CClinicalTrials.gg
TerminatedNCT05627791Updated Aug 31, 2023

Effects of Vaginal Oxytocin Gel on Vaginal Cytologic Parameters in Postmenopausal Woman

A Phase 2/3 interventional study of Oxytocin and Placebo in Vaginal Atrophy, Oxytocin Gel and Postmenopausal Women, sponsored by Department of Medical Services Ministry of Public Health of Thailand. Terminated at 1 site in Thailand. Open to female participants aged 50 Years to 70 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-08-31.

Sponsored by Department of Medical Services Ministry of Public Health of Thailand · Phase 2/3, Interventional, and Treatment

Why this study was terminated
Unable to recuit participant number in time.
Phase
Phase 2/3
Study type
Interventional
Enrollment
6
Allocation
Randomized
Ages
50 Years to 70 Years
Sex
Female
01

Study summary

Vulvovaginal atrophy affects around 90% of postmenopausal women who may present with symptoms such as dryness, irritation, itching, burning, and dyspareunia that negatively affect the quality of life. Topical estrogen is recommended for the treatment of vulvovaginal atrophy in postmenopausal women and the FDA approved it. But it may increase the risk of breast and endometrial cancer. The oxytocin hormone also promotes positive social behavior, stress regulation, and female sexual arousal. Many previous studies show that topical oxytocin is useful for reducing vaginal atrophy in postmenopausal women.

Read the detailed description

Random and conducted on 56 postmenopausal women who meet the inclusion criteria and excluded participants that have exclusion criteria. All women provided written informed consent before data collection.

  1. st Visit: The vagina was assessed regarding infection and any abnormal discharge. The participants were evaluated vaginal signs of vaginal atrophy by per vaginal examination and assessed vaginal health index score. The subjective symptoms were assessed by The most bothersome score. The vaginal pH was tested with a Nitrazine paper. The vaginal swab was done and the specimen was sent for a cytological test - vaginal maturation index evaluation (VMI). The participants were separated into two groups 1. Oxytocin gel group and 2. Placebo gel group then applied gel 1 ml. (400IU of oxytocin in oxytocin gel) per day for 8 weeks consecutively. The subjective symptoms were assessed at 2 and 4 weeks by phone.
  2. nd Visit: The participants were assessed the same as 1st visit that recorded vaginal health index score, subjective symptoms, vaginal pH, and vaginal maturation index evaluation.
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Conditions studied

  • Vaginal Atrophy
  • Oxytocin Gel
  • Postmenopausal Women
  • Vaginal Maturation Index

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03

In context

Atrophy

828 studies on the registry are indexed under Atrophy; 122 are open to participants now.

This study's enrollment of 6 is below the median of 34 across 603 interventional studies indexed under Atrophy.

Browse Atrophy studies →

Lead sponsor

Department of Medical Services Ministry of Public Health of Thailand is the lead sponsor of 36 studies on the registry; 10 are open to participants now.

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

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Who can participate

Ages eligible
50 Years to 70 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

Inclusion criteria

  • Thai menopausal women aged between 50-70 years who visit Rajavithi gynecology OPD with informed consent with good communication in the Thai language.

Exclusion criteria

Exclusion Criteria:

  • Have acute vulvovaginitis (vaginal swab for wet smear and KOH)
  • Patients who have used hormonal replacement therapy within 12 months
  • Patients with a history of smoking
  • Patients who have used vaginal lubricant or moisturizer
  • Patients with an allergic history of oxytocin or gel components
  • Morbid obesity BMI > 30 kg/m2
  • Patients who have used vitamin E supplement
  • Patients who unable to perform per vaginal examination
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Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
6 participants (actual)

Study arms

  • Experimental
    Oxytocin gel

    Oxytocin gel 400IU per 1 ml (on HPMC 4,000 cps base gel), applied at vaginal canal 1 ml per day for 8 weeks

    Drug: Oxytocin

  • Placebo comparator
    Placebo gel

    Placebo gel (HPMC 4,000 cps base gel) , applied at vaginal canal 1 ml per day for 8 weeks

    Drug: Placebo

Interventions

  • DrugOxytocin

    Oxytocin vaginal gel that have oxytocin 400IU/1ml of gel, base gel contained HPMC 4,000 cps, 5% propylene glycol USP, 0.08% methylparaben, sterile water for irrigation and 0.02% propylparaben then adjusted pH by Lactic acid and sodium hydroxide keep pH 3.5-4.0

    Also known as: Oxytocin vaginal gel

  • DrugPlacebo

    Placebo gel that have base gel contained HPMC 4,000 cps, 5% propylene glycol USP, 0.08% methylparaben, sterile water for irrigation and 0.02% propylparaben then adjusted pH by Lactic acid and sodium hydroxide keep pH 3.5-4.0 without oxytocin

06

What researchers measure

Primary outcomes

  1. Comparison of vaginal cytology test for vaginal maturation index measurement

    VMI = 0.2 × % parabasal cells+0.6 × % intermediate cells+1.0 × % superficial cells score below 52 mean significant vulvovaginal atrophy

