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

NCT ID: NCT05713435

Condition: Genitourinary Syndrome of Menopause

Conditions: Official terms:
Syndrome

Conditions: Keywords:
genitourinary syndrome of menopause
intravaginal laser
breast cancer
aromatase inhibitor

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Intervention model description: 3 parallel arms of equal size, participants can cross over after 3 initial treatments

Primary purpose: Treatment

Masking: Double (Participant, Outcomes Assessor)

Masking description: participant and outcome assessor are blinded

Intervention:

Intervention type: Device
Intervention name: intravaginal laser
Description: application of intravaginal laser
Arm group label: Fotona Smooth erbium:YAG laser
Arm group label: Mona Lisa Touch CO2 laser
Arm group label: sham treatment

Summary: 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: 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.

Criteria for eligibility:
Criteria:
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

Gender: Female

Minimum age: 18 Years

Maximum age: 100 Years

Healthy volunteers: No

Locations:

Facility:
Name: UZ Leuven

Address:
City: Leuven
Zip: 3000
Country: Belgium

Status: Recruiting

Contact:
Last name: Susanne Housmans, MD

Phone: +3216332211
Email: susanne.housmans@uzleuven.be

Contact backup:
Last name: Jan Deprest, PhD

Phone: +3216332211
Email: jan.deprest@uzleuven.be

Start date: December 27, 2022

Completion date: December 2025

Lead sponsor:
Agency: Universitaire Ziekenhuizen KU Leuven
Agency class: Other

Source: Universitaire Ziekenhuizen KU Leuven

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05713435

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