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CompletedNCT05058313SIVAMUpdated Dec 31, 2025

Evaluation of the Safety and Performance of the MILTA GYNECO Vaginal Probe in Postmenopausal Women With Vaginal Atrophy

An interventional study of Photobiomodulation in Menopause, Urinary Incontinence and Atrophic Vaginitis, sponsored by Centre Hospitalier Universitaire de Nīmes. Completed at 3 sites in France. Open to female participants. Per ClinicalTrials.gov, last updated 2025-12-31.

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

Phase
Not applicable
Study type
Interventional
Enrollment
25
Allocation
Not applicable
Sex
Female
01

Study summary

Vulvovaginal atrophy is common after menopause, with a significant negative effect on quality of life. Large cohort studies have reported the prevalence of vaginal dryness to be between 27% and 55% and dyspareunia between 32% and 41%. Management of urogenital atrophy includes lifestyle modification, nonhormonal treatments (vaginal lubricants or moisturizers, laser treatments), as well as hormonal treatments. The disadvantages of the non-surgical methods are average results, discontinuation, and frequent contraindications to hormonal treatments.This has led to a strong interest in the development of non-invasive or minimally invasive methods that are easy to implement, effective and durable.

Photobiomodulation therapy (PBMT) has been proposed as an alternative for the treatment of genitourinary menopausal syndrome (GMS) and stress urinary incontinence. PBMT devices exert their effect via non-thermal mechanisms. PBMT stimulates collagen and elastin synthesis in the vaginal tissue, to support the urethrovaginal sphincter and urethra, and to promote vasodilation in the vaginal and urethral submucosa. PHYSIOQUANTA has developed a vaginal probe coupled with its innovative MILTA™ process synergistically combining NPCL (Nano-Pulsed Cold Laser) laser emitters, infrared diodes and RGB (Red Green Blue) diodes, operating in a magnetic tunnel. The MILTA acts deeper than LEDs, due to the diffusion of photons in soft tissues.

In this study, the study investigators aimed to evaluate the safety and performance of the MILTA™ GYNECO vaginal probe in a pilot study of first use in women. This clinical study on the MILTA vaginal probe is expected to result in its CE marking Class IIb DM.

02

Conditions studied

  • Menopause
  • Urinary Incontinence
  • Atrophic Vaginitis

Keywords

  • post-menopausal period
  • low level light therapy
  • genitourinary
03

In context

Urinary Incontinence

1,363 studies on the registry are indexed under Urinary Incontinence; 228 are open to participants now.

This study's enrollment of 25 is below the median of 66 across 1,011 interventional studies indexed under Urinary Incontinence.

Browse Urinary Incontinence studies →

Lead sponsor

Centre Hospitalier Universitaire de Nīmes is the lead sponsor of 587 studies on the registry; 96 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
No

Inclusion criteria

  • Patient with pelvic discomfort/pain (pain, dryness, irritation, etc.) due to vaginal atrophy that has failed all non-invasive therapies for over 3 months.
  • Postmenopausal patient recruited during a consultation in the Gynecology department of the University Hospital of Nîmes or at the KARIS Medical Center in Perpignan and having undergone a complete clinical examination allowing any physical and / or psychological cause to be eliminated.
  • Patient who has given her free and informed consent.
  • Patient affiliated or beneficiary of a health insurance plan.

Exclusion criteria

Exclusion Criteria:

  • Patient not available for the 6-week follow-up.
  • Patient presenting with pelvic pain of physical and / or psychological origin.

    • Patients undergoing initial treatment for cancer and/or who have completed their treatments within the last year
    • Patient with immunosuppression.
    • Allergy to the material of the probe protection used (latex for example).
  • Pregnancy.
  • Implantable device active in the heart such as a defibrillator or a pacemaker, neuromodulation stimulator, electrodes implanted for the treatment of Parkinson's disease.
  • Epilepsy, photophobia, recent intake of photosensitizing drugs or cosmetics (in the last 6 months), history of porphyria.
  • Patient participating in category 1 interventional study.
  • Patient in an exclusion period determined by another study.
  • Patient under legal protection, under guardianship or under curatorship.
  • Patient for whom it is impossible to give informed information.
05

Study design

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

Study arms

  • Experimental
    Postmenopausal patients

    Device: Photobiomodulation

Interventions

  • DevicePhotobiomodulation

    Six weekly photobiomodulation sessions (PBMT) using the MILTA ™ GYNECO vaginal probe.

06

What researchers measure

Primary outcomes

  1. Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability] of the use of the MILTA™ GYNECO vaginal probe

    Collection and investigation of the causality of adverse events linked to the treatment (expected adverse effects: burns, pain on penetration, tingling, edema, allergic reaction).

