ClinicalTrials.gg
RecruitingNCT06318052Updated Mar 20, 2024

The Effect Of Fractional CO2 Laser Therapy On Cancer Survivors With Genitourinary Syndrome Of Menopause (GSM)

An interventional study of The FemTouch delivery system and Gynomunal gel treatment in Vaginal Atrophy Patients With GSM, sponsored by Lumenis Be Ltd.. Recruiting at 1 site in Germany. Open to female participants aged 21 Years to 70 Years. Per ClinicalTrials.gov, last updated 2024-03-20.

Sponsored by Lumenis Be Ltd. · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Nov 2024, 2 years ago, but the record still lists the study as recruiting.
  • Registered 3 years 11 months after the study started (first participant enrolled Nov 2019, registered Oct 2023).
  • Started Nov 2019; still recruiting 7 years later.
Phase
Not applicable
Study type
Interventional
Enrollment
68
Allocation
Randomized
Ages
21 Years to 70 Years
Sex
Female
01

Study summary

Improvement in cancer therapies has led to an increase in the number of women surviving chemotherapy (and other treatments) and overcoming cancer. This patient population presents specific clinical needs as chemotherapy (and other cancer treatments) treatment side effects can lead to early appearance of menopause symptoms and conventional hormonal treatments are contraindicated for these patients. The use of CO2 laser treatment has been shown to provide relief of Genitourinary Syndrome Of Menopause (GSM) symptoms in women and might provide a significant improvement in the quality of life for cancer survivors. The current study is designed to demonstrate the safety and efficacy of CO2 laser for treatment of GSM symptoms in cancer survivors suffering from GSM symptoms, with limited access to hormonal treatment.

Read the detailed description

GSM-related symptoms significantly decrease the quality of life of post-menopausal women and harm the quality of life of up to seventy-five percent of breast cancer survivors who suffer from one or more GSM symptoms. Although varieties of hormonal and non-hormonal treatment options are available for post-menopausal women, the level of compliance is variable. One of the main reasons is the discomfort associated with the use of these measures, and in case of hormonal therapies certain risks and side effects. For cancer survivors, the possibility of having hormonal treatment must be considered against the possibility of increasing the risk of reoccurrence.

Therefore, women afflicted with GSM, whether it is age-related GSM or post-cancer GSM, are in need of additional therapeutic alternatives. Recently, supportive evidence is being gathered, showing that laser treatments to vaginal mucosa for GSM related symptoms are safe and effective. A prospective randomized comparative study comparing non-hormonal gel treatment to fractional CO2 vaginal laser treatment will contribute to optimizing treatment in this patient population

02

Conditions studied

  • Vaginal Atrophy Patients With GSM
03

In context

Lead sponsor

Lumenis Be Ltd. is the lead sponsor of 32 studies on the registry; 5 are open to participants now.

Of its 7 completed or terminated interventional studies of FDA-regulated products, 1 (14%) have results posted.

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

04

Who can participate

Ages eligible
21 Years to 70 Years
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 who have had non- (M0, ≤Stage IIIA) cancer with any hormone receptor and her2 neu status who have completed cancer-related treatment>=6 months prior to enrollment with no evidence of metastasis or currently active disease
  • Women currently on endocrine therapy, single agent Herceptin, or observation
  • Patient-reported dyspareunia and/or vaginal dryness with the severity of >=4 on a scale from 0 (none) to 10 (most severe) that has been persistent for over >= 4 weeks and/or the inability to be sexually active due to pain
  • Age 21 to 70 years
  • Subjects seeking treatment of GSM
  • Objective evidence of menopause: percentage of superficial vaginal epithelial cells of vaginal smear (MI) ≤ 5% and Vaginal fluid pH > 4.5 (for women within the first 3 years )
  • Normal Papanicolaou (PAP) test smear last performed as a standard of care
  • Negative urine analysis
  • Sexually active (having sexual intercourse at least once a month) or desire to maintain sexual activity
  • process completed and subject signed a consent form.
  • Able and willing to comply with the treatment/follow-up schedule and requirements
  • Patient is willing to use non-hormonal method during the course of the study.

