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CompletedNCT02739880INREG 1Updated Nov 21, 2025

Multi-point Intra-mucosal Injections of Cross-linked Hyaluronic Acid (DESIRIAL®) in the Vaginal Vestibule

An interventional study of DESIRIAL® (Intra-mucosal Injections of Cross-linked Hyaluronic Acid) in Menopause and Dyspareunia, sponsored by Centre Hospitalier Universitaire de Nīmes. Completed at 2 sites in France. Open to female participants aged 18 Years to 69 Years. Per ClinicalTrials.gov, last updated 2025-11-21.

Sponsored by Centre Hospitalier Universitaire de Nīmes · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Not applicable
Ages
18 Years to 69 Years
Sex
Female
01

Study summary

The main objective of this study is to measure changes in the thickness of the vaginal lining (epithelium + underlying stroma) between 0 and 8 weeks after injection.

Read the detailed description

The secondary objectives of this study are to measure changes in the following between 0 and 8 weeks after injection:

A. vaginal flora and Nugent score.

B. vaginal pH.

C. functional evolution via the VHI index by Gloria Bachman (state of the vaginal mucosa), pain / dyspareunia (visual analog scale) and the satisfaction concerning care viay the PGI-I questionnaire (Patient Global Impression and Improvement).

D. Procollagen I and III gene expression (by PCR) and mitotic activity of the mucosa (Ki67 proliferation marker) based on biopsies.

02

Conditions studied

  • Menopause
  • Dyspareunia

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Keywords

  • Vaginal discomfort
  • Vaginal dryness
03

In context

Dyspareunia

158 studies on the registry are indexed under Dyspareunia; 40 are open to participants now.

This study's enrollment of 20 is below the median of 63 across 126 interventional studies indexed under Dyspareunia.

Browse Dyspareunia studies →

Lead sponsor

Centre Hospitalier Universitaire de Nīmes is the lead sponsor of 595 studies on the registry; 90 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 69 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • The patient must have given her informed and signed consent
  • The patient must be insured or beneficiary of a health insurance plan
  • The patient is available for 8 weeks of follow-up
  • The patient is menopausal (amenorrhea) for over 2 years and less than 10 years
  • The patient has a \<35
  • The patient has sexual disorders (dyspareunia) or vaginal discomfort associated with vaginal dryness.

Exclusion criteria

Exclusion Criteria:

  • The patient is participating in another study
  • The patient is in an exclusion period determined by a previous study
  • The patient is under judicial protection, under tutorship or curatorship
  • The patient refuses to sign the consent
  • It is impossible to correctly inform the patient
  • The patient is pregnant or breastfeeding
  • The patient is not menopausal (both clinically and biologically)
  • The patient has a > 35
  • The patient has a genital prolapse higher than stage 2 with a surgical indication
  • The patient has stress incontinence with a surgical indication
  • The patient suffers from vaginismus
  • Presence of an untreated viral, fungal or bacterial vulvovaginal or urinary infection
  • Hemorrhagic or neoplastic genital pathologies
  • Existence of a hormone-dependent tumor, genital bleeding of unknown origin
  • Current treatments based on antihypertensives, anti-inflammatory drugs, anticoagulants, major antidepressants, aspirin
  • Known to hyaluronic acid or mannitol
  • Known hypersensitivity to Betadine
  • Known hypersensitivity to Lidocaine
  • Hypersensitivity to EMLA®
  • Previous urogynaecological vulvovaginal surgery
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
20 participants (actual)

Study arms

  • Experimental
    The study population

    The study population consists of postmenopausal patients (more than 2 years and less than 10 years) with a body mass index \<35 with sexual disorders (dyspareunia) or vaginal discomfort associated with vaginal dryness. Intervention: Intra-mucosal Injections of Cross-linked Hyaluronic Acid

    Device: DESIRIAL® (Intra-mucosal Injections of Cross-linked Hyaluronic Acid)