    Time frame: Day 1

  2. Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability] of the use of the MILTA™ GYNECO vaginal probe

    Collection and investigation of the causality of adverse events linked to the treatment (expected adverse effects: burns, pain on penetration, tingling, edema, allergic reaction).

    Time frame: Week 1

  3. Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability] of the use of the MILTA™ GYNECO vaginal probe

    Collection and investigation of the causality of adverse events linked to the treatment (expected adverse effects: burns, pain on penetration, tingling, edema, allergic reaction).

    Time frame: Week 2

  4. Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability] of the use of the MILTA™ GYNECO vaginal probe

    Collection and investigation of the causality of adverse events linked to the treatment (expected adverse effects: burns, pain on penetration, tingling, edema, allergic reaction).

    Time frame: Week 3

  5. Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability] of the use of the MILTA™ GYNECO vaginal probe

    Collection and investigation of the causality of adverse events linked to the treatment (expected adverse effects: burns, pain on penetration, tingling, edema, allergic reaction).

    Time frame: Week 4

  6. Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability] of the use of the MILTA™ GYNECO vaginal probe

    Collection and investigation of the causality of adverse events linked to the treatment (expected adverse effects: burns, pain on penetration, tingling, edema, allergic reaction).

    Time frame: Week 5

  7. Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability] of the use of the MILTA™ GYNECO vaginal probe

    Collection and investigation of the causality of adverse events linked to the treatment (expected adverse effects: burns, pain on penetration, tingling, edema, allergic reaction).

    Time frame: Week 6

Secondary outcomes

  1. Performance of the MILTA™ GYNECO vaginal probe on pain linked to vaginal atrophy

    Visual analogue scale (0-10): the device will be considered effective if the VAS pain score decreases by at least 30%

    Time frame: Day 0

  2. Performance of the MILTA™ GYNECO vaginal probe on pain linked to vaginal atrophy

    Visual analogue scale (0-10): the device will be considered effective if the VAS pain score decreases by at least 30%

    Time frame: Week 6

  3. Performance of the MILTA™ GYNECO vaginal on the vaginal mucosa

    Vaginal Health Index: Score 1-5

    Time frame: Day 0

  4. Performance of the MILTA™ GYNECO vaginal on the vaginal mucosa

    Vaginal Health Index: Score 1-5

    Time frame: Week 6

  5. Vaginal pH

    pH value between 4 - 7.5

    Time frame: Day 0

  6. Vaginal pH

    pH value between 4 - 7.5

    Time frame: Week 6

  7. Vaginal flora

    Nugent score: score from 0 to 10: 0 to 3: normal flora predominantly lactobacilli, 4 to 6: intermediate flora with scant lactobacilli and associated with other poorly differentiated bacterial morphotypes in small quantities, 7 to 10: suggestive of bacterial vaginosis

    Time frame: Day 0

  8. Vaginal flora

    Nugent score: score from 0 to 10: 0 to 3: normal flora predominantly lactobacilli, 4 to 6: intermediate flora with scant lactobacilli and associated with other poorly differentiated bacterial morphotypes in small quantities, 7 to 10: suggestive of bacterial vaginosis

    Time frame: Week 6

  9. Patient satisfaction Patient satisfaction

    Patient Global Impression of Change (PGI-C): Patients will be classified into 3 categories according to their score: deterioration (score of 1 to 3), stable (score of 4), improvement (score of 5 to 7)

    Time frame: Week 6

07

Study locations

3 sites
  • CHU Nîmes
    Nîmes, France
  • Centre Médical KARIS
    Perpignan, France
  • Centre Hospitalier de Valenciennes
    Valenciennes, 59322, France
08

References and documents

Publications

  • Salerno J, Serrand C, Kabani S, Chevallier T, de Tayrac R, Mares P. Safety and performance of photobiomodulation delivered by vaginal probe in patients with genitourinary syndrome of menopause. Climacteric. 2026 Apr;29(2):293-299. doi: 10.1080/13697137.2025.2591279. Epub 2025 Dec 17. PubMed 41404945 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 31, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05058313
Lead sponsor
Centre Hospitalier Universitaire de Nīmes
Collaborators
PHYSIOQUANTA
Responsible party
Sponsor
First posted
Sep 27, 2021
Start date
Mar 29, 2022
Primary completion
Jun 13, 2023
Completion
May 6, 2024
Last update
Dec 31, 2025

Study contacts

Pierre Mares
principal investigator · Centre Hospitalier Universitaire de Nīmes

Oversight

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

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This study is completed, as verified in Dec 2025. You cannot join it, but the record below documents what was studied.

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