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NCT02875561 · REGISTRY CONDITION SEARCH

Ultrasonic Aspiration Versus CO2 Laser Ablation for the Treatment of Vulvar Intraepithelial Neoplasia

Found through the registry condition index, not selected as a treatment recommendation. This discovery collection was restricted to studies with posted results.

Phase
NA
Status at capture
COMPLETED
Registry last update
2023-11-18

The primary objective of this study is to evaluate the incidence of vulva dysplasia recurrence within 12 months of treatment with Carbon Dioxide (CO2) laser ablation or ultrasonic aspiration.

Open the original ClinicalTrials.gov record → · Download preserved record

What did the study report?

Outcomes, safety and baseline populations are separate source sections. Quality-of-life measures appear under their original outcome titles.

Who could take part
eligibility Criteria
Inclusion Criteria: * Women 18-89 years old * Women diagnosed with high-grade VIN (diagnosed by pathology) * Women referred for vulva sparing treatment for dysplasia * Women available for follow-up of treatment for 12 months Exclusion Criteria: * Women who are pregnant * Women with low-grade VIN dysplasia (diagnosed by pathology) * Women with vaginal intraepithelial neoplasia(VAIN) * Women requiring vulvectomy for treatment * Women unable to provide informed consent
healthy Volunteers
false
maximum Age
89 Years
minimum Age
18 Years
sex
FEMALE
std Ages
  1. ADULT
  2. OLDER_ADULT
Treatment arms and interventions
arm Groups
  1. description
    Treatment of VIN dysplasia with sonopet ultrasonic aspirator: to evaluate the incident of recurrence of VIN dysplasia events in women treated for VIN with the sonopet ultrasonic aspirator compared to CO2 Laser Ablation
    intervention Names
    1. Device: Sonopet Ultrasonic Aspirator
    label
    Sonopet Ultrasonic Aspirator
    type
    ACTIVE_COMPARATOR
  2. description
    Treatment of VIN dysplasia with CO2 Laser Ablation: to evaluate the incident of recurrence of VIN dysplasia events in women treated for VIN with the sonopet ultrasonic aspirator compared to CO2 Laser Ablation
    intervention Names
    1. Device: CO2 Laser Ablation
    label
    CO2 Laser Ablation
    type
    EXPERIMENTAL
interventions
  1. arm Group Labels
    1. Sonopet Ultrasonic Aspirator
    description
    To evaluate the incident of recurrence of VIN dysplasia events in women treated for VIN with the sonopet ultrasonic aspirator compared to CO2 Laser Ablation
    name
    Sonopet Ultrasonic Aspirator
    type
    DEVICE
  2. arm Group Labels
    1. CO2 Laser Ablation
    description
    To evaluate the incident of recurrence of VIN dysplasia events in women treated for VIN with the sonopet ultrasonic aspirator compared to CO2 Laser Ablation
    name
    CO2 Laser Ablation
    type
    DEVICE
Study design
allocation
RANDOMIZED
intervention Model
PARALLEL
masking Info
masking
SINGLE
who Masked
  1. OUTCOMES_ASSESSOR
primary Purpose
TREATMENT
Enrollment
count
47
type
ACTUAL
Registered outcome plans (not posted results)
primary Outcomes
  1. description
    Number of participants with recurrence of dysplasia time point 12 months
    measure
    Number of Participants With Recurrence of Dysplasia
    time Frame
    12 months
secondary Outcomes
  1. description
    Physical evaluation for scarring
    measure
    Number of Participants With Scarring
    time Frame
    6 weeks
  2. description
    Evaluated by Female Sexual Function Index Scale Title: Female Sexual Function Index (FSFI) Minimum value: 2.0 Maximum value: 36.0 a score of 0 in any domain correlates to no sexual activity. a score of 0 in any domain correlates to no sexual activity in that domain alone, and is not indicative of the total score. Lower scores indicate worse sexual function.
    measure
    Changes in Sexual Function
    time Frame
    Baseline (enrollment), 12 months
  3. description
    Evaluated by Functional Assessment of Cancer Therapy - Vulva (FACT-V) health survey for vulva disease Scale Title: Functional Assessment of Cancer Therapy - Vulva (FACT-V) High score correlates to better quality of life. This survey uses a 5-point Likert type scale. Minimum score: 0 Maximum score: 184
    measure
    Changes in Mental and Physical Wellness
    time Frame
    Baseline (enrollment), End of Study (12 months)
Full study description
brief Summary
The primary objective of this study is to evaluate the incidence of vulva dysplasia recurrence within 12 months of treatment with Carbon Dioxide (CO2) laser ablation or ultrasonic aspiration.
detailed Description
Incidence of Vulvar Intraepithelial Neoplasia (VIN) is increasing among women and there still lacks a standard of care for optimal treatment. Current treatment options aim to treat the symptoms associated with VIN and result in a high recurrence rate. Due to the high reoccurrence rate and the nature of the current treatments, a more effective treatment option is warranted. An effective treatment that targets only the diseased areas could potentially decrease recurrence rates. Additionally, a more conservative treatment modality could contribute to reduced risks of scarring, discomfort, and psychosocial and sexual distraught. The researchers hypothesize that treatment for VIN with ultrasonic aspiration will have a 60% reduction in recurrence rates over 12 months as compared to CO2 laser aspiration. This study will employ a randomized controlled trial (RCT) design. This is a phase III study to determine the effectiveness of a more targeted treatment therapy for VIN (comparing ultrasonic aspiration versus CO2 laser ablation). Potential participants will be identified through the gynecological clinical practices following diagnosis of high grade VIN and will be randomized (1:1) to one of the treatment therapies. Randomization will be stratified for multi-focal disease and Human Papillomavirus (HPV) status. Both the Sonopet Ultrasonic Aspirator and the CO2 laser ablation devices are FDA approved devices for the treatment of vulvar dysplasia.
Source references
Source notices and limitations
    Discovery and provenance
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      occurrences
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        exact text
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        start
        0
      offset unit
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      query cond
      Vulvar Cancer
      query disease state id
      ds-vulvar-cancer
      source file
      /Users/arunverma/Documents/ChatGPT/Cancer Statistics Website/research-data/2026-09-10/clinicaltrials-condition/round-0000/raw/cond-vulvar-cancer-000.json
      source file sha256
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      source json pointer
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      source kind
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      source record id
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      source string sha256
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    Preserved source evidence · Not medical advice