ClinicalTrials.gg
RecruitingNCT07030426VEPOUpdated Aug 20, 2026

Vaginal Estrogen for Improvement of Outcomes Following Pelvic Organ Prolapse Surgery

A Phase 3 interventional study of Vaginal Estrogen - Twice Weekly and Vaginal Estrogen - Daily in Pelvic Organ Prolapse (POP), sponsored by Sarah Wozney. Recruiting at 2 sites in Canada. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-20.

Sponsored by Sarah Wozney · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Jan 2026; still recruiting 10 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
180
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 19 studies in Pelvic Organ Prolapse with a site in Canada — 2 open to participants now, 3 under way, 1 of them phase 3. Pelvic Organ Prolapse · Canada.

Planned enrollment
3rd of 13
180 · median 50
Started
2026
with 1 other
Phase 3
4 of 19
1 open now
Registered
19th of 19
by date
Lead sponsor
1 of 19
Sarah Wozney

Among the 19 studies in Pelvic Organ Prolapse with a site in Canada, this one is the 3rd largest by planned enrollment of the 13 interventional ones that give a count, is one of 2 that started in 2026, is one of 4 in phase 3, and was the 19th registered.

Pelvic Organ Prolapse

521 studies on the registry are indexed under Pelvic Organ Prolapse; 80 are open to participants now.

Browse Pelvic Organ Prolapse studies →

Open to participants now

2 of the 19 studies in Pelvic Organ Prolapse with a site in Canada are open now. Recruiting first, the newest first:

All 2 open studies →

A study can be open while its sites in Canada have not opened yet or have stopped. Only those recruiting at a site in Canada →

Who these studies take

Of the 53 Pelvic Organ Prolapse studies recruiting now, 31 (58%) set no upper age limit and 10 (19%) stop at 75 or younger; 2 take children under 18; 14 take healthy volunteers.

This study: 18 Years and older · female · no healthy volunteers.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 19 studies in Pelvic Organ Prolapse with a site in Canada, or all of them as a file.
02

Study summary

This open-label randomized control trial will study the use of vaginal estrogen in the first six weeks after pelvic organ prolapse (POP) repair surgery. This is a pilot trial that will examine the feasibility of the study, focussing on recruitment rates. Participants will be randomized to one of three groups; (1) no vaginal estrogen for 6 weeks, (2) vaginal estrogen twice weekly for 6 weeks, or (3) vaginal estrogen daily for 6 weeks. Participants will be seen at 6 weeks post surgery, 6 months post surgery, 1 year and 2 years post surgery. Additional outcomes will include patient satisfaction, Genitourinary Syndrome of Menopause (GSM) symptoms, post-operative complications, adherence and safety.

Read the detailed description

Multi-center, randomized, open-label, parallel-group, feasibility-controlled trial

The intervention is the use of vaginal estrogen for 6 weeks after pelvic organ prolapse surgery. Participants will be randomized into 3 groups:

  1. No vaginal estrogen
  2. Vaginal estrogen 2 times per week
  3. Vaginal estrogen daily

Participants may be enrolled after diagnosis of pelvic organ prolapse and decision to proceed with surgery. Participants will be seen for a randomization visit within 6 weeks of their scheduled surgery. The intervention lasts from the day of surgery until 6 weeks after surgery. Participants will be seen for a post-operative follow-up visit at 6 weeks, and study follow-up visits at 6 months, 1 year and 2 years.

Sample Size: N=60 in each group, for a total of N=180 participants. For this pilot trial, we will recruit approximately 15% of the sample size required for the full-scale trial. Data from this pilot trial will be used to adjust the event rate in the sample size calculation for the full trial, if needed. Our sample size accounts for a non-compliance rate of 5% and a loss to follow-up rate of 5%.

After enrollment, participants will complete a baseline questionnaire that collects information on demographics and health history. This may be completed online via an email link sent through REDCap, in person on a hard copy questionnaire, or the questions can be administered verbally by study staff.

After enrollment, a study investigator or delegate will complete a case report for that collects additional information on the participant's pregnancy and pelvic health history.

At each study visit, a study investigator or delegate will complete a case report form that captures any changes in the participant's health history since the previous visit.

At all post-surgical visits, a study investigator or delegate will collect information in these same case report forms on complications and treatment failure. The questions in these case report forms will be administered verbally, with verification through chart review as appropriate or as needed.

