ClinicalTrials.gg
CompletedNCT03372720Updated Apr 22, 2022

Fractional CO2 Laser Therapy in Minimizing Genitourinary Syndrome of Menopause in Gynecological Cancer Survivors

An interventional study of Laser Therapy and Questionnaire Administration in Cervical Carcinoma, Dyspareunia and Endometrial Carcinoma, sponsored by Ohio State University Comprehensive Cancer Center. Completed at 4 sites in United States. Open to female participants. Per ClinicalTrials.gov, last updated 2022-04-22.

Sponsored by Ohio State University Comprehensive Cancer Center · Not applicable, Interventional, and Supportive care

Phase
Not applicable
Study type
Interventional
Enrollment
19
Allocation
Randomized
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 15 studies in Uterine Cervical Neoplasms by Ohio State University Comprehensive Cancer Center — 2 open to participants now, 4 under way, none of them phase 3. Uterine Cervical Neoplasms · Ohio State University Comprehensive Cancer Center.

Enrollment
11th of 12
19 · median 102
Started
2018
the only one that year
No phase
10 of 15
1 open now
Registered
9th of 15
by date

Among the 15 studies in Uterine Cervical Neoplasms by Ohio State University Comprehensive Cancer Center, this one is the 11th largest by enrollment of the 12 interventional ones that give a count, is the only one that started in 2018, is one of 10 with no phase, and was the 9th registered.

Uterine Cervical Neoplasms

2,366 studies on the registry are indexed under Uterine Cervical Neoplasms; 677 are open to participants now.

Browse Uterine Cervical Neoplasms studies →

Open to participants now

2 of the 15 studies in Uterine Cervical Neoplasms by Ohio State University Comprehensive Cancer Center are open now, in 1 country. Recruiting first, the newest first:

By country, each count listing its studies:

All 2 open studies →

Where they have run

Who these studies take

Of the 473 Uterine Cervical Neoplasms studies recruiting now, 242 (51%) set no upper age limit and 191 (40%) stop at 75 or younger; 20 take children under 18; 69 take healthy volunteers.

This study: female · no healthy volunteers.

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02

Study summary

This randomized pilot trial studies how well fractional carbon dioxide (CO2) laser therapy works in minimizing genitourinary syndrome of menopause (GSM) in gynecological cancer survivors. Fractional CO2 laser therapy may reduce symptoms of GSM in survivors of gynecologic cancers.

Read the detailed description

PRIMARY OBJECTIVES:

I. To conduct a pilot trial to estimate the proportion of gynecologic cancer patients with vaginal dryness or dyspareunia, who will have an improvement in their symptoms with vaginal laser therapy compared to sham treatment based on the Vaginal Assessment Scale (VAS).

SECONDARY OBJECTIVES:

I. To evaluate toxicity associated with vaginal laser therapy in this population.

II. To determine how many women with the defined patient eligibility will complete all treatments.

III. To determine the feasibility of the crossover design for potential use in a phase III trial.

IV. To determine improvement in objective findings of vaginal atrophy with vaginal laser therapy versus sham treatment.

V. To determine improvement in sexual function as measured by Female Sexual Function Index (FSFI), Female Sexual Distress Scale-Revised (FSDS), and scales for sexual satisfaction and behavior with vaginal laser therapy versus sham treatment.

VI. To determine improvement in urinary symptoms of urogenital atrophy with vaginal laser therapy versus sham treatment using the Urogenital Distress Inventory (UDI).

VII. To demonstrate satisfaction with vaginal fractional CO2 laser therapy.

OUTLINE: Patients are randomized in to 1 of 2 arms.

ARM I: Patients undergo fractional CO2 laser therapy at 3 time points 30 days apart.

ARM II: Patients undergo sham laser therapy at 3 time points 30 days apart. Patients may then crossover to Arm I.

After completion of study, patients are followed up at 1 month.

03

Conditions studied

  • Cervical Carcinoma
  • Dyspareunia
  • Endometrial Carcinoma
  • Ovarian Carcinoma
  • Vaginal Carcinoma
  • Vaginal Dryness
  • Vulvar Carcinoma
04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
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

  • Women with cervical, endometrial, vaginal, vulvar or ovarian cancer who have completed all cancer related treatment >= 6 months prior to enrollment

    • Any form of hysterectomy, including radical hysterectomy permitted
    • Must have no evidence of recurrent disease on pelvic exam within past 3 months
    • Radiation therapy is permitted but not required
  • Patient reported dyspareunia and/or vaginal dryness with severity of >= 4 on a scale from 0 (none) to 10 (most severe) that has been persistent over >= 4 weeks and/or the inability to be sexually active due to pain

Exclusion criteria

Exclusion Criteria:

  • Patients with recurrent or endometrial, vaginal, vulvar, cervical, or ovarian cancer
  • Pelvic organ prolapse stage II or higher
  • Prior reconstructive pelvic surgery involving mesh
  • Hormone replacement therapy or vaginal estrogen therapy within 6 weeks prior to enrollment
Terms in these criteria, in plain language(1)

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.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
19 participants (actual)

Study arms

  • Experimental
    Arm I (fractional CO2 laser therapy)

    Patients undergo fractional CO2 laser therapy at 3 time points 30 days apart.

