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Multi-polar RF and PEMF for Treatment of Symptoms Associated With Vulvovaginal Atrophy

Primary Purpose

Vulvovaginal Atrophy

Status
Completed
Phase
Not Applicable
Locations
International
Study Type
Interventional
Intervention
Venus Fiore Study Treatment
Venus Fiore Sham Treatment
Sponsored by
Venus Concept
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Vulvovaginal Atrophy

Eligibility Criteria

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

Inclusion Criteria:

  1. Healthy, female subjects, ≥ 19 years of age, requesting treatment of vulvovaginal tissue for improvement of symptoms associated with vulvovaginal atrophy
  2. Baseline FSFI score <27.
  3. At least one full-term vaginal delivery (of more than 36 weeks gestation) completed at least one year before study enrollment.
  4. Able to read, understand and voluntarily provide written Informed Consent.
  5. Able and willing to comply with the treatment/follow-up schedule and requirements.
  6. Sexually active in a monogamous relationship.
  7. Women of child-bearing age are required to be using a reliable method of birth control at least 3 months prior to study enrollment and for the duration of the study, and have a negative Urine Pregnancy test at baseline.
  8. Negative Papanicolaou (Pap) Smear Cytology Test within 3 months prior to enrollment.

Exclusion Criteria:

  1. Pregnant or intending to become pregnant during the course of study.
  2. Having any active electrical implant anywhere in the body, such as a pacemaker or an internal defibrillator.
  3. Having a permanent implant in the treated area (e.g. intrauterine device).
  4. Prior use of collagen, fat injections and/or other methods of skin augmentation (enhancement with injected or implanted material) in the treated area within 4-6 weeks of the initial treatment or during the course of the study.
  5. Use of retinoids such as oral Isotretinoin (Accutane®) within 6 months of initial treatment or during the course of the study.
  6. Any other surgery in treated area within 12 months of initial treatment or during the course of the study.
  7. Open laceration, abrasion or bleeding of any sort on the area to be treated.
  8. Active sexual transmitted disease (STD) (e.g. genital Herpes Simplex, condylomata) or vaginosis.
  9. Chronic vulvar pain or vulvar dystrophy.
  10. History of immunosuppression/immune deficiency disorders (including HIV infection or AIDS) or use of immunosuppressive medications, including corticosteroids, 6 months prior to and during the course of the study.
  11. Having any form of active cancer at the time of enrollment and during the course of the study.
  12. Significant concurrent illness, such as uncontrolled diabetes i.e. any disease state that in the opinion of the Investigator would interfere with the treatment, or healing process.
  13. Participation in a study of another device or drug within 1 month prior to study enrollment or during this study, and as per the Investigator's careful discretion, as long as not contradictory to any of the above criteria.
  14. Mentally incompetent or evidence of active substance or alcohol abuse.
  15. Having any stage 3-4 cystocele, rectocele, enterocele paravaginal defect or major pelvic organ prolapse beyond the hymenal ring.
  16. Unstable dosages of medications such as antihypertensives or psychotropics that are known to affect sexuality.
  17. Skin piercing in the treatment area.
  18. Tattoos in the treatment area.
  19. Prior skin treatment with laser in the treated area within 6 months of the initial treatment or during the course of treatment.
  20. Prior ablative resurfacing procedure in the treated area with laser or other devices within 12 months of the initial treatment or during the course of treatment.
  21. History of keloid formation or poor wound healing in a previously-injured skin area.
  22. History of epidermal or dermal disorders (particularly if involving collagen or microvascularity).

Sites / Locations

  • IRCCS Policlinico S. Matteo
  • Institute Palacios

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

Venus Fiore Study Treatment

Venus Fiore Sham Treatment

Arm Description

Study treatment consists of delivering radiofrequency (RF) and pulsed electromagnetic fields (PEMF) internally to the vagina (50 - 70% for up to 15 minutes), externally to the labia (10 - 35% for up to 10 minutes) and externally to the mons pubis (10 - 35% for up to 15 minutes).

Sham treatment consists of delivering radiofrequency (RF) and pulsed electromagnetic fields (PEMF) internally to the vagina (1% for up to 15 minutes), externally to the labia (1% for up to 10 minutes) and externally to the mons pubis (1% for up to 15 minutes).

