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Non-hormonal Medical Device for Treatment of Vulvovaginal Atrophy (VVA) in Post-Menopausal Women

Not Applicable
Completed
Conditions
Vulvovaginal Atrophy
Interventions
Device: Non-hormonal vaginal device therapy
Device: Sham vaginal device therapy
Registration Number
NCT04887701
Lead Sponsor
Madorra
Brief Summary

Randomized (1:1), double-blind, sham-controlled, 2-arm parallel study comparing effectiveness and safety of non-hormonal medical device versus sham device to treat VVA in post-menopausal women.

Detailed Description

After screening and baseline assessment, participants, ages 21 to 65 years of age, will be randomized and followed for a 12-week intervention period. After the primary endpoint evaluation at week 12, each participant in both arms will immediately commence an open label period using an Active device for week 13 to 1 year to collect further effectiveness and safety data.

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
25
Inclusion Criteria
  • Women with menopause defined by last menstrual period at least 12 months prior to screening, or 6 months of amenorrhea with serum FSH levels > 40 mIU/ml, or 8 weeks postsurgical bilateral oophorectomy with or without hysterectomy.
  • Sexually active women.
  • Participant experiencing subjective moderate-to-severe vaginal pain with sexual intercourse.
  • Participant experiencing subjective moderate-to-severe vaginal dryness.
  • Gynecological exam confirming vaginal atrophy.
  • Willingness to give voluntary written informed consent to participate in the study and comply with protocol requirements.
Exclusion Criteria
  • Use of systemic or local estrogen therapy, currently or in the last 6 months or planned use during the study.
  • Use of any other treatment for vaginal atrophy, 6 weeks prior to enrollment or planned during the study period.
  • Investigational drugs and also prescription and nonprescription medications/remedies known to treat VVA within 60 days of enrollment or during the study.
  • Vaginal stenosis.
  • Pelvic floor disorders.
  • Prior pelvic radiation therapy including radiation or surgery to the vulva/vagina.
  • Active urinary tract, yeast, or other active gynecologic infections.
  • Active connective tissue disorders such as lupus or Sjogren's syndrome.
  • Active malignancies.
  • Diagnosis of vulvodynia or other pelvic pain in the vagina or vulvar area.
  • Vulvar dermatoses.
  • Laser or radio frequency vaginal rejuvenation treatment or planned treatment during the study.
  • Any medical condition that, in the investigator's opinion, would interfere with their participation and/or completion in the study.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Non-hormonal device therapyNon-hormonal vaginal device therapyDaily non-hormonal device therapy
Sham TherapySham vaginal device therapyDaily non-hormonal sham device therapy
Primary Outcome Measures
NameTimeMethod
Patient Reported VAS ScoreBaseline to 12 weeks

Mean change in the Vaginal Assessment Scale (VAS). The VAS is a scale from 0 to 3 with 0 being no symptoms and 3 being severe symptoms.

Clinician Assessed Changes in VVABaseline to 12 weeks

Will determine by comparing the mean change between the two arms of the study in clinician assessed changes of VVA by the Vaginal Health Index (VHI). The VHI gives a numerical score (1-5) for each of the 5 parameters measured:

issue elasticity, vaginal fluid, PH, mucosa, and vaginal moisture.

Secondary Outcome Measures
NameTimeMethod
Responder Rate PGI-I12 weeks

The proportion of patients in the two arms of the study achieving improvement in the patient global impression of improvement (PGI-I), (much or very much improved) at 12 weeks post-treatment.

Trial Locations

Locations (3)

North Shore Private Hospital

🇦🇺

Sydney, New South Wales, Australia

Goldfields Urology

🇦🇺

Bendigo, Victoria, Australia

Royal Women's Hospital

🇦🇺

Melbourne, Victoria, Australia

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