    Procedure: Laser Therapy · Other: Questionnaire Administration

  • Sham comparator
    Arm II (sham laser therapy)

    Patients undergo sham laser therapy at 3 time points 30 days apart. Patients may then crossover to Arm I.

    Other: Questionnaire Administration · Procedure: Sham Intervention

Interventions

  • ProcedureLaser Therapy

    Undergo fractional CO2 laser therapy

    Also known as: Therapy, Laser

  • OtherQuestionnaire Administration

    Ancillary studies

  • ProcedureSham Intervention

    Undergo sham laser therapy

06

What researchers measure

Primary outcomes

  1. Change in genitourinary syndrome of menopause (GSM) symptoms

    Will be assessed by the Vaginal Assessment Scale (VAS). Will be summarized and compared between the treatment arms using a two-sample t-test or a Wilcoxon rank sum test, with a two-sided alternative for each. Will also analyze this endpoint graphically by plotting the VAS scores through time by treatment arm. Additionally, will correlate the scores from the VAS with other validated measures using a Spearman's correlation coefficient in an exploratory manner.

    Time frame: Baseline to 12 weeks

Secondary outcomes

  1. Feasibility as measured by number of patients able to complete 3 study visitis

    A crossover design to determine the feasibility of the crossover design for potential use in a phase III trial by summarizing the proportion of patients who are unable to tolerate the study treatment prior to completing the 3 treatments

    Time frame: Up to 1 month

  2. Improvement in objective findings of vaginal atrophy

    Will determine improvement in objective findings of vaginal atrophy with vaginal laser therapy versus sham treatment.

    Time frame: Up to 1 month

  3. Improvement in sexual function by FSFI

    Will determine improvement in sexual function as measured by Female Sexual Function Index (FSFI)

    Time frame: Up to 1 year

  4. Improvement in sexual function FSDS

    Will determine improvement in sexual function as measured by Female Sexual Distress Scale-Revised (FSDS)

    Time frame: Up to 1 year

  5. Improvement in urinary symptoms

    Will determine improvement in urinary symptoms of urogenital atrophy with vaginal laser therapy versus sham treatment using the Urogenital Distress Inventory (UDI). The change in dyspareunia and dryness between baseline (T0) and T4 will be calculated and compared between the treatment and sham arms using a two sample t-test or Wilcoxon rank sum test.

    Time frame: Up to 1 month

  6. Incidence of adverse events

    Adverse event grading will be done according to the NCI Common Terminology Criteria for Adverse Events version 4.0 (CTCAE)

    Time frame: Up to 1 month

  7. Number of patients complete all treatments

    Summarize the proportion of patients who are able to tolerate the study treatment and complete the 3 treatments.

    Time frame: Up to 1 month

  8. Satisfaction with vaginal fractional CO2 laser therapy

    Patients will be asked to rate their satisfaction with the procedure on a likert-type scale of 1-10 with 1 being completely dissatisfied and 10 being extremely satisfied. Participants will be asked to rate their satisfaction on this scale after each treatment and at follow-up.

    Time frame: Up to 1 month

07

Study locations

4 sites
  • Johns Hopkins University
    Baltimore, Maryland 21287, United States
  • Mayo Clinic
    Rochester, Minnesota 55905, United States
  • Sanford Roger Maris Cancer Center
    Fargo, North Dakota 58104, United States
  • Ohio State University Comprehensive Cancer Center
    Columbus, Ohio 43210, United States
08

References and documents

Publications

  • Quick AM, Dockter T, Le-Rademacher J, Salani R, Hudson C, Hundley A, Terstriep S, Streicher L, Faubion S, Loprinzi CL, Coleman JS, Wang KC, Lustberg M. Pilot study of fractional CO2 laser therapy for genitourinary syndrome of menopause in gynecologic cancer survivors. Maturitas. 2021 Feb;144:37-44. doi: 10.1016/j.maturitas.2020.10.018. Epub 2020 Dec 2. PubMed 33358206 ↗

Related links

Individual participant data

Plan to share: No

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 May 2018 to primary completion in Dec 2019, 19 months.

Of 445 non-industry interventional studies with no phase under Uterine Cervical Neoplasms, half reached primary completion within 32 months of starting (the median), counting those still running; a quarter within 14 and three quarters within 71. This study's 19 months is below that.

Counting every sponsor, half of 461 studies reached it within 33 months; a quarter within 15 and three quarters within 71.

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

Registered
Nov 13, 2017
First posted
Dec 14, 2017
StartActual
May 11, 2018
Primary completionActual
Dec 18, 2019
CompletionActual
Apr 12, 2022
Last update
Apr 22, 2022
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 Apr 22, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03372720
Responsible party
Allison Quick (Principal Investigator, Ohio State University Comprehensive Cancer Center) — Principal investigator
First posted
Dec 14, 2017
Start date
May 11, 2018
Primary completion
Dec 18, 2019
Completion
Apr 12, 2022
Last update
Apr 22, 2022

Study contacts

Allison Quick, MD
principal investigator · Ohio State University Comprehensive Cancer Center

Oversight

Data monitoring committee
Yes
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 Apr 2022. You cannot join it, but the record below documents what was studied.

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