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CompletedNCT01422408Updated Aug 9, 2017Results posted

Fluocinonide Cream in Treating Symptoms of Vaginal Dryness and Painful Sexual Intercourse In Patients With Breast Cancer Undergoing Hormone Therapy

A Phase 2 interventional study of Fluocinonide Cream and Management of Therapy Complications in Breast Carcinoma, sponsored by OHSU Knight Cancer Institute. Completed at 1 site in United States. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2017-08-09.

Sponsored by OHSU Knight Cancer Institute · Phase 2, Interventional, and Supportive care

Phase
Phase 2
Study type
Interventional
Enrollment
34
Allocation
Not applicable
Ages
18 Years and older
Sex
Female
01

Study summary

This phase II trial studies how well giving fluocinonide cream works in treating symptoms of vaginal dryness and painful sexual intercourse in patients with breast cancer undergoing hormone therapy. Fluocinonide cream may prevent or lessen vaginal dryness and painful sexual intercourse in patients undergoing hormone therapy.

Read the detailed description

PRIMARY OBJECTIVES:

I. To estimate the decrease in symptoms of vaginal dryness and dyspareunia with the use of fluocinonide 0.05% cream in breast cancer subjects and subjects at increased risk for breast cancer on endocrine therapy. Estimates of decrease will be obtained utilizing patient survey instruments.

SECONDARY OBJECTIVES:

I. To estimate the decrease in symptoms of vaginal itching and the total vaginal index score with the use of fluocinonide 0.05% cream in breast cancer subjects and subjects at increased risk for breast cancer on endocrine therapy. Estimates of decrease will be obtained utilizing patient survey instruments.

II. To explore toxicities reported by subjects using fluocinonide 0.05% cream via vaginal application.

III. To explore correlation between subject reported compliance, as well as compliance via measurement of the amount of fluocinonide 0.05% cream used, and response rates with the use of fluocinonide 0.05% cream.

IV. To explore the correlations between patient characteristics and response rates with the use of fluocinonide 0.05% cream.

OUTLINE:

Patients apply topical fluocinonide cream twice daily (BID) in weeks 1-2 and once daily (QD) in weeks 3-4.

02

Conditions studied

  • Breast Carcinoma

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03

In context

Breast Neoplasms

12,547 studies on the registry are indexed under Breast Neoplasms; 2,892 are open to participants now.

This study's enrollment of 34 is below the median of 72 across 9,305 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

OHSU Knight Cancer Institute is the lead sponsor of 242 studies on the registry; 45 are open to participants now.

Of its 27 completed or terminated interventional studies of FDA-regulated products, 15 (56%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Adult women (both pre-menopausal and post-menopausal women are eligible) and with a history of breast cancer or with an increased risk for breast cancer on current treatment with tamoxifen or an aromatase inhibitor with the presence of vaginal dryness or dyspareunia of sufficient severity to make the subject patient desire therapeutic intervention
  • Vaginal dryness or dyspareunia must be present for at least two months prior to study entry
  • Subjects must be on current treatment with tamoxifen or an aromatase inhibitor for at least two months prior to study enrollment (defined as the date of consent) and should not be planning to discontinue treatment or to change dose or type of endocrine treatment during the duration of the study
  • Subjects must agree to not use any over-the-counter or prescription vaginal preparations (lubricants, creams, gels, ointments, solutions) during the four weeks of treatment with topical fluocinonide cream
  • Subjects must agree to not use any medications, products, or preparations known to contain estrogen during the four weeks of treatment with topical fluocinonide cream
  • Eastern Cooperative Oncology Group (ECOG) performance status =\< 2
  • Subjects must have ability to read, comprehend, and complete patient questionnaires independently or with assistance
  • Subjects must sign informed consent
  • Subjects must agree to read patient instructions regarding use of barrier contraceptive devices while on treatment with fluocinonide cream in the informed consent

Exclusion criteria

Exclusion Criteria:

  • Use of any vaginal preparations within one week prior to study enrollment (exception: subjects currently using a vaginal preparation can enroll after discontinuing treatment for 7 days)
  • Use of any estrogen containing medications, products, or preparations
  • Use of any systemic oral or parenteral steroid containing medications is not permitted; use of "High Daily Dose" inhaled/intranasal corticosteroids is not permitted; use inhaled/intranasal corticosteroid preparations at dosing levels less than "High Daily Dose" is permitted
  • Current or past treatment with fluocinonide cream for vaginal dryness, itching, or dyspareunia
  • Subject reported symptoms of vaginal infection with significant vaginal discharge or odor
  • Known current vaginal infection
  • Known vaginal pathology other than vaginal atrophy that could explain vaginal symptoms
  • Known intolerance of topical steroid preparations
  • Pregnant or lactating women (to be obtained via subject report only)
  • Known diagnoses of diabetes mellitus, adrenal insufficiency (Addison's disease), or Cushing's syndrome
  • No prior chemotherapeutic treatment for any malignancy other than breast cancer
05

Study design

Phase
Phase 2
Primary purpose
Supportive care
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
34 participants (actual)

Study arms

  • Experimental
    Supportive care (fluocinonide cream)

    Patients apply topical fluocinonide cream BID in weeks 1-2 and QD in weeks 3-4.

    Drug: Fluocinonide Cream · Procedure: Management of Therapy Complications · Other: Questionnaire Administration

Interventions

  • DrugFluocinonide Cream

    Given topically

    Also known as: fluocinonide, Lidex, Vanos

  • ProcedureManagement of Therapy Complications

    Receive fluocinonide cream

    Also known as: complications of therapy, management of

  • OtherQuestionnaire Administration

    Ancillary studies

06

What researchers measure

Primary outcomes

  1. Change in Symptom Scores of Vaginal Dryness

    Change in symptom scores of vaginal dryness, itching, and dyspareunia will be evaluated by the Mayo/North Central Cancer Treatment Group (NCCTG) patient questionnaire which has patients grade how much vaginal dryness, vaginal itching, and vaginal discomfort during intercourse they are currently experiencing on an ordinal scale of zero to four (none, mild, moderate, severe, and very severe, respectively). Analyzed using Wilcoxon signed rank test with 2.5% significance level to account for two co-primary endpoints. Outcome measures median change in score from baseline to end of study. Scale is explained above for the scoring of symptoms at each time point. The median change (i.e. median difference) can range from -4 to +4; negative values indicate improved symptoms, zero no change, and positive values indicate worsened symptoms.

    Time frame: Baseline and 4 weeks

  2. Change in Symptom Scores of Dyspareunia

    Change in symptom scores of vaginal dryness, itching, and dyspareunia will be evaluated by the Mayo/North Central Cancer Treatment Group (NCCTG) patient questionnaire which has patients grade how much vaginal dryness, vaginal itching, and vaginal discomfort during intercourse they are currently experiencing on an ordinal scale of zero to four (none, mild, moderate, severe, and very severe, respectively). Analyzed using Wilcoxon signed rank test with 2.5% significance level to account for two co-primary endpoints. Outcome measures median change in score from baseline to end of study. Scale is explained above for the scoring of symptoms at each time point. The median change (i.e. median difference) can range from -4 to +4; negative values indicate improved symptoms, zero no change, and positive values indicate worsened symptoms.

    Time frame: Baseline and 4 weeks

Secondary outcomes

  1. Change in Symptom Scores of Vaginal Itching

    Change in symptom scores of vaginal dryness, itching, and dyspareunia will be evaluated by the Mayo/North Central Cancer Treatment Group (NCCTG) patient questionnaire which has patients grade how much vaginal dryness, vaginal itching, and vaginal discomfort during intercourse they are currently experiencing on an ordinal scale of zero to four (none, mild, moderate, severe, and very severe, respectively). Analyzed using Wilcoxon signed rank test with 2.5% significance level to account for two co-secondary endpoints. Outcome measures median change in score from baseline to end of study. Scale is explained above for the scoring of symptoms at each time point. The median change (i.e. median difference) can range from -4 to +4; negative values indicate improved symptoms, zero no change, and positive values indicate worsened symptoms.

    Time frame: Baseline and 4 weeks

  2. Change in Total Vaginal Index Score.

    Change in total vaginal index score. The total vaginal index score is a numerical value ranging from zero to twelve, comprised of the three components of vaginal dryness, vaginal itching, and dyspareunia graded on an ordinal scale of zero to four added together. Outcome measures median change in score from baseline to end of study. Scale is explained above for the scoring of symptoms at each time point. The median change (i.e. median difference) can range from -12 to +12; negative values indicate improved symptoms, zero no change, and positive values indicate worsened symptoms. Analyzed using Wilcoxon signed rank test with 2.5% significance level to account for two co-secondary endpoints.

    Time frame: Baseline and 4 weeks

  3. Number of Patients Experiencing Toxicities

    Toxicity data will be reported as descriptive data as the percentage of patients experiencing reported side effects. Toxicity and safety analyses will be conducted using the safety analysis set.

