To Explore the Benefits of the MonaLisa Touch® System in Gynaecological Cancer Patients Treated by (Chemo)-RT

NCT ID: NCT05891470

Last Updated: 2023-11-24

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

136 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-09-01

Study Completion Date

2026-02-02

Brief Summary

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The increasing survival rate of gynaecological cancer patients highlights the need to improve their Quality of Life (QoL) after treatment. Among all QoL factors, sexuality is unfortunately often neglected, especially vaginal dryness and fibrosis/stenosis. Currently, the latter is standardly treated by vaginal dilators, which may induce pain and discomfort (1). A new possibility, already used in some centers, is the MonaLisa Touch® system, a microablative CO2 laser (2). Its efficiency to improve sexual QoL has already been demonstrated in breast cancer patients treated with chemotherapy and/or hormonotherapy and in menopausal women (3). Unfortunately, almost no study have been conducted yet for patients undergoing radiotherapy to the pelvic area to prevent vaginal morbidity. Our randomised study will explore the benefits of the MonaLisa Touch® device for the prevention of sexual adverse events induced by pelvic (chemo-) radiotherapy for pelvic cancers.

Detailed Description

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Patients will be randomly (1:1) assigned to the dilators (standard of care) or MonaLisa Touch® system (2 arms). Patients will be stratified for endometrial or cervix cancer, radiotherapy dose and techniques, menopausal status, tumor stage, chemotherapy or not, surgery or not. Patients will begin the Mona Lisa at 3 months, once per month during 6 months while the follow-up assessment will continue until 12M after end of RT treatment. Patients randomized in dilator arm will also begin 3 months post end of RT and will use them twice every 2 weeks for 12M (as standard of care).

Questionnaires (FSFI- Female Sexual Function Index \[10\], SHQ-22) and VHI (Vaginal Health Index \[11\]) will be performed before treatment, at 3, 6, 9, 12 and 15M. Partners will also be asked to fill the sexual quality of life questionnaire EORTC SHQ-22 before and after treatment.

Conditions

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Gynecologic Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Vaginal Dilatators

Use of vaginal dilatators as standard of care.

Group Type ACTIVE_COMPARATOR

Vaginal dilatators

Intervention Type DEVICE

Home use of vaginal dilatators (at least twice a week for minimum 5 minutes)

MonaLisa Touch device

Sessions with the MonaLisa Touch device

Group Type EXPERIMENTAL

MonaLisa Touch device

Intervention Type DEVICE

sessions with intra-vaginal CO2 laster system

Interventions

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MonaLisa Touch device

sessions with intra-vaginal CO2 laster system

Intervention Type DEVICE

Vaginal dilatators

Home use of vaginal dilatators (at least twice a week for minimum 5 minutes)

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* (chemo)radiotherapy +/- brachytherapy, gynaecologic cancer patients
* complete response on the imagery at 3 months (PET scan/MRI).
* Stades I-III

Exclusion Criteria

* M1
* Stade IV
* No complete response under imagery at 3months
* Relapse of gynaecological cancer
* Active gynaecological infection
* Pelvic organ prolapse more than stage II
* Local vaginal hormone therapy within 6 weeks prior to enrolment
Maximum Eligible Age

80 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Jules Bordet Institute

OTHER

Sponsor Role lead

Responsible Party

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Clémence Al Wardi

Pr

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Dirk Van Gestel, Pr, MD, PhD

Role: STUDY_DIRECTOR

Jules Bordet Institute

Locations

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Institut Jules Bordet

Brussels, , Belgium

Site Status RECRUITING

Countries

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Belgium

Central Contacts

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Clémence Al Wardi, PhD

Role: CONTACT

0032 2 541 39 81

Imane Ahrouch, MD

Role: CONTACT

Facility Contacts

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Clemence Al Wardi, PhD

Role: primary

02 5413981

Other Identifiers

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CE3596

Identifier Type: -

Identifier Source: org_study_id