ClinicalTrials.gg
Status unknownNCT03738605Updated Jul 30, 2019

Vaginal Laser Therapy in Breast Cancer Survivors

An interventional study of Microablative Fractional CO2 Laser Therapy in Genitourinary Syndrome of Menopause, Vaginal Atrophy and Breast Cancer, sponsored by National and Kapodistrian University of Athens. Status unknown at 1 site in Greece. Open to female participants, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-07-30.

Sponsored by National and Kapodistrian University of Athens · Not applicable, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Jul 2019), so the status shown — last known as Recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
50
Allocation
Randomized
Sex
Female
01

Study summary

This study evaluates the efficacy of vaginal CO2 laser therapy in breast cancer survivors with symptoms of Genitourinary Syndrome of Menopause. Half of participants will receive active laser therapy, while the other half placebo therapy.

02

Conditions studied

  • Genitourinary Syndrome of Menopause
  • Vaginal Atrophy
  • Breast Cancer
  • Dyspareunia
03

In context

Breast Neoplasms

12,815 studies on the registry are indexed under Breast Neoplasms; 2,920 are open to participants now.

This study's planned enrollment of 50 is below the median of 72 across 9,494 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

National and Kapodistrian University of Athens is the lead sponsor of 172 studies on the registry; 52 are open to participants now.

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

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
Female
Accepts healthy volunteers
Yes

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

  • breast cancer history
  • dyspareunia
  • dryness

Exclusion criteria

Exclusion Criteria:

  • Active genital infection (i.e herpes, vaginitis)
  • Prolapse stage >=2
  • Underlying pathologies that could interfere with the protocol compliance
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
50 participants (estimated)

Study arms

  • Experimental
    Laser Group

    Microablative Fractional CO2 Laser Therapy (The parameters that will be used are the following: 1) Power: 30 ή 40 watts, 2) Dwell time:1000μs, 3) Spacing 1000 μm, 4) Depth: SmartStak parameter from 1-3 depending on the treatment status, 5) D-pulse mode.)

    Device: Microablative Fractional CO2 Laser Therapy

  • Placebo comparator
    Placebo

    Placebo therapy (The parameters that will be used are the following: 1) Power: 0.5 watts, 2) Dwell time:1000μs, 3) Spacing 1000 μm, 4) Depth: SmartStak parameter 1, 5) Smart-pulse mode.

    Device: Microablative Fractional CO2 Laser Therapy

Interventions

  • DeviceMicroablative Fractional CO2 Laser Therapy

    5 laser therapies intravaginally administered will be applied at monthly intervals.

    Also known as: SmartXide2 V2LR, Monalisa Touch, DEKA, Florence, Italy

06

What researchers measure

Primary outcomes

  1. 10-centimeter Visual Analogue Scale assessing intensity of dyspareunia and dryness

    It is a straight line with 2 endpoints "0" and "10". Zero defines "no dyspareunia at all" and "no dryness at all" , while 10 "dyspareunia as bad as it could be" and "dryness as bad as it could be". Participants will draw a line at or between the 2 end points. The distance between zero and drawn line will define the intensity of dyspareunia and dryness

    Time frame: Change from baseline at 1 month post-treatment

Secondary outcomes

  1. 3 days voiding diary

    Assesses frequency of urination, amount of urine, presence of urgency and/or urinary incontinence and amount of fluid intake

    Time frame: Change from baseline at 1 month post-treatment

  2. Day-to Day Impact of vaginal aging questionnaire (DIVA)

    It includes 4 domains: activities of daily living (5 items), sexual functioning (5 items), emotional well-being (4 items), self-concept and body image (5-items). Each item of each domain could receive values from 0 to 4. Mean scores are calculated on each of the domain scales. Higher scores indicate greater symptom impact

    Time frame: Change from baseline at 1 month post-treatment

  3. Patients Global Impression of Improvement

    It is a single item questionnaire assessing the impression of participants following the intervention

    Time frame: At 1-month post-treatment

  4. 10-centimeter Visual Analogue Scale assessing intensity of itching, burning and dysuria

    It is a straight line with 2 endpoints "0" and "10". Zero defines "no symptom (itching, burning and dysuria) at all" , while 10 "symptom (itching, burning and dysuria) as bad as it could be". Participants will draw a line at or between the 2 end points. The distance between zero and drawn line will define the intensity of itching, burning and dysuria

    Time frame: Change from baseline at 1 month post-treatment

  5. King's Health Questionnaire (KHQ)

    It has 3 sections: 1) general health and overall health related to urinary symptoms with 2 questions, 2) incontinence impact, role limitations, physical limitations, social limitations, personal limitations, emotions, sleep and energy, and severity coping measures with 19 questions and 3) bother or impact of urinary symptoms with 11 questions. Scores of each domain of the 2 sections range from 0 to 100. Scores of the third section range from 0 to 3. Higher scores indicate higher impact of urinary incontinence.