Outcomes

Primary Outcome Measures

Vaginal Health Index (VHI)
Proportion of subjects in the active arm as compared to the proportion of the subjects in the sham arm assessed as having improvement in the Vaginal Health Index (VHI) score.
Vaginal Health Index (VHI)
Proportion of subjects in the active arm as compared to the proportion of the subjects in the sham arm assessed as having improvement in the Vaginal Health Index (VHI) score.
Vaginal Mucus
Report the microscopic changes in vaginal mucus in the study treatment group as compared to the sham treatment group.
Vaginal Mucus
Report the microscopic changes in vaginal mucus in the study treatment group as compared to the sham treatment group.
Vaginal pH
Report the microscopic changes in vaginal pH in the study treatment group as compared to the sham treatment group.
Vaginal pH
Report the microscopic changes in vaginal pH in the study treatment group as compared to the sham treatment group.

Secondary Outcome Measures

Full Information

First Posted
October 26, 2018
Last Updated
May 31, 2023
Sponsor
Venus Concept
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1. Study Identification

Unique Protocol Identification Number
NCT03725410
Brief Title
Multi-polar RF and PEMF for Treatment of Symptoms Associated With Vulvovaginal Atrophy
Official Title
Clinical Evaluation of the Safety and Performance of Using Multi-Polar RF and PEMF Technologies for the Treatment of Symptoms Associated With Vulvovaginal Atrophy
Study Type
Interventional

2. Study Status

Record Verification Date
February 2022
Overall Recruitment Status
Completed
Study Start Date
September 25, 2018 (Actual)
Primary Completion Date
September 30, 2022 (Actual)
Study Completion Date
December 31, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Venus Concept

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a multicenter, single-blind, randomized, sham-controlled study utilizing the Venus Fiore™ (MP)2, a table-top device designed to deliver multi-polar RF energy and pulsed electromagnetic fields for use in dermatological and general surgical procedures to temporarily improve blood circulation and to induce modification of collagen structure, neocollagenesis and angiogenesis for the treatment of symptoms associated with vulvovaginal atrophy.
Detailed Description
Multicenter, single-blind, randomized, sham-controlled study of multi-polar radio-frequency (RF) and pulsed electro-magnetic field (PEMF) technologies for the treatment of symptoms associated with vulvovaginal atrophy. The study will enroll up to 106 subjects requesting treatment of symptoms of vulvovaginal atrophy (vaginal dryness, decreased lubrication during sexual activity, decreased elasticity, irritation, discomfort during intercourse and discomfort of the vaginal and vulvar tissues in general) in order to have 88 subjects complete the study. Subjects will be randomized in a 1:1 ratio to either multi-polar RF and PEMF technologies or sham treatment and will receive a total of three internal and external treatments with the Venus Fiore™ (MP)2 device at four-week intervals. Study treatment will be administered as per the parameter recommendations as set out in the Venus Fiore™ (MP)2 user manual. Subjects will be followed up at three and six months after their initial treatment. Analysis will be performed on all subjects who receive at least one treatment. Three- and six-month outcomes from the active arm will be compared to data from the sham arm.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
Participant
Allocation
Randomized
Enrollment
81 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Venus Fiore Study Treatment
Arm Type
Active Comparator
Arm Description
Study treatment consists of delivering radiofrequency (RF) and pulsed electromagnetic fields (PEMF) internally to the vagina (50 - 70% for up to 15 minutes), externally to the labia (10 - 35% for up to 10 minutes) and externally to the mons pubis (10 - 35% for up to 15 minutes).
Arm Title
Venus Fiore Sham Treatment
Arm Type
Placebo Comparator
Arm Description
Sham treatment consists of delivering radiofrequency (RF) and pulsed electromagnetic fields (PEMF) internally to the vagina (1% for up to 15 minutes), externally to the labia (1% for up to 10 minutes) and externally to the mons pubis (1% for up to 15 minutes).
Intervention Type
Device
Intervention Name(s)
Venus Fiore Study Treatment
Intervention Description
Study treatment consists of delivering radiofrequency (RF) and pulsed electromagnetic fields (PEMF) internally to the vagina (50 - 70% for up to 15 minutes), externally to the labia (10 - 35% for up to 10 minutes) and externally to the mons pubis (10 - 35% for up to 15 minutes).
Intervention Type
Device
Intervention Name(s)
Venus Fiore Sham Treatment
Intervention Description
Sham treatment consists of delivering radiofrequency (RF) and pulsed electromagnetic fields (PEMF) internally to the vagina (1% for up to 15 minutes), externally to the labia (1% for up to 10 minutes) and externally to the mons pubis (1% for up to 15 minutes).
Primary Outcome Measure Information:
Title
Vaginal Health Index (VHI)
Description
Proportion of subjects in the active arm as compared to the proportion of the subjects in the sham arm assessed as having improvement in the Vaginal Health Index (VHI) score.
Time Frame
Three months after initial treatment
Title
Vaginal Health Index (VHI)
Description
Proportion of subjects in the active arm as compared to the proportion of the subjects in the sham arm assessed as having improvement in the Vaginal Health Index (VHI) score.
Time Frame
Six months after initial treatment
Title
Vaginal Mucus
Description
Report the microscopic changes in vaginal mucus in the study treatment group as compared to the sham treatment group.
Time Frame
Three months after initial treatment
Title
Vaginal Mucus
Description
Report the microscopic changes in vaginal mucus in the study treatment group as compared to the sham treatment group.
Time Frame
Six months after initial treatment
Title
Vaginal pH
Description
Report the microscopic changes in vaginal pH in the study treatment group as compared to the sham treatment group.
Time Frame
Three months after initial treatment
Title
Vaginal pH
Description
Report the microscopic changes in vaginal pH in the study treatment group as compared to the sham treatment group.
Time Frame
Six months after initial treatment

