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Clinical Study of the CO2RE Laser Device Performance for Vaginal Atrophy Treatments

Primary Purpose

Vaginal Atrophy

Status
Unknown status
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
CO2RE
Sponsored by
Syneron Medical
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Vaginal Atrophy

Eligibility Criteria

35 Years - undefined (Adult, Older Adult)FemaleAccepts Healthy Volunteers

Inclusion Criteria:

  1. Subjects seeking treatment of Vaginal Atrophy in the vagina area (External - vestibule and introitus; Internal - Vaginal canal)
  2. Healthy female subjects age greater than or equal to 35 years of age who are post menopausal for at least one year, for any reason whether surgical , chemical or natural.
  3. Absence of menstruation for at least 12 months
  4. Not responding to or satisfied with previous local estrogen therapy
  5. Desire to maintain sexual activity
  6. Informed consent process completed and subject signed consent
  7. Willing to receive the proposed CO2RE treatment and follow-up protocol
  8. Post-menopausal or surgically sterilized.
  9. Normal cell cytology (PAP smear)
  10. Negative urinalysis and a normal vaginal canal (no evidence of dysplasia and occult or active infection)
  11. The external vaginal area (vestibule and introitus) free of injuries and bleeding
  12. Subject experienced sexual activity at least once a month

Exclusion Criteria:

  1. Subject had surgery or any other procedure for Vaginal Tightening in the last 12 months
  2. Use of hormone replacement therapy, either systemic or local within the last 6 months prior to study
  3. Lubricants or any localized preparation in the 30 days prior to enrollment
  4. Patient with history of herpes.
  5. Acute or recurrent urinary tract infection (UTI) or genital infection (e.g. herpes, candida)
  6. Active malignancy or history of malignancy in the past 5 years
  7. Having any active electrical implant anywhere in the body, such as a pacemaker or an internal defibrillator
  8. Suffering from significant concurrent illness, such as cardiac disorders, diabetes (type I or II), lupus, porphyria, or pertinent neurological disorders (i.e. any disease state that in the opinion of the Physician would interfere with the treatment, or healing process)
  9. Having a known anticoagulative or thromboembolic condition or taking anticoagulation medications one week prior to and during the treatment course (to allow inclusion, temporary cessation of use as per the subject's physician discretion)
  10. History of immunosuppression/immune deficiency disorders (including HIV infection or AIDS) or currently using immunosuppressive medications
  11. Suffering from hormonal imbalance, whether related to thyroid, pituitary, or androgen
  12. History of significant lymphatic drainage problems
  13. History of cancer which required lymph node biopsy or dissection
  14. Suffering from significant conditions in the treated areas or inflammatory conditions, including, but not limited to, open lacerations or abrasions of the treatment area prior to treatment (duration of resolution as per the Investigator's discretion) or during the treatment course
  15. History of keloid scarring, abnormal wound healing and / or prone to bruising
  16. History of epidermal or dermal disorders (particularly if involving collagen or microvascularity), including collagen vascular disease or vasculitic disorders
  17. Use of isotretinoin (Accutane®) within 6 months of treatment or during the study
  18. Subject on systemic corticosteroid therapy 6 months prior to and throughout the course of the study
  19. Dysplastic nevi in the area to be treated
  20. Participation in a study of another device or drug within 6 month prior to enrollment or during this study, if treatments of vagina were involved
  21. As per the Investigator's discretion, any physical or mental condition which might make it unsafe for the subject to participate in this study
  22. Prolapse staged >_ II, according to the pelvic organ prolapse quantification (ICS-POP-Q) system
  23. Previously undergone pelvic reconstructive surgery

Sites / Locations

  • FamWell.MD
  • 6400 Dutchmans Pkwy Ste 335 Louisville, KY 40205 US
  • Syneron-Candela Institute for Excellence
  • Dermatology and Laser Surgery Center of New York

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

all subjects

Arm Description

Eligible subjects will undergo 3 treatments in 4±1 weeks interval on the Vagina (External/Vulva and Internal/Vagina) with the CO2RE device according to study protocol. Subject will return for to 5 follow-up (FU) visits: 1 week ± 2 days post first treatment visit and 1, 3, 6 and 12 months after last (third) treatment (± 2 weeks). Methodology described in protocol to evaluate efficacy of treatments will be carried out at each visit at the clinic.

Outcomes

Primary Outcome Measures

Change from Baseline in Vulvovaginal Symptom Questionnaire
Vulvovaginal Symptom Questionnaire will be used to evaluate improvement of vulvovaginal atrophy symptoms.

