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Vulvo Vaginal AtrophyNCT06922136

Evaluation of the Performance and Safety of Hyalo Gyn® Gel Compared to Placebo in Postmenopausal Breast Cancer Survivors

A study testing Hyalo Gyn Vaginal Gel in people with Vulvo Vaginal Atrophy, run by Fidia Farmaceutici s.p.a. at 7 sites in Italy.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

Eligible patients will be randomized to treatment with Hyalo Gyn® gel or placebo, at the dose regimen of 1 application deeply in the vagina every 3 days (i.e. an application is followed by 2 days without application), up to a total of 12 consecutive weeks. After 12 weeks (i.e. Read more about this study

Who is it for?
Ages 25 to 80 years, women only
Conditions the study is for
Vulvo Vaginal Atrophy
What is being tested?
Hyalo Gyn Vaginal Gel
Type of treatment
Medical device
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
156 participants
Where
7 sitesItaly
Study dates
1 Aug 2024to May 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

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 25 to 80 years
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Written informed consent prior to beginning specific protocol procedures;
  • Women between 25 and 80 years of age (inclusive);
  • Women with intention or willingness to have sex;
  • Patients with a history of breast cancer who had completed primary cancer treatment (surgery, non-endocrine chemotherapy, or radiation therapy) 3-60 months prior to enrolment;
  • Patient receiving endocrine therapy (an AI or tamoxifen or a GnRH analogue) as a breast cancer treatment in the adjuvant setting for a minimum of 3 months. The therapy program must cover the entire duration of the study (24 weeks);
  • Life expectancy of at least 12 months;
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  • Postmenopausal status defined as 12 months of spontaneous amenorrhea or 6 months of spontaneous amenorrhea with serum follicle stimulating hormone (FSH) levels > 40 mIU/ml or 6 weeks' postsurgical bilateral oophorectomy with or without hysterectomy;
  • Vulvovaginal dryness assessed as moderate to severe. A moderate and severe symptom (i.e. a score of 2 = moderate or 3 = severe) will be considered if the symptoms are present and could be bothersome and could interfere with the normal patient activity;
  • Vaginal Health Index ≤15;
  • Vaginal pH ≥5;
  • Eastern Cooperative Oncology Group Performance Status (ECOG PS) of 0 or 1;
  • Willingness and ability to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures;
  • Patients legally able to give written informed consent to the trial (signed and dated by the participant) and able to understand study procedures and protocol requirements.

Who cannot join

  • Stage IIIB-IV breast cancer;
  • Treatment with any other current anti-tumoral therapy besides an AI or tamoxifen or a GnRH analogue;
  • Prior history of other malignancy other to breast cancer within 5 years of study entry, with the exception of non-melanoma skin cancer or carcinoma in-situ of the uterine cervix adequately treated;
  • Postmenopausal uterine bleeding and/or vaginal bleeding of unknown aetiology;
  • Patients with endometrial thickness equal to or greater than 4 mm for patientson AI or GnRH analogue, or equal to or greater than 9 mm for patients on tamoxifen, measured by transvaginal ultrasound;
  • Patients who have received any type of vulvovaginal treatment in the 15 days prior to the start of the study;
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  • Patients that present clinical signs of vaginal infections such as trichomonas, candida, and bacterial vaginosis (BV), confirmed with a vaginal swab;
  • Patients with a history of vulvovaginal contact allergy or with a diagnosis of vulvovaginal lichen;
  • Positive history of hypersensitivity to hyaluronic acid (HA) or to any component of the medical device;
  • Use of any hormone, or any products with phytoestrogenic activity (for instance resveratrol, flax seeds, hops, isoflavones as red clover and soy) for the treatment of menopausal symptoms in the previous month (cimicifuga extract and pollen are allowed);
  • Known human immunodeficiency virus infection;
  • Other severe acute or chronic medical condition, or laboratory abnormality that would impart, in the judgment of the investigator, excess risk associated with investigation participation or product administration and investigation's procedures, or which, in the judgment of the investigator, would make the patient inappropriate for entry into this investigation;
  • Previous investigational treatment for any condition or participation in any clinical trial in the previous month before inclusion date

Trial locations and contacts

7 sites in 1 country.

7 sites in 1 country

Italy7 sites
  • Policlinico SantOrsola Malpighi

    Bologna, BO, 40138

  • AOUC Azienda Ospedaliero-Universitaria Careggi

    Florence, FI, 50134

  • Istituto Europeo di Oncologia

    Milan, 20141

  • Azienda Ospedaliera-Universitaria UOC Clinica Ginecologica e Ostetrica dell'Università

    Padova, PD, 35128

  • Fondazione IRCCS Policlinico San Matteo

    Pavia, PV, 27100

  • Fondazione Policlinico Universitario Agostino Gemelli IRCCS

    Roma, RM, 00168

  • AO Ordine Mauriziano di Torino, Ospedale Umberto I

    Torino, TO, 10128

Other trials in Italy

About this study

Official title: A Prospective, Randomized, Controlled, 2-arms, Double-blind, Multicentre Clinical Investigation to Evaluate the Performance and Safety of Hyalo Gyn® Gel Compared to Placebo in the Management of Vulvovaginal Atrophy in Postmenopausal Breast Cancer Survivors

Eligible patients will be randomized to treatment with Hyalo Gyn® gel or placebo, at the dose regimen of 1 application deeply in the vagina every 3 days (i.e. an application is followed by 2 days without application), up to a total of 12 consecutive weeks.