    Time frame: Over 4 weeks

  4. Change in Vaginal Dryness Symptom Scores by Age Characteristics

    Association of response in symptoms with characteristics of the subject population (Dryness and Age) Determine if there is an association between response in symptoms of vaginal dryness, itching, and/or dyspareunia with characteristics of the subject population. Response in symptoms is calculated as change in symptom score from baseline to week 4 (end of study). Change in symptom scores of vaginal dryness, itching, and dyspareunia will be evaluated by the Mayo/North Central Cancer Treatment Group (NCCTG) patient questionnaire which has patients grade how much vaginal dryness, vaginal itching, and vaginal discomfort during intercourse they are currently experiencing on an ordinal scale of zero to four (none, mild, moderate, severe, and very severe, respectively).The median change (i.e. median difference) can range from -4 to +4; negative values indicate improved symptoms, zero no change, and positive values indicate worsened symptoms.

    Time frame: Baseline and 4 weeks

  5. Change in Dyspareunia Symptom Scores by Age Characteristics

    Association of response in symptoms with characteristics of the subject population (Dyspareunia and Age) Determine if there is an association between response in symptoms of vaginal dryness, itching, and/or dyspareunia with characteristics of the subject population. Response in symptoms is calculated as change in symptom score from baseline to week 4 (end of study). Change in symptom scores of vaginal dryness, itching, and dyspareunia will be evaluated by the Mayo/North Central Cancer Treatment Group (NCCTG) patient questionnaire which has patients grade how much vaginal dryness, vaginal itching, and vaginal discomfort during intercourse they are currently experiencing on an ordinal scale of zero to four (none, mild, moderate, severe, and very severe, respectively).The median change (i.e. median difference) can range from -4 to +4; negative values indicate improved symptoms, zero no change, and positive values indicate worsened symptoms.

    Time frame: Baseline and 4 weeks

  6. Change in Vaginal Itching Symptom Scores by Age Characteristics

    Association of response in symptoms with characteristics of the subject population (Itching and Age) Determine if there is an association between response in symptoms of vaginal dryness, itching, and/or dyspareunia with characteristics of the subject population. Response in symptoms is calculated as change in symptom score from baseline to week 4 (end of study). Change in symptom scores of vaginal dryness, itching, and dyspareunia will be evaluated by the Mayo/North Central Cancer Treatment Group (NCCTG) patient questionnaire which has patients grade how much vaginal dryness, vaginal itching, and vaginal discomfort during intercourse they are currently experiencing on an ordinal scale of zero to four (none, mild, moderate, severe, and very severe, respectively).The median change (i.e. median difference) can range from -4 to +4; negative values indicate improved symptoms, zero no change, and positive values indicate worsened symptoms.

    Time frame: Baseline and 4 weeks

  7. Change in Vaginal Dryness Symptom Scores by Menopause Status Characteristics

    Association of response in symptoms with characteristics of the subject population (Dryness and Menopause status) Determine if there is an association between response in symptoms of vaginal dryness, itching, and/or dyspareunia with characteristics of the subject population. Response in symptoms is calculated as change in symptom score from baseline to week 4 (end of study). Change in symptom scores of vaginal dryness, itching, and dyspareunia will be evaluated by the Mayo/North Central Cancer Treatment Group (NCCTG) patient questionnaire which has patients grade how much vaginal dryness, vaginal itching, and vaginal discomfort during intercourse they are currently experiencing on an ordinal scale of zero to four (none, mild, moderate, severe, and very severe, respectively).The median change (i.e. median difference) can range from -4 to +4; negative values indicate improved symptoms, zero no change, and positive values indicate worsened symptoms.

    Time frame: Baseline and 4 weeks

  8. Change in Dyspareunia Symptom Scores by Menopause Status Characteristics

    Association of response in symptoms with characteristics of the subject population (Dyspareunia and Menopause status) Determine if there is an association between response in symptoms of vaginal dryness, itching, and/or dyspareunia with characteristics of the subject population. Response in symptoms is calculated as change in symptom score from baseline to week 4 (end of study). Change in symptom scores of vaginal dryness, itching, and dyspareunia will be evaluated by the Mayo/North Central Cancer Treatment Group (NCCTG) patient questionnaire which has patients grade how much vaginal dryness, vaginal itching, and vaginal discomfort during intercourse they are currently experiencing on an ordinal scale of zero to four (none, mild, moderate, severe, and very severe, respectively).The median change (i.e. median difference) can range from -4 to +4; negative values indicate improved symptoms, zero no change, and positive values indicate worsened symptoms.

    Time frame: Baseline and 4 weeks

  9. Change in Vaginal Itching Symptom Scores by Menopause Status Characteristics

    Association of response in symptoms with characteristics of the subject population (Itching and Menopause status) Determine if there is an association between response in symptoms of vaginal dryness, itching, and/or dyspareunia with characteristics of the subject population. Response in symptoms is calculated as change in symptom score from baseline to week 4 (end of study). Change in symptom scores of vaginal dryness, itching, and dyspareunia will be evaluated by the Mayo/North Central Cancer Treatment Group (NCCTG) patient questionnaire which has patients grade how much vaginal dryness, vaginal itching, and vaginal discomfort during intercourse they are currently experiencing on an ordinal scale of zero to four (none, mild, moderate, severe, and very severe, respectively).The median change (i.e. median difference) can range from -4 to +4; negative values indicate improved symptoms, zero no change, and positive values indicate worsened symptoms.

    Time frame: Baseline and 4 weeks

  10. Change in Vaginal Dryness Symptom Scores by Current Endocrine Therapy Characteristics

    Association of response in symptoms with characteristics of the subject population (Dryness and current endocrine therapy) Determine if there is an association between response in symptoms of vaginal dryness, itching, and/or dyspareunia with characteristics of the subject population. Response in symptoms is calculated as change in symptom score from baseline to week 4 (end of study). Change in symptom scores of vaginal dryness, itching, and dyspareunia will be evaluated by the Mayo/North Central Cancer Treatment Group (NCCTG) patient questionnaire which has patients grade how much vaginal dryness, vaginal itching, and vaginal discomfort during intercourse they are currently experiencing on an ordinal scale of zero to four (none, mild, moderate, severe, and very severe, respectively).The median change (i.e. median difference) can range from -4 to +4; negative values indicate improved symptoms, zero no change, and positive values indicate worsened symptoms.

    Time frame: Baseline and 4 weeks

  11. Change in Dyspareunia Symptom Scores by Current Endocrine Therapy Characteristics

    Association of response in symptoms with characteristics of the subject population (Dyspareunia and current endocrine therapy) Determine if there is an association between response in symptoms of vaginal dryness, itching, and/or dyspareunia with characteristics of the subject population. Response in symptoms is calculated as change in symptom score from baseline to week 4 (end of study). Change in symptom scores of vaginal dryness, itching, and dyspareunia will be evaluated by the Mayo/North Central Cancer Treatment Group (NCCTG) patient questionnaire which has patients grade how much vaginal dryness, vaginal itching, and vaginal discomfort during intercourse they are currently experiencing on an ordinal scale of zero to four (none, mild, moderate, severe, and very severe, respectively).The median change (i.e. median difference) can range from -4 to +4; negative values indicate improved symptoms, zero no change, and positive values indicate worsened symptoms.

    Time frame: Baseline and 4 weeks

  12. Change in Vaginal Itching Symptom Scores by Current Endocrine Therapy Characteristics

    Association of response in symptoms with characteristics of the subject population (Itching and current endocrine therapy) Determine if there is an association between response in symptoms of vaginal dryness, itching, and/or dyspareunia with characteristics of the subject population. Response in symptoms is calculated as change in symptom score from baseline to week 4 (end of study). Change in symptom scores of vaginal dryness, itching, and dyspareunia will be evaluated by the Mayo/North Central Cancer Treatment Group (NCCTG) patient questionnaire which has patients grade how much vaginal dryness, vaginal itching, and vaginal discomfort during intercourse they are currently experiencing on an ordinal scale of zero to four (none, mild, moderate, severe, and very severe, respectively).The median change (i.e. median difference) can range from -4 to +4; negative values indicate improved symptoms, zero no change, and positive values indicate worsened symptoms.

    Time frame: Baseline and 4 weeks

  13. Change in Vaginal Dryness Symptom Scores by Prior Cytotoxic Therapy Characteristics

    Association of response in symptoms with characteristics of the subject population (Dryness and prior cytotoxic therapy) Determine if there is an association between response in symptoms of vaginal dryness, itching, and/or dyspareunia with characteristics of the subject population. Response in symptoms is calculated as change in symptom score from baseline to week 4 (end of study). Change in symptom scores of vaginal dryness, itching, and dyspareunia will be evaluated by the Mayo/North Central Cancer Treatment Group (NCCTG) patient questionnaire which has patients grade how much vaginal dryness, vaginal itching, and vaginal discomfort during intercourse they are currently experiencing on an ordinal scale of zero to four (none, mild, moderate, severe, and very severe, respectively).The median change (i.e. median difference) can range from -4 to +4; negative values indicate improved symptoms, zero no change, and positive values indicate worsened symptoms.