Secondary Outcome Measures

Number of participants with adverse events
Number, severity and duration of adverse events following CO2 treatment
Vaginal Health Index Improvement
Evaluation of vaginal wall conditions such as pH, elasticity, bleeding signs, secretion type and consistency and hydration.
Change from Baseline in Female Sex Function Index
Female Sex Function Index will be used to evaluate improvement of vulvovaginal atrophy symptoms
Satisfaction questionnaire
A questionnaire will be used to evaluate satisfaction with treatment outcome
Visual analog score for pain
Patients will complete a visual analog scale to report pain level associated with treatment

Full Information

First Posted
February 28, 2016
Last Updated
June 12, 2018
Sponsor
Syneron Medical
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1. Study Identification

Unique Protocol Identification Number
NCT02704741
Brief Title
Clinical Study of the CO2RE Laser Device Performance for Vaginal Atrophy Treatments
Official Title
Clinical Study of the CO2RE Laser Device Performance for Vaginal Atrophy Treatments
Study Type
Interventional

2. Study Status

Record Verification Date
June 2018
Overall Recruitment Status
Unknown status
Study Start Date
September 2015 (Actual)
Primary Completion Date
June 2019 (Anticipated)
Study Completion Date
September 2019 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Syneron Medical

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The CO2RE laser system is a fractional CO2 laser that is FDA approved under a 510(k) K101321 for dermatologic procedures requiring ablation and coagulation of soft tissues, including the skin Eligible subjects will undergo 3 treatments in 4±1 weeks interval on the Vagina (External/Vulva and Internal/Vagina) with the CO2RE device according to study protocol. Subject will return for to 5 follow-up (FU) visits: 1 week ± 2 days post first treatment visit and 1, 3, 6 and 12 months after last (third) treatment (± 2 weeks). Methodology described in protocol to evaluate efficacy of treatments will be carried out at each visit at the clinic.
Detailed Description
This study is a Prospective clinical study to demonstrate the CO2RE laser device for safety and efficacy for Vaginal Atrophy. Up to a total of 60 healthy candidates, seeking vaginal treatment from the participating investigator will be enrolled at a participating study site. Subjects will receive three (3) CO2RE treatments. Each subject will be followed for additional 5 post treatment visits (FU visits) that will be conducted at: One week post first treatment - 1wk FU ± 2 days (Safety). 1 month post last treatment - 1m FU ± 2 weeks (efficacy & Safety). 3 months post last treatment - 3m FU ± 2 weeks (efficacy & Safety). 6 months post last treatment - 6m FU ± 2 weeks (efficacy & Safety). 12 months post last treatment - 12m FU ± 2 weeks (efficacy & Safety).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Vaginal Atrophy

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
61 (Actual)

8. Arms, Groups, and Interventions

Arm Title
all subjects
Arm Type
Experimental
Arm Description
Eligible subjects will undergo 3 treatments in 4±1 weeks interval on the Vagina (External/Vulva and Internal/Vagina) with the CO2RE device according to study protocol. Subject will return for to 5 follow-up (FU) visits: 1 week ± 2 days post first treatment visit and 1, 3, 6 and 12 months after last (third) treatment (± 2 weeks). Methodology described in protocol to evaluate efficacy of treatments will be carried out at each visit at the clinic.
Intervention Type
Device
Intervention Name(s)
CO2RE
Intervention Description
The CO2RE system device is intended for dermatological procedures requiring ablation, coagulation and resurfacing of soft tissue, including skin
Primary Outcome Measure Information:
Title
Change from Baseline in Vulvovaginal Symptom Questionnaire
Description
Vulvovaginal Symptom Questionnaire will be used to evaluate improvement of vulvovaginal atrophy symptoms.
Time Frame
Baseline, 1 , 2 , 3, 5, 8, and 14 months
Secondary Outcome Measure Information:
Title
Number of participants with adverse events
Description
Number, severity and duration of adverse events following CO2 treatment
Time Frame
throughout study duration, day 0 up to 17 months
Title
Vaginal Health Index Improvement
Description
Evaluation of vaginal wall conditions such as pH, elasticity, bleeding signs, secretion type and consistency and hydration.
Time Frame
Baseline, 1 , 2 , 3, 5, 8, and 14 months
Title
Change from Baseline in Female Sex Function Index
Description
Female Sex Function Index will be used to evaluate improvement of vulvovaginal atrophy symptoms
Time Frame
Baseline, 1 , 2 , 3, 5, 8, and 14 months
Title
Satisfaction questionnaire
Description
A questionnaire will be used to evaluate satisfaction with treatment outcome
Time Frame
2 weeks and 1 , 2 , 3, 5, 8, and 14 months
Title
Visual analog score for pain
Description
Patients will complete a visual analog scale to report pain level associated with treatment
Time Frame
day 0, 4 weeks, 8 weeks

