Pilot clinical trial on the efficacy and safety of IDRACARE® in moderate to severe symptoms of vulvovaginal atrophy. To assess the efficacy and safety of Idracare® in the treatment of symptoms of AVV (dryness and / or dyspareunia) associated with menopause.
Pilot clinical trial on the efficacy and safety of IDRACARE® in moderate to severe symptoms of vulvovaginal atrophy. To assess the efficacy and safety of Idracare® in the treatment of symptoms of AVV (dryness and / or dyspareunia) associated with menopause. Open study with only one arm. The study has a total duration per patient of 3 months: initial visit (V1), a follow-up visit (V2) after 4 weeks of treatment and a final visit (V3) after 12 weeks of treatment.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
134
Treatment will last 3 months (12 weeks). The treatment will be applied 2 times a week, preferably at night before going to bed.
Clínica Sagrada Familia
Barcelona, Spain
HM Gabinete Velázquez
Madrid, Spain
Instituto Palacios de Salud y Medicina de la Mujer
Madrid, Spain
HU Miguel Servet
Zaragoza, Spain
Efficacy of Idracare® in the treatment of symptoms of vulvovaginal atrophy (VVA)
To evaluate the efficacy of the Idracare® gel as a treatment for the symptoms of VVA, the percentage of women who present changes in dryness and / or dyspareunia has been established as the main variable.
Time frame: Through study completion, an average of 12 weeks
Safety of Idracare® in the treatment of symptoms of vulvovaginal atrophy (VVA) measuring the incidence, nature and severity of adverse events (AE).
To evaluate the safety of Idracare® gel, the incidence, nature and severity of adverse events (AE) will be studied.
Time frame: Through study completion, an average of 12 weeks
To evaluate the effect of Idracare® gel using Bachmann Vaginal Health Index (BVHI).
Effect of Idracare® gel will be evaluated on vaginal health status using Bachmann Vaginal Health Index (BVHI). It consists of 5 domains that evaluate different parameters (elasticity, fluids, pH, epithelial integrity and moisture) scoring each one of them independently, considering the maximum score as the best vaginal health status.
Time frame: 4 and 12 weeks
To evaluate the effect of Idracare® gel using vulvar health index (VHI).
Effect of Idracare® gel will be evaluated on vaginal health status using vulvar health index (VHI). It consists of 8 domains that evaluate different parameters: physiological state of the labia majora, labia minora, clitoris, urethra, coloration, elasticity / introitus, discomfort / pain and other findings) scoring each of them independently, considering the maximum score as the worse in vulvar health.
Time frame: 4 and 12 weeks
To evaluate the effect of Idracare® gel using vaginal pH
Effect of Idracare® gel will be evaluated on vaginal health status using vaginal pH changes. A lower pH compared to basal is considered an improvement on vaginal health status.
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Time frame: 4 and 12 weeks
To evaluate the effect of Idracare® gel using maturation of vaginal epithelial cells.
Effect of Idracare® gel will be evaluated on vaginal health status using Maturation Index (MI). MI is the most commonly used index to assess hormonal status. It evaluates the percentage composition of the three large types of cells that make up the vaginal epithelium in the cytological samples obtained: parabasal, intermediate and superficial. It consists of selecting five fields at random (x 10 magnification) and counting 100 epithelial cells in each area, determining the percentage of superficial, intermediate and parabasal cells in each area. The result is expressed as% parabasal cells:% intermediate cells (navicular):% superficial cells.
Time frame: 4 and 12 weeks
To evaluate the effect of Idracare® gel using vaginal microbiota.
Effect of Idracare® gel will be evaluated on vaginal health status using vaginal Dysbiosis test. It consists of analyzing by means of real time polymerase chain reaction (real time PCR) different microorganisms that are part of the vaginal ecosystem such as Lactobacillus species (L. crispatus, L. jensenii, L. iners, L. gasseri ), Candida species, lactic acid microbiota (Atopobium, Gardnerella), non-lactic acid microbiota and pathogens.
Time frame: 4 and 12 weeks
The degree of satisfaction with the use of Idracare®
The degree of satisfaction with the use of Idracare® will be evaluated using a 7-point Likert-type scale, from 1 (satisfied) to 7 (not satisfied at all).
Time frame: 4 and 12 weeks
The tolerability of the treatment using a 5-point Likert-type scale
The tolerability of the treatment will be evaluated using a 5-point Likert-type scale, from 1 (no problem with the treatment) to 5 (I can't stand the treatment)
Time frame: 4 and 12 weeks