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CompletedNCT05151380ATROVENANSUpdated Dec 27, 2024

Clinical and Cyto-histological Evaluation of Fractional CO2 Laser Treatment on Genito-Urinary Syndromes of Menopause Related to Vaginal Atrophy

An interventional study of CO2 laser MonaLisa Touch ® in Genitourinary Syndrome of Menopause, sponsored by Hopital Nord Franche-Comte. Completed at 1 site in France. Open to female participants aged 40 Years and older. Per ClinicalTrials.gov, last updated 2024-12-27.

Sponsored by Hopital Nord Franche-Comte · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
75
Allocation
Not applicable
Ages
40 Years and older
Sex
Female
01

Study summary

Estrogen deficiency can occur naturally during menopause or as a secondary effect of various treatments for breast or pelvic cancer and can lead to very disabling vulvovaginal symptoms, since it is associated with an anatomical and functional cellular modification of the urogenital sphere. These changes result in urogenital atrophy responsible for vaginal dryness, painful intercourse (dyspareunia), discomfort, itching and burning sensations, dysuria, urgency and incontinence. These symptoms, which significantly affect quality of life, are found in more than 40% of menopausal women and are grouped under the term Genitourinary Syndrome of Menopause (GSM). General or local estrogen-based treatments improve patients' symptoms, but remain contraindicated in women who have had breast cancer. Non-estrogenic local treatments are less effective, remain restrictive and are therefore often abandoned.

The CO2 laser is currently part of the therapeutic arsenal for the management of patients with GSM. This device prevents and eliminates the effects of low estrogen levels on vaginal tissue by restoring the characteristic conditions of the vaginal mucosa of a woman of childbearing age. This simple treatment, which lasts only a few minutes, is safe and painless and has no serious side effects. It restores the tone and elasticity of the tissues, with positive effects on the quality of life and the couple's relationship. The investigators wish to evaluate the possible changes of the genital sphere in a longitudinal way (before, during and after the treatment), including the induced cytohistological changes, in patients with GSM who can benefit of this therapy.

02

Conditions studied

  • Genitourinary Syndrome of Menopause
03

In context

Lead sponsor

Hopital Nord Franche-Comte is the lead sponsor of 16 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
40 Years and older
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 over 40 years of age
  • Patients with natural menopause or menopause secondary to cancer treatment (breast, pelvis or other)
  • Patients with vaginal and/or urinary, non-vulvar GSM
  • Patients for whom CO2 laser therapy is proposed

Exclusion criteria

Exclusion Criteria:

  • Vulvovaginal infections (vaginosis)
  • Uninvestigated vaginal hemorrhage
  • Herpes
  • Pregnancy or breastfeeding
  • Cervico-vaginal pathology (cervical and/or vaginal dysplasia)
  • Suspected or diagnosed HPV
  • Significant vaginal prolapse
  • Patients on hormone replacement therapy
05

Study design

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

Study arms

  • Other
    Women with CO2 laser MonaLisa Touch ® sessions

    Women with 3 sessions of CO2 laser MonaLisa Touch ®

    Device: CO2 laser MonaLisa Touch ®

Interventions

  • DeviceCO2 laser MonaLisa Touch ®

    3 sessions of SmartXide fractional CO2 laser via the MonaLisa Touch® device, spaced 4 weeks apart, will be performed. An additional comfort session will be performed at 1 year if needed. The handpiece of the MonaLisa Touch® device is applied to the vaginal walls with a 360° scan, between 800 and 1100µs, to the vaginal orifice

06

What researchers measure

Primary outcomes

  1. The main objective of the study is to analyze the evolution of GSM by the use of the MonaLisa Touch ® fractionated laser.

    The primary endpoint is the comparison of the patient's clinical score composed of a visual analogic scale measuring the intensity of symptoms related to vaginal atrophy (i.e., vaginal burning, vaginal pruritus, vaginal dryness, dyspareunia, and dysuria), before and after 3 laser sessions.

    Time frame: 3 months

07

Study locations

1 site
  • Hôpital Nord Franche-Comté
    Trévenans, 90400, France
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 27, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05151380
Lead sponsor
Hopital Nord Franche-Comte
Responsible party
Sponsor
First posted
Dec 9, 2021
Start date
Dec 9, 2021
Primary completion
Sep 11, 2023
Completion
Nov 10, 2023
Last update
Dec 27, 2024

Oversight

Data monitoring committee
No
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 2024. You cannot join it, but the record below documents what was studied.

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