Interventions

  • DeviceDESIRIAL® (Intra-mucosal Injections of Cross-linked Hyaluronic Acid)

    Multi-point Intra-mucosal Injections of Cross-linked Hyaluronic Acid (DESIRIAL®) in the Vaginal Vestibule The intervention is Intended for intra-mucosal injection in women for biostimulation / rehydration of the surface layers of the lining of the genital areas, vaginal hypotrophies and / or treatment of female sexual dysfunction related to subsidence G "spot or area of Gräfenberg ". Following disinfection and topical anesthesia (lidocaine gel), the vesitbule is injected using a multi-point technique. The optimal volume of DESIRIAL® to be used for injection into the vestibule is approximately 0.3 ml in total.

    Also known as: Cross-linked Hyaluronic Acid, DESIRIAL®

06

What researchers measure

Primary outcomes

  1. The thickness of the vaginal mucosa on a histological section

    Time frame: Day 0

  2. The thickness of the vaginal mucosa on a histological section

    Time frame: Week 8

Secondary outcomes

  1. Vaginal pH

    Time frame: Day 0

  2. Vaginal pH

    Time frame: Week 8

  3. Vaginal flora (on Pap smear)

    Time frame: Day 0

  4. Vaginal flora (on Pap smear)

    Time frame: Week 8

  5. Nugent score (on Pap smear)

    Time frame: Day 0

  6. Nugent score (on Pap smear)

    Time frame: Week 8

  7. PGI-I (Patient Global Impression and Improvement) Questionnaire

    Time frame: Week 8

  8. The Vaginal Health Index by Gloria Bachman

    Time frame: Day 0

  9. The Vaginal Health Index by Gloria Bachman

    Time frame: Week 8

  10. Pain (dyspareunia) by visual analog scale

    Time frame: Day 0

  11. Pain (dyspareunia) by visual analog scale

    Time frame: Week 8

  12. Measurement of collagen expression (procollagen I and III)

    Time frame: Day 0

  13. Measurement of collagen expression (procollagen I and III)

    Time frame: Week 8

  14. Level of Ki67 proliferation marker

    Time frame: Day 0

  15. Level of Ki67 proliferation marker

    Time frame: Week 8

07

Study locations

2 sites
  • CHRU de Nîmes - Hôpital Universitaire Carémeau
    Nîmes, 30029, France
  • Centre Médical KARIS
    Perpignan, 66000, France
08

References and documents

Publications

  • Berreni N, Salerno J, Chevalier T, Alonso S, Mares P. Evaluation of the effect of multipoint intra-mucosal vaginal injection of a specific cross-linked hyaluronic acid for vulvovaginal atrophy: a prospective bi-centric pilot study. BMC Womens Health. 2021 Aug 28;21(1):322. doi: 10.1186/s12905-021-01435-w. PubMed 34454465 ↗
09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jun 2017 to primary completion in Sep 2018, 14 months.

Of 51 non-industry interventional studies with no phase under Dyspareunia, half reached primary completion within 33 months of starting (the median), counting those still running; a quarter within 14 and three quarters within 48. This study's 14 months is below that.

Counting every sponsor, half of 59 studies reached it within 33 months; a quarter within 13 and three quarters within 38.

How these figures are worked out, and which studies are left out of them.

Registered
Apr 6, 2016
First posted
Apr 15, 2016
StartActual
Jun 19, 2017
Primary completionActual
Sep 6, 2018
CompletionActual
Sep 6, 2018
Last update
Nov 21, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Nov 21, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02739880
Collaborators
Laboratoires Vivacy
Responsible party
Sponsor
First posted
Apr 15, 2016
Start date
Jun 19, 2017
Primary completion
Sep 6, 2018
Completion
Sep 6, 2018
Last update
Nov 21, 2025

Study contacts

Nicolas Berreni, MD
study director · Centre Médical Karis

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2019. You cannot join it, but the record below documents what was studied.

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