Lichen SclerosusNCT03525522
Nd:Yttrium Aluminum Garnet Laser Treatment for Lichen Sclerosus
A study testing Nd:YAG Laser and Topical corticosteroid Diprosone in people with Lichen Sclerosus and Lichen Sclerosus Et Atrophicus, run by Dr Adolf Lukanovič.
Trial summary
This study evaluates the efficacy of Nd:Yttrium Aluminum Garnet Laser (Nd:YAG) Treatment of Lichen sclerosus in comparison with topical corticosteroid treatment. Half of participants will receive laser treatment and the other half corticosteroid treatment and the results will be followed for 6 months. Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Lichen Sclerosus, Lichen Sclerosus Et Atrophicus
- What is being tested?
- Nd:YAG Laser and Topical corticosteroid Diprosone
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 40 participants
- Where
- No sites listed yet
- Study dates
- 28 Jan 2016to 30 May 2018
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- Women only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- histologically confirmed Lichen sclerosus
- voluntary signed informed consent
Who cannot join
- pregnancy
- use of photosensitizing medication
- pathology other than Lichen
- damage of tissues in the treatment area
- other inflammation
- refusal to sign informed consent
About this study
Official title: Efficacy of Nd:Yttrium Aluminum Garnet Laser Treatment of Lichen Sclerosus
This study evaluates the efficacy of Nd:Yttrium Aluminum Garnet Laser (Nd:YAG) Treatment of Lichen sclerosus in comparison with topical corticosteroid treatment. Half of participants will receive laser treatment and the other half corticosteroid treatment and the results will be followed for 6 months.
Read the detailed description
Lichen sclerosus (LS) is a chronic skin disease of unknown cause and very unpleasant symptoms which significantly influences the quality of life of the affected patients. Large majority of LS lesions is located in anogenital region where initial white flat papules usually develop into large, white patches of thin, itchy skin causing fusion of labia minora, narrowing of the introitus and burying of the clitoris. Most common symptoms are itching, pain, soreness, burning, dyspareunia and dysuria all strongly interfering with sexual function and patient's self image. Existing treatment options with systemic and topical medications (oral retinoids, topical steroids) have some drawbacks and recently the use of laser was proposed for treatment of LS. This study evaluates the safety and efficacy of Nd:Yttrium Aluminum Garnet Laser (Nd:YAG) Treatment of Lichen sclerosus in comparison with topical corticosteroid treatment. Half of participants will receive laser treatment and the other half corticosteroid treatment and the results will be followed for 6 months.
- Conditions
- Lichen Sclerosus, Lichen Sclerosus Et Atrophicus
- Being tested
- Nd:YAG Laser, Topical corticosteroid Diprosone
- Keywords
- Lichen sclerosus, laser, Nd:YAG, randomized controlled trial
- Medical subject headings
- Lichen Sclerosus et Atrophicus
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Nd:YAG LaserDevice
Also called Nd:YAG, neodymium, Dynamis
Three sessions of Nd:YAG treatment every two weeks.
Topical corticosteroid DiprosoneDrug
Also called topical corticosteroids betamethasone
3 months of topical corticosteroids Diprosone
| Study group | Role | What they receive |
|---|---|---|
| Nd:YAG Laser | Experimental | Three sessions of Nd:YAG laser (1064 nm) treatment with Dynamis (Fotona, Slovenia) Receives: Device: Nd:YAG Laser |
| Topical Corticosteroid Diprosone | Active comparator | Topical corticosteroid betamethasone (Diprosone, Merck Sharp \& Dohme, d.o.o.) for 3 months. Receives: Drug: Topical corticosteroid Diprosone |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in Visual analog scale (VAS) score symptom evaluation from baseline to 3 months
Patients will evaluate symptoms on a 0-10 VAS scale
Measured: Change from baseline to 3 months
Secondary outcomes (7)
Change in Visual analog scale (VAS) score symptom evaluation from baseline to 1 month
Patients will evaluate symptoms on a 0-10 VAS scale
Measured: Change from baseline to 1 month
Change in Visual analog scale (VAS) score symptom evaluation from baseline to 6 months
Patients will evaluate symptoms on a 0-10 VAS scale
Measured: Change from baseline to 6 months
Comparative histological evaluation
biopsies taken at baseline and after treatment
Measured: baseline and 3 months
patient satisfaction
Patients will indicate their satisfaction with the outcome of treatment on a 0-3 scale.
Measured: 1 month
patient satisfaction
Patients will indicate their satisfaction with the outcome of treatment on a 0-3 scale.
Measured: 3 months
patient satisfaction
Patients will indicate their satisfaction with the outcome of treatment on a 0-3 scale.
Measured: 6 months
evaluation of improvement from clinical photographs
by blinded evaluators on a 1-4 scale
Measured: 3 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 May 2018
- Study start28 Jan 2016
- Primary completion30 May 2018 (estimated)
- Study completion30 May 2018 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Lichen SclerosusStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Patients assigned randomly to two groups: laser-treatment group and topical-corticosteroid group.
