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Trial registered on ANZCTR
Registration number
ACTRN12611001249943
Ethics application status
Approved
Date submitted
30/11/2011
Date registered
6/12/2011
Date last updated
2/07/2012
Type of registration
Prospectively registered
Titles & IDs
Public title
Sexuality After Breast Cancer
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Scientific title
Silicone-based vaginal lubricant vs water-based vaginal lubricant for symptomatic vaginal dryness after breast cancer treatment: a randomised trial
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Secondary ID [1]
273503
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Vaginal dryness
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Condition category
Condition code
Renal and Urogenital
279496
279496
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0
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Other renal and urogenital disorders
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Cancer
279533
279533
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0
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Breast
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
First silicone-based lubricant then water-based lubricant
or
First water-based lubricant then silicone-based lubricant.
Both lubricants are safe and available and widely used as over the counter preparations. Participants should apply a small amount of lubricant around the entrance of the vagina prior to sexual activity or intercourse. Each lubricant will be used as determined by the user for 1 month before changing to the alternative lubricant. There will be no washout period between lubricants.
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Intervention code [1]
283820
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Treatment: Other
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Comparator / control treatment
Non-hormonal lubricants. Active control. Crossover design.
The water based lubricant will be deemed the control in this study.
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Control group
Active
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Outcomes
Primary outcome [1]
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To compare the efficacy and acceptablility of a silicone-based vaginal lubricant vs. a water-based lubricant in breast cancer patients with symptomatic vaginal dryness using a randomised AB/BA cross-over design. We will evaluate vaginal dryness using both subjective and objective measures. The vaginal Health Assessment will be assessed by the study doctor and Sexual Activity Questionnaire (SAQ) Discomfort subscale complete by the participant.
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Assessment method [1]
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Timepoint [1]
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These measures will be completed before commencement of the preparation. Again at 1 month following completion of the first preparation and then again at 2 months after completion of the second preparation.
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Primary outcome [2]
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We will evaluate discomfort at intercourse using objective measures. The Sexual Activity Questionnaire (SAQ) Discomfort subscale and Female Intervention Efficay Index (FIEI).
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Assessment method [2]
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Timepoint [2]
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These measures will be completed before commencement of the preparation. Again at 1 month following completion of the first preparation and then again at 2 months after completion of the second preparation.
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Primary outcome [3]
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We will evaluate sexual activity using a sexual activity diary and patient perceived efficacy will be measured using standardised and validated scales (sexual Activity Questionnaire (SAQ) Discomfort subscale , the Female Intervention Efficay Index (FIEI)
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Assessment method [3]
286101
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Timepoint [3]
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The diary will be completed by the participant daily during the duration of the study. Other measures will be completed before commencement of the preparation. Again at 1 month following completion of the first preparation and then again at 2 months after completion of the second preparation.
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Secondary outcome [1]
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To evaluate sexual function and quality of life using the Sexual Activity Questionnaire, general quality of life using the Functional Assessment of Cancer Therapy for Patients with Breast Cancer (FACT-B), endocrine symptoms using the Functional Assessment of cancer Therapy for Patients with Endocrine Symptoms (FACT-ES, and distress using the Female Sexual Distress Scale-Revised.
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Assessment method [1]
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Timepoint [1]
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These measures will be completed before commencement of the preparation. Again at 1 month following completion of the first preparation and then again at 2 months after completion of the second preparation.
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Secondary outcome [2]
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We will assess vaginal condition using a standardised visual method and patient acceptability of the products. Since anxiety and depression after breast cancer may also affect sexual function, we will measure these factors using the standardised Hospital Anxiety and Depression Scale (HADS).
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Assessment method [2]
295148
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Timepoint [2]
295148
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These measures will be completed before commencement of the preparation. Again at 1 month following completion of the first preparation and then again at 2 months after completion of the second preparation.
