary,
up to twice daily, for symptomatic relief);
Group 2: a single intra-vaginal dose of 5 grams of 8% miconazole
nitrate vaginal cream containing 400 mg of miconazole
nitrate in combination with MONISTAT® EXTERNAL
VULVAR CREAM (with instructions to apply as necessary,
up to twice daily, for symptomatic relief);
Group 3: a single intra-vaginal dose of 5 grams of 12% miconazole
nitrate vaginal cream containing 600 mg of miconazole
nitrate in combination with MONISTAT® EXTERNAL
VULVAR CREAM (with instructions to apply as necessary,
up to twice daily, for symptomatic relief);
Group 4: a single intra-vaginal dose of 5 grams of 16% miconazole
nitrate vaginal cream containing 800 mg of miconazole
nitrate in combination with MONISTAT® EXTERNAL
VULVAR CREAM (with instructions to apply as necessary,
up to twice daily, for symptomatic relief); and
Group 5 : 7 daily doses of MONISTAT® 7 (2% miconazole nitrate)
Vaginal Cream each containing 100 mg per dose of
miconazole nitrate. The study population was as follows. 230 patients with vulvovaginal
candidiasis were entered. 228 (99%) of the patients were valid for safety. 186
(81%) of the patients were valid for efficacy. Mean ages of the patients by
treatment groups were 34.5 years to 38.3 years. 59.1% to 72.9% of the patients
were white, with most remaining patients classified as black or hispanic. Oral
contraceptive use by treatment group ranged from 15.9% to 34.1%. Disease
severity was mild or moderate in over 90% of the patients with severe disease
reported in from 2.3% to 9.1% of the patients by treatment group. Despite some
differences, the five treatment groups were reasonably comparable at baseline.
Results of treatment in Example 3 are set forth in Tables 5 and 6.
Table 5
Figure imgf000011_0001
Table 6
Figure imgf000011_0002
Clinical, microbiological and therapeutic cure rates were acceptable for all
five treatment regimens. Microbiological and therapeutic cure rates were highest in
Groups 3 and 4. Proportions of patients obtaining symptomatic relief at 3 and 7 days varied widely, with the highest rates at both time intervals in Groups 2-4.
Median time to relief of symptoms was also quite variable: 3 days in Group 2; 4
days in Groups 1 and 3; and 5 days in Groups 4 and 5. While statistical analysis
was not performed on the Day 3 cure rates due to the smallness of the sample size,
it appears that the cure rates on Day 3 are higher for Groups 1-4 (single intra-
vaginal dose plus topical cream regimens) than Group 5 (7-day/dose intra-vaginal
regimen).
Example 4
A study was performed comparing: (1) a regimen of MONISTAT® 3
Suppositories (200 mg miconazole nitrate) plus MONISTAT® EXTERNAL
NULNAR CREAM (with instructions to apply as necessary, up to twice daily, for
symptomatic relief); against (2) a regimen of MONISTAT® 7 Vaginal Cream (5-
grams, 100 mg miconazole nitrate) plus MONISTAT® EXTERNAL VULVAR
CREAM (with instructions to apply as necessary, up to twice daily, for
symptomatic relief).
The study population was as follows. 263 patients were enrolled. 257
(98%o) of the patients were valid for safety. 195 (74%) of the patients were valid for
efficacy at return visit 1. 183 (70%) of the patients were valid for overall efficacy.
Just over 60% of the patients were Caucasian, and approximately 29% of the
patients were black. Women on MONISTAT®3 were about two years older than
women on MONISTAT®7 (36.3 vs. 34.7 years). Oral contraceptive use was less
frequent on MONISTAT®3 (23% vs. 34%). More patients on MONISTAT®7
admitted to intercourse and did not always use a condom between admission and
return visit 1, and also between return visits 1 and 2. Disease severity was mild or moderate in over 90% of the patients at baseline. The two groups appeared
reasonably comparable overall.
Results of treatment in Example 4 are set forth in Table 7.
Table 7
Figure imgf000013_0001
Overall clinical, microbiological and therapeutic cure rates were
comparable in the two treatment groups. Cure rates were also comparable in
patients valid for efficacy at return visit 1. The difference between Groups 1 and 2
in symptomatic relief at day 3 was not statistically significant.
It will be understood by person by persons skilled in the art that various
changes in the details, components, steps, and arrangements of the components and
steps which have been described and illustrated in order to explain the nature of this
invention may be made by those skilled in the art without departing from the
principle and scope of the invention as expressed in the following claims.