10. Eligibility

Sex
Female
Gender Based
Yes
Gender Eligibility Description
Only human females have labia, a mons pubis and a vagina.
Minimum Age & Unit of Time
19 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy, female subjects, ≥ 19 years of age, requesting treatment of vulvovaginal tissue for improvement of symptoms associated with vulvovaginal atrophy Baseline FSFI score <27. At least one full-term vaginal delivery (of more than 36 weeks gestation) completed at least one year before study enrollment. Able to read, understand and voluntarily provide written Informed Consent. Able and willing to comply with the treatment/follow-up schedule and requirements. Sexually active in a monogamous relationship. Women of child-bearing age are required to be using a reliable method of birth control at least 3 months prior to study enrollment and for the duration of the study, and have a negative Urine Pregnancy test at baseline. Negative Papanicolaou (Pap) Smear Cytology Test within 3 months prior to enrollment. Exclusion Criteria: Pregnant or intending to become pregnant during the course of study. Having any active electrical implant anywhere in the body, such as a pacemaker or an internal defibrillator. Having a permanent implant in the treated area (e.g. intrauterine device). Prior use of collagen, fat injections and/or other methods of skin augmentation (enhancement with injected or implanted material) in the treated area within 4-6 weeks of the initial treatment or during the course of the study. Use of retinoids such as oral Isotretinoin (Accutane®) within 6 months of initial treatment or during the course of the study. Any other surgery in treated area within 12 months of initial treatment or during the course of the study. Open laceration, abrasion or bleeding of any sort on the area to be treated. Active sexual transmitted disease (STD) (e.g. genital Herpes Simplex, condylomata) or vaginosis. Chronic vulvar pain or vulvar dystrophy. History of immunosuppression/immune deficiency disorders (including HIV infection or AIDS) or use of immunosuppressive medications, including corticosteroids, 6 months prior to and during the course of the study. Having any form of active cancer at the time of enrollment and during the course of the study. Significant concurrent illness, such as uncontrolled diabetes i.e. any disease state that in the opinion of the Investigator would interfere with the treatment, or healing process. Participation in a study of another device or drug within 1 month prior to study enrollment or during this study, and as per the Investigator's careful discretion, as long as not contradictory to any of the above criteria. Mentally incompetent or evidence of active substance or alcohol abuse. Having any stage 3-4 cystocele, rectocele, enterocele paravaginal defect or major pelvic organ prolapse beyond the hymenal ring. Unstable dosages of medications such as antihypertensives or psychotropics that are known to affect sexuality. Skin piercing in the treatment area. Tattoos in the treatment area. Prior skin treatment with laser in the treated area within 6 months of the initial treatment or during the course of treatment. Prior ablative resurfacing procedure in the treated area with laser or other devices within 12 months of the initial treatment or during the course of treatment. History of keloid formation or poor wound healing in a previously-injured skin area. History of epidermal or dermal disorders (particularly if involving collagen or microvascularity).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Matthew Gronski, PhD
Organizational Affiliation
Venus Concept Ltd.
Official's Role
Study Director
Facility Information:
Facility Name
IRCCS Policlinico S. Matteo
City
Pavia
ZIP/Postal Code
27100
Country
Italy
Facility Name
Institute Palacios
City
Madrid
ZIP/Postal Code
28009
Country
Spain

12. IPD Sharing Statement

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Multi-polar RF and PEMF for Treatment of Symptoms Associated With Vulvovaginal Atrophy

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