    Time frame: Baseline and 4 weeks

  14. Change in Dyspareunia Symptom Scores by Prior Cytotoxic Therapy Characteristics

    Association of response in symptoms with characteristics of the subject population (Dyspareunia and prior cytotoxic therapy) Determine if there is an association between response in symptoms of vaginal dryness, itching, and/or dyspareunia with characteristics of the subject population. Response in symptoms is calculated as change in symptom score from baseline to week 4 (end of study). Change in symptom scores of vaginal dryness, itching, and dyspareunia will be evaluated by the Mayo/North Central Cancer Treatment Group (NCCTG) patient questionnaire which has patients grade how much vaginal dryness, vaginal itching, and vaginal discomfort during intercourse they are currently experiencing on an ordinal scale of zero to four (none, mild, moderate, severe, and very severe, respectively).The median change (i.e. median difference) can range from -4 to +4; negative values indicate improved symptoms, zero no change, and positive values indicate worsened symptoms.

    Time frame: Baseline and 4 weeks

  15. Change in Vaginal Itching Symptom Scores by Prior Cytotoxic Therapy Characteristics

    Association of response in symptoms with characteristics of the subject population (Itching and prior cytotoxic therapy) Determine if there is an association between response in symptoms of vaginal dryness, itching, and/or dyspareunia with characteristics of the subject population. Response in symptoms is calculated as change in symptom score from baseline to week 4 (end of study). Change in symptom scores of vaginal dryness, itching, and dyspareunia will be evaluated by the Mayo/North Central Cancer Treatment Group (NCCTG) patient questionnaire which has patients grade how much vaginal dryness, vaginal itching, and vaginal discomfort during intercourse they are currently experiencing on an ordinal scale of zero to four (none, mild, moderate, severe, and very severe, respectively).The median change (i.e. median difference) can range from -4 to +4; negative values indicate improved symptoms, zero no change, and positive values indicate worsened symptoms.

    Time frame: Baseline and 4 weeks

  16. Change in Vaginal Dryness Symptom Scores by Indication for Endocrine Therapy Characteristics

    Association of response in symptoms with characteristics of the subject population (Dryness and Indications) Determine if there is an association between response in symptoms of vaginal dryness, itching, and/or dyspareunia with characteristics of the subject population. Response in symptoms is calculated as change in symptom score from baseline to week 4 (end of study). Change in symptom scores of vaginal dryness, itching, and dyspareunia will be evaluated by the Mayo/North Central Cancer Treatment Group (NCCTG) patient questionnaire which has patients grade how much vaginal dryness, vaginal itching, and vaginal discomfort during intercourse they are currently experiencing on an ordinal scale of zero to four (none, mild, moderate, severe, and very severe, respectively).The median change (i.e. median difference) can range from -4 to +4; negative values indicate improved symptoms, zero no change, and positive values indicate worsened symptoms.

    Time frame: Baseline and 4 weeks

  17. Change in Dyspareunia Symptom Scores by Indication for Endocrine Therapy Characteristics

    Association of response in symptoms with characteristics of the subject population (Dyspareunia and Indications) Determine if there is an association between response in symptoms of vaginal dryness, itching, and/or dyspareunia with characteristics of the subject population. Response in symptoms is calculated as change in symptom score from baseline to week 4 (end of study). Change in symptom scores of vaginal dryness, itching, and dyspareunia will be evaluated by the Mayo/North Central Cancer Treatment Group (NCCTG) patient questionnaire which has patients grade how much vaginal dryness, vaginal itching, and vaginal discomfort during intercourse they are currently experiencing on an ordinal scale of zero to four (none, mild, moderate, severe, and very severe, respectively).The median change (i.e. median difference) can range from -4 to +4; negative values indicate improved symptoms, zero no change, and positive values indicate worsened symptoms.

    Time frame: Baseline and 4 weeks

  18. Change in Vaginal Itching Symptom Scores by Indication for Endocrine Therapy Characteristics

    Association of response in symptoms with characteristics of the subject population (Itching and Indications) Determine if there is an association between response in symptoms of vaginal dryness, itching, and/or dyspareunia with characteristics of the subject population. Response in symptoms is calculated as change in symptom score from baseline to week 4 (end of study). Change in symptom scores of vaginal dryness, itching, and dyspareunia will be evaluated by the Mayo/North Central Cancer Treatment Group (NCCTG) patient questionnaire which has patients grade how much vaginal dryness, vaginal itching, and vaginal discomfort during intercourse they are currently experiencing on an ordinal scale of zero to four (none, mild, moderate, severe, and very severe, respectively).The median change (i.e. median difference) can range from -4 to +4; negative values indicate improved symptoms, zero no change, and positive values indicate worsened symptoms.

    Time frame: Baseline and 4 weeks

  19. Change in Vaginal Dryness Symptom Scores by Patient Reported Compliance Characteristics

    Association of response in symptoms with patient reported compliance (Dryness) Determine if there is an association between response in symptoms of vaginal dryness, itching, and/or dyspareunia with patient reported compliance. Response in symptoms is calculated as change in symptom score from baseline to week 4 (end of study). Change in symptom scores of vaginal dryness, itching, and dyspareunia will be evaluated by the Mayo/North Central Cancer Treatment Group (NCCTG) patient questionnaire which has patients grade how much vaginal dryness, vaginal itching, and vaginal discomfort during intercourse they are currently experiencing on an ordinal scale of zero to four (none, mild, moderate, severe, and very severe, respectively).The median change (i.e. median difference) can range from -4 to +4; negative values indicate improved symptoms, zero no change, and positive values indicate worsened symptoms. Groups are made by % of compliance reported by patients

    Time frame: Baseline and 4 weeks

  20. Change in Dyspareunia Symptom Scores by Patient Reported Compliance Characteristics

    Association of response in symptoms with patient reported compliance (Dyspareunia) Determine if there is an association between response in symptoms of vaginal dryness, itching, and/or dyspareunia with patient reported compliance. Response in symptoms is calculated as change in symptom score from baseline to week 4 (end of study). Change in symptom scores of vaginal dryness, itching, and dyspareunia will be evaluated by the Mayo/North Central Cancer Treatment Group (NCCTG) patient questionnaire which has patients grade how much vaginal dryness, vaginal itching, and vaginal discomfort during intercourse they are currently experiencing on an ordinal scale of zero to four (none, mild, moderate, severe, and very severe, respectively).The median change (i.e. median difference) can range from -4 to +4; negative values indicate improved symptoms, zero no change, and positive values indicate worsened symptoms. Groups are made by % of compliance reported by patients

    Time frame: Baseline and 4 weeks

  21. Change in Vaginal Itching Symptom Scores by Patient Reported Compliance Characteristics

    Association of response in symptoms with patient reported compliance (Itching) Determine if there is an association between response in symptoms of vaginal dryness, itching, and/or dyspareunia with patient reported compliance. Response in symptoms is calculated as change in symptom score from baseline to week 4 (end of study). Change in symptom scores of vaginal dryness, itching, and dyspareunia will be evaluated by the Mayo/North Central Cancer Treatment Group (NCCTG) patient questionnaire which has patients grade how much vaginal dryness, vaginal itching, and vaginal discomfort during intercourse they are currently experiencing on an ordinal scale of zero to four (none, mild, moderate, severe, and very severe, respectively).The median change (i.e. median difference) can range from -4 to +4; negative values indicate improved symptoms, zero no change, and positive values indicate worsened symptoms. Groups are made by % of compliance reported by patients

    Time frame: Baseline and 4 weeks

  22. Change in Vaginal Dryness Symptom Scores by Tube Weight Based Compliance Characteristics

    Association of response in symptoms with tube weight based compliance (Dryness) Determine if there is an association between response in symptoms of vaginal dryness, itching, and/or dyspareunia with compliance determined by % of tube used by weight. Response in symptoms is calculated as change in symptom score from baseline to week 4 (end of study). Change in symptom scores of vaginal dryness, itching, and dyspareunia will be evaluated by the Mayo/North Central Cancer Treatment Group (NCCTG) patient questionnaire which has patients grade how much vaginal dryness, vaginal itching, and vaginal discomfort during intercourse they are currently experiencing on an ordinal scale of zero to four (none, mild, moderate, severe, and very severe, respectively).The median change (i.e. median difference) can range from -4 to +4; negative values indicate improved symptoms, zero no change, and positive values indicate worsened symptoms. Groups are made by % of tube used by weight.

    Time frame: Baseline and 4 weeks

  23. Change in Dyspareunia Symptom Scores by Tube Weight Based Compliance Characteristics

    Association of response in symptoms with tube weight based compliance (Dyspareunia) Determine if there is an association between response in symptoms of vaginal dryness, itching, and/or dyspareunia with compliance determined by % of tube used by weight. Response in symptoms is calculated as change in symptom score from baseline to week 4 (end of study). Change in symptom scores of vaginal dryness, itching, and dyspareunia will be evaluated by the Mayo/North Central Cancer Treatment Group (NCCTG) patient questionnaire which has patients grade how much vaginal dryness, vaginal itching, and vaginal discomfort during intercourse they are currently experiencing on an ordinal scale of zero to four (none, mild, moderate, severe, and very severe, respectively).The median change (i.e. median difference) can range from -4 to +4; negative values indicate improved symptoms, zero no change, and positive values indicate worsened symptoms. Groups are made by % of tube used by weight.