At each study visit a Pelvic Organ Prolapse Quantification (POP-Q) and Visual Analog Scale (VAS) on GSM symptoms assessment will be completed by a study investigator or medical learner under direct supervision of a study investigator. As well, height, weight and blood pressure will be measured. If any of these are collected/done for clinical reasons at the same visit, the clinically collected data will be used for study purposes. The measurements and assessments will not be repeated for study purposes.

At each study visit the Prolapse Quality of Life Questionnaire (P-QOL) and incontinence questionnaires including the International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF), the Incontinence Impact Questionnaire Short Form (IIQ-7), and the Urogenital Distress Inventory Short Form (UDI-6) will be administered. These may be completed online via an email link sent through REDCap, in person on a hard copy questionnaire, or the questions can be administered verbally by study staff.

At the 6 week and 6 month post-surgical visit the Surgical Satisfaction Questionnaire (SSQ-8) will be administered. These may be completed online via an email link sent through REDCap, in person on a hard copy questionnaire, or the questions can be administered verbally by study staff.

At the 6 week post-surgical visit adherence to the study intervention will be assessed through collection of study product diaries and by querying participants on vaginal estrogen usage in the intervention period.

03

Conditions studied

  • Pelvic Organ Prolapse (POP)

Browse trials for

Keywords

  • pelvic organ prolapse
  • vaginal estrogen
  • pelvic organ prolapse surgery
  • pelvic organ prolapse repair
04

Who can participate

Ages eligible
18 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

Participants must meet all the following inclusion criteria to be eligible for enrollment into the study:

  1. Participant who, in the opinion of the investigator, can and will comply with the requirements of the protocol.
  2. The participant has given written consent after the study has been explained according to local regulatory requirements and before any study specific procedures.
  3. Age ≥18 years at the time of consent.
  4. Undergoing an apical suspension (vaginal or abdominal, mesh or native tissue) for pelvic organ prolapse at one of the participating centers.
  5. Primary or recurrent prolapse surgery without a history of mesh surgery.
  6. Willing to complete surveys related to demographics, pelvic health and function, and sexual health and function.
  7. Plans to reside in the study area for at least 2 years after their surgery.

Exclusion criteria

Exclusion Criteria

Any individual meeting any of the following criteria is not eligible for participation in this study:

  1. Participant undergoing anterior and/or posterior repair only (no apical prolapse repair).
  2. Participant undergoing obliterative procedures.
  3. Participant with a history of mesh surgery for prolapse.
  4. Participant undergoing uterine sparing surgery.
  5. Participant with a to vaginal estrogen use, including but not limited to the following list, at the discretion of the study investigator:

    • Patients who are hypersensitive to the drug or to any ingredient in the formulation or component of the container.
    • Liver dysfunction or disease as long as liver function tests have failed to return to normal.
    • Known or suspected estrogen-dependent malignant neoplasia (e.g. endometrial cancer).
    • Endometrial hyperplasia.
    • Known, suspected, or past history of breast cancer.
    • Undiagnosed abnormal genital bleeding.
    • Known or suspected pregnancy
    • Active or past history of arterial thromboembolic disease (e.g. stroke, myocardial infarction, coronary heart disease).
    • Partial or complete loss of vision due to ophthalmic vascular disease.
    • Known thrombophilic disorders (e.g., protein C, protein S OR antithrombin deficiency); prothrombin mutation or anticardiolipin antibodies).
  6. Any conditions that, in the Investigator's judgement, may interfere with participant's ability to comply with study procedures or receipt of care, such as behavioral or cognitive impairment or neuropsychiatric illness.
  7. Concurrently participating in another clinical study, at any time during the study period, in which the participant has been or will be exposed to an or a non-investigational vaccine/product.
Terms in these criteria, in plain language(2)

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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
180 participants (estimated)

Study arms

  • No intervention
    No Vaginal Estrogen Group

    No vaginal estrogen

  • Active comparator
    Twice Weekly Vaginal Estrogen Group

    Twice Weekly Vaginal Estrogen

    Drug: Vaginal Estrogen - Twice Weekly

  • Active comparator
    Daily Vaginal Estrogen Group

    Daily Vaginal Estrogen

    Drug: Vaginal Estrogen - Daily

Interventions

  • DrugVaginal Estrogen - Twice Weekly

    Twice weekly for six weeks following pelvic organ prolapse repair surgery. 0.5 grams of cream per vagina at bedtime .