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 40 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Dr Adolf Lukanovič
- Sponsor type
- University, hospital or other
- Collaborators
- Juna d.o.o.
- Responsible party
- Sponsor-investigator, Dr Adolf Lukanovič, University Medical Centre Ljubljana
- Investigators
- Adolf Lukanović, PhD, Principal investigator, UKC Ljubljana
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03525522
- Sponsor's protocol ID
- Lichen_NdYAG
- Status last verified
- May 2018
- First submitted
- 5 Apr 2018
- Last updated
- 15 May 2018
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 15 May 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Efficacy of Nd:Yttrium Aluminum Garnet Laser Treatment of Lichen Sclerosus
- ClinicalTrials.gov ID
- NCT03525522
- Acronym / sponsor ID
- Lichen_NdYAG
- Conditions
- Lichen Sclerosus, Lichen Sclerosus Et Atrophicus
- Keywords
- Lichen sclerosus, laser, Nd:YAG, randomized controlled trial
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 40 participants (estimated)
- Lead sponsor
- Dr Adolf LukanovičUniversity, hospital or other
- Collaborators
- Juna d.o.o.
- Study start
- 28 Jan 2016 (actual)
- Primary completion
- 30 May 2018 (estimated)
- Study completion
- 30 May 2018 (estimated)
- First posted
- 15 May 2018 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study evaluates the efficacy of Nd:Yttrium Aluminum Garnet Laser (Nd:YAG) Treatment of Lichen sclerosus in comparison with topical corticosteroid treatment. Half of participants will receive laser treatment and the other half corticosteroid treatment and the results will be followed for 6 months.
Detailed description
Lichen sclerosus (LS) is a chronic skin disease of unknown cause and very unpleasant symptoms which significantly influences the quality of life of the affected patients. Large majority of LS lesions is located in anogenital region where initial white flat papules usually develop into large, white patches of thin, itchy skin causing fusion of labia minora, narrowing of the introitus and burying of the clitoris. Most common symptoms are itching, pain, soreness, burning, dyspareunia and dysuria all strongly interfering with sexual function and patient's self image. Existing treatment options with systemic and topical medications (oral retinoids, topical steroids) have some drawbacks and recently the use of laser was proposed for treatment of LS. This study evaluates the safety and efficacy of Nd:Yttrium Aluminum Garnet Laser (Nd:YAG) Treatment of Lichen sclerosus in comparison with topical corticosteroid treatment. Half of participants will receive laser treatment and the other half corticosteroid treatment and the results will be followed for 6 months.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
- Model description
- Patients assigned randomly to two groups: laser-treatment group and topical-corticosteroid group.
| Arm | Type | Receives |
|---|---|---|
| Nd:YAG Laser | Experimental | Device: Nd:YAG LaserThree sessions of Nd:YAG laser (1064 nm) treatment with Dynamis (Fotona, Slovenia) |
| Topical Corticosteroid Diprosone | Active comparator | Drug: Topical corticosteroid DiprosoneTopical corticosteroid betamethasone (Diprosone, Merck Sharp \& Dohme, d.o.o.) for 3 months. |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (2 listed)
- histologically confirmed Lichen sclerosus
- voluntary signed informed consent
Key exclusion criteria (6 listed)
- pregnancy
- use of photosensitizing medication
- pathology other than Lichen
- damage of tissues in the treatment area
- other inflammation
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Nd:YAG LaserAlso: Nd:YAG, neodymium, DynamisThree sessions of Nd:YAG treatment every two weeks. | Device | Nd:YAG Laser |
| Topical corticosteroid DiprosoneAlso: topical corticosteroids betamethasone3 months of topical corticosteroids Diprosone | Drug | Topical Corticosteroid Diprosone |
Primary outcome
Change in Visual analog scale (VAS) score symptom evaluation from baseline to 3 months
Time frame: Change from baseline to 3 months
Patients will evaluate symptoms on a 0-10 VAS scale
7 secondary outcomes
Change in Visual analog scale (VAS) score symptom evaluation from baseline to 1 month
Time frame: Change from baseline to 1 month
Change in Visual analog scale (VAS) score symptom evaluation from baseline to 6 months
Time frame: Change from baseline to 6 months
Comparative histological evaluation
Time frame: baseline and 3 months
patient satisfaction
Time frame: 1 month
patient satisfaction
Time frame: 3 months
patient satisfaction
Time frame: 6 months
evaluation of improvement from clinical photographs
Time frame: 3 months
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 May 2018.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Adolf Lukanović, PhD principal investigator
UKC Ljubljana
Questions about this trial
What is this clinical trial studying?
A study testing Nd:YAG Laser and Topical corticosteroid Diprosone in people with Lichen Sclerosus and Lichen Sclerosus Et Atrophicus, run by Dr Adolf Lukanovič.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 15 May 2018. Status can change between updates, so confirm with the study contact before making plans.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change in Visual analog scale (VAS) score symptom evaluation from baseline to 3 months (time frame: Change from baseline to 3 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 May 2018.