Evidence map›Paper›PMID 33383580›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2021

Treatment of Male Sexual Partners of Women With Bacterial Vaginosis: A Randomized, Double-Blind, Placebo-Controlled Trial.

Jane R Schwebke, Shelly Y Lensing, Jeannette Lee, Christina A Muzny, Angela Pontius, Nicole Woznicki, Tina Aguin, Jack D Sobel

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02209519 (Randomized Controlled Trial of Treatment of Male Partners of Women With BV), which is not on this map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 10% 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.

NCT02209519 phase3completednot on this map

Randomized Controlled Trial of Treatment of Male Partners of Women With BV

TypeinterventionalSponsorUniversity of Alabama at BirminghamRan2015 to 2019Enrolled214ConditionsRecurrent Bacterial VaginosisArmsMetronidazole (male partner), Placeob (male partner)
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

  1. Sexually Transmitted Infections Treatment Guidelines, 2021.MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports · 2021
    Guideline
  2. Trial
  3. Article
  4. Review
  5. Randomized trial of multi-strainContemporary clinical trials communications · 2025
    Article
  6. Bacterial vaginosis: an overlooked STI?Expert review of anti-infective therapy · 2025
    Review
  7. Microbiota effects and predictors ofmedRxiv : the preprint server for health sciences · 2025
    Article
  8. Bacterial vaginosis.Nature reviews. Disease primers · 2025
    Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. VaginalbioRxiv : the preprint server for biology · 2023
    Article
  14. Article
  15. Article
  16. Review
  17. Review
  18. Review
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Jane R SchwebkeDivision of Infectious Diseases, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Shelly Y LensingDepartment of Biostatistics, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
Jeannette LeeDepartment of Biostatistics, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
Christina A MuznyDivision of Infectious Diseases, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Angela PontiusDivision of Infectious Diseases, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Nicole WoznickiDepartment of Obstetrics and Gynecology, Wayne State University, Detroit, Michigan, USA.
Tina AguinDepartment of Obstetrics and Gynecology, Wayne State University, Detroit, Michigan, USA.
Jack D SobelDivision of Infectious Diseases, Wayne State University, Detroit, Michigan, USA.
University of Alabama at Birmingham · USWayne State University · USUniversity of Arkansas for Medical Sciences · US

Funding

Randomized Controlled Trial of Treatment of Male Partners of Women with BVU01AI108509 · NIAID · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI SCHWEBKE, JANE R. · 2014 to 2018
$2.9M
NIAID NIH HHS U01 AI108509
6 · The paper itself

Abstract

backgroundWe aimed to determine if treatment of male sexual partners of women with recurrent bacterial vaginosis (BV) with oral metronidazole 2×/day for 7 days (ie, multidose metronidazole) significantly decreased BV recurrence rates in the female.

methodsThis was a multicenter, 2-arm, double-blind, placebo-controlled study. Women with recurrent BV and current diagnosis of BV by Amsel and Nugent were enrolled. Multidose metronidazole for 7 days was dispensed to women. Male partners were randomized to placebo versus multidose metronidazole for 7 days and asked to refrain from unprotected sex for 14 days. Female follow-up visits were conducted at day 21 and 8 and 16 weeks. Male follow-up visits occurred at days 14-21. BV cure was defined as 0-2 Amsel criteria and Nugent score 0-6 in the female partner with the primary endpoint at 16 weeks.

results214 couples were enrolled. In the intent-to-treat population, there was no significant difference between treatment arms for the primary outcome. BV treatment failure occurred in 81% and 80% of women in the metronidazole and placebo arms through the third follow-up visit, respectively (P > .999). However, women whose male partners adhered to study medication were less likely to fail treatment (adjusted relative risk, .85; 95% CI, .73-.99; P = .035). This finding persisted in post hoc comparisons in the metronidazole arm.

conclusionsOverall, this study did not find that male partner treatment with multidose metronidazole significantly reduces BV recurrence in female partners, although women whose partners adhered to multidose metronidazole were less likely to fail treatment. CLINICAL TRIALS REGISTRATION: (NCT02209519).

Indexed as

Vaginosis, BacterialAdministration, OralDouble-Blind MethodFemaleHumansMaleMetronidazoleSexual PartnersMetronidazolebacterial vaginosismale partnersmetronidazolesexually transmitted infectiontreatment

Identifiers

PMID33383580
PMCPMC8326574
OpenAlexW3115349612

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.