    Time frame: Change from baseline at 1 month post-treatment

  6. Female Sexual Function Index

    It is a questionnaire defining women's sexual function. It includes 6 domains: desire, arousal, orgasm, lubrication, satisfaction and pain. The answer of each Question in each domain are multiplied by a certain factor. Total score is calculated by summing the scores of the all domains with a minimum value of 2 and a maximum of 36. The highest the total score the better is the sexual functioning. Total score above 26.55 defines normal sexual function

    Time frame: Change from baseline at 1 month post-treatment

  7. Vaginal Maturation Value

    It is calculated by defining the percentage of superficial, intermediate and parabasal epithelial cells on the vaginal pap smear, following the formula (1x%superficial)+(0.5x%intermediate)+(0x%parabasal). It may receive values from 0 to 100%.It is considered to be an indicator of the estrogenic stimulation, whereas values of 0-49%, 50-64% and 65-100% indicate absent/low, moderate and high estrogenic effect on the vaginal epithelium, respectively.

    Time frame: 6 months

  8. Vaginal Health Index Score

    It evaluates vaginal elasticity, fluid volume, ph of vaginal fluid, epithelial integrity and moisture. Each one of these may receive scores from 1 to 5. Total score is calculated by summing the 5 scores ranging from 5 to 25. Higher scores indicate better vaginal status.

    Time frame: 6 months

  9. International Consultation on Incontinence Questionnaire Short Form

    it is a questionnaire with 4 questions assessing the amount of leakage, frequency and type of urinary incontinence. Total score is calculated by summing the 3 out of the 4 questions. Higher scores indicate worst urinary incontinence

    Time frame: 6 months

  10. Modified Sexual Quality of Life Questionnaire-Male

    It includes 12 questions assessing the quality of life and sexual satisfaction of the male partner. Each answer may receive values from 1 to 5. The higher the scores the better subjective evaluation of sexual quality of life

    Time frame: 6 months

  11. Urogenital Distress Inventory 6

    It is a condition specific questionnaire containing 6 questions. The answers of questions assesses the presence of symptoms and the degree of bother on a 4-point scale ("not at all", "a little bit", "moderately" and "greatly" applying to 0, 1, 2 and 3, respectively). Total score is calculated by summing the score of each question. The higher the total score the highest is the symptom bother

    Time frame: 6 months

  12. Epithelial thickness

    Biopsies will be obtained from the lateral vaginal wall. Epithelial thickness (in μ) will be measured by a vertical line between basal layer cells and superficial layers.

    Time frame: 6 months

  13. Number of blood vessels

    Biopsies will be obtained from the lateral vaginal wall. Computerized determination of blood vessels number will be performed

    Time frame: 6 months

  14. Size of blood vessels

    Biopsies will be obtained from the lateral vaginal wall. Computerized determination of the blood vessels size will be performed

    Time frame: 6 months

  15. Collagen

    Biopsies will be obtained from the lateral vaginal wall. Determination of collagen types using immunohistochemistry and microscopy.

    Time frame: 6 months

07

Study locations

1 of 1 sites recruiting
  • Urogynecological Unit of Alexandra Hospital
    Athens, 11528, Greece
    • Stavros Athanasiou, Prof. · Contact · stavros.athanasiou@gmail.com · +306944478555
    • Themos Grigoriadis, Assist. Prof. · Contact · tgregos@yahoo.com · +306948741306
    • Stavros Athanasiou, Associate Professor · Principal investigator
    • Themos Grigoriadis, Assistant Proffesor · Sub investigator
    • Eleni Pitsouni, MD,MSc · Sub investigator
    • Athanasios Douskos, MD · Principal investigator
    Recruiting
08

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

Started Dec 2018 (actual). Primary completion is estimated for Jun 2020, 18 months after the start.

Of 2,272 non-industry interventional studies with no phase under Breast Neoplasms, half reached primary completion within 34 months of starting (the median), counting those still running; a quarter within 16 and three quarters within 69. This study's planned 18 months is below that.

Counting every sponsor, half of 2,345 studies reached it within 34 months; a quarter within 16 and three quarters within 69.

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

Registered
Nov 6, 2018
First posted
Nov 13, 2018
StartActual
Dec 1, 2018
Primary completionEst.
Jun 2020
CompletionEst.
Aug 2020
Last update
Jul 30, 2019
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 Jul 30, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03738605
Responsible party
Themos Grigoriadis (Assistant Professor, National and Kapodistrian University of Athens) — Principal investigator
First posted
Nov 13, 2018
Start date
Dec 1, 2018
Primary completion
Jun 2020 (estimated)
Completion
Aug 2020 (estimated)
Last update
Jul 30, 2019

Study contacts

Stavros Athanasiou, Associate Professor
Contact
stavros.athanasiou@gmail.com
+306944478555
Athanasios Douskos, MD
Contact
thanosddoc@yahoo.gr
+306972845524
Stavros Athanasiou, Associate Proffesor
study director · National and Kapodistrian University of Athens

Oversight

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

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