    Time frame: Baseline and 4 weeks

  24. Change in Vaginal Itching Symptom Scores by Tube Weight Based Compliance Characteristics

    Association of response in symptoms with tube weight based compliance (Itching) Determine if there is an association between response in symptoms of vaginal dryness, itching, and/or dyspareunia with compliance determined by % of tube used by weight. Response in symptoms is calculated as change in symptom score from baseline to week 4 (end of study). Change in symptom scores of vaginal dryness, itching, and dyspareunia will be evaluated by the Mayo/North Central Cancer Treatment Group (NCCTG) patient questionnaire which has patients grade how much vaginal dryness, vaginal itching, and vaginal discomfort during intercourse they are currently experiencing on an ordinal scale of zero to four (none, mild, moderate, severe, and very severe, respectively).The median change (i.e. median difference) can range from -4 to +4; negative values indicate improved symptoms, zero no change, and positive values indicate worsened symptoms. Groups are made by % of tube used by weight.

    Time frame: Baseline and 4 weeks

07

Results

Posted Aug 9, 2017
Limitations and caveats
Original plan was to use GEE modeling for secondary analysis of primary endpoints. Missing data and small counts caused us to perform this analysis using other statistical methods. Data was categorized and tested using McNemar's Test for results

Participant flow

Participant flow — Overall Study
MilestoneSupportive Care (Fluocinonide Cream)
Started34
Completed30
Not completed4
Withdrew: Adverse event1
Withdrew: Withdrawal by subject3

Outcome measures

PrimaryChange in Symptom Scores of Vaginal Dryness

Change in symptom scores of vaginal dryness, itching, and dyspareunia will be evaluated by the Mayo/North Central Cancer Treatment Group (NCCTG) patient questionnaire which has patients grade how much vaginal dryness, vaginal itching, and vaginal discomfort during intercourse they are currently experiencing on an ordinal scale of zero to four (none, mild, moderate, severe, and very severe, respectively). Analyzed using Wilcoxon signed rank test with 2.5% significance level to account for two co-primary endpoints. Outcome measures median change in score from baseline to end of study. Scale is explained above for the scoring of symptoms at each time point. The median change (i.e. median difference) can range from -4 to +4; negative values indicate improved symptoms, zero no change, and positive values indicate worsened symptoms.

Time frame:
Baseline and 4 weeks
Reported as:
Median · units on a scale
Change in Symptom Scores of Vaginal Dryness
units on a scaleSupportive Care (Fluocinonide Cream)
Change in Symptom Scores of Vaginal Dryness-2 (-3 to -1)
Statistical analysis
  • Supportive Care (Fluocinonide Cream) · Wilcoxon (Mann-Whitney) · p = <0.001 (2.5% significance level to account for two co-primary endpoints.)
  • Supportive Care (Fluocinonide Cream) · McNemar · p = 0.001 (Since there are two-co-primary endpoints, the significance level is 2.5%) · Odds ratio (or): 0 · 95% CI 0 to 0.36
PrimaryChange in Symptom Scores of Dyspareunia

Change in symptom scores of vaginal dryness, itching, and dyspareunia will be evaluated by the Mayo/North Central Cancer Treatment Group (NCCTG) patient questionnaire which has patients grade how much vaginal dryness, vaginal itching, and vaginal discomfort during intercourse they are currently experiencing on an ordinal scale of zero to four (none, mild, moderate, severe, and very severe, respectively). Analyzed using Wilcoxon signed rank test with 2.5% significance level to account for two co-primary endpoints. Outcome measures median change in score from baseline to end of study. Scale is explained above for the scoring of symptoms at each time point. The median change (i.e. median difference) can range from -4 to +4; negative values indicate improved symptoms, zero no change, and positive values indicate worsened symptoms.

Time frame:
Baseline and 4 weeks
Reported as:
Median · units on a scale
Change in Symptom Scores of Dyspareunia
units on a scaleSupportive Care (Fluocinonide Cream)
Change in Symptom Scores of Dyspareunia-2 (-3 to -1.8)
Statistical analysis
  • Supportive Care (Fluocinonide Cream) · Wilcoxon (Mann-Whitney) · p = 0.002 (2.5% significance level to account for two co-primary endpoints.)
  • Supportive Care (Fluocinonide Cream) · McNemar · p = 0.062 (Since there are two-co-primary endpoints, the significance level is 2.5%) · Odds ratio (or): 0 · 95% CI 0 to 1.09
SecondaryChange in Symptom Scores of Vaginal Itching

Change in symptom scores of vaginal dryness, itching, and dyspareunia will be evaluated by the Mayo/North Central Cancer Treatment Group (NCCTG) patient questionnaire which has patients grade how much vaginal dryness, vaginal itching, and vaginal discomfort during intercourse they are currently experiencing on an ordinal scale of zero to four (none, mild, moderate, severe, and very severe, respectively). Analyzed using Wilcoxon signed rank test with 2.5% significance level to account for two co-secondary endpoints. Outcome measures median change in score from baseline to end of study. Scale is explained above for the scoring of symptoms at each time point. The median change (i.e. median difference) can range from -4 to +4; negative values indicate improved symptoms, zero no change, and positive values indicate worsened symptoms.

Time frame:
Baseline and 4 weeks
Reported as:
Median · units on a scale
Change in Symptom Scores of Vaginal Itching
units on a scaleSupportive Care (Fluocinonide Cream)
Change in Symptom Scores of Vaginal Itching-1 (-2 to 0)
Statistical analysis
  • Supportive Care (Fluocinonide Cream) · Wilcoxon (Mann-Whitney) · p = 0.001
SecondaryChange in Total Vaginal Index Score.

Change in total vaginal index score. The total vaginal index score is a numerical value ranging from zero to twelve, comprised of the three components of vaginal dryness, vaginal itching, and dyspareunia graded on an ordinal scale of zero to four added together. Outcome measures median change in score from baseline to end of study. Scale is explained above for the scoring of symptoms at each time point. The median change (i.e. median difference) can range from -12 to +12; negative values indicate improved symptoms, zero no change, and positive values indicate worsened symptoms. Analyzed using Wilcoxon signed rank test with 2.5% significance level to account for two co-secondary endpoints.

Time frame:
Baseline and 4 weeks
Reported as:
Median · units on a scale
Change in Total Vaginal Index Score.
units on a scaleSupportive Care (Fluocinonide Cream)
Change in Total Vaginal Index Score.-5 (-6 to -3.8)
Statistical analysis
  • Supportive Care (Fluocinonide Cream) · Wilcoxon (Mann-Whitney) · p = 0.002
SecondaryNumber of Patients Experiencing Toxicities

Toxicity data will be reported as descriptive data as the percentage of patients experiencing reported side effects. Toxicity and safety analyses will be conducted using the safety analysis set.

Time frame:
Over 4 weeks
Reported as:
Count of participants · Participants
Number of Patients Experiencing Toxicities
ParticipantsSupportive Care (Fluocinonide Cream)
Number of Patients Experiencing Toxicities1
SecondaryChange in Vaginal Dryness Symptom Scores by Age Characteristics

Association of response in symptoms with characteristics of the subject population (Dryness and Age) Determine if there is an association between response in symptoms of vaginal dryness, itching, and/or dyspareunia with characteristics of the subject population. Response in symptoms is calculated as change in symptom score from baseline to week 4 (end of study). Change in symptom scores of vaginal dryness, itching, and dyspareunia will be evaluated by the Mayo/North Central Cancer Treatment Group (NCCTG) patient questionnaire which has patients grade how much vaginal dryness, vaginal itching, and vaginal discomfort during intercourse they are currently experiencing on an ordinal scale of zero to four (none, mild, moderate, severe, and very severe, respectively).The median change (i.e. median difference) can range from -4 to +4; negative values indicate improved symptoms, zero no change, and positive values indicate worsened symptoms.