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
35 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Subjects seeking treatment of Vaginal Atrophy in the vagina area (External - vestibule and introitus; Internal - Vaginal canal) Healthy female subjects age greater than or equal to 35 years of age who are post menopausal for at least one year, for any reason whether surgical , chemical or natural. Absence of menstruation for at least 12 months Not responding to or satisfied with previous local estrogen therapy Desire to maintain sexual activity Informed consent process completed and subject signed consent Willing to receive the proposed CO2RE treatment and follow-up protocol Post-menopausal or surgically sterilized. Normal cell cytology (PAP smear) Negative urinalysis and a normal vaginal canal (no evidence of dysplasia and occult or active infection) The external vaginal area (vestibule and introitus) free of injuries and bleeding Subject experienced sexual activity at least once a month Exclusion Criteria: Subject had surgery or any other procedure for Vaginal Tightening in the last 12 months Use of hormone replacement therapy, either systemic or local within the last 6 months prior to study Lubricants or any localized preparation in the 30 days prior to enrollment Patient with history of herpes. Acute or recurrent urinary tract infection (UTI) or genital infection (e.g. herpes, candida) Active malignancy or history of malignancy in the past 5 years Having any active electrical implant anywhere in the body, such as a pacemaker or an internal defibrillator Suffering from significant concurrent illness, such as cardiac disorders, diabetes (type I or II), lupus, porphyria, or pertinent neurological disorders (i.e. any disease state that in the opinion of the Physician would interfere with the treatment, or healing process) Having a known anticoagulative or thromboembolic condition or taking anticoagulation medications one week prior to and during the treatment course (to allow inclusion, temporary cessation of use as per the subject's physician discretion) History of immunosuppression/immune deficiency disorders (including HIV infection or AIDS) or currently using immunosuppressive medications Suffering from hormonal imbalance, whether related to thyroid, pituitary, or androgen History of significant lymphatic drainage problems History of cancer which required lymph node biopsy or dissection Suffering from significant conditions in the treated areas or inflammatory conditions, including, but not limited to, open lacerations or abrasions of the treatment area prior to treatment (duration of resolution as per the Investigator's discretion) or during the treatment course History of keloid scarring, abnormal wound healing and / or prone to bruising History of epidermal or dermal disorders (particularly if involving collagen or microvascularity), including collagen vascular disease or vasculitic disorders Use of isotretinoin (Accutane®) within 6 months of treatment or during the study Subject on systemic corticosteroid therapy 6 months prior to and throughout the course of the study Dysplastic nevi in the area to be treated Participation in a study of another device or drug within 6 month prior to enrollment or during this study, if treatments of vagina were involved As per the Investigator's discretion, any physical or mental condition which might make it unsafe for the subject to participate in this study Prolapse staged >_ II, according to the pelvic organ prolapse quantification (ICS-POP-Q) system Previously undergone pelvic reconstructive surgery
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Konika Patel Schallen, MD
Organizational Affiliation
Syneron Candela
Official's Role
Study Director
Facility Information:
Facility Name
FamWell.MD
City
Jacksonville
State/Province
Florida
ZIP/Postal Code
32207
Country
United States
Facility Name
6400 Dutchmans Pkwy Ste 335 Louisville, KY 40205 US
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40205
Country
United States
Facility Name
Syneron-Candela Institute for Excellence
City
Wayland
State/Province
Massachusetts
ZIP/Postal Code
01778
Country
United States
Facility Name
Dermatology and Laser Surgery Center of New York
City
New York
State/Province
New York
ZIP/Postal Code
10028
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
Undecided
Citations:
PubMed Identifier
25333211
Citation
Salvatore S, Nappi RE, Parma M, Chionna R, Lagona F, Zerbinati N, Ferrero S, Origoni M, Candiani M, Leone Roberti Maggiore U. Sexual function after fractional microablative CO(2) laser in women with vulvovaginal atrophy. Climacteric. 2015 Apr;18(2):219-25. doi: 10.3109/13697137.2014.975197. Epub 2014 Dec 16.
Results Reference
background
PubMed Identifier
32329093
Citation
Alexiades MR. Fractional Co2 Laser Treatment of the Vulva and Vagina and the Effect of Postmenopausal Duration on Efficacy. Lasers Surg Med. 2021 Feb;53(2):185-198. doi: 10.1002/lsm.23247. Epub 2020 Apr 23.
Results Reference
derived

Learn more about this trial

Clinical Study of the CO2RE Laser Device Performance for Vaginal Atrophy Treatments

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