    Time frame: Change from baseline VMI at 8 weeks

Secondary outcomes

  1. Comparison of vaginal health index; scoring from vaginal examination

    Score 5-25, below 15 mean significant vulvovaginal atrophy from physical examination

    Time frame: Change from baseline vaginal health index score at 8 weeks

  2. Comparison of subjective symptoms by The most bothersome symptoms score

    score from 0-4, 0 = absent, 4 = severe symptom

    Time frame: Change from baseline subjective symptom score at 2 weeks

  3. Comparison of subjective symptoms by The most bothersome symptoms score

    score from 0-4, 0 = absent, 4 = severe symptom

    Time frame: Change from baseline subjective symptom score at 4 weeks

  4. Comparison of subjective symptoms by The most bothersome symptoms score

    score from 0-4, 0 = absent, 4 = severe symptom

    Time frame: Change from baseline subjective symptom score at 8 weeks

  5. Comparison of vaginal pH between two group

    pH from Nitrazine paper test

    Time frame: Vaginal pH at 8 weeks

  6. Comparison of adverse events between two group

    present of adverse events

    Time frame: adverse events within 8 weeks

07

Study locations

1 site
  • Rajavithi Hospital
    Bangkok, 10400, Thailand
08

References and documents

Publications

  • Zohrabi I, Abedi P, Ansari S, Maraghi E, Shakiba Maram N, Houshmand G. The effect of oxytocin vaginal gel on vaginal atrophy in postmenopausal women: a randomized controlled trial. BMC Womens Health. 2020 May 19;20(1):108. doi: 10.1186/s12905-020-00935-5. PubMed 32429977 ↗
  • Alvisi S, Gava G, Orsili I, Giacomelli G, Baldassarre M, Seracchioli R, Meriggiola MC. Vaginal Health in Menopausal Women. Medicina (Kaunas). 2019 Sep 20;55(10):615. doi: 10.3390/medicina55100615. PubMed 31547180 ↗
  • Gandhi J, Chen A, Dagur G, Suh Y, Smith N, Cali B, Khan SA. Genitourinary syndrome of menopause: an overview of clinical manifestations, pathophysiology, etiology, evaluation, and management. Am J Obstet Gynecol. 2016 Dec;215(6):704-711. doi: 10.1016/j.ajog.2016.07.045. Epub 2016 Jul 26. PubMed 27472999 ↗
  • Jonasson AF, Edwall L, Uvnas-Moberg K. Topical oxytocin reverses vaginal atrophy in postmenopausal women: a double-blind randomized pilot study. Menopause Int. 2011 Dec;17(4):120-5. doi: 10.1258/mi.2011.011030. Epub 2011 Nov 25. PubMed 22120944 ↗
  • Fianu Jonasson A, Bixo M, Sundstrom Poromaa I, Astrom M. Safety and Efficacy of an Oxytocin Gel and an Equivalent Gel but Without Hormonal Ingredients (Vagivital(R) Gel) in Postmenopausal Women with Symptoms of Vulvovaginal Atrophy: A Randomized, Double-Blind Controlled Study. Med Devices (Auckl). 2020 Oct 5;13:339-347. doi: 10.2147/MDER.S265824. eCollection 2020. PubMed 33116956 ↗
  • Kallak TK, Uvnas-Moberg K. Oxytocin stimulates cell proliferation in vaginal cell line Vk2E6E7. Post Reprod Health. 2017 Mar;23(1):6-12. doi: 10.1177/2053369117693148. Epub 2017 Mar 8. PubMed 28381099 ↗
  • Hess R, Austin RM, Dillon S, Chang CC, Ness RB. Vaginal maturation index self-sample collection in mid-life women: acceptability and correlation with physician-collected samples. Menopause. 2008 Jul-Aug;15(4 Pt 1):726-9. doi: 10.1097/gme.0b013e31816c5541. PubMed 18427354 ↗
  • Torky HA, Taha A, Marie H, El-Desouky E, Raslan O, Moussa AA, Ahmad AM, Abo-Louz A, Zaki S, Fares T, Eesa A. Role of topical oxytocin in improving vaginal atrophy in postmenopausal women: a randomized, controlled trial. Climacteric. 2018 Apr;21(2):174-178. doi: 10.1080/13697137.2017.1421924. Epub 2018 Jan 19. PubMed 29347848 ↗
  • Al-Saqi SH, Uvnas-Moberg K, Jonasson AF. Intravaginally applied oxytocin improves post-menopausal vaginal atrophy. Post Reprod Health. 2015 Sep;21(3):88-97. doi: 10.1177/2053369115577328. Epub 2015 May 19. PubMed 25995333 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 31, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05627791
Lead sponsor
Department of Medical Services Ministry of Public Health of Thailand
Responsible party
Sponsor
First posted
Nov 28, 2022
Start date
Nov 30, 2022
Primary completion
Jul 31, 2023
Completion
Aug 28, 2023
Last update
Aug 31, 2023

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 terminated, as verified in Aug 2023. You cannot join it, but the record below documents what was studied.

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