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Completed

NCT Number: NCT01987804

Dose-relationship of Vaginally Administrated Oxytocin in Postmenopausal Women

Up to 50% of all postmenopausal women, experience vaginal drynes, i.e. vaginal atrophy is a consequence due to the lack of estrogen. In addition, vaginal atrophy is associated with an increased pH, which creates an environment more susceptible to infections . The mucosal epithelium shows signs of severe senile atrophy and cytological examination demonstrate increased number of the basal and parabasal cells and reduced number of superficial cells . Unlike some other menopausal symptoms (for instance hot flushes), vaginal symptoms generally persist or worsen with aging.Oxytocin is a peptide hormone and it is released systemically via the posterior pituitary. The most well known effects of oxytocin are its roles in female reproduction such as facilitation of birth and breast feeding. Oxytocin has also shown to exert positive effects on the proliferation of human vaginal mucosal cells from postmenopausal women, an effect which could be attributed either to the direct stimulation of new cell formation or to an increased production of other growth factors. The primary objective is to investigate the dose relationsship of topical administrated Vagitocin on the vaginal mucosal membrane, measured in the change (%)of superficial cells up to 7 weeks after baseline.

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Key information

Conditions

Age range

40 year and older

Sex eligibility

Female

Study type

Interventional

Phase

Phase 2

Primary location

Karolinska University Hospital

Stockholm, Huddinge, 14186, Sweden

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Naturally postmenopausal or ooforectomized women, completely without menstrual bleedings for at least four years prior to baseline.
  • > 40 years of age.
  • Moderate to severe symptoms of at least one of the following criteria of vulvar and vaginal atrophy associated with the menopause, according to the patient's self-assessement: vaginal dryness, vaginal and/or vulvar irritation/itching, dysuria, vaginal pain associated with sexual activity, or presence of vaginal bleeding associated with sexual activity.
  • Atrophic mucosa according to the investigator's assessment.
  • Signed Informed Consent.

Exclusion criteria

  • 1. Usage of any sex steroids including phytoestrogens, hormonal intra-uterine device or herbal medicinal products with known estrogenic effects within 3 months prior to baseline.
  • Usage of any lubricant for intra-vaginal administration at baseline. 3. Vaginal bleeding of unknown origin. 4. Vaginal pH ≤ 5.0. 5. Any ongoing uro-genital infection within 7 days prior to baseline. 6. Body Mass Index (BMI) >30 kg/m2. 7. Systolic Blood Pressure > 150 mmHg and Diastolic Blood Pressure > 90 mmHg at baseline.
  • Any concurrent known or suspected tumor disease as judged by the investigator.
  • Clinically significant medical history (excluding medically well-controlled hypertension and hypercholesterolemia), abnormal findings from physical examinations, vital signs, cytology, histology, US examination of uterus and ovaries or laboratory analyses that may interfere with the trial objectives or compromise the safety of the patient as judged by the Investigator.
  • Concurrent and diagnosed nephrological or hepatic disorder 11. Diagnosed with HIV, Hepatitis B or C 12. Known or suspected drug or alcohol abuse, within 12 months prior to baseline.
  • Known or suspected allergy to any ingredient of the trial product. 14. Incapacity to perform trial procedures, as judged by the investigator. 15. Participation in any other interventional clinical trial within 3 months prior to baseline.

Treatment and study plan

Oxytocin 100 i.u.

Drug

Other names: Vagoticin

Oxytocin 400 i.u.

Drug

Other names: Vagoticin

Placebo

Drug

Primary outcomes

  1. To investigate the dose-relationship of topical Vagitocin on the vaginal mucosal membrane.

    Time frame: from baseline visit to 7 weeks of treatment

    Change in percentage points of superficial cells from baseline visit (visit 1) to 7 weeks of treatment (Visit 3).

Secondary outcomes

  1. To investigate the safety and tolerability of topical Vagitocin treatment.

    Time frame: From visit 2 to visit 7

    Change in percentage points of superficial cells from baseline visit to 2 (Visit 2) weeks of treatment.

    Change in maturation value from baseline visit to 2 (Visit 2) and 7 (Visit 3) weeks of treatment.

    Change in vaginal pH from baseline visit to 2 (Visit 2) and 7 (Visit 3) weeks of treatment.

    Visual appearance of the vaginal mucosa after 2 (Visit 2) and 7 (Visit 3) weeks of treatment

    • Patients´ self-assessment of the most bothersome symptomafter 2 (Visit 2), 7 (Visit 3), weeks of treatment and at the telephone follow-up after 9 weeks.
    • Histological assessment after 2 (Visit 2) and 7 weeks (Visit 3) of treatment.
    • Change in score in selected items of WHQ/SSP from baseline visit to 7 (Visit 3) weeks of treatment and at the telephone follow-up after 9 weeks.

Sponsors and collaborators

Lead sponsor

PepTonic Medical AB

Industry

Collaborators

  • Pharma Consulting Group AB

Registry information

Official study title

A Double-blind, Placebo Controlled Single Centre Trial to Evaluate the Dose-relationship of the Effects of Vaginally Administered Oxytocin on the Vaginal Mucosal Membrane in Postmenopausal Women With Vaginal Atrophy

Acronym: OXYPEP002

Important dates

Study start
2012
Primary completion
2012
Study completion
2013
First posted
Nov 19, 2013
Registry last updated
Nov 13, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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