    Also known as: Conjugated Estrogens CSD, 0.625 mg/g, Vaginal Cream

  • DrugVaginal Estrogen - Daily

    Daily for six weeks following pelvic organ prolapse repair surgery. 0.5 grams of cream per vagina at bedtime.

    Also known as: Conjugated Estrogens CSD, 0.625 mg/g, Vaginal Cream

06

What researchers measure

Primary outcomes

  1. Recruitment Rate

    For the primary feasibility outcome, the trial will be considered feasible if at least 75% of the target sample can be recruited in 12 months.

    Time frame: 12 months

Secondary outcomes

  1. Loss to Follow Up Rate - 6 months

    Loss to follow up rates at each of the study end points measured as n/N (%).

    Time frame: 6 Months post surgery

  2. Loss to Follow Up Rate - 1 year

    Loss to follow up rates at each of the study end points measured as n/N (%).

    Time frame: 1 year post surgery

  3. Loss to Follow Up Rate - 2 years

    Loss to follow up rates at each of the study end points measured as n/N (%).

    Time frame: 2 years post surgery

  4. Patient Satisfaction - 6 weeks

    Patient satisfaction will be assessed using the Surgical Satisfaction Questionnaire (SSQ-8). This questionnaire measures satisfaction with the surgical procedure on a scale from 8 (most satisfied) to 40 (least satisfied).

    Time frame: 6 weeks post surgery

  5. Patient Satisfaction - 6 months

    Patient satisfaction will be assessed using the Surgical Satisfaction Questionnaire (SSQ-8). This questionnaire measures satisfaction with the surgical procedure on a scale from 8 (most satisfied) to 40 (least satisfied).

    Time frame: 6 months post surgery

  6. GSM Symptoms - 6 weeks

    GSM symptoms will be assessed using the Visual Analog Scale (VAS) on GSM symptoms. It assesses 5 symptoms (dryness, itching, burning, dyspareunia, and dysuria) on a scale from 0 - 10, from no symptoms to severe symptoms.

    Time frame: 6 weeks post surgery

  7. GSM Symptoms - 6 months

    GSM symptoms will be assessed using the Visual Analog Scale (VAS) on GSM symptoms. It assesses 5 symptoms (dryness, itching, burning, dyspareunia, and dysuria) on a scale from 0 - 10, from no symptoms to severe symptoms.

    Time frame: 6 weeks post surgery

  8. GSM Symptoms - 1 year

    GSM symptoms will be assessed using the Visual Analog Scale (VAS) on GSM symptoms. It assesses 5 symptoms (dryness, itching, burning, dyspareunia, and dysuria) on a scale from 0 - 10, from no symptoms to severe symptoms.

    Time frame: 1 year post surgery

  9. GSM Symptoms - 2 years

    GSM symptoms will be assessed using the Visual Analog Scale (VAS) on GSM symptoms. It assesses 5 symptoms (dryness, itching, burning, dyspareunia, and dysuria) on a scale from 0 - 10, from no symptoms to severe symptoms.

    Time frame: 2 years post surgery

  10. Prolapse Quality of Life - 6 weeks

    The impact of pelvic organ prolapse on the participant's quality of life will be assessed using the Prolapse Quality of Life Questionnaire (P-QOL). The P-QOL questionnaire is a self-reported tool that contains 20 questions representing nine quality of life domains: general health, prolapse impact, role limitations, physical limitations, social limitations, personal relationships, emotions, sleep/energy and severity measures. Scores in each domain range from 0 to 100. Higher scores indicate a greater impairment of quality of life, and lower scores indicate a good quality of life.

    Time frame: 6 weeks post surgery

  11. Prolapse Quality of Life - 6 months

    The impact of pelvic organ prolapse on the participant's quality of life will be assessed using the Prolapse Quality of Life Questionnaire (P-QOL). The P-QOL questionnaire is a self-reported tool that contains 20 questions representing nine quality of life domains: general health, prolapse impact, role limitations, physical limitations, social limitations, personal relationships, emotions, sleep/energy and severity measures. Scores in each domain range from 0 to 100. Higher scores indicate a greater impairment of quality of life, and lower scores indicate a good quality of life.