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Eligibility
Key inclusion criteria
History of breast cancer
Sexually active and symptoms of vaginal dryness or dyspareunia
Will to be randomised to try both products
Willing to complete daily sexual activity diary
Normal pap smear in last 2 years if retains uterus
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Minimum age
No limit
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Taking systematic or vaginal oestrogen or Tibolone in the previous 6 weeks
Current symptoms of vaginal infection
Post menopausal bleeding
Allergy to silicone-based lubricants
Clinically significant anxiety or depression
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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)
Allocation concealment. Sealed numbered opaque envelopes.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation by using a randomisation table created by a computer software (i.e., computerised sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Crossover
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
30/01/2012
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Actual
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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
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Actual
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Sample size
Target
40
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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pjur group Luxembourg S.A.
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Address [1]
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87, Esplanade de la Moselle
6637 Wasserbillig
Luxembourg
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Country [1]
284294
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Germany
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Primary sponsor type
Individual
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Name
Professor Martha HIckey
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Address
The Royal Women's Hospital
Cnr Grattan Street and Flemington Road
Parkville
Victoria 3052
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
283244
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Royal Women Hospital Ethics Committee
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Ethics committee address [1]
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Cnr Grattan Street and Flemington Road, Parkville 3052
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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26/10/2011
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Approval date [1]
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20/12/2011
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Ethics approval number [1]
286256
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11/57
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Summary
Brief summary
Vaginal dryness and dyspareunia (pain occurring during sexual intercourse) is a common consequence of treatment for breast cancer and has been identified as one of the most common and troublesome consequences for survivors. Vaginal dryness and pain during sexual intercourse significantly negatively impacts on quality of life. With improved survival from breast cancer the absolute number of breast cancer patients affected by symptomatic vaginal dryness and dyspareunia is likely to increase. Systemic or topical (vaginal) estrogens are an effective treatment for symptoms of vaginal dryness. However, the safety of vaginal oestrogens after breast cancer is not established. Water-based lubricants are widely used and silicone based lubricants are also available for vaginal lubrication. However, the relative effectiveness and acceptability of these products is not known. No previous studies have evaluated silicone-based vaginal lubricants for the treatment of vaginal dryness and dyspareunia after breast cancer or compared these with water-based lubricants. Aims: The primary aim of this study is to compare the efficacy and acceptability of a silicone-based vaginal lubricant vs. a water-based lubricant in breast cancer patients with symptomatic vaginal dryness using a randomised cross over design. The Secondary Objective is to clinically assess the symptoms and signs of vaginal dryness, evaluate quality of life and sexual function using established questionnaires. Study Population: 40 subjects with a history of breast cancer complaining of vaginal dryness will be recruited from the Menopause After Cancer Clinic (MSAC) at The Royal Women’s Hospital Melbourne (RWH), the RWH Breast Clinic, oncologist practices in Victoria and community based breast cancer organisations such as the Breast Cancer Network Australia and by media advertising. Methods: To participate in this study subjects must have a history of breast cancer, be sexually active and be complaining of vaginal dryness for at least 4 weeks. Subjects will be asked to attend 3 clinic visits. Ethical Issues: Subjects will be asked to complete questionnaires including details of sexual problems and function and to complete a sexual activity diary. Subjects will be fully informed of the requirements before enrolling in the study and able to withdraw at any time without compromising their care. These vaginal lubricants are not systemically absorbed and are extremely unlikely to impact on breast cancer management or prognosis.
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Trial website
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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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Address
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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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Professor Martha Hickey
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Address
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7th Floor Research Precinct
Royal Women's Hospital
Cnr Grattan Street and Flemington Road
Parkville
Victoria 3052
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Country
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Australia
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Phone
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+61 3 8345 3719
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Fax
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+61 3 8345 3702
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Email
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[email protected]
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Contact person for scientific queries
Name
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Doctor Jennifer Marino
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Address
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7th Floor Research Precinct
Royal Women's Hospital
Cnr Grattan Street and Flemington Road
Parkville
Victoria 3052
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Country
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Australia
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Phone
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+61 3 8345 3719
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Fax
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+61 3 8345 3702
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Email
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[email protected]
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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
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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