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CompletedNCT07023822Updated May 5, 2026

WISH, Feasibility of a Factorial Design

An interventional study of Hyaluronic acid (HLA) Vaginal Moisturizer and Polycarbophil Vaginal Moisturizer in Breast Cancer, Vulvovaginal Signs and Symptoms and Sexual Desire Disorder, sponsored by The University of Tennessee, Knoxville. Completed at 1 site in United States. Open to female participants aged 18 Years to 99 Years. Per ClinicalTrials.gov, last updated 2026-05-05.

Sponsored by The University of Tennessee, Knoxville · Not applicable, Interventional, and Supportive care

From the registry’s dates

  • Primary completion was Oct 2025, 1 year ago, and no results have been posted to the registry.
Phase
Not applicable
Study type
Interventional
Enrollment
18
Allocation
Randomized
Ages
18 Years to 99 Years
Sex
Female
01

Study summary

The primary aim of this study is to evaluate the feasibility of testing a multi-component intervention for sexual function using a factorial design.

Read the detailed description

This proposal builds upon a multi-component pilot study (WISH), where women with a history of breast cancer participated in a two-component intervention to improve vulvovaginal atrophy with a vaginal moisturizer and sexual desire and body image with Hypnotic Relaxation (HR), a mind-body intervention that includes suggestions for relaxation, improved sexual desire, and body image delivered via audio file. This study seeks to further test WISH by expanding vulvovaginal atrophy interventions to include either a polycarbophil-based vaginal moisturizer (Replens™) or a hyaluronic acid-based moisturizer (HYALO GYN ®); and hypnosis relaxation (HR) or progressive muscle relaxation (PMR) interventions for sexual desire and body image. The primary outcome is the feasibility of a multi-component intervention for sexual function using a factorial design.

02

Conditions studied

  • Breast Cancer
  • Vulvovaginal Signs and Symptoms
  • Sexual Desire Disorder
  • Body Image

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Keywords

  • vulvovaginal atrophy
  • libido
  • hypnosis
  • progressive muscle relaxation
03

In context

Breast Neoplasms

12,544 studies on the registry are indexed under Breast Neoplasms; 2,892 are open to participants now.

This study's enrollment of 18 is below the median of 72 across 9,302 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

The University of Tennessee, Knoxville is the lead sponsor of 95 studies on the registry; 6 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 99 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  1. Age ≥18 female
  2. Ability to read and write English
  3. History of any stage of breast cancer
  4. Completed primary treatment (chemotherapy, radiation and/or surgery) ≥3 months and ≤ 10 years prior to registration. Participants may use concurrent adjuvant endocrine therapy or HER2-targeted therapy while on study.
  5. Able to engage in sexual activity including penetration or insertion into the vagina
  6. Currently has a sexual partner.
  7. Responds "yes" to "Do you currently experience vaginal or vulvar dryness and/or discomfort/pain with sexual activity?"
  8. Responds "yes" to at least one of the following questions:

    • "Have you experienced negative changes in your body image since being diagnosed or treated for cancer?" or
    • "Have you experienced negative changes in your sexual desire since being diagnosed or treated for cancer?"

Exclusion criteria

Exclusion Criteria:

  1. Antidepressants are allowed if a person has been on them for 30 days prior to registration, and dose or treatment is not expected to change.
  2. An active psychiatric disorder that is or causing you symptoms or distress, such as major depressive disorder, bipolar disorder, obsessive compulsive disorder, PTSD, schizophrenia or borderline personality disorder (Defined per medical history and/or patient self-report)
  3. Currently enrolled in another study that addresses sexual health (enrollment in other clinical trials will be allowed).
  4. Previous participant in WISH Study
  5. Currently receiving active treatment
  6. Use of oral, transdermal or vaginal estrogen
  7. Allergy or intolerance to Replens, Hyalo Gyn or any of their components.
05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Factorial assignment
Masking
None (open label)
Enrollment
18 participants (actual)

Study arms

  • Experimental
    Hyaluronic acid (HLA) Vaginal Moisturizer + Hypnosis

    Participants will use an HLA vaginal moisturizer every 3 days, weeks 1-8. Participants will listen to hypnotic relaxation audio files at least 3x/week, weeks 3-8. There are 3 audio files in total, each about 20 min in length. The files are listened to in order. Each file is used for 2 weeks.

    Device: Hyaluronic acid (HLA) Vaginal Moisturizer · Behavioral: Hypnotic Relaxation

  • Experimental
    Hyaluronic acid (HLA) Vaginal Moisturizer + PMR

    Participants will use an HLA vaginal moisturizer every 3 days, weeks 1-8. Participants will listen to a progressive muscle relaxation (PMR) audio file at least 3x/week, weeks 3-8. There is only 1 PMR audio file. The same file will be used for 6 weeks.

    Device: Hyaluronic acid (HLA) Vaginal Moisturizer · Behavioral: Progressive Muscle Relaxation (PMR)

  • Experimental
    Hyaluronic acid (HLA) Vaginal Moisturizer Only

    Participants will use an HLA vaginal moisturizer every 3 days, weeks 1-8.

    Device: Hyaluronic acid (HLA) Vaginal Moisturizer

  • Experimental
    Polycarbophil Vaginal Moisturizer + Hypnosis

    Participants will use a polycarbophil vaginal moisturizer every 3 days, weeks 1-8. Participants will listen to hypnotic relaxation audio files at least 3x/week, weeks 3-8. There are 3 audio files in total, each about 20 min in length. The files are listened to in order. Each file is used for 2 weeks.