Exclusion criteria

Exclusion Criteria:

  • Active genital infection.
  • Acute or (recurring) Urinary Tract Infection (UTI) or genital infection (e.g. Herpes or candida or (condyloma ) defined as > 2 episodes in the recent year.
  • Hormonal replacement therapies (local or systemic) within the last 6 weeks.
  • Pelvic Organ Prolapse (POP ≥ 2) according to the pelvic organ prolapse quantification system (may be relative).
  • Prior reconstructive pelvic mesh surgery.
  • Previous surgery in the treated area in the last 6 months.
  • Participation in a study of another device or drug within 6 months prior to enrollment or during this study, if treatments of the vagina were involved.
  • Any other reason that, in the opinion of the investigator, prevents the subject from participating in the study or compromise the subject safety.
  • Patient is pregnant or planning to become pregnant within the next six months.
Terms in these criteria, in plain language(4)

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.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
68 participants (estimated)

Study arms

  • Experimental
    CO2 laser treatment

    The FemTouch delivery system is used in conjunction with the AcuPulse CO2 laser system and the AcuScan120 microscanner to provide fractional treatments in gynecology. The system enables the delivery of laser energy along the vaginal walls. Through the use of the scanner, this laser energy is delivered in a fractional manner, selectively treating less than 100% of the tissue surface. This allows the tissue to heal much faster than when treating non-fractionally (100% of the surface) because much of the tissue is left unharmed, while the efficacy of the treatment remains significant.

    Device: The FemTouch delivery system

  • Active comparator
    Gynomunal gel treatment

    Gynomunal is a hormone/free, vaginal moisturizing gel for women with vaginal dryness. Gynomunal has been clinically proven in treating vaginal dryness, and its symptoms, including itching, burning, and pain (as well as discomfort during sex). Gynomunal is a liposomal formulation containing natural hop extract, Vitamin E and hyaluronic acid.

    Drug: Gynomunal gel treatment

Interventions

  • DeviceThe FemTouch delivery system

    The FemTouch delivery system is used in conjunction with the AcuPulse CO2 laser system and the AcuScan120 microscanner to provide fractional treatments in gynecology

  • DrugGynomunal gel treatment

    hormone/free, vaginal moisturizing gel for women with vaginal dryness

06

What researchers measure

Primary outcomes

  1. To demonstrate the efficacy of fractionated CO2 laser treatments in cancer survivor patients with GSM as compared to the standard treatment

    Efficacy will be determined by an improvement from baseline to post-treatment in the score of the Vaginal Assessment Scale (VAS), mean of 4 items scored 0-3; 0=none 3=severe; higher score = worse condition.

    Time frame: Through study completion, an average of 1 year

Secondary outcomes

  1. To demonstrate the efficacy of fractionated CO2 laser treatments in cancer survivor patients with GSM as compared to the standard treatment

    Efficacy of fractionated CO2 laser treatments will be determined by treatment completion rates (i.e. the number of women that complete the treatment regimen out of the randomized subjects).

    Time frame: Through study completion, an average of 1 year

  2. To demonstrate the efficacy of fractionated CO2 laser treatments in cancer survivor patients with GSM as compared to the standard treatment.

    Efficacy of fractionated CO2 laser treatments will be determined by Subject Downtime evaluation.

    Time frame: Through study completion, an average of 1 year

07

Study locations

1 of 1 sites recruiting
  • Frauenarztpraxis Heussweg
    Hamburg, 20255, Germany
    Recruiting
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 Mar 20, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06318052
Lead sponsor
Lumenis Be Ltd.
Responsible party
Sponsor
First posted
Mar 19, 2024
Start date
Nov 1, 2019
Primary completion
Nov 2024 (estimated)
Completion
Nov 2024 (estimated)
Last update
Mar 20, 2024

Study contacts

Charlotte Sachs
Contact
csachs98@googlemail.com
4210613 ext. 040
Matthias Theden-Schow, Dr
principal investigator · Central study center

Oversight

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

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