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CompletedNCT06964646V-HYALUpdated May 9, 2025

Assess Efficacy, Safety, and Tolerability of 8 Weeks of Vaginal Hyaluronic (V-HYAL) Gel in Peri- and Post-Menopausal Female

A Phase 4 interventional study of Vaginal Hyal gel 2.5g in Vaginal Dryness, sponsored by University of Malaya. Completed at 1 site in Malaysia. Open to female participants aged 45 Years and older. Per ClinicalTrials.gov, last updated 2025-05-09.

Sponsored by University of Malaya · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year 3 months after the study started (first participant enrolled Jan 2024, registered Apr 2025).
Phase
Phase 4
Study type
Interventional
Enrollment
70
Allocation
Randomized
Ages
45 Years and older
Sex
Female
01

Study summary

The goal of this clinical trial is to assess the efficacy of repeat doses of V-HYAL Gel on vaginal dryness in Peri- and Post-Menopausal Female. The main questions it aims to answer :

  • To evaluate the effect of V-HYAL Gel on subjects' quality life.
  • To evaluate the effect of V-HYAL Gel on the vaginal lactobacillus flora, vaginal thrush, bacterial vaginosis and trichomonas vaginalis
  • To evaluate the safety and tolerability of repeat doses of V-HYAL Gel. Researchers will compare V-Hyal treated arm to see for its efficacy and safety.

Participants will have screening visit for the evaluation of subject's eligibility and three study days, Day 0 (Baseline), Week 4 (Telephone contact), and Week 8 (End of study visit). Primary criterion: Visual Analogic Scale (VAS) of vaginal dryness Secondary criterion: Vaginal microbiota and immunology HRQoL(SF 8), DIVA, FSFI questionnaires Patient Global Impression of Improvement Vaginal PH VHI scale.

Read the detailed description

Primary outcome:

The primary outcome was the subjective performance evaluation in terms of the Visual Analogic Scale (VAS) for vaginal dryness was used as the primary criteria for determining the results of the trial. VAS was assessed at baseline (Day 0), during a telephone contact after the fifth administration, and at the final visit (week 8) after 19 administrations. VAS assessed are vaginal dryness, vaginal itching, vaginal irritation, and painful urination (0-10, 0 = absent, 10 = intolerable). Between-group differences in the proportion of patients with a reduction in VAS score at week 8, at p-value \< 0.05 significant.

Secondary outcome:

Criteria to be used as secondary outcomes are as follows:

  • High vaginal swab (HVS) to measure vagina lactobacillus flora, vaginal thrush, bacterial vaginosis and trichomonas vaginalis was done by taking a High Vaginal Swab (HVS) from the posterior fornix and observing the intensity and variety of microflora.
  • pH measurements were taken using pH strips.
  • Adverse events include any form of vaginal bleeding, bothersome vaginal irritations, bacterial vaginosis, vaginal yeast infection and hypersensitivity reactions.
  • Vaginal Health Index (VHI) (cut-off \< 15 index of atrophic vagina) and between-group difference in mean change from baseline to end of study (week 8) Female Sexual Function Index Scoring (FSFI)
  • Day-to-day Impact of Vaginal Aging Questionnaire (DIVA)
02

Conditions studied

  • Vaginal Dryness
03

In context

Lead sponsor

University of Malaya is the lead sponsor of 282 studies on the registry; 56 are open to participants now.

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

04

Who can participate

Ages eligible
45 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

  1. Peri or post-menopausal.
  2. BMI between 18 kg/m2 and 30 kg/m2.
  3. Able to give written informed consent before starting any study-related procedure.
  4. Medical history and physical examination normal or abnormal but not clinically relevant on the investigator judgment.
  5. ECG tracing, blood pressure and laboratory tests within normal range or abnormal but not clinically relevant as per the investigator's judgment.
  6. Not under any administrative or legal supervision.
  7. Sexually active in the last three months

Exclusion criteria

Exclusion Criteria:

  1. Inability or unwillingness to comply with the requirements of the protocol as determined by the investigator.
  2. Inability or unwillingness to provide written consent.
  3. Pregnancy, breastfeeding, or use of nonreliable methods of contraception.
  4. Other medical conditions which, in the investigator's judgment, may be associated with increased risk to the subject or may interfere with study assessments or outcomes.
  5. History or evidence of allergy, idiosyncrasy or hypersensitivity to hyaluronic acid.
  6. History or clinical evidence of significant or uncontrolled cardiovascular, respiratory, renal, hepatic, endocrine, metabolic, gastrointestinal, haematological, neurological or psychiatric pathology which may affect the study outcomes.
  7. Chronic diseases such as HIV I and II, HBV and HCV surgery within previous 6 months, or blood loss > 400 mL within previous 3 months.
  8. History of alcohol or drug abuse.
  9. Took hormone therapy or tibolone in the 3 months before the first dosing occasion and during the study.
  10. Took any pharmacological treatment which may affect the vaginal dryness or study outcomes, such as Menopausal Hormone Therapy (except for symptomatic short-term paracetamol use)
  11. Received concomitant treatment with other investigational drugs or had participated in another clinical trial within the previous 6 months prior to dosing / 4 weeks prior to screening visit.
  12. Had any surgery or medical treatment which may interfere with study outcomes (i.e. hysterectomy).
  13. Any subject who cannot be contacted in case of emergency.
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
70 participants (actual)

