Laser vs Hyaluronic Acid for GSM in Breast Cancer

Watumiaji waliosajiliwa tu ndio wanaweza kutafsiri nakala

Ingia / Ingia

Kiungo kimehifadhiwa kwenye clipboard

HaliKuajiri

Wadhamini

Medical University of Graz

JARIBIO LA KLINIKI: NCT03816735

BioSeek: nct03816735

Maneno muhimu

Kikemikali

All women from the outpatient department with a history of BC and GSM (genitourinary symptoms of menopause) symptoms will be invited to participate.

After informed consent patients are either randomized to intravaginal laser or hyaluronic acid suppository treatment intravaginally, respectively. Laser treatment will be performed twice, at baseline and after 1 month. The intravaginal hyaluronic acid suppository therapy will be applied daily during the first 10 days and then every third day until the three months follow-up.

At baseline and three months follow-up the following questionnaires will be filled out (VAS, (PGI-I, PGI-S, Female Sexual health questionnaire (EORTC), Baessler questionnaire, EORTC quality of life questionnaire, ZUF-8).

Maelezo

Device I- Laser The laser device is the Juliet feminine laser to treat women with SUI (Stress Urinary Incontinence), GSM and vaginal laxity. Asclepion' s headquarters are located in "Asclepion Laser Technologies GmbH - Brüsseler Str. 10 - 07747 Jena - Germany".

Device II- Suppository The second device is a vaginal suppository called "Cikatridina" manufactured by the company Angelini to treat women with GSM. Angelini Pharma Österreich GmbH's headquarters are located in Brigittenauer Lände 50-54, 1200 Wien, Austria.

Tarehe

Imethibitishwa Mwisho:	06/30/2020
Iliyowasilishwa Kwanza:	01/22/2019
Uandikishaji uliokadiriwa Uliwasilishwa:	01/23/2019
Iliyotumwa Kwanza:	01/24/2019
Sasisho la Mwisho Liliwasilishwa:	07/07/2020
Sasisho la Mwisho Lilichapishwa:	07/08/2020
Tarehe halisi ya kuanza kwa masomo:	01/23/2019
Tarehe ya Kukamilisha Msingi iliyokadiriwa:	12/30/2021
Tarehe ya Kukamilisha Utafiti:	12/30/2021

Hali au ugonjwa

Urogenital Disease

Uingiliaji / matibabu

Device: hyaluronic acid suppository therapy

Device: Juliet feminine laser

Awamu

Vikundi vya Arm

Mkono	Uingiliaji / matibabu
Active Comparator: hyaluronic acid suppository therapy Women receive a vaginal suppository called "Cikatridina" manufactured by the company Angelini to treat women with GSM. Angelini Pharma Österreich GmbH's headquarters are located in Brigittenauer Lände 50-54, 1200 Wien, Austria. The suppositories contain ontain hyaluronic acid, tea tree oil, tigergras extract, and aloe vera.	Device: hyaluronic acid suppository therapy Women are asked to insert the suppositories according to the manufacturer's protocol.
Active Comparator: Juliet feminine laser The fractional microablative laser with 2940 nm wavelength has a high degree of absorption in water and selectively stimulates the synthesis of sub-mucosal collagen. The erbium-doped yttrium-aluminum-garnet (Er:YAG) laser has been successfully used in the field of plastic skin rejuvenation and reconstruction. The procedure is based on photothermic treatment of connective tissue: It has been established in animal and human studies that it affects collagen remodeling resulting in tightening of the supportive tissue.	Device: Juliet feminine laser Women will receive the laser treatment twice during the study period.

Mkono

Uingiliaji / matibabu

Active Comparator: hyaluronic acid suppository therapy

Women receive a vaginal suppository called "Cikatridina" manufactured by the company Angelini to treat women with GSM. Angelini Pharma Österreich GmbH's headquarters are located in Brigittenauer Lände 50-54, 1200 Wien, Austria. The suppositories contain ontain hyaluronic acid, tea tree oil, tigergras extract, and aloe vera.

Device: hyaluronic acid suppository therapy

Women are asked to insert the suppositories according to the manufacturer's protocol.

Active Comparator: Juliet feminine laser

The fractional microablative laser with 2940 nm wavelength has a high degree of absorption in water and selectively stimulates the synthesis of sub-mucosal collagen. The erbium-doped yttrium-aluminum-garnet (Er:YAG) laser has been successfully used in the field of plastic skin rejuvenation and reconstruction. The procedure is based on photothermic treatment of connective tissue: It has been established in animal and human studies that it affects collagen remodeling resulting in tightening of the supportive tissue.

Device: Juliet feminine laser

Women will receive the laser treatment twice during the study period.

