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Evaluation of Efficacy and Safety of Votiva for Vaginal Rejuvenation

Primary Purpose

Vaginal Atrophy, Vaginal Relaxation, Stress Urinary Incontinence

Status
Unknown status
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Votiva RF
Sponsored by
Walden, Jennifer L., M.D.,P.L.L.C.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Vaginal Atrophy

Eligibility Criteria

25 Years - 65 Years (Adult, Older Adult)FemaleAccepts Healthy Volunteers

Inclusion Criteria:

  • Women aged 25-65 years with symptoms of vaginal relaxation syndrome and/or urinary incontinence who desire vaginal rejuvenation treatment.
  • Informed Consent Form, Photo Release and sharing of assessments signed by the subject.
  • Ability and willingness to follow the study visits schedule.
  • Ability and willingness to adhere to prescribed medication regime.

Exclusion Criteria:

  • Unable to commit to future appointments within one year
  • Planning on moving away from the New York or Austin area within one year
  • History of other energy-based vaginal therapy within one year
  • Intermittent vaginal hormone replacement therapy. If patients are on hormone replacement therapy, they should maintain their dosing throughout the study. (If using systemic HRT, shouldn't change it during the whole study period)
  • Prior labiaplasty
  • Prior anti-incontinence surgery in the last 12 months
  • Urinary incontinence requiring more than 2 pads/day
  • Urinary tract infection in the past 3 months
  • Immunodeficiency status (steroid intake, ongoing chemotherapy)
  • Diffuse pain syndrome or chronic pain requiring daily narcotics
  • Chronic vaginitis including bacterial vaginosis, HPV, herpes, or other active STI
  • Abnormal Papanicolaou test result in the last 2 years
  • Abnormal pelvic exam (i.e. concerning lesions) or anterior or posterior vaginal prolapse in the last 2 years
  • Undiagnosed abnormal genital bleeding
  • If of child-bearing potential or less than two years postmenopausal, not using a medically approved method of contraception (i.e. oral, transdermal, implanted contraceptives, intrauterine device, diaphragm, condom, etc.)
  • If patients are using a Nuvaring, they must use an alternate form of contraception during the three treatment months
  • Pregnancy (determined by urine HCG prior to procedure) or lactating
  • Psychiatric conditions
  • Pacemaker or internal defibrillator, or other implanted metallic or electronic device.
  • Permanent implant in the treated area such as metal plates and screws or silicone.
  • Current or history of any type of cancer, or pre-malignant conditions.
  • Severe concurrent conditions, such as cardiac disorders.
  • History of or current diseases stimulated by heat, such as recurrent Herpes Simplex, in the area of the vagina where the study device will be applied. This area may be included in the study only following a prophylactic regimen.
  • Poorly controlled endocrine disorders, such as diabetes.
  • Any active skin condition in the treatment area, such as sores, infection, eczema, and rash. History of skin disorders, keloids (irregularly shaped scars), abnormal wound healing, as well as very dry and fragile skin.
  • History of a bleeding disorder in which the blood's ability to form clots is impaired.
  • Any treatment or surgery performed in the treatment area within a year prior to treatment.
  • Use of Isotretinoin (Accutane®) within 6 months prior to treatment.
  • Any therapies or medications which may interfere with the use of the study device.
  • Compromised health as determined by the study doctor.

Sites / Locations

  • Preminger Plastic SurgeryRecruiting
  • Jennifer L. Walden MD., P.L.L.C.Recruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Sham Comparator

Arm Label

Votiva RF

Votiva RF Sham

Arm Description

Patients will undergo radiofrequency treatment using the Votiva FormaV and FractoraV hand pieces, using the device's standard protocol. Patients will have 3 treatments spaced 3-4 weeks apart and two follow-up visits. Duration of each treatment visit is approximately 1-1.5 hours. Prior to treatment and follow-up visit, each patient will be assessed using standardized photos, perineometry, and validated questionnaires.

Patients will undergo the acts of receiving radiofrequency treatment with the Votiva FormaV and FractoraV hand pieces, but no direct energy will be applied. Patients will have 3 treatments spaced 3-4 weeks apart and 2 follow-up visits. Duration of each treatment visit is approximately 1-1.5 hours. Prior to treatment and follow-up visit, each patient will be assessed using standardized photos, perineometry, and validated questionnaires.