Time frame:
Baseline and 4 weeks
Reported as:
Median · units on a scale
Change in Vaginal Dryness Symptom Scores by Age Characteristics
units on a scaleSupportive Care (Fluocinonide Cream)
Age 18-45-1.5 (-2.5 to -1.0)
Age 46-55-2.0 (-3.0 to -2.0)
Age 56-65-2.0 (-2.0 to -1.5)
Age > 65-2.0 (-3.0 to -0.75)
Statistical analysis
  • Supportive Care (Fluocinonide Cream) · ANOVA · p = 0.1029 (No adjustment for multiple comparison. Significance level of 0.05. Since this endpoint is of an exploratory nature and the significance is well above the threshold, not much more consideration was given to the issue of multiple comparisons)Kruskal-Wallis ANOVA rather than ANOVA since normal distribution of residuals may be suspect.
SecondaryChange in Dyspareunia Symptom Scores by Age Characteristics

Association of response in symptoms with characteristics of the subject population (Dyspareunia and Age) Determine if there is an association between response in symptoms of vaginal dryness, itching, and/or dyspareunia with characteristics of the subject population. Response in symptoms is calculated as change in symptom score from baseline to week 4 (end of study). Change in symptom scores of vaginal dryness, itching, and dyspareunia will be evaluated by the Mayo/North Central Cancer Treatment Group (NCCTG) patient questionnaire which has patients grade how much vaginal dryness, vaginal itching, and vaginal discomfort during intercourse they are currently experiencing on an ordinal scale of zero to four (none, mild, moderate, severe, and very severe, respectively).The median change (i.e. median difference) can range from -4 to +4; negative values indicate improved symptoms, zero no change, and positive values indicate worsened symptoms.

Time frame:
Baseline and 4 weeks
Reported as:
Median · units on a scale
Change in Dyspareunia Symptom Scores by Age Characteristics
units on a scaleSupportive Care (Fluocinonide Cream)
Age 18-45-1 (-1 to -1)
Age 46-55-2 (-2 to -2)
Age 56-65-2.5 (-3 to -1.75)
Age > 65-3 (-3 to -3)
Statistical analysis
  • Supportive Care (Fluocinonide Cream) · ANOVA · p = 0.2678 (No adjustment for multiple comparison. Significance level of 0.05. Since this endpoint is of an exploratory nature and the significance is well above the threshold, not much more consideration was given to the issue of multiple comparisons)Kruskal-Wallis ANOVA rather than ANOVA since normal distribution of residuals may be suspect.
SecondaryChange in Vaginal Itching Symptom Scores by Age Characteristics

Association of response in symptoms with characteristics of the subject population (Itching and Age) Determine if there is an association between response in symptoms of vaginal dryness, itching, and/or dyspareunia with characteristics of the subject population. Response in symptoms is calculated as change in symptom score from baseline to week 4 (end of study). Change in symptom scores of vaginal dryness, itching, and dyspareunia will be evaluated by the Mayo/North Central Cancer Treatment Group (NCCTG) patient questionnaire which has patients grade how much vaginal dryness, vaginal itching, and vaginal discomfort during intercourse they are currently experiencing on an ordinal scale of zero to four (none, mild, moderate, severe, and very severe, respectively).The median change (i.e. median difference) can range from -4 to +4; negative values indicate improved symptoms, zero no change, and positive values indicate worsened symptoms.

Time frame:
Baseline and 4 weeks
Reported as:
Median · units on a scale
Change in Vaginal Itching Symptom Scores by Age Characteristics
units on a scaleSupportive Care (Fluocinonide Cream)
Age 18-45-0.5 (-1.25 to 0.25)
Age 46-55-1 (-2 to 0)
Age 56-65-1 (-1.75 to 0)
Age > 65-0.5 (-1.25 to 0)
Statistical analysis
  • Supportive Care (Fluocinonide Cream) · ANOVA · p = 0.2472 (No adjustment for multiple comparison. Significance level of 0.05. Since this endpoint is of an exploratory nature and the significance is well above the threshold, not much more consideration was given to the issue of multiple comparisons)Kruskal-Wallis ANOVA rather than ANOVA since normal distribution of residuals may be suspect.
SecondaryChange in Vaginal Dryness Symptom Scores by Menopause Status Characteristics

Association of response in symptoms with characteristics of the subject population (Dryness and Menopause status) Determine if there is an association between response in symptoms of vaginal dryness, itching, and/or dyspareunia with characteristics of the subject population. Response in symptoms is calculated as change in symptom score from baseline to week 4 (end of study). Change in symptom scores of vaginal dryness, itching, and dyspareunia will be evaluated by the Mayo/North Central Cancer Treatment Group (NCCTG) patient questionnaire which has patients grade how much vaginal dryness, vaginal itching, and vaginal discomfort during intercourse they are currently experiencing on an ordinal scale of zero to four (none, mild, moderate, severe, and very severe, respectively).The median change (i.e. median difference) can range from -4 to +4; negative values indicate improved symptoms, zero no change, and positive values indicate worsened symptoms.

Time frame:
Baseline and 4 weeks
Reported as:
Median · units on a scale
Change in Vaginal Dryness Symptom Scores by Menopause Status Characteristics
units on a scaleSupportive Care (Fluocinonide Cream)
Pre-Menopause-2 (-2 to -2)
Post-menopause-2 (-3 to -1)
Statistical analysis
  • Supportive Care (Fluocinonide Cream) · ANOVA · p = 0.507 (No adjustment for multiple comparison. Significance level of 0.05. Since this endpoint is of an exploratory nature and the significance is well above the threshold, not much more consideration was given to the issue of multiple comparisons)Kruskal-Wallis ANOVA rather than ANOVA since normal distribution of residuals may be suspect.
SecondaryChange in Dyspareunia Symptom Scores by Menopause Status Characteristics

Association of response in symptoms with characteristics of the subject population (Dyspareunia and Menopause status) Determine if there is an association between response in symptoms of vaginal dryness, itching, and/or dyspareunia with characteristics of the subject population. Response in symptoms is calculated as change in symptom score from baseline to week 4 (end of study). Change in symptom scores of vaginal dryness, itching, and dyspareunia will be evaluated by the Mayo/North Central Cancer Treatment Group (NCCTG) patient questionnaire which has patients grade how much vaginal dryness, vaginal itching, and vaginal discomfort during intercourse they are currently experiencing on an ordinal scale of zero to four (none, mild, moderate, severe, and very severe, respectively).The median change (i.e. median difference) can range from -4 to +4; negative values indicate improved symptoms, zero no change, and positive values indicate worsened symptoms.

Time frame:
Baseline and 4 weeks
Reported as:
Median · units on a scale
Change in Dyspareunia Symptom Scores by Menopause Status Characteristics
units on a scaleSupportive Care (Fluocinonide Cream)
Pre-MenopauseNA (NA to NA)
Post-menopause-2 (-3 to -1.75)
Statistical analysis
  • Supportive Care (Fluocinonide Cream) · ANOVA · p = 0.3676 (No adjustment for multiple comparison. Significance level of 0.05. Since this endpoint is of an exploratory nature and the significance is well above the threshold, not much more consideration was given to the issue of multiple comparisons)Kruskal-Wallis ANOVA rather than ANOVA since normal distribution of residuals may be suspect.
SecondaryChange in Vaginal Itching Symptom Scores by Menopause Status Characteristics

Association of response in symptoms with characteristics of the subject population (Itching and Menopause status) Determine if there is an association between response in symptoms of vaginal dryness, itching, and/or dyspareunia with characteristics of the subject population. Response in symptoms is calculated as change in symptom score from baseline to week 4 (end of study). Change in symptom scores of vaginal dryness, itching, and dyspareunia will be evaluated by the Mayo/North Central Cancer Treatment Group (NCCTG) patient questionnaire which has patients grade how much vaginal dryness, vaginal itching, and vaginal discomfort during intercourse they are currently experiencing on an ordinal scale of zero to four (none, mild, moderate, severe, and very severe, respectively).The median change (i.e. median difference) can range from -4 to +4; negative values indicate improved symptoms, zero no change, and positive values indicate worsened symptoms.

Time frame:
Baseline and 4 weeks
Reported as:
Median · units on a scale
Change in Vaginal Itching Symptom Scores by Menopause Status Characteristics
units on a scaleSupportive Care (Fluocinonide Cream)
Pre-Menopause-1 (-1 to -1)
Post-menopause-1 (-2 to 0)
Statistical analysis
  • Supportive Care (Fluocinonide Cream) · ANOVA · p = 0.6023 (No adjustment for multiple comparison. Significance level of 0.05. Since this endpoint is of an exploratory nature and the significance is well above the threshold, not much more consideration was given to the issue of multiple comparisons)Kruskal-Wallis ANOVA rather than ANOVA since normal distribution of residuals may be suspect.
SecondaryChange in Vaginal Dryness Symptom Scores by Current Endocrine Therapy Characteristics

Association of response in symptoms with characteristics of the subject population (Dryness and current endocrine therapy) Determine if there is an association between response in symptoms of vaginal dryness, itching, and/or dyspareunia with characteristics of the subject population. Response in symptoms is calculated as change in symptom score from baseline to week 4 (end of study). Change in symptom scores of vaginal dryness, itching, and dyspareunia will be evaluated by the Mayo/North Central Cancer Treatment Group (NCCTG) patient questionnaire which has patients grade how much vaginal dryness, vaginal itching, and vaginal discomfort during intercourse they are currently experiencing on an ordinal scale of zero to four (none, mild, moderate, severe, and very severe, respectively).The median change (i.e. median difference) can range from -4 to +4; negative values indicate improved symptoms, zero no change, and positive values indicate worsened symptoms.

