Vaginal CO2 Laser and the Genitourinary Syndrome of Menopause
The Clinical, Histopathological, Cytological and Microbiological Efficacy of the Micro-ablative Fractional CO2 Laser : A Double-blind Randomized Placebo-controlled Trial
1 other identifier
interventional
60
1 country
1
Brief Summary
This study evaluates the clinical, histopathological, cytological and microbiological efficacy of Microablative Fractional CO2 laser intravaginally administered in postmenopausal women with Genitourinary Syndrome of Menopause. Half participants will receive active CO2 laser therapy, while the other half will receive placebo CO2 laser therapy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Jan 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
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 18, 2018
CompletedFirst Submitted
Initial submission to the registry
October 28, 2018
CompletedFirst Posted
Study publicly available on registry
November 27, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 15, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
January 15, 2021
CompletedJanuary 14, 2020
January 1, 2020
2.2 years
October 28, 2018
January 13, 2020
Conditions
Outcome Measures
Primary Outcomes (1)
10-centimeter Visual Analogue Scale assessing intensity of dyspareunia and dryness
It is a straight line with 2 endpoints "0" and "10". Zero defines "no dyspareunia at all" and "no dryness at all" , while 10 "dyspareunia as bad as it could be" and "dryness as bad as it could be". Participants will draw a line at or between the 2 end points. The distance between zero and drawn line will define the intensity of dyspareunia and dryness
24-months
Secondary Outcomes (15)
Day-to Day Impact of vaginal aging questionnaire (DIVA)
24 months
Patients Global Impression of Improvement
24 months
10-centimeter Visual Analogue Scale assessing intensity of itching, burning and dysuria
24 months
3 days voiding diary
24 months
Female Sexual Function Index
24 months
- +10 more secondary outcomes
Study Arms (2)
Laser Group
EXPERIMENTALMicroablative Fractional CO2 laser therapy at monthly intervals. The laser parameters that will be used are the following: (1) Power: 30 ή 40 watts, 2) Dwell time:1000μs, 3) Spacing 1000 μm, 4) Depth: SmartStak parameter from 1-3 depending on the treatment status, 5) D-pulse mode.
Placebo Group
PLACEBO COMPARATORPlacebo CO2 laser therapies at monthly intervals. The laser parameters that will be used are the following: 1) Power: 0.5 watts, 2) Dwell time:1000μs, 3) Spacing 1000 μm, 4) Depth: SmartStak parameter 1, 5) Smart-pulse mode.
Interventions
3 therapies intravaginally administered will be applied at monthly intervals
Eligibility Criteria
You may qualify if:
- Symptoms of vaginal atrophy (dyspareunia and/or vaginal dryness)
- Menopause
You may not qualify if:
- Systemic or local hormonal therapy the last 6 months
- Use of moisturizers or lubricants the last month
- Active genital infection (i.e herpes, vaginitis)
- Prolapse stage \>=2
- Underlying pathologies that could interfere with the protocol compliance
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- National and Kapodistrian University of Athenslead
- IRCCS San Raffaelecollaborator
Study Sites (1)
Urogynecological Unit of Alexandra Hospital
Athens, 11528, Greece
Related Publications (1)
Ippolito GM, Crescenze IM, Sitto H, Palanjian RR, Raza D, Barboglio Romo P, Wallace SA, Orozco Leal G, Clemens JQ, Dahm P, Gupta P. Vaginal lasers for treating stress urinary incontinence in women. Cochrane Database Syst Rev. 2025 Jul 25;7(7):CD013643. doi: 10.1002/14651858.CD013643.pub2.
PMID: 40709601DERIVED
Study Officials
- PRINCIPAL INVESTIGATOR
Stavros Athanasiou, Associate Proffesor
National and Kapodistrian University of Athens, Greece
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Assistant Professor
Study Record Dates
First Submitted
October 28, 2018
First Posted
November 27, 2018
Study Start
January 18, 2018
Primary Completion
April 15, 2020
Study Completion
January 15, 2021
Last Updated
January 14, 2020
Record last verified: 2020-01