Outcomes

Primary Outcome Measures

Sexual-impact of vulvovaginal symptoms in postmenopausal women
Assessed and measured by: The Vulvovaginal Symptoms Questionnaire (VVSQ)
Improved Vaginal Laxity
Vaginal laxity/tightness assessed and measured by: Vaginal Laxity Questionnaire (VLQ)
Improved Sexual Function
Sexual dysfunction assessed and measured by: Female Sexual Function Index (FSFI)
Measuring Sexually Related Personal Distress in Women With Female Sexual Dysfunction
Assess distress associated with impaired sexual function assessed and measured by: Female Sexual Distress Scale-Revised Questionnaire
Urogenital Distress Inventory
Assessed and measured by: Urogenital Distress Inventory, Short Form (UDI-6) scores
Urinary Incontinence Impact
Assessed and measured by: Incontinence Impact Questionnaire Short Form (IIQ-7)

Secondary Outcome Measures

Full Information

First Posted
April 27, 2018
Last Updated
April 27, 2018
Sponsor
Walden, Jennifer L., M.D.,P.L.L.C.
Collaborators
Aviva Preminger, MD., P.L.L.C., InMode MD Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT03520426
Brief Title
Evaluation of Efficacy and Safety of Votiva for Vaginal Rejuvenation
Official Title
A Randomized Controlled Trial for the Evaluation of Efficacy and Safety of Votiva for Vaginal Rejuvenation
Study Type
Interventional

2. Study Status

Record Verification Date
April 2018
Overall Recruitment Status
Unknown status
Study Start Date
March 12, 2018 (Actual)
Primary Completion Date
January 30, 2020 (Anticipated)
Study Completion Date
January 30, 2020 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Walden, Jennifer L., M.D.,P.L.L.C.
Collaborators
Aviva Preminger, MD., P.L.L.C., InMode MD Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
Yes
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a multi-site, randomized, prospective study designed to evaluate the safety and efficacy of the Votiva device headpieces through radiofrequency for vaginal rejuvenation. An anticipated 50 subjects will undergo 3 treatments of the vulvovaginal area using radiofrequency unit or radiofrequency placebo. Study duration for each subject is approximately six months (including screening, 3 treatment sessions 3-4 weeks apart and 2 follow-up visit at 3 and 6 months post initiation of treatment (4 and 12 weeks after completion of last treatment). Efficacy will be measured and evaluated by validated questionnaires to include: The Vulvovaginal Symptoms Questionnaire, Vaginal Laxity Questionnaire (VLQ), Urogenital Distress Short Form (UDI-6) and Incontinence Impact Questionnaire Short Form (IIQ-7), Female Sexual Function Index (FSFI) and the Female Sexual Distress Scale-Revised (FSDS-R).
Detailed Description
Vaginal rejuvenation is a catch-all term of aesthetic and functional procedures which claim to provide relief of many issues affecting women's health, ranging from postmenopausal vulvovaginal symptoms (i.e. dryness, burning, itching), stress urinary incontinence, sexual dysfunction or discomfort, vaginal laxity, and external labial appearance, amongst others.1,2 Several companies have emerged with non-invasive or minimally-invasive technologies to alleviate these conditions which operate by radiofrequency (RF) delivery, Hybrid Fractional Laser, fractional CO2 laser3, or Er:YAG4. Votiva by InMode is unique in its usage as both an internal and external rejuvenating device. The RF technologies work theoretically by heating the connective tissue of the vaginal wall to 40 to 42°C thereby remodeling extracellular matrix configuration. Once optimal temperatures are reached, collagen contraction, neocollagenesis, vascularization, and growth factor infiltration could lead to durable vaginal wall changes with improvement in elasticity and moisture of the vaginal wall. Although numerous studies have demonstrated the therapeutic efficacy of energy-based devices in rejuvenation of the face, neck, and décolleté, their application in the vaginal canal is a fairly new concept that is currently being studied.11 Given the paucity of data, this study aims to assess the utility and safety of the RF device Votiva in a two arm prospective case control trial for improvement in external labial appearance, vaginal laxity, sexual function and urinary incontinence.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Vaginal Atrophy, Vaginal Relaxation, Stress Urinary Incontinence

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
50 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Votiva RF
Arm Type
Experimental
Arm Description
Patients will undergo radiofrequency treatment using the Votiva FormaV and FractoraV hand pieces, using the device's standard protocol. Patients will have 3 treatments spaced 3-4 weeks apart and two follow-up visits. Duration of each treatment visit is approximately 1-1.5 hours. Prior to treatment and follow-up visit, each patient will be assessed using standardized photos, perineometry, and validated questionnaires.
Arm Title
Votiva RF Sham
Arm Type
Sham Comparator
Arm Description
Patients will undergo the acts of receiving radiofrequency treatment with the Votiva FormaV and FractoraV hand pieces, but no direct energy will be applied. Patients will have 3 treatments spaced 3-4 weeks apart and 2 follow-up visits. Duration of each treatment visit is approximately 1-1.5 hours. Prior to treatment and follow-up visit, each patient will be assessed using standardized photos, perineometry, and validated questionnaires.
Intervention Type
Device
Intervention Name(s)
Votiva RF
Intervention Description
The Votiva system is approved by the U.S. Food and Drug Administration for treatment of sexual dysfunction as well as in combination with Kegel exercises for tightening of the muscles of the pelvic floor to increase muscle tone. One part of the system, the fractora handpiece, is approved for tissue coagulation for the purpose of skin rejuvenation. The Votiva has two hand pieces, Forma and Fractora, which have been cleared by the United States Food and Drug Administration (FDA) and are used during dermatological procedures.
Primary Outcome Measure Information:
Title
Sexual-impact of vulvovaginal symptoms in postmenopausal women
Description
Assessed and measured by: The Vulvovaginal Symptoms Questionnaire (VVSQ)
Time Frame
6 months
Title
Improved Vaginal Laxity
Description
Vaginal laxity/tightness assessed and measured by: Vaginal Laxity Questionnaire (VLQ)
Time Frame
6 months
Title
Improved Sexual Function
Description
Sexual dysfunction assessed and measured by: Female Sexual Function Index (FSFI)
Time Frame
6 months
Title
Measuring Sexually Related Personal Distress in Women With Female Sexual Dysfunction
Description
Assess distress associated with impaired sexual function assessed and measured by: Female Sexual Distress Scale-Revised Questionnaire
Time Frame
6 months
Title
Urogenital Distress Inventory
Description
Assessed and measured by: Urogenital Distress Inventory, Short Form (UDI-6) scores
Time Frame
6 months
Title
Urinary Incontinence Impact
Description
Assessed and measured by: Incontinence Impact Questionnaire Short Form (IIQ-7)
Time Frame
6 months