After 12 weeks (i.e. at Visit 3), the following rules will apply for the second 12- week phase of the study:

  • In case of resolution of the symptom (the dryness single score is equal to zero), the patient will suspend treatment and will undergo follow-up visits;
  • In case of the single score is reduced but still greater than zero: the subject will receive Hyalo Gyn® open-label.
  • In case the dryness gets worse the subject can choose whether receive Hyalo Gyn® gel open-label or undergo the follow-up visits. Patients will be allowed to use only water-based lubricants, not containing HA, hormones, or isoflavones, if necessary, only when engaging in sexual activity and specifying the reason for its use (multiple choice answer). The number of lubricant applications, as well as the frequency of the sexual activity, will be recorded weekly in the diary by the patient.
Read the detailed description

This will be a prospective, randomized, controlled, 2-arms, placebo-controlled, double-blind, multicentre clinical investigation. Patients with good compliance and who are voluntary to sign the informed consent will be enrolled in a period time of approximately 6 months. The screened and eligible patients will be randomly assigned in one of the two groups: Group A will receive Hyalo Gyn® and Group B will receive Placebo. Neither the Investigator nor the Patient will be aware of the assigned treatment.

Subjects of both groups will start the treatment with 1 application of Hyalo Gyn® gel or placebo gel, deeply in the vagina every 3 days (i.e. an application is followed by 2 days without application) up to a total of 12 consecutive weeks.

After 12 weeks (i.e. at Visit 3), according to the status of dryness symptom, measured with the VRS dryness score from baseline to 12 weeks, patients will undergo different procedures for the second phase of the study as reported in the brief summary.

Visits at the investigational site will be performed at screening/baseline (V0, Week 0) and every 4 weeks, alternated to telephone contacts by the clinician (V1, Week 4; T1, Week 6; V2, Week 8; T2, Week 10; V3, Week 12) up to the end of the first 12-week phase of the study. Two phone follow-up visits will be performed at Week 16 (T3) and Week 20 (T4), followed by a visit at the investigational site at the end of the second 12-week phase of the study (V4, Week 24). Visit 4 (Week 24) will represent the end of study visit. In case of premature withdrawal from the investigation for whatever reason an "Early termination Visit" will be performed, which will include all assessments foreseen for the final visit (Visit 4, Week 24 ± 5 days).

Being tested
Hyalo Gyn Vaginal Gel, Placebo

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Hyalo Gyn Vaginal GelDevice

    Hyalo Gyn® is uniquely formulated with Hydeal-D®, a proprietary HA derivative component manufactured by Fidia Farmaceutici S.p.A.

  • PlaceboOther

    Placebo

Study groups in NCT06922136
Study groupRoleWhat they receive
Group A: Hyalo Gyn® GelExperimentalHyalo Gyn® vaginal gel is formulated with Hydeal-D®, a proprietary HA derivative component
Receives: Device: Hyalo Gyn Vaginal Gel
Group B: PlaceboPlacebo comparatorMatched plecebo A
Receives: Other: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Evaluation of the performance of Hyalo Gyn® vaginal gel in the improvement of patient's perception of vulvovaginal dryness associated with vulvovaginal atrophy, after 12 weeks of treatment, compared to placebo.

    The primary performance endpoint of the investigation will be the change in the vulvovaginal dryness associated with vulvovaginal atrophy, evaluated as the proportion of subjects having a reduction ≥2 points in the Verbal Rating Scale (VRS) dryness score from baseline to 12 weeks of treatment with Hyalo Gyn® gel compared to placebo. The vulvovaginal symptom associated with vulvovaginal atrophy (dryness) will be reported on a four-point scale (0 = absent, 1 = mild, 2 = moderate, 3= severe).