    Device: Polycarbophil Vaginal Moisturizer · Behavioral: Hypnotic Relaxation

  • Experimental
    Polycarbophil Vaginal Moisturizer + PMR

    Participants will use a polycarbophil vaginal moisturizer every 3 days, weeks 1-8. Participants will listen to a progressive muscle relaxation (PMR) audio file at least 3x/week, weeks 3-8. There is only 1 PMR audio file. The same file will be used for 6 weeks.

    Device: Polycarbophil Vaginal Moisturizer · Behavioral: Progressive Muscle Relaxation (PMR)

  • Experimental
    Polycarbophil Vaginal Moisturizer Only

    Participants will use a polycarbophil vaginal moisturizer every 3 days, weeks 1-8.

    Device: Polycarbophil Vaginal Moisturizer

Interventions

  • DeviceHyaluronic acid (HLA) Vaginal Moisturizer

    Use of vaginal moisturizer every 3 days for weeks 1-8.

  • DevicePolycarbophil Vaginal Moisturizer

    Use of vaginal moisturizer every 3 days for weeks 1-8.

  • BehavioralHypnotic Relaxation

    Listen to hypnotic relaxation audio files at least 3x/week for weeks 3-8.

  • BehavioralProgressive Muscle Relaxation (PMR)

    Listen to PMR audio file at least 3x/week for weeks 3-8.

06

What researchers measure

Primary outcomes

  1. Accrual Rate

    The number of women who consented to participate in the study divided by the number who were eligible and educated about the study.

    Time frame: Screening to consent, up to 30 days.

  2. Retention Rate

    The number of women who complete all 8 weeks of the study and complete the PROMIS SFS at baseline and at eight weeks divided by the number who are randomized and begin study treatment.

    Time frame: Consent through study completion, an average of 8 weeks.

  3. Adherence Rate, Moisturizer

    The number of moisturizer uses completed by participants divided by the total number of possible moisturizer uses.

    Time frame: Consent through study completion, an average of 8 weeks.

  4. Adherence Rate, Relaxation Intervention

    The number of times participant listened to assigned relaxation audio file (hypnosis or PMR) divided by the total number of possible listens.

    Time frame: Consent through study completion, an average of 8 weeks.

Other outcomes

  1. Exploratory Outcome, Female Sexual Function Index (FSFI)

    The Female Sexual Function Index (FSFI) is a 19-item scale that measures the following domains of female sexual functioning, followed by subscale score ranges: desire (1.2-6), arousal (0-6), satisfaction (0.8-6), orgasm (0-6), lubrication (0-6) and pain (0-6). When the scores of these domains are added together, the sum represents an FSFI total score. The possible total score from 2-36 where higher scores indicate better sexual function.

    Time frame: Consent through study completion, an average of 8 weeks.

  2. Exploratory Outcome, PROMIS Sexual Function and Satisfaction (SFS)

    The PROMIS scale is a 25 item measure that includes screener items. This study will include items asking about interest in sexual activity, lubrication, vaginal discomfort, vulvar discomfort, clitoral discomfort, orgasm and pleasure, and satisfaction. Raw scores must be converted to t-scores where the mean(standard deviation) = 50(10) in the referent population. Higher scores indicate more of the thing being described.

    Time frame: Consent through study completion, an average of 8 weeks.

  3. Exploratory Outcome, Breast Impact of Treatment Scale (BITS)

    The BITS scale is a 13-item measure of body change stress in women with breast cancer. Possible scores range from 0-65 where higher scores indicate greater body change stress.

    Time frame: Consent through study completion, an average of 8 weeks.

  4. Exploratory Outcome, Sexual Distress Scale-Short Form (SDS-SF)

    The SDS-SF is a 5-item scale that was developed based on the longer FSDS-R (Female Sexual Distress Scale, Revised). It is used to measure negative feelings like worry and frustration that people have about their sex lives and relationships. Possible scores range from 0-20. Higher scores indicate more of the thing being described.

    Time frame: Consent through study completion, an average of 8 weeks.

  5. Exploratory Outcome, Scale of Body Connection (SBC)

    The SBC is a 20-item scale that measures two dimensions of body connection, body awareness (BSC-BA) measured with 12 items and bodily dissociation (SBC-BD) measured with 8 items. Possible scores for body awareness range from 0-48. Possible scores for the body dissociation range from 0-32. Higher scores indicate more of the thing being described.

    Time frame: Consent through study completion, an average of 8 weeks.

07

Study locations

1 site
  • University of Tennessee, College of Nursing
    Knoxville, Tennessee 37996, United States
08

References and documents

Individual participant data

Plan to share: No — This is a small pilot study and as such, data will be thoroughly interrogated. However, if a researcher feels there are unanswered questions or wishes to add to a larger dataset, the investigator would entertain all data-sharing requests for deidentified data as appropriate.

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 May 5, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07023822
Lead sponsor
The University of Tennessee, Knoxville
Collaborators
Breast Cancer Research Foundation
Responsible party
Sponsor
First posted
Jun 17, 2025
Start date
Jun 16, 2025
Primary completion
Oct 3, 2025
Completion
Dec 19, 2025
Last update
May 5, 2026

Study contacts

Noel M Arrign, DNP, PhD, RN
principal investigator · College of Nursing, University of Tennessee

Oversight

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

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This study is completed, as verified in Apr 2026. You cannot join it, but the record below documents what was studied.

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