Vigezo vya Kustahiki

Zama zinazostahiki Kujifunza	18 Years Kwa 18 Years
Jinsia Inastahiki Kujifunza	Female
Hupokea Wajitolea wa Afya	Ndio
Vigezo	Inclusion criteria - genital symptoms of dryness/ burning/ irritation - and/ or lack of lubrication during sexual intercourse/ sexual discomfort or pain - and/or symptoms of urgency and dysuria or recurrent urinary tract infection - Age 18-80 - History of BC and/ or DCIS - Completed locoregional therapy - Current antihormonal therapy for BC possible - Intravaginal treatment with creams/ suppositories other than study medicationshould be ceased during the trial Exclusion criteria: - Current or past genitourinary malignancy - Abnormal PAP smear - Current genitourinary tract infection - Abnormal uterine bleeding - photosensitive medication

Matokeo

Hatua za Matokeo ya Msingi

1. genitorurinary symptoms of menopause (GSM) determined by vaginal health index score [3 months]

Vaginal Health Score Index (VHIS) evaluates the appearance of the vaginal mucosa (elasticity, pH, vaginal discharge, mucosal integrity and moisture) on a scale from 1 to 5 each. The lower the score the worse the symptom.

Hatua za Matokeo ya Sekondari

1. Symptoms severity- visual analogue scale [3 months]

A visual analogue scale (VAS) is used for assessment for the subjective bother of GSM. The lower the score the less bothering are the symptoms.

2. Treatment discomfort / pain; assessed by visual analogue scale [3 months]

At the end of each laser treatment session or at 3 months for the vaginal suppository group patients are asked to indicate the degree of discomfort or pain during laser therapy/vaginal insertion of the suppositories on a scale ranging from 0 (no discomfort/pain) to 10 (worst possible discomfort/pain)

3. Patient Global Impression of Improvement [3 months]

The Patient Global Impression of Improvement (PGI-I) are robust and valid instruments to assess disease severity, bother and improvement after treatment in women. It ranges from very much improved to a lot worse on 7 likert scale.

4. Patient Global Impression of Severity [3 months]

The Patient Global Impression of Severity (PGI-S) is a global index that may be used to rate the severity of a specific condition (a single-state scale). The PGI scales are robust and valid instruments to assess disease severity, bother and improvement after treatment. The patient can choose from 4 answers including none, mild, moderate and severe.

5. Female Sexual health [3 months]

The Female Sexual health is assessed with the European Organisation for Research and Treatment of Cancer (EORTC) sexual health questionnaire and is a validated questionnaire which assesses physical, psychological, and social aspects of sexuality of cancer survivors. It is a 22 item questionnaire.The higher the score the better is the sexual function.

6. pelvic floor symptoms [3 months]

A validated self-administered pelvic floor questionnaire (Baessler) will be used to assess urogentinal symptoms. Questions regarding bladder (15), bowel (12), and sexual function (10), and pelvic organ prolapse symptoms (five) are grouped according to the physiological functions of the pelvic floor: bladder function, bowel function, prolapse symptoms, and sexual function domains. Quality of life measures and bothersomeness ratings were integrated into the four domains. Frequency, severity, and bothersomeness of pelvic floor symptoms are assessed using a four-point scoring system for most items in the questionnaire, apart from defecation frequency, bowel consistency, sufficient lubrication, and the reason for sexual abstinence. The lower the score the less pelvic floor symptoms the patients have.

7. Patient satisfaction with treatment/ inpatient management [3 months]

"Fragebogen zur Patientenzufriedenheit - ZUF8". The questionnaire, the German version of the original "Client Satisfaction Questionnaire-CSQ8", is a validated tool for measuring global patient satisfaction at the end of inpatient treatment. The Zuf-8 is an 8-items questionnaire to assess satisfaction in patients undergoing inpatient treatment. At 3 months treatment satisfaction will be assessed using an adopted version of the questionnaire. The lower the score the higher is the patient satiscation.

8. Discontinuation rate [3 months]

Number of patients who discontinue treatment

9. Dyspareunia rate [3 months]

evaluated by a single item of the Baessler questionnaire. The rate will be given in number and percent.

10. Quality of life: EORTC quality of life questionnaire [3 months]

Determined by the European Organisation for Research and Treatment of Cancer (EORTC) quality of life questionnaire. The questionnaire is a 47 item questionnaire and assess quality of life. The lower the score the better the quality of life.

Laser vs Hyaluronic Acid for GSM in Breast Cancer

Maneno muhimu

breast neoplasms

saratani

urinary incontinence

Kikemikali

Maelezo

Tarehe

Hali au ugonjwa

Uingiliaji / matibabu

Awamu

Vikundi vya Arm

Vigezo vya Kustahiki

Matokeo

Hifadhidata kamili ya mimea ya dawa inayoungwa mkono na sayansi