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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03628092
Registration number
NCT03628092
Ethics application status
Date submitted
1/08/2018
Date registered
14/08/2018
Date last updated
12/03/2020
Titles & IDs
Public title
Laser Therapy for Vulvovaginal Symptoms in Breast Cancer Patients
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Scientific title
Laser Therapy for Vulvovaginal Symptoms in Breast Cancer Patients
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Secondary ID [1]
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LAAVA2
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Universal Trial Number (UTN)
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Trial acronym
LAAVA2
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Vulvovaginal Atrophy
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Genitourinary Symptoms and Ill-Defined Conditions
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Condition category
Condition code
Other
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Research that is not of generic health relevance and not applicable to specific health categories listed above
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Devices - CO2 Fractional Ablative Laser
Treatment: Devices - Placebo
Active comparator: CO2 Fractional Ablative Laser - 3 treatments approximately 4 weeks apart with vaginal/vulval laser
Placebo comparator: Placebo - 3 treatments approximately 4 weeks apart with "sham" laser
Treatment: Devices: CO2 Fractional Ablative Laser
Vaginal / vulval laser treatment
Treatment: Devices: Placebo
Sham Device
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Intervention code [1]
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Treatment: Devices
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Vaginal dryness
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Assessment method [1]
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Improvement in vaginal dryness on a 10cm visual analog scale (VAS). A 10cm VAS is a scale from 0 to 10 with 0 being no symptoms and 10 being worst symptoms possible.
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Timepoint [1]
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12 weeks after completion of treatment
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Secondary outcome [1]
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Other symptoms of vulvovaginal atrophy
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Assessment method [1]
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Improvement in itch, burning, dysuria, dyspareunia and urinary incontinence of a 10cm visual analog scale (VAS)
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Timepoint [1]
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12 weeks after completion of treatment and 12 months after active treatment
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Secondary outcome [2]
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Maturation index
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Assessment method [2]
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Improvement in maturation index from a vaginal swab (a pathological test: the maturation index counts 200 cells and compares the ratio of parabasal:intermediate:superficial squamous cells. Oestrogen deficient smears will show fewer superficial cells and an increase in parabasals (implies an atrophic picture)
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Timepoint [2]
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12 weeks after completion of treatment and 12 months after active treatment
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Secondary outcome [3]
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Vaginal pH
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Assessment method [3]
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Improvement in vaginal pH
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Timepoint [3]
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12 weeks after completion of treatment and 12 months after active treatment
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Secondary outcome [4]
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Clinician Assessed Changes
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Assessment method [4]
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Improvement in vaginal moistness, colour and labia stickiness (moistness and stickiness assessed by a physician as present or not, colour as assessed on a predefined colour chart out of 4 colours).
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Timepoint [4]
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12 weeks after completion of treatment and 12 months after active treatment
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Secondary outcome [5]
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Quality of Life (QOL) of patients assessed on the Vulval Quality of Life Index
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Assessment method [5]
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Improvement in QOL assessed on the Vulval Quality of Life Index (VQLI) -a validated tool. The scoring bands of the VQLI includes: 0-5 = no effect on patient's life, 6-13 = small effect on patient's life, 14-23 = moderate effect on patient's life, 24-37 = very large effect on patient's life, 38-45 = extremely large effect on patient's life.
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Timepoint [5]
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12 weeks after completion of treatment and 12 months after active treatment
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Secondary outcome [6]
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Sexual Function
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Assessment method [6]
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Improvement in sexual function assessed on the Female Sexual Function Index (FSFI) - a validated tool
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Timepoint [6]
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12 weeks after completion of treatment and 12 months after active treatment
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Secondary outcome [7]
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Satisfaction with treatment assessed on a Likert Scale
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Assessment method [7]
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Patient satisfaction assessed on Likert Scale - a validated tool scoring from 1 to 5 (1=strongly disagree, 2=disagree, 3= neutral, 4=agree, 5=strongly agree)
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Timepoint [7]
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12 weeks after completion of treatment and 12 months after active treatment
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Secondary outcome [8]
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Safety of laser treatment (Side effects)
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Assessment method [8]
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Side effects reported over the duration of the study will be collected descriptively
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Timepoint [8]
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15 months
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Eligibility
Key inclusion criteria
* Women with a history of early breast cancer >18 years of age
* At baseline patients must have at least one of five symptoms rated at =5 on a 10cm VAS scale. Symptoms include vulvo-vaginal itch, dryness, burning, dysuria and dyspareunia.
* Three groups of patients will qualify:
* Treatment induced premature menopause =45 years of age (eg secondary to chemotherapy or oophorectomy) for >6 months
* Premenopausal women on GNRH (gonadotrophin releasing hormone) agonist + tamoxifen or an aromatase inhibitor
* Postmenopausal women on tamoxifen or an aromatase inhibitor
* Willingness to give written informed consent and willingness to comply with the study
* Up to date pap test / HPV (human papillomavirus) testing
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Medical contraindication to the use of fractional ablative CO2 laser
* Use of oestrogen therapies (systemic or local) in the 6 weeks prior to study treatment
* Use of vaginal lubricants or moisturisers 14 days prior to the study treatment
* Active or recent genitourinary infections (<30 days)
* Genital prolapse (grade III)
* Active or symptomatic vulvo-vaginal dermatological conditions (Lichen sclerosus, lichen planus, vulval psoriasis, Chron's disease, Hidradenitis Suppurativa, vulval dermatitis, candida, chronic vulvovaginal candidiasis, vulval intraepithelial neoplasia, genital warts)
* Inability to tolerate the use of fractional ablative CO2 laser (eg vaginismus)
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
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Intervention assignment
Crossover
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
UNKNOWN
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
24/07/2018
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/10/2021
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Actual
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Sample size
Target
70
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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Royal North Shore Hospital - Saint Leonards
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Recruitment hospital [2]
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Sydney Adventist Hospital - Wahroonga
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Recruitment postcode(s) [1]
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2065 - Saint Leonards
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Recruitment postcode(s) [2]
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2074 - Wahroonga
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Funding & Sponsors
Primary sponsor type
Other
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Name
Royal North Shore Hospital
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
To determine the efficacy of ablative carbon dioxide laser in the treatment of the signs and symptoms of vulvovaginal atrophy (VVA) or genitourinary syndrome of menopause (GSM) in women with breast cancer.
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Trial website
https://clinicaltrials.gov/study/NCT03628092
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Antonia Pearson, BMed
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Address
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Royal North Shore Hospital
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Antonia Pearson, BMed
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Address
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Country
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Phone
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+61402308664
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Fax
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Email
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[email protected]
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT03628092
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