Evidence map›Paper›PMID 31591599›Full record

Trial reportNature medicine2019

Vaginal microbiome transplantation in women with intractable bacterial vaginosis.

Ahinoam Lev-Sagie, Debra Goldman-Wohl, Yotam Cohen, Mally Dori-Bachash, Avner Leshem, Uria Mor, Jacob Strahilevitz, Allon E Moses, Hagit Shapiro, Simcha Yagel and 1 more

2 registry-linked trialsAbstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Nature medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 238 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
238citing papers in PubMed, 2 pooled it
21.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02236429 naactive not recruitingnot on this map

Vaginal Flora Transplantation for Recurrent Bacterial Vaginosis

TypeinterventionalSponsorHadassah Medical OrganizationRan2015 to 2026Enrolled10ConditionsRecurrent Bacterial VaginitisArmsvaginal flora transplant
NCT04517487 phase1 / phase2active not recruitingnot on this mapstarted 2020, after this paper: background citation

Vaginal Microbiome Transplantation for Recurrent Bacterial Vaginosis-A Placebo, Randomized, Controlled Trial

TypeinterventionalSponsorHadassah Medical OrganizationRan2020 to 2026Enrolled30ConditionsBacterial VaginosesArmsVaginal Microbiome Transplantation (VMT), Placebo
3 · Its place in the literature

Who cites it

238 citing papers in PubMed, 2 syntheses or guidelines pooled it, 386 citations in OpenAlex.

  1. Principles for Rigorous Design and Application of Synthetic Microbial Communities.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
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178 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 2 countries.

Ahinoam Lev-Sagie *Department of Obstetrics and Gynecology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel. levsagie@netvision.net.il.ORCID http://orcid.org/0000-0002-3809-5418
Debra Goldman-Wohl *Department of Obstetrics and Gynecology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
Yotam Cohen *Immunology Department, Weizmann Institute of Science, Rehovot, Israel.
Mally Dori-BachashImmunology Department, Weizmann Institute of Science, Rehovot, Israel.
Avner LeshemImmunology Department, Weizmann Institute of Science, Rehovot, Israel.
Uria MorImmunology Department, Weizmann Institute of Science, Rehovot, Israel.
Jacob StrahilevitzDepartment of Clinical Microbiology and Infectious Diseases, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
Allon E MosesDepartment of Clinical Microbiology and Infectious Diseases, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
Hagit ShapiroImmunology Department, Weizmann Institute of Science, Rehovot, Israel.
Simcha YagelDepartment of Obstetrics and Gynecology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
Eran ElinavImmunology Department, Weizmann Institute of Science, Rehovot, Israel. eran.elinav@weizmann.ac.il.ORCID http://orcid.org/0000-0002-5775-2110
Hadassah Medical Center · ILWeizmann Institute of Science · ILGerman Cancer Research Center · DETel Aviv Sourasky Medical Center · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report the results of a first exploratory study testing the use of vaginal microbiome transplantation (VMT) from healthy donors as a therapeutic alternative for patients suffering from symptomatic, intractable and recurrent bacterial vaginosis (ClinicalTrials.gov NCT02236429 ). In our case series, five patients were treated, and in four of them VMT was associated with full long-term remission until the end of follow-up at 5-21 months after VMT, defined as marked improvement of symptoms, Amsel criteria, microscopic vaginal fluid appearance and reconstitution of a Lactobacillus-dominated vaginal microbiome. One patient presented with incomplete remission in clinical and laboratory features. No adverse effects were observed in any of the five women. Notably, remission in three patients necessitated repeated VMT, including a donor change in one patient, to elicit a long-standing clinical response. The therapeutic efficacy of VMT in women with intractable and recurrent bacterial vaginosis should be further determined in randomized, placebo-controlled clinical trials.

Indexed as

MicrobiotaAdultFemaleHumansLactobacillusMiddle AgedProbioticsRemission InductionTissue DonorsVaginaVaginosis, Bacterial

Identifiers

PMID31591599
OpenAlexW2977871370

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.