Ovarian Carcinoma Clinical Trial
Official title:
Fractional CO2 Laser Therapy for Survivors of Gynecologic Malignancies
Verified date | April 2022 |
Source | Ohio State University Comprehensive Cancer Center |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
This randomized pilot trial studies how well fractional carbon dioxide (CO2) laser therapy works in minimizing genitourinary syndrome of menopause (GSM) in gynecological cancer survivors. Fractional CO2 laser therapy may reduce symptoms of GSM in survivors of gynecologic cancers.
Status | Completed |
Enrollment | 19 |
Est. completion date | April 12, 2022 |
Est. primary completion date | December 18, 2019 |
Accepts healthy volunteers | No |
Gender | Female |
Age group | N/A and older |
Eligibility | Inclusion Criteria: - Women with cervical, endometrial, vaginal, vulvar or ovarian cancer who have completed all cancer related treatment >= 6 months prior to enrollment - Any form of hysterectomy, including radical hysterectomy permitted - Must have no evidence of recurrent disease on pelvic exam within past 3 months - Radiation therapy is permitted but not required - Patient reported dyspareunia and/or vaginal dryness with severity of >= 4 on a scale from 0 (none) to 10 (most severe) that has been persistent over >= 4 weeks and/or the inability to be sexually active due to pain Exclusion Criteria: - Patients with recurrent or metastatic endometrial, vaginal, vulvar, cervical, or ovarian cancer - Pelvic organ prolapse stage II or higher - Prior reconstructive pelvic surgery involving mesh - Hormone replacement therapy or vaginal estrogen therapy within 6 weeks prior to enrollment |
Country | Name | City | State |
---|---|---|---|
United States | Johns Hopkins University | Baltimore | Maryland |
United States | Ohio State University Comprehensive Cancer Center | Columbus | Ohio |
United States | Sanford Roger Maris Cancer Center | Fargo | North Dakota |
United States | Mayo Clinic | Rochester | Minnesota |
Lead Sponsor | Collaborator |
---|---|
Ohio State University Comprehensive Cancer Center |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change in genitourinary syndrome of menopause (GSM) symptoms | Will be assessed by the Vaginal Assessment Scale (VAS). Will be summarized and compared between the treatment arms using a two-sample t-test or a Wilcoxon rank sum test, with a two-sided alternative for each. Will also analyze this endpoint graphically by plotting the VAS scores through time by treatment arm. Additionally, will correlate the scores from the VAS with other validated measures using a Spearman's correlation coefficient in an exploratory manner. | Baseline to 12 weeks | |
Secondary | Feasibility as measured by number of patients able to complete 3 study visitis | A crossover design to determine the feasibility of the crossover design for potential use in a phase III trial by summarizing the proportion of patients who are unable to tolerate the study treatment prior to completing the 3 treatments | Up to 1 month | |
Secondary | Improvement in objective findings of vaginal atrophy | Will determine improvement in objective findings of vaginal atrophy with vaginal laser therapy versus sham treatment. | Up to 1 month | |
Secondary | Improvement in sexual function by FSFI | Will determine improvement in sexual function as measured by Female Sexual Function Index (FSFI) | Up to 1 year | |
Secondary | Improvement in sexual function FSDS | Will determine improvement in sexual function as measured by Female Sexual Distress Scale-Revised (FSDS) | Up to 1 year | |
Secondary | Improvement in urinary symptoms | Will determine improvement in urinary symptoms of urogenital atrophy with vaginal laser therapy versus sham treatment using the Urogenital Distress Inventory (UDI). The change in dyspareunia and dryness between baseline (T0) and T4 will be calculated and compared between the treatment and sham arms using a two sample t-test or Wilcoxon rank sum test. | Up to 1 month | |
Secondary | Incidence of adverse events | Adverse event grading will be done according to the NCI Common Terminology Criteria for Adverse Events version 4.0 (CTCAE) | Up to 1 month | |
Secondary | Number of patients complete all treatments | Summarize the proportion of patients who are able to tolerate the study treatment and complete the 3 treatments. | Up to 1 month | |
Secondary | Satisfaction with vaginal fractional CO2 laser therapy | Patients will be asked to rate their satisfaction with the procedure on a likert-type scale of 1-10 with 1 being completely dissatisfied and 10 being extremely satisfied. Participants will be asked to rate their satisfaction on this scale after each treatment and at follow-up. | Up to 1 month |
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