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Tuesday December 18 1:13 PM ET

Vaginal Vaccine Shows Promise in Bladder Infection

By Anne Harding

CHICAGO (Reuters Health) - An experimental vaccine given vaginally may help prevent urinary tract infections (UTIs), a small study presented here Monday at the Interscience Conference on Antimicrobial Agents and Chemotherapy demonstrates.

The findings provide some hope to the 10% to 15% of women who have recurrent bladder infections, which are also a problem for some children.

Many of these women must stay on preventive antibiotic treatment for months or even years, noted study author Dr. Walter Hopkins of the University of Wisconsin in Madison, who has been researching UTI vaccines for 15 years.

A problem with this long-term antibiotic use is that resistance can develop. ``Some women,'' Hopkins said, ``run down the list of antibiotics that are available and eventually run out of options.''

Hopkins presented findings on the vaccine--a vaginal suppository containing 10 types of heat-inactivated bacteria that commonly infect the urinary tract--at a press conference here Monday.

The vaccine works by building immunity within the mucosal tissue, which lines the vagina and the urinary tract.

While doctors gave the women the vaccine in the study, Hopkins noted, the goal is for women to administer it themselves. The suppository is inserted into the vagina, where it melts, distributing the vaccine.

In the new study, 18 women received three weekly doses of the vaccine, followed by three monthly booster doses. Another 18 received inactive treatment, or placebo, while a third group of 18 received a combination of vaccine and placebo.

Among the women given all six doses of the vaccine, half stayed UTI-free for 6 months after the start of the study, compared with 20% of those on placebo.

The benefits of the vaccine began to decline about 2 months after women had their last dose, Hopkins said, so subsequent studies will look at extending the monthly boosters for a longer period.

Longer, multi-site research is planned, and the Cincinnati-based company Protein Express has received a license from the Food and Drug Administration (news - web sites) to manufacture the vaccine for these trials.

Hopkins told Reuters Health that the vaginal suppository vaccine could reach the market in 3 to 5 years.

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