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
25 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Women aged 25-65 years with symptoms of vaginal relaxation syndrome and/or urinary incontinence who desire vaginal rejuvenation treatment. Informed Consent Form, Photo Release and sharing of assessments signed by the subject. Ability and willingness to follow the study visits schedule. Ability and willingness to adhere to prescribed medication regime. Exclusion Criteria: Unable to commit to future appointments within one year Planning on moving away from the New York or Austin area within one year History of other energy-based vaginal therapy within one year Intermittent vaginal hormone replacement therapy. If patients are on hormone replacement therapy, they should maintain their dosing throughout the study. (If using systemic HRT, shouldn't change it during the whole study period) Prior labiaplasty Prior anti-incontinence surgery in the last 12 months Urinary incontinence requiring more than 2 pads/day Urinary tract infection in the past 3 months Immunodeficiency status (steroid intake, ongoing chemotherapy) Diffuse pain syndrome or chronic pain requiring daily narcotics Chronic vaginitis including bacterial vaginosis, HPV, herpes, or other active STI Abnormal Papanicolaou test result in the last 2 years Abnormal pelvic exam (i.e. concerning lesions) or anterior or posterior vaginal prolapse in the last 2 years Undiagnosed abnormal genital bleeding If of child-bearing potential or less than two years postmenopausal, not using a medically approved method of contraception (i.e. oral, transdermal, implanted contraceptives, intrauterine device, diaphragm, condom, etc.) If patients are using a Nuvaring, they must use an alternate form of contraception during the three treatment months Pregnancy (determined by urine HCG prior to procedure) or lactating Psychiatric conditions Pacemaker or internal defibrillator, or other implanted metallic or electronic device. Permanent implant in the treated area such as metal plates and screws or silicone. Current or history of any type of cancer, or pre-malignant conditions. Severe concurrent conditions, such as cardiac disorders. History of or current diseases stimulated by heat, such as recurrent Herpes Simplex, in the area of the vagina where the study device will be applied. This area may be included in the study only following a prophylactic regimen. Poorly controlled endocrine disorders, such as diabetes. Any active skin condition in the treatment area, such as sores, infection, eczema, and rash. History of skin disorders, keloids (irregularly shaped scars), abnormal wound healing, as well as very dry and fragile skin. History of a bleeding disorder in which the blood's ability to form clots is impaired. Any treatment or surgery performed in the treatment area within a year prior to treatment. Use of Isotretinoin (Accutane®) within 6 months prior to treatment. Any therapies or medications which may interfere with the use of the study device. Compromised health as determined by the study doctor.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Sherilyn D. Garcia, BS
Phone
(512) 328-4100
Email
Sherilyn.Drwalden@gmail.com
First Name & Middle Initial & Last Name or Official Title & Degree
Jennifer L. Walden, MD
Phone
(512) 328-4100
Email
DrJenniferWalden@hotmail.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jennifer L. Walden, MD
Organizational Affiliation
Owner
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Aviva Preminger, MD
Organizational Affiliation
Co-Site PI
Official's Role
Principal Investigator
Facility Information:
Facility Name
Preminger Plastic Surgery
City
New York
State/Province
New York
ZIP/Postal Code
10028
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Aviva Preminger, MD
Phone
512-328-4100
Email
premingermd@gmail.com
Facility Name
Jennifer L. Walden MD., P.L.L.C.
City
Austin
State/Province
Texas
ZIP/Postal Code
78746
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sherilyn Garcia, BS
Phone
512-328-4100
Email
Sherilyn.Drwalden@gmail.com

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
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20584127
Citation
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Evaluation of Efficacy and Safety of Votiva for Vaginal Rejuvenation

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