Time frame:
Baseline and 4 weeks
Reported as:
Median · units on a scale
Change in Vaginal Dryness Symptom Scores by Current Endocrine Therapy Characteristics
units on a scaleSupportive Care (Fluocinonide Cream)
Anastrazole-2 (-2.75 to -2.0)
Exemestane-2 (-2.5 to -1.5)
Letrozole-2 (-3 to -1)
Tamoxifen-2 (-2 to -1.25)
Statistical analysis
  • Supportive Care (Fluocinonide Cream) · ANOVA · p = 0.6587 (No adjustment for multiple comparison. Significance level of 0.05. Since this endpoint is of an exploratory nature and the significance is well above the threshold, not much more consideration was given to the issue of multiple comparisons)Kruskal-Wallis ANOVA rather than ANOVA since normal distribution of residuals may be suspect.
SecondaryChange in Dyspareunia Symptom Scores by Current Endocrine Therapy Characteristics

Association of response in symptoms with characteristics of the subject population (Dyspareunia and current endocrine therapy) Determine if there is an association between response in symptoms of vaginal dryness, itching, and/or dyspareunia with characteristics of the subject population. Response in symptoms is calculated as change in symptom score from baseline to week 4 (end of study). Change in symptom scores of vaginal dryness, itching, and dyspareunia will be evaluated by the Mayo/North Central Cancer Treatment Group (NCCTG) patient questionnaire which has patients grade how much vaginal dryness, vaginal itching, and vaginal discomfort during intercourse they are currently experiencing on an ordinal scale of zero to four (none, mild, moderate, severe, and very severe, respectively).The median change (i.e. median difference) can range from -4 to +4; negative values indicate improved symptoms, zero no change, and positive values indicate worsened symptoms.

Time frame:
Baseline and 4 weeks
Reported as:
Median · units on a scale
Change in Dyspareunia Symptom Scores by Current Endocrine Therapy Characteristics
units on a scaleSupportive Care (Fluocinonide Cream)
Anastrazole-2 (-2.5 to -1.5)
Exemestane-2 (-2 to -2)
Letrozole-2.5 (-3 to -2)
Tamoxifen-1.5 (-1.75 to -1.25)
Statistical analysis
  • Supportive Care (Fluocinonide Cream) · ANOVA · p = 0.8772 (No adjustment for multiple comparison. Significance level of 0.05. Since this endpoint is of an exploratory nature and the significance is well above the threshold, not much more consideration was given to the issue of multiple comparisons)Kruskal-Wallis ANOVA rather than ANOVA since normal distribution of residuals may be suspect.
SecondaryChange in Vaginal Itching Symptom Scores by Current Endocrine Therapy Characteristics

Association of response in symptoms with characteristics of the subject population (Itching and current endocrine therapy) Determine if there is an association between response in symptoms of vaginal dryness, itching, and/or dyspareunia with characteristics of the subject population. Response in symptoms is calculated as change in symptom score from baseline to week 4 (end of study). Change in symptom scores of vaginal dryness, itching, and dyspareunia will be evaluated by the Mayo/North Central Cancer Treatment Group (NCCTG) patient questionnaire which has patients grade how much vaginal dryness, vaginal itching, and vaginal discomfort during intercourse they are currently experiencing on an ordinal scale of zero to four (none, mild, moderate, severe, and very severe, respectively).The median change (i.e. median difference) can range from -4 to +4; negative values indicate improved symptoms, zero no change, and positive values indicate worsened symptoms.

Time frame:
Baseline and 4 weeks
Reported as:
Median · units on a scale
Change in Vaginal Itching Symptom Scores by Current Endocrine Therapy Characteristics
units on a scaleSupportive Care (Fluocinonide Cream)
Anastrazole-0.5 (-1 to 0)
Exemestane-1 (-1.5 to -0.5)
Letrozole-0.5 (-2 to 0)
Tamoxifen-1 (-1.75 to -1)
Statistical analysis
  • Supportive Care (Fluocinonide Cream) · ANOVA · p = 0.7395 (No adjustment for multiple comparison. Significance level of 0.05. Since this endpoint is of an exploratory nature and the significance is well above the threshold, not much more consideration was given to the issue of multiple comparisons)Kruskal-Wallis ANOVA rather than ANOVA since normal distribution of residuals may be suspect.
SecondaryChange in Vaginal Dryness Symptom Scores by Prior Cytotoxic Therapy Characteristics

Association of response in symptoms with characteristics of the subject population (Dryness and prior cytotoxic therapy) Determine if there is an association between response in symptoms of vaginal dryness, itching, and/or dyspareunia with characteristics of the subject population. Response in symptoms is calculated as change in symptom score from baseline to week 4 (end of study). Change in symptom scores of vaginal dryness, itching, and dyspareunia will be evaluated by the Mayo/North Central Cancer Treatment Group (NCCTG) patient questionnaire which has patients grade how much vaginal dryness, vaginal itching, and vaginal discomfort during intercourse they are currently experiencing on an ordinal scale of zero to four (none, mild, moderate, severe, and very severe, respectively).The median change (i.e. median difference) can range from -4 to +4; negative values indicate improved symptoms, zero no change, and positive values indicate worsened symptoms.

Time frame:
Baseline and 4 weeks
Reported as:
Median · units on a scale
Change in Vaginal Dryness Symptom Scores by Prior Cytotoxic Therapy Characteristics
units on a scaleSupportive Care (Fluocinonide Cream)
Yes-2 (-2 to -1)
No-2 (-3 to -1)
Statistical analysis
  • Supportive Care (Fluocinonide Cream) · ANOVA · p = 0.9618 (No adjustment for multiple comparison. Significance level of 0.05. Since this endpoint is of an exploratory nature and the significance is well above the threshold, not much more consideration was given to the issue of multiple comparisons)Kruskal-Wallis ANOVA rather than ANOVA since normal distribution of residuals may be suspect.
SecondaryChange in Dyspareunia Symptom Scores by Prior Cytotoxic Therapy Characteristics

Association of response in symptoms with characteristics of the subject population (Dyspareunia and prior cytotoxic therapy) Determine if there is an association between response in symptoms of vaginal dryness, itching, and/or dyspareunia with characteristics of the subject population. Response in symptoms is calculated as change in symptom score from baseline to week 4 (end of study). Change in symptom scores of vaginal dryness, itching, and dyspareunia will be evaluated by the Mayo/North Central Cancer Treatment Group (NCCTG) patient questionnaire which has patients grade how much vaginal dryness, vaginal itching, and vaginal discomfort during intercourse they are currently experiencing on an ordinal scale of zero to four (none, mild, moderate, severe, and very severe, respectively).The median change (i.e. median difference) can range from -4 to +4; negative values indicate improved symptoms, zero no change, and positive values indicate worsened symptoms.

Time frame:
Baseline and 4 weeks
Reported as:
Median · units on a scale
Change in Dyspareunia Symptom Scores by Prior Cytotoxic Therapy Characteristics
units on a scaleSupportive Care (Fluocinonide Cream)
Yes-2 (-2.25 to -1)
No-2.5 (-3 to -2)
Statistical analysis
  • Supportive Care (Fluocinonide Cream) · ANOVA · p = 0.5113 (No adjustment for multiple comparison. Significance level of 0.05. Since this endpoint is of an exploratory nature and the significance is well above the threshold, not much more consideration was given to the issue of multiple comparisons)Kruskal-Wallis ANOVA rather than ANOVA since normal distribution of residuals may be suspect.
SecondaryChange in Vaginal Itching Symptom Scores by Prior Cytotoxic Therapy Characteristics

Association of response in symptoms with characteristics of the subject population (Itching and prior cytotoxic therapy) Determine if there is an association between response in symptoms of vaginal dryness, itching, and/or dyspareunia with characteristics of the subject population. Response in symptoms is calculated as change in symptom score from baseline to week 4 (end of study). Change in symptom scores of vaginal dryness, itching, and dyspareunia will be evaluated by the Mayo/North Central Cancer Treatment Group (NCCTG) patient questionnaire which has patients grade how much vaginal dryness, vaginal itching, and vaginal discomfort during intercourse they are currently experiencing on an ordinal scale of zero to four (none, mild, moderate, severe, and very severe, respectively).The median change (i.e. median difference) can range from -4 to +4; negative values indicate improved symptoms, zero no change, and positive values indicate worsened symptoms.

