Use of Fractional CO2 Laser Versus Erbium:YAG Laser for the Treatment of GSM in Patients Using Aromatase Inhibitors

NCT ID: NCT05713435

Last Updated: 2024-07-01

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

162 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-12-27

Study Completion Date

2025-12-31

Brief Summary

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To study the efficacy and safety of intravaginal CO2 laser versus intravaginal Er:YAG laser and sham application in alleviating genitourinary symptoms in patients receiving an aromatase inhibitor as adjuvant treatment of breast cancer

Detailed Description

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The objective is to compare microablative fractional CO2 laser (CO2 laser) (SmartXide2 V2 LR, Monalisa Touch; DEKA, Florence, Italy) and non-ablative photothermal Erbium:YAG laser (Er:YAG laser) (Fotona Smooth™ XS; Fotona, Ljubljana, Slovenia) - with sham vaginal applications for treatment of vaginal dryness as the leading symptom in breast cancer patients with iatrogenic menopause and treated with an AI.

Conditions

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Genitourinary Syndrome of Menopause

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

3 parallel arms of equal size, participants can cross over after 3 initial treatments
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors
participant and outcome assessor are blinded

Study Groups

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Mona Lisa Touch CO2 laser

1. Power: 30 W.
2. Dwell time: 1000 μs.
3. Spacing: 1000 μm.
4. Depth: SmartStack parameter from 1 to 3 depending on the treatment status.
5. D-pulse mode.
6. At the introitus the power will be reduced to 24 W

Group Type ACTIVE_COMPARATOR

intravaginal laser

Intervention Type DEVICE

application of intravaginal laser

Fotona Smooth erbium:YAG laser

1. Phase I (vaginal) Renovalase™ mode with (a) fluence of 5,5J/cm2, (b) SMOOTHTM mode frequency 1.6 Hz, and (c) spot size 7 mm.
2. Phase II (vestibulum and introitus) Renovalase™ mode with (a) fluence 10 J/cm2, (b) SMOOTHTM mode frequency 1.6Hz, and (c) spot size 7 mm.

Group Type ACTIVE_COMPARATOR

intravaginal laser

Intervention Type DEVICE

application of intravaginal laser

sham treatment

1. The blocking device is inserted over the laser outlet before attaching the application speculum. With this device the laser beam is blocked entirely.
2. Phase I (vaginal) Renovalase™ mode with (a) fluence of 5,5J/cm2, (b) SMOOTHTM mode frequency 1.6 Hz, and (c) spot size 7 mm.
3. Phase II (vestibulum and introitus) Renovalase™ mode with (a) fluence 1,5 J/cm2, (b) SMOOTHTM mode frequency 1.6Hz, and (c) spot size 7 mm.

Group Type SHAM_COMPARATOR

intravaginal laser

Intervention Type DEVICE

application of intravaginal laser

Interventions

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intravaginal laser

application of intravaginal laser

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

Recruited participants will meet all of these criteria:

* a history of breast cancer
* premenopausal at diagnosis of breast cancer
* using AI as an adjuvant treatment
* moderate to severe symptoms of GSM (VAS ≥ 4/10)
* currently menopausal, which can be either biochemical menopause as confirmed after chemotherapy, surgical or medicinally induced (GnRH analogues for the duration of the trial)

Exclusion Criteria

* Not willing to abstain from vaginal intercourse for 1 week following laser therapy
* Use of non-hormonal vaginal preparations within the last 6 weeks before inclusion
* Use of hormonal therapy within 6 months prior to inclusion (systemic or local)
* Acute urinary or genital tract infections
* A history of genital fistula, a thin rectovaginal septum as determined by the investigator, or history of fourth degree laceration
* Prolapse ≥ grade 2 according to the Pelvic Organ Prolapse Quantification System
* Previous vaginal mesh implantation
* Abnormal result in the last cervical smear (maximum 36 month before enrollment)
* Active cancer treatment (radiotherapy or chemotherapy) ongoing or planned prior to the measurement of the primary outcome (6 months after inclusion, 3 months after last laser)
* Vaginal stenosis that does not allow the placement of the laser probe
* Any condition that could interfere with study compliance
Minimum Eligible Age

18 Years

Maximum Eligible Age

100 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Universitaire Ziekenhuizen KU Leuven

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Susanne Housmans, MD

Role: PRINCIPAL_INVESTIGATOR

UZ Leuven

Locations

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UZ Leuven

Leuven, Flemish Brabant, Belgium

Site Status RECRUITING

Countries

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Belgium

Central Contacts

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Susanne Housmans, MD

Role: CONTACT

+3216332211

Jan Deprest, PhD

Role: CONTACT

+3216332211

Facility Contacts

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Susanne Housmans, MD

Role: primary

+3216332211

Jan Deprest, PhD

Role: backup

+3216332211

Other Identifiers

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S66520

Identifier Type: -

Identifier Source: org_study_id

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