- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05812924
A Novel Therapy for Breast Cancer Survivors With Genitourinary Syndrome of Menopause
September 27, 2023 updated by: Kristin E. Rojas, MD, University of Miami
The purpose of this study is to determine whether platelet rich plasma (PRP) injections to the vulva and vagina will improve symptoms of genitourinary syndrome of menopause (GSM) in breast cancer patients.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Estimated)
20
Phase
- Phase 2
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Kristin E. Rojas, MD
- Phone Number: 305-243-1450
- Email: krojas@med.miami.edu
Study Locations
-
-
Florida
-
Miami, Florida, United States, 33136
- Recruiting
- University of Miami
-
Contact:
- Kristin E. Rojas, MD
- Phone Number: 305-243-1450
- Email: krojas@med.miami.edu
-
Principal Investigator:
- Kristin E Rojas, MD
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Female patients who are age 18 years and older
- Patients must have a history of biopsy-proven Ductal carcinoma in situ (DCIS) or Stage I-III breast cancer and must be currently undergoing treatment or have completed primary treatment.
- Patients must be found to have a vaginal health index (VHI) score of <15.
- Patients may be currently using endocrine therapy (ovarian function suppression, tamoxifen, or aromatase inhibitors). Patients not currently using endocrine therapy will also be eligible for participation since patients more than 5 or 10 years from diagnosis (and therefore having completed adjuvant endocrine therapy) may be enrolled.
- Some patients with triple negative breast cancer who receive chemotherapy also experience GSM related to ovarian function decline outside of the setting of ovarian suppression, and therefore patients with either ER+ or ER- breast cancer will be allowed to participate.
- Patients must provide written informed consent for participation in this study.
- Patients are allowed to have used non-hormonal moisturizers but if they have previously used hormonal moisturizers, they will be asked to stop the use for one month prior to the first planned treatment, termed the "washout period", if needed.
Exclusion Criteria:
- Patients with any systemic or topical hormone replacement therapy within 3 months prior to enrollment, known genital infection, coagulation disorders, or on anticoagulant therapy or turmeric-containing supplements within the prior 2 weeks will be excluded.
- Women who are pregnant or who plan to become pregnant within the following six months will be excluded since the impact of recent PRP injections to the vulva and the impact on obstetric injury during vaginal delivery has not been studied.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Platelet-rich plasma (PRP) Group
Participants will undergo two sessions of platelet-rich plasma (PRP) injections to the vulva/vagina one month apart.
|
0.1-0.2
mL injections of platelet-rich plasma (PRP) will be injected to the vulvovaginal area.
The injections will be placed every 5mm and at an angle of 60° into the mucosa and lamina propria of the posterior wall of the vagina.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in GSM symptoms as measured by vulvovaginal symptom questionnaire (VSQ).
Time Frame: Baseline, up to 31 weeks
|
The VSQ is a 21-question survey that specifically asks about GSM symptoms and their impact on quality of life and sexual function.
Vaginal and vulvar symptoms will be self-reported using validated VSQ modified to 4-point Likert scores.
VSQ consists of a series of questions, each of which is rated as 0 (never), 1(rarely), 2(sometimes), 3 (frequently).
Lower scores indicate better health.
Each question is analyzed separately; there is no overall score reported.
|
Baseline, up to 31 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Vaginal health index (VHI) Score
Time Frame: Baseline, up to 31 weeks
|
VHI assesses post menopausal symptoms such as dryness, burning, and irritation.
Each component is scored on a scale of 1 (worst) to 5 (best).
Lower scores indicate more severe atrophy.
|
Baseline, up to 31 weeks
|
Change in validated female sexual function index (FSFI)
Time Frame: Baseline, up to 31 weeks
|
Change in validated female sexual function index (FSFI) is determined by the participant response to the female sexual function index (FSFI) questionnaire.
The FSFI is a questionnaire competed by the participant and is designed to measure sexual functioning by assessing six areas of sexual function: desire, arousal, lubrication, orgasm, satisfaction, and pain.
Scores range from 2 to 36.
Higher scores indicate better sexual function.
|
Baseline, up to 31 weeks
|
Change in sexual-related distress (FSDS-R).
Time Frame: Baseline, up to 31 weeks
|
Change in validated female sexual distress is determined by participant response to the female sexual distress survey-revised (FSDS-R).
The FSDS-R is a self reported questionnaire that asks participants to rate distress related to low sexual desire.
Responses to the items on the Likert-type scale consist of never (0), rarely (1), sometimes (2), often (3), or always (4).
The lowest score that can be obtained from the FSDS-R is "0" and the highest score is "52".
Higher scores indicate higher levels of sexual distress.
|
Baseline, up to 31 weeks
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Kristin E Rojas, MD, University of Miami
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
September 26, 2023
Primary Completion (Estimated)
September 30, 2026
Study Completion (Estimated)
September 30, 2026
Study Registration Dates
First Submitted
March 31, 2023
First Submitted That Met QC Criteria
March 31, 2023
First Posted (Actual)
April 14, 2023
Study Record Updates
Last Update Posted (Actual)
September 28, 2023
Last Update Submitted That Met QC Criteria
September 27, 2023
Last Verified
September 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 20221120
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Yes
Studies a U.S. FDA-regulated device product
No
product manufactured in and exported from the U.S.
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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