    Time frame: 6 months post surgery

  12. Prolapse Quality of Life - 1 year

    The impact of pelvic organ prolapse on the participant's quality of life will be assessed using the Prolapse Quality of Life Questionnaire (P-QOL). The P-QOL questionnaire is a self-reported tool that contains 20 questions representing nine quality of life domains: general health, prolapse impact, role limitations, physical limitations, social limitations, personal relationships, emotions, sleep/energy and severity measures. Scores in each domain range from 0 to 100. Higher scores indicate a greater impairment of quality of life, and lower scores indicate a good quality of life.

    Time frame: 1 year post surgery

  13. Prolapse Quality of Life - 2 years

    The impact of pelvic organ prolapse on the participant's quality of life will be assessed using the Prolapse Quality of Life Questionnaire (P-QOL). The P-QOL questionnaire is a self-reported tool that contains 20 questions representing nine quality of life domains: general health, prolapse impact, role limitations, physical limitations, social limitations, personal relationships, emotions, sleep/energy and severity measures. Scores in each domain range from 0 to 100. Higher scores indicate a greater impairment of quality of life, and lower scores indicate a good quality of life.

    Time frame: 2 years post surgery

  14. Complications - 6 weeks

    A composite measure of the incidence of mesh erosion, urinary tract and/or surgical site infections and treatment failure.

    Time frame: 6 weeks post surgery

  15. Complications - 6 months

    A composite measure of the incidence of mesh erosion, urinary tract and/or surgical site infections and treatment failure.

    Time frame: 6 months post surgery

  16. Treatment Failure - 1 year

    A composite measure of the incidence of mesh erosion and treatment failure.

    Time frame: 1 year post surgery

  17. Treatment Failure - 2 years

    A composite measure of the incidence of mesh erosion and treatment failure.

    Time frame: 2 years post surgery

Other outcomes

  1. Adherence

    Adherence rates during the 6-week intervention period based on groups assignment.

    Time frame: 6 weeks post surgery

07

Study locations

1 of 2 sites recruiting
  • Health Sciences Centre
    St. John's, Newfoundland and Labrador A1B 3X5, Canada
    Not yet recruiting
    • Nermina Azar · Principal investigator
    • Chelsea Harris · Principal investigator
  • Kingston Health Sciences Centre
    Kingston, Ontario K7L2V7, Canada
    Recruiting
    • Jessica Pudwell, MPH, MSc · Contactjessica.pudwell@queensu.ca · 613-549-6666
    • Kira King · Contactkira.king@kingstonhsc.ca · 613-549-6666
    • Sarah Wozney, MD, MScHQ · Principal investigator
    • Cara van der Merwe, MD · Principal investigator
    • Sophia Badowski, MD · Sub investigator
    • Shawna L Johnston, MD · Sub investigator
08

References and documents

Individual participant data

Plan to share: Yes — The de-identified study data in the REDCap database will be retained on the Queen's CAC system for 15 years after study results are published. After the 15 year data retention period the data and data dictionary from the study REDCap database will be made available in a public data archive such as the Queen's University Library Research Data Archive in the Scholars Portal Dataverse.

Supporting information: Study protocol, Informed consent form

Time frame: 15 years after the study results are published.

Access criteria: The data and data dictionary from the study REDCap database will be made available in a public data archive such as the Queen's University Library Research Data Archive in the Scholars Portal Dataverse.

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jan 2026 (actual). Primary completion is estimated for Sep 2027, 20 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 12, 2025
First posted
Jun 22, 2025
StartActual
Jan 1, 2026
Primary completionEst.
Sep 30, 2027
CompletionEst.
Sep 30, 2029
Last update
Aug 20, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 20, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07030426
Lead sponsor
Sarah Wozney
Responsible party
Sarah Wozney (Assistant Professor, Queen's University) — Sponsor-investigator
First posted
Jun 22, 2025
Start date
Jan 1, 2026
Primary completion
Sep 30, 2027 (estimated)
Completion
Sep 30, 2029 (estimated)
Last update
Aug 20, 2026

Study contacts

Jessca Pudwell, MPH, MSc
Contact
jessica.pudwell@queensu.ca
613-549-6666 ext. 3937
Kira King
Contact
kira.king@kingstonhsc.ca
613-549-6666 ext. 2740
Sarah Wozney, MD, MScHQ
principal investigator · Queen's University

Oversight

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

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