Study arms

  • Experimental
    Intervention Group (with V-HYAL Gel (formerly Vaginal Hyal Gel))

    Given 2.5g of Vaginal Hyal gel

    Drug: Vaginal Hyal gel 2.5g

  • No intervention
    Control group

    No intervention control group

Interventions

  • DrugVaginal Hyal gel 2.5g

    vaginal gel 2.5g

06

What researchers measure

Primary outcomes

  1. Visual Analogic Scale (VAS)

    Subjective performance evaluation in terms of the Visual Analogic Scale (VAS) for vaginal dryness was used as the primary criteria for determining the results of the trial.VAS assessed are vaginal dryness, vaginal itching, vaginal irritation, and painful urination (0-10, 0 = absent, 10 = intolerable). Between-group differences in the proportion of patients with a reduction in VAS score at week 8, at p-value \< 0.05 significant.

    Time frame: . VAS was assessed at baseline (Day 0), during a telephone contact after the fifth administration (Week 4), and at the final visit (week 8) after 19 administrations.

Secondary outcomes

  1. High Vaginal Swab

    Measure vagina lactobacillus flora, vaginal thrush, bacterial vaginosis and trichomonas vaginalis was done by taking a High Vaginal Swab (HVS) from the posterior fornix and observing the intensity and variety of microflora

    Time frame: 8 weeks

  2. Vaginal pH

    pH measurements were taken using pH strips before and after using the investigational product

    Time frame: 8 weeks

  3. Vaginal Health Index

    Vaginal Health Index (VHI) (cut-off \< 15 index of atrophic vagina) and between-group difference in mean change from baseline to end of study (week 8)

    Time frame: 8 weeks

  4. Female Sexual Function Index Scoring (FSFI)

    Female Sexual Function Index Scoring (FSFI) between-group difference in mean change from baseline to end of study (week 8) The Female Sexual Function Index (FSFI) is a standardized, 19-item questionnaire used to assess sexual function in women across six key domains: desire, arousal, lubrication, orgasm, satisfaction, and pain. Each domain includes a specific number of questions with responses scored on a Likert scale, typically ranging from 0 or 1 to 5. Domain scores are calculated by summing the scores of the relevant questions and multiplying by a domain-specific factor: desire (×0.6), arousal (×0.3), lubrication (×0.3), orgasm (×0.4), satisfaction (×0.4), and pain (×0.4). The total FSFI score is the sum of these six domain scores, with a maximum possible score of 36. A total score of 26.55 or lower is generally considered indicative of female sexual dysfunction.

    Time frame: 8 weeks

  5. Day-to-day Impact of Vaginal Aging (DIVA)

    The DIVA questionnaire includes 23 items distributed across four domains: daily activities (5 items), emotional well-being (4 items), sexual functioning (9 items), and self-concept/body image (5 items). Each item is rated on a 5-point Likert scale from 1 (no impact) to 5 (very severe impact), with higher scores indicating greater negative impact. For each domain, the scores of individual items are averaged to produce a mean domain score, rather than summed, ensuring comparability across domains with different numbers of items.

    Time frame: 8 weeks

07

Study locations

1 site
  • Hospital Seberang Jaya
    Seberang Jaya, Pulau Pinang 14000, Malaysia
08

References and documents

Publications

  • Chen J, Geng L, Song X, Li H, Giordan N, Liao Q. Evaluation of the efficacy and safety of hyaluronic acid vaginal gel to ease vaginal dryness: a multicenter, randomized, controlled, open-label, parallel-group, clinical trial. J Sex Med. 2013 Jun;10(6):1575-84. doi: 10.1111/jsm.12125. Epub 2013 Apr 9. PubMed 23574713 ↗

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 May 9, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06964646
Responsible party
Sponsor
First posted
May 9, 2025
Start date
Jan 8, 2024
Primary completion
Jun 27, 2024
Completion
Jun 27, 2024
Last update
May 9, 2025

Study contacts

Hasniza Zaman Huri Prof, Doctor of Philosophy
study chair · University of Malaya

Oversight

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

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