Time frame:
Baseline and 4 weeks
Reported as:
Median · units on a scale
Change in Vaginal Itching Symptom Scores by Prior Cytotoxic Therapy Characteristics
units on a scaleSupportive Care (Fluocinonide Cream)
Yes-1 (-1 to 0)
No-1 (-2 to 0)
Statistical analysis
  • Supportive Care (Fluocinonide Cream) · ANOVA · p = 0.8833 (No adjustment for multiple comparison. Significance level of 0.05. Since this endpoint is of an exploratory nature and the significance is well above the threshold, not much more consideration was given to the issue of multiple comparisons)Kruskal-Wallis ANOVA rather than ANOVA since normal distribution of residuals may be suspect.
SecondaryChange in Vaginal Dryness Symptom Scores by Indication for Endocrine Therapy Characteristics

Association of response in symptoms with characteristics of the subject population (Dryness and Indications) Determine if there is an association between response in symptoms of vaginal dryness, itching, and/or dyspareunia with characteristics of the subject population. Response in symptoms is calculated as change in symptom score from baseline to week 4 (end of study). Change in symptom scores of vaginal dryness, itching, and dyspareunia will be evaluated by the Mayo/North Central Cancer Treatment Group (NCCTG) patient questionnaire which has patients grade how much vaginal dryness, vaginal itching, and vaginal discomfort during intercourse they are currently experiencing on an ordinal scale of zero to four (none, mild, moderate, severe, and very severe, respectively).The median change (i.e. median difference) can range from -4 to +4; negative values indicate improved symptoms, zero no change, and positive values indicate worsened symptoms.

Time frame:
Baseline and 4 weeks
Reported as:
Median · units on a scale
Change in Vaginal Dryness Symptom Scores by Indication for Endocrine Therapy Characteristics
units on a scaleSupportive Care (Fluocinonide Cream)
Adjuvant-2 (-2.5 to -1)
Prophylaxis-3 (-3 to -3)
Statistical analysis
  • Supportive Care (Fluocinonide Cream) · ANOVA · p = 0.7983 (No adjustment for multiple comparison. Significance level of 0.05. Since this endpoint is of an exploratory nature and the significance is well above the threshold, not much more consideration was given to the issue of multiple comparisons)Kruskal-Wallis ANOVA rather than ANOVA since normal distribution of residuals may be suspect.
SecondaryChange in Dyspareunia Symptom Scores by Indication for Endocrine Therapy Characteristics

Association of response in symptoms with characteristics of the subject population (Dyspareunia and Indications) Determine if there is an association between response in symptoms of vaginal dryness, itching, and/or dyspareunia with characteristics of the subject population. Response in symptoms is calculated as change in symptom score from baseline to week 4 (end of study). Change in symptom scores of vaginal dryness, itching, and dyspareunia will be evaluated by the Mayo/North Central Cancer Treatment Group (NCCTG) patient questionnaire which has patients grade how much vaginal dryness, vaginal itching, and vaginal discomfort during intercourse they are currently experiencing on an ordinal scale of zero to four (none, mild, moderate, severe, and very severe, respectively).The median change (i.e. median difference) can range from -4 to +4; negative values indicate improved symptoms, zero no change, and positive values indicate worsened symptoms.

Time frame:
Baseline and 4 weeks
Reported as:
Median · units on a scale
Change in Dyspareunia Symptom Scores by Indication for Endocrine Therapy Characteristics
units on a scaleSupportive Care (Fluocinonide Cream)
Adjuvant-2 (-3 to -1.75)
ProphylaxisNA (NA to NA)
Statistical analysis
  • Supportive Care (Fluocinonide Cream) · ANOVA · p = 0.4937 (No adjustment for multiple comparison. Significance level of 0.05. Since this endpoint is of an exploratory nature and the significance is well above the threshold, not much more consideration was given to the issue of multiple comparisons)Kruskal-Wallis ANOVA rather than ANOVA since normal distribution of residuals may be suspect.
SecondaryChange in Vaginal Itching Symptom Scores by Indication for Endocrine Therapy Characteristics

Association of response in symptoms with characteristics of the subject population (Itching and Indications) Determine if there is an association between response in symptoms of vaginal dryness, itching, and/or dyspareunia with characteristics of the subject population. Response in symptoms is calculated as change in symptom score from baseline to week 4 (end of study). Change in symptom scores of vaginal dryness, itching, and dyspareunia will be evaluated by the Mayo/North Central Cancer Treatment Group (NCCTG) patient questionnaire which has patients grade how much vaginal dryness, vaginal itching, and vaginal discomfort during intercourse they are currently experiencing on an ordinal scale of zero to four (none, mild, moderate, severe, and very severe, respectively).The median change (i.e. median difference) can range from -4 to +4; negative values indicate improved symptoms, zero no change, and positive values indicate worsened symptoms.

Time frame:
Baseline and 4 weeks
Reported as:
Median · units on a scale
Change in Vaginal Itching Symptom Scores by Indication for Endocrine Therapy Characteristics
units on a scaleSupportive Care (Fluocinonide Cream)
Adjuvant-1 (-1.75 to 0)
Prophylaxis-2 (-2 to -2)
Statistical analysis
  • Supportive Care (Fluocinonide Cream) · ANOVA · p = 0.9106 (No adjustment for multiple comparison. Significance level of 0.05. Since this endpoint is of an exploratory nature and the significance is well above the threshold, not much more consideration was given to the issue of multiple comparisons)Kruskal-Wallis ANOVA rather than ANOVA since normal distribution of residuals may be suspect.
SecondaryChange in Vaginal Dryness Symptom Scores by Patient Reported Compliance Characteristics

Association of response in symptoms with patient reported compliance (Dryness) Determine if there is an association between response in symptoms of vaginal dryness, itching, and/or dyspareunia with patient reported compliance. Response in symptoms is calculated as change in symptom score from baseline to week 4 (end of study). Change in symptom scores of vaginal dryness, itching, and dyspareunia will be evaluated by the Mayo/North Central Cancer Treatment Group (NCCTG) patient questionnaire which has patients grade how much vaginal dryness, vaginal itching, and vaginal discomfort during intercourse they are currently experiencing on an ordinal scale of zero to four (none, mild, moderate, severe, and very severe, respectively).The median change (i.e. median difference) can range from -4 to +4; negative values indicate improved symptoms, zero no change, and positive values indicate worsened symptoms. Groups are made by % of compliance reported by patients

Time frame:
Baseline and 4 weeks
Reported as:
Median · units on a scale
Change in Vaginal Dryness Symptom Scores by Patient Reported Compliance Characteristics
units on a scaleSupportive Care (Fluocinonide Cream)
50 - 74%-2 (-2 to -2)
>= 75%-2 (-3 to -1)
Missing / not reportedNA (NA to NA)
Statistical analysis
  • Supportive Care (Fluocinonide Cream) · ANOVA · p = 0.507 (No adjustment for multiple comparison. Significance level of 0.05. Since this endpoint is of an exploratory nature and the significance is well above the threshold, not much more consideration was given to the issue of multiple comparisons)Kruskal-Wallis ANOVA rather than ANOVA since normal distribution of residuals may be suspect.
SecondaryChange in Dyspareunia Symptom Scores by Patient Reported Compliance Characteristics

Association of response in symptoms with patient reported compliance (Dyspareunia) Determine if there is an association between response in symptoms of vaginal dryness, itching, and/or dyspareunia with patient reported compliance. Response in symptoms is calculated as change in symptom score from baseline to week 4 (end of study). Change in symptom scores of vaginal dryness, itching, and dyspareunia will be evaluated by the Mayo/North Central Cancer Treatment Group (NCCTG) patient questionnaire which has patients grade how much vaginal dryness, vaginal itching, and vaginal discomfort during intercourse they are currently experiencing on an ordinal scale of zero to four (none, mild, moderate, severe, and very severe, respectively).The median change (i.e. median difference) can range from -4 to +4; negative values indicate improved symptoms, zero no change, and positive values indicate worsened symptoms. Groups are made by % of compliance reported by patients

Time frame:
Baseline and 4 weeks
Reported as:
Median · units on a scale
Change in Dyspareunia Symptom Scores by Patient Reported Compliance Characteristics
units on a scaleSupportive Care (Fluocinonide Cream)
50 - 74%NA (NA to NA)
>= 75%-2 (-3 to -1.75)
Missing / not reportedNA (NA to NA)
Statistical analysis
  • Supportive Care (Fluocinonide Cream) · ANOVA · p = 0.3676 (No adjustment for multiple comparison. Significance level of 0.05. Since this endpoint is of an exploratory nature and the significance is well above the threshold, not much more consideration was given to the issue of multiple comparisons)Kruskal-Wallis ANOVA rather than ANOVA since normal distribution of residuals may be suspect.
SecondaryChange in Vaginal Itching Symptom Scores by Patient Reported Compliance Characteristics

Association of response in symptoms with patient reported compliance (Itching) Determine if there is an association between response in symptoms of vaginal dryness, itching, and/or dyspareunia with patient reported compliance. Response in symptoms is calculated as change in symptom score from baseline to week 4 (end of study). Change in symptom scores of vaginal dryness, itching, and dyspareunia will be evaluated by the Mayo/North Central Cancer Treatment Group (NCCTG) patient questionnaire which has patients grade how much vaginal dryness, vaginal itching, and vaginal discomfort during intercourse they are currently experiencing on an ordinal scale of zero to four (none, mild, moderate, severe, and very severe, respectively).The median change (i.e. median difference) can range from -4 to +4; negative values indicate improved symptoms, zero no change, and positive values indicate worsened symptoms. Groups are made by % of compliance reported by patients