Claims

What is claimed is:
1. A method for treating vulvovaginal candidiasis consisting essentially of the
steps of:
(a) administering a single dose of an effective amount of miconazole nitrate
in a pharmaceutically acceptable carrier intra-vaginally; and
(b) applying miconazole nitrate in a pharmaceutically acceptable carrier to
the vulva.
2. The method of claim 1, wherein the single dose of miconazole nitrate
administered intra-vaginally comprises about 400 to about 2000 mg of miconazole
nitrate.
3. The method of claim 1, wherein the single dose of miconazole nitrate
administered intra-vaginally comprises about 600 to about 1200 mg of miconazole
nitrate.
4. The method of claim 1, wherein the single dose of miconazole nitrate
administered intra-vaginally comprises 2.5 g of 16% miconazole nitrate cream, 5 g
of 8% miconazole nitrate cream, 5 g 12% miconazole nitrate cream or 5 g 16%>
miconazole nitrate cream.
5. The method of claim 1, wherein step (b) is performed 1-2 times per day.
6. The method of claim 1, wherein step (b) is performed 1-2 times per day for
about 7 days.
7. The method of claim 3, wherein step (b) is performed 1-2 times per day for
about 7 days.
8. A kit for the treatment of vulvovaginal candidiasis comprising: (a) a single dose of an effective amount of miconazole nitrate in a pharmaceutically acceptable carrier and in a form adapted to be administered intra-
vaginally; and
(b) an amount of miconazole nitrate in a pharmaceutically acceptable carrier
adapted to be applied topically to the vulva.
9. The kit of claim 8, wherein the single dose of miconazole nitrate adapted to
be administered intra-vaginally comprises about 400 to about 2000 mg of
miconazole nitrate.
10. The kit of claim 8, wherein the single dose of miconazole nitrate adapted to
be administered intra-vaginally comprises about 600 to about 1200 mg of
miconazole nitrate.
11. The kit of claim 8, wherein the single dose of miconazole nitrate adapted to
be administered intra-vaginally comprises 2.5 g of 16% miconazole nitrate cream, 5
g of 8% miconazole nitrate cream, 5 g 12% miconazole nitrate cream or 5 g 16%
miconazole nitrate cream.
12. The kit of claim 1 , wherein the amount of miconazole nitrate in a
pharmaceutically acceptable carrier adapted to be applied topically to the vulva is a
sufficient amount to be applied 1-2 times per day for about 7 days.
13. The kit of claim 10, wherein the amount of miconazole nitrate in a
pharmaceutically acceptable carrier adapted to be applied topically to the vulva is a
sufficient amount to be applied 1-2 times per day for about 7 days.
PCT/US1999/027091 1998-11-20 1999-11-15 Methods and kits for treating vulvovaginal candidiasis with miconazole nitrate WO2000030626A2 (en)

Priority Applications (8)

Application Number Priority Date Filing Date Title
KR1020007007770A KR100701490B1 (en) 1998-11-20 1999-11-15 Methods and kits for treating vulvovaginal candidiasis with miconazole nitrate
BR9907150-9A BR9907150A (en) 1998-11-20 1999-11-15 Methods and kits for treating vulvovaginal candidiasis with miconazole nitrate
DE69930725T DE69930725T2 (en) 1998-11-20 1999-11-15 METHOD AND KITS FOR THE TREATMENT OF VULVOVAGINAL CANDIDOSES WITH MICONAZOLNITRATE
AU20248/00A AU777508B2 (en) 1998-11-20 1999-11-15 Methods and kits for treating vulvovaginal candidiasis with miconazole nitrate
EP99963905A EP1051162B1 (en) 1998-11-20 1999-11-15 Methods and kits for treating vulvovaginal candidiasis with miconazole nitrate
JP2000583509A JP2002530327A (en) 1998-11-20 1999-11-15 Method and apparatus for treating vulva vaginal candidiasis with miconazole nitrate
CA002318125A CA2318125C (en) 1998-11-20 1999-11-15 Methods and kits for treating vulvovaginal candidiasis with miconazole nitrate
HK01106686A HK1036930A1 (en) 1998-11-20 2001-09-21 Kits for treating vulvovaginal candidiasis with miconazole nitrate

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US09/197,019 1998-11-20
US09/197,019 US6153635A (en) 1998-11-20 1998-11-20 Methods and kits for treating vulvovaginal candidiasis with miconazole nitrate

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WO2000030626A3 WO2000030626A3 (en) 2000-11-23

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EP (1) EP1051162B1 (en)
JP (1) JP2002530327A (en)
KR (1) KR100701490B1 (en)
CN (1) CN1332663C (en)
AR (1) AR021863A1 (en)
AU (1) AU777508B2 (en)
BR (1) BR9907150A (en)
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