RCT of Laser Therapy for GSM
Fractional Microablative CO2-laser Versus Photothermal Non-ablative Erbium:YAG-laser for the Management of Genitourinary Syndrome of Menopause: A Non-inferiority, Single-blind Randomised Controlled Trial
1 other identifier
interventional
88
1 country
1
Brief Summary
The aim of the current study is to assess whether the CO2-laser results in superior alleviation of GSM symptoms compare to Er:YAG-laser. Specifically, we will compare objective and subjective measurements of symptoms and clinical signs of GSM, between groups of postmenopausal women with GSM receiving treatment with CO2-laser or Er:YAG-laser.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Jul 2018
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 7, 2017
CompletedFirst Posted
Study publicly available on registry
September 20, 2017
CompletedStudy Start
First participant enrolled
July 1, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 11, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
February 11, 2021
CompletedFebruary 12, 2021
February 1, 2021
2.6 years
September 7, 2017
February 11, 2021
Conditions
Outcome Measures
Primary Outcomes (14)
Dryness - 10cm visual analogue scale
1 year
Dyspareunia- 10cm visual analogue scale
1 year
Itching- 10cm visual analogue scale
1 year
Burning- 10cm visual analogue scale
1 year
Dysuria- 10cm visual analogue scale
1 year
Frequency- 10cm visual analogue scale,
1 year
Urgency-10cm visual analogue scale
1 year
Urinary incontinence- 10cm visual analogue scale
1 year
Overall sexual satisfaction- Female sexual function index
1 year
Frequency- 3 day voiding diary
1 year
Urgency- 3 day voiding diary,
1 year
Urinary incontinence- 3 day voiding diary
1 year
Overall sexual satisfaction- 10cm visual analogue scale
1 year
Overall sexual satisfaction- frequency of sexual intercourse,
1 year
Secondary Outcomes (8)
Quality of life- patients global impression of improvement questionnaire
1 year
Quality of life- day to day impact of vaginal ageing questionnaire
1 year
Quality of life- kings health questionnaire
1 year
Global impression of improvement- day to day impact of vaginal ageing questionnaire
1 year
Global impression of improvement- patients global impression of improvement questionnaire
1 year
- +3 more secondary outcomes
Study Arms (2)
Fractional Microablative CO2-laser
ACTIVE COMPARATORPhotothermal Non-ablative Erbium:YAG-laser
ACTIVE COMPARATORInterventions
Laser treatment of the vagina for GSM
Laser treatment of the vagina for GSM
Eligibility Criteria
You may qualify if:
- Dryness and dyspareunia with moderate to severe intensity
- Vaginal Health Index \<15
- Absence of menstruation for at least 12 months
- Recent Negative Pap-smear test (For women over 65 years old a negative pap smear test up to the age of 65).
You may not qualify if:
- Not willing to abstain from vaginal intercourse for one week following the laser-therapy
- Acute urinary tract infections (UTIs)
- History of a genital fistula, a thin recto-vaginal septum as determined by the investigator or history of a fourth-degree laceration during screening physical exam (e.g., perineal body)
- Active sexually transmitted disease upon vaginal exam (as determined by the investigator) that precludes treatment or any other vaginal infection
- Active or history of genital herpes
- Prolapse stages \> II (according to the POP-Q system)
- History of radiotherapy for cervical or uterine cancer
- Medical condition that may interfere with participants' compliance to the protocol
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Urogynaecology Department, King's College Hospital
London, SE5 9RS, United Kingdom
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 7, 2017
First Posted
September 20, 2017
Study Start
July 1, 2018
Primary Completion
February 11, 2021
Study Completion
February 11, 2021
Last Updated
February 12, 2021
Record last verified: 2021-02
Data Sharing
- IPD Sharing
- Will not share