Time frame:
Baseline and 4 weeks
Reported as:
Median · units on a scale
Change in Vaginal Itching Symptom Scores by Patient Reported Compliance Characteristics
units on a scaleSupportive Care (Fluocinonide Cream)
50 - 74%-1 (-1 to -1)
>= 75%-1 (-2 to 0)
Missing / not reportedNA (NA to NA)
Statistical analysis
  • Supportive Care (Fluocinonide Cream) · ANOVA · p = 0.6023 (No adjustment for multiple comparison. Significance level of 0.05. Since this endpoint is of an exploratory nature and the significance is well above the threshold, not much more consideration was given to the issue of multiple comparisons)Kruskal-Wallis ANOVA rather than ANOVA since normal distribution of residuals may be suspect.
SecondaryChange in Vaginal Dryness Symptom Scores by Tube Weight Based Compliance Characteristics

Association of response in symptoms with tube weight based compliance (Dryness) Determine if there is an association between response in symptoms of vaginal dryness, itching, and/or dyspareunia with compliance determined by % of tube used by weight. Response in symptoms is calculated as change in symptom score from baseline to week 4 (end of study). Change in symptom scores of vaginal dryness, itching, and dyspareunia will be evaluated by the Mayo/North Central Cancer Treatment Group (NCCTG) patient questionnaire which has patients grade how much vaginal dryness, vaginal itching, and vaginal discomfort during intercourse they are currently experiencing on an ordinal scale of zero to four (none, mild, moderate, severe, and very severe, respectively).The median change (i.e. median difference) can range from -4 to +4; negative values indicate improved symptoms, zero no change, and positive values indicate worsened symptoms. Groups are made by % of tube used by weight.

Time frame:
Baseline and 4 weeks
Reported as:
Median · units on a scale
Change in Vaginal Dryness Symptom Scores by Tube Weight Based Compliance Characteristics
units on a scaleSupportive Care (Fluocinonide Cream)
< 25%-1 (-1 to -1)
25 - 49%-2 (-3 to -1.75)
50 - 74%-2 (-3 to -1.75)
>= 75%-2 (-2 to -2)
Missing / not reported-2.5 (-3.25 to -1.75)
Statistical analysis
  • Supportive Care (Fluocinonide Cream) · ANOVA · p = 0.08531 (No adjustment for multiple comparison. Significance level of 0.05. Since this endpoint is of an exploratory nature and the significance is well above the threshold, not much more consideration was given to the issue of multiple comparisons)Kruskal-Wallis ANOVA rather than ANOVA since normal distribution of residuals may be suspect.
SecondaryChange in Dyspareunia Symptom Scores by Tube Weight Based Compliance Characteristics

Association of response in symptoms with tube weight based compliance (Dyspareunia) Determine if there is an association between response in symptoms of vaginal dryness, itching, and/or dyspareunia with compliance determined by % of tube used by weight. Response in symptoms is calculated as change in symptom score from baseline to week 4 (end of study). Change in symptom scores of vaginal dryness, itching, and dyspareunia will be evaluated by the Mayo/North Central Cancer Treatment Group (NCCTG) patient questionnaire which has patients grade how much vaginal dryness, vaginal itching, and vaginal discomfort during intercourse they are currently experiencing on an ordinal scale of zero to four (none, mild, moderate, severe, and very severe, respectively).The median change (i.e. median difference) can range from -4 to +4; negative values indicate improved symptoms, zero no change, and positive values indicate worsened symptoms. Groups are made by % of tube used by weight.

Time frame:
Baseline and 4 weeks
Reported as:
Median · units on a scale
Change in Dyspareunia Symptom Scores by Tube Weight Based Compliance Characteristics
units on a scaleSupportive Care (Fluocinonide Cream)
< 25%-1 (-1 to -1)
25 - 49%-2 (-2.5 to -1.5)
50 - 74%-2 (-2.25 to -1.75)
>= 75%-2 (-2.25 to -2)
Missing / not reported-3 (-3 to -3)
Statistical analysis
  • Supportive Care (Fluocinonide Cream) · ANOVA · p = 0.2011 (No adjustment for multiple comparison. Significance level of 0.05. Since this endpoint is of an exploratory nature and the significance is well above the threshold, not much more consideration was given to the issue of multiple comparisons)Kruskal-Wallis ANOVA rather than ANOVA since normal distribution of residuals may be suspect.
SecondaryChange in Vaginal Itching Symptom Scores by Tube Weight Based Compliance Characteristics

Association of response in symptoms with tube weight based compliance (Itching) Determine if there is an association between response in symptoms of vaginal dryness, itching, and/or dyspareunia with compliance determined by % of tube used by weight. Response in symptoms is calculated as change in symptom score from baseline to week 4 (end of study). Change in symptom scores of vaginal dryness, itching, and dyspareunia will be evaluated by the Mayo/North Central Cancer Treatment Group (NCCTG) patient questionnaire which has patients grade how much vaginal dryness, vaginal itching, and vaginal discomfort during intercourse they are currently experiencing on an ordinal scale of zero to four (none, mild, moderate, severe, and very severe, respectively).The median change (i.e. median difference) can range from -4 to +4; negative values indicate improved symptoms, zero no change, and positive values indicate worsened symptoms. Groups are made by % of tube used by weight.

Time frame:
Baseline and 4 weeks
Reported as:
Median · units on a scale
Change in Vaginal Itching Symptom Scores by Tube Weight Based Compliance Characteristics
units on a scaleSupportive Care (Fluocinonide Cream)
< 25%-1 (-1 to -1)
25 - 49%-1 (-2 to 0)
50 - 74%0 (-1 to 0)
>= 75%-1 (-2 to -0.5)
Missing / not reported-1 (-1.5 to -0.5)
Statistical analysis
  • Supportive Care (Fluocinonide Cream) · ANOVA · p = 0.1187 (No adjustment for multiple comparison. Significance level of 0.05. Since this endpoint is of an exploratory nature and the significance is well above the threshold, not much more consideration was given to the issue of multiple comparisons)Kruskal-Wallis ANOVA rather than ANOVA since normal distribution of residuals may be suspect.

Adverse events

Collected over End of study week 1, 2, 3, 4. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Supportive Care (Fluocinonide Cream)0/34 (0%)0/34 (0%)24/34 (70.6%)
Most frequent other events
Most frequent other events
EventSupportive Care (Fluocinonide Cream)
Pain of skinSkin and subcutaneous tissue disorders23/34
Vaginal dischargeSkin and subcutaneous tissue disorders2/34
Bullous dermatitisSkin and subcutaneous tissue disorders1/34
FlushingSkin and subcutaneous tissue disorders1/34
HeadacheGeneral disorders1/34
PruritisSkin and subcutaneous tissue disorders1/34
Rash acneiformSkin and subcutaneous tissue disorders1/34
Vaginal inflammationSkin and subcutaneous tissue disorders1/34

Baseline characteristics

An intent-to-treat analysis set will include those who are enrolled in the trial regardless of the number of treatments received. All primary analyses will be conducted using the intent-to-treat analysis set. A safety analysis set will include those who receive at least one treatment.

Age, Categorical
Age, Categorical(Participants)Supportive Care
<=18 years0
Between 18 and 65 years29
>=65 years5
Age, Continuous
Age, Continuous(years)Supportive Care
Mean55.44 ± 9.39
Sex: Female, Male
Sex: Female, Male(Participants)Supportive Care
Female34
Male0
Menopause status
Menopause status(Participants)Supportive Care
Pre-menopausal1
Post-menopausal33
Current endocrine therapy
Current endocrine therapy(Participants)Supportive Care
Anastrazole7
Exemestane3
Letrozole13
Tamoxifen11
Prior cytotoxic chemotherapy received
Prior cytotoxic chemotherapy received(Participants)Supportive Care
Prior cytotoxic chemotherapy14
No prior cytotoxic chemotherapy20
Indications for endocrine therapy
Indications for endocrine therapy(Participants)Supportive Care
Adjuvant33
Prophylaxis1
Severe baseline symptoms, Dryness
Severe baseline symptoms, Dryness(Participants)Supportive Care
Severe15
Not severe19

2 further baseline measures are reported on the registry.

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Study locations

1 site
  • OHSU Knight Cancer Institute
    Portland, Oregon 97239, United States
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 9, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01422408
Lead sponsor
OHSU Knight Cancer Institute
Collaborators
National Cancer Institute (NCI)
Responsible party
Kathleen Kemmer (Principal Investigator, OHSU Knight Cancer Institute) — Principal investigator
First posted
Aug 24, 2011
Start date
Sep 2011
Primary completion
Oct 2015
Completion
Oct 2015
Results posted
Aug 9, 2017
Last update
Aug 9, 2017

Study contacts

Kathleen Kemmer
principal investigator · OHSU Knight Cancer Institute

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jul 2017. You cannot join it, but the record below documents what was studied.

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