    Measured: after 12 weeks of treatment

Secondary outcomes (9)
  1. Change from baseline in patient's perception of dryness, irritation/itching, soreness, dysuria, and dyspareunia vulvovaginal symptoms single scores associated with vulvovaginal atrophy

    Change from baseline in the vulvovaginal symptoms associated with vulvovaginal atrophy, evaluated by measuring the VRS single score at baseline and at 4, 6, 8, 10, and 12 weeks of treatment with Hyalo Gyn® gel compared to placebo. Each vulvovaginal symptom associated with vulvovaginal atrophy (dryness, irritation/itching, soreness, dysuria, dyspareunia) will be reported on a four-point scale (0 = absent, 1= mild, 2 = moderate, 3 = severe);

    Measured: After 4, 6, 8, 10, and 12 weeks of treatment from baseline (V0)

  2. Change from baseline in patient's perception of vulvovaginal symptoms global score associated with vulvovaginal atrophy;

    Change from baseline in the vulvovaginal symptoms associated with vulvovaginal atrophy, evaluated by measuring the VRS global score at baseline and at 4, 6, 8, 10, and 12 weeks of treatment with Hyalo Gyn® gel compared to placebo. Each vulvovaginal symptom associated with vulvovaginal atrophy (dryness, irritation/itching, soreness, dysuria, dyspareunia) will be reported on a four-point scale and the sum of every single score will be calculated (0 = absent,

    1= mild, 2 = moderate, 3 = severe);

    Measured: After 4, 6, 8, 10, and 12 weeks of treatment from baseline (V0)

  3. Change from baseline of sexual function through Female Sexual Function Index (FSFI) questionnaire

    Change from baseline in the sexual function, evaluated with the questionnaire FSFI at 4, 8, and 12 weeks of treatment with Hyalo Gyn® gel compared to placebo. The FSFI questionnaire consists of 19 items (six subscales: desire, arousal, lubrication, orgasm, satisfaction, and pain). Total scores range from 2 to 36, with higher scores reflecting better sexual function (cut-off value = 26.5).

    Measured: After 4, 8 and 12 weeks of treatment from baseline (V0)

  4. Change from baseline of sexual function through Female Sexual Distress Scale-Revised (FSDS-R) questionnaire

    Change from baseline in the sexual distress, evaluated with the FSDS-R at 4, 8, and 12 weeks of treatment with Hyalo Gyn® gel compared to placebo. The FSDS-R questionnaire consists of 13 items and items are scored on a five-point rating scale (0 = never; 1 = rarely; 2 = occasionally; 3 = frequently; 4 = always). Total score ranges from 0 to 52, with higher scores indicating greater sexual distress (cut-off value = 11);

    Measured: After 4, 8 and 12 weeks of treatment from baseline (V0)

  5. Change from baseline of Vaginal Health Index (VHI);

    Change from baseline in vaginal signs associated with vulvovaginal atrophy, evaluated by measuring the average score of VHI at baseline and at 4, 8, and 12 weeks of treatment with Hyalo Gyn® gel compared to placebo. The VHI will be calculated assigning a score between 1 to 5 for vaginal moisture, vaginal fluid volume, vaginal elasticity, vaginal pH, and vaginal epithelial integrity on a scale of 1 to 5. The assigned score will vary from 5 to 25. The lower the score, the greater the atrophy (cut-off value = 15).

    Measured: After 4, 8 and 12 weeks of treatment from baseline (V0),

  6. Change from baseline of the objective genitourinary atrophy signs (Vaginal Maturation Index (VMI, only after 12 weeks);

    Change from baseline of the objective genitourinary atrophy sign VMI, evaluated at baseline and at 12 weeks of treatment with Hyalo Gyn® gel compared to placebo. VMI quantifies the percentages of parabasal, intermediate, and superficial cells by using the formula: VMI = [1(% superficial cells)] + [0.6(% intermediate cells)] + [0.2(% parabasal cells)] (0%-49%, low stimulation of the vaginal epithelium; 50%-64%, moderate stimulation of the vaginal epithelium; 65%-100%, high stimulation of the vaginal epithelium).

    Measured: After 4, 8 and 12 weeks of treatment from baseline (V0

  7. Change from baseline of the objective genitourinary atrophy sign, vaginal pH

    Change from baseline of the objective genitourinary atrophy sign vaginal pH, evaluated by measuring values of vaginal pH at baseline and at 4, 8, and 12 weeks of treatment with Hyalo Gyn® gel compared to placebo. The pH values will be grouped in a 4-point scale and scored respectively: pH < 5 (0), 5-5.49 (1), 5.5- 6.49 (2), and more than 6.49 (3)

    Measured: After 4, 6, 8, 10, and 12 weeks of treatment from baseline (V0)

  8. Evaluation of Patient's global assessment (PTGA) of overall satisfaction

    PTGA of overall satisfaction, evaluated at 4, 8, and after 12 weeks of treatment with Hyalo Gyn® gel compared to placebo. The patient will be requested to score the overall satisfaction of the treatment on a four-grade scale: 0 = dissatisfied or very dissatisfied, 1 = moderately satisfied or satisfied, 2 = very satisfied, and 3 = greatly satisfied

    Measured: After 4, 8, and 12 weeks of treatment from baseline (V0)

  9. Evaluation of the safety and tolerability of Hyalo Gyn® vaginal gel compared to placebo during the entire course of the study

    Safety of the treatment, evaluated at 4, 6, 8, 10, and 12 weeks of treatment by tracking the number of patient withdrawals and collecting the local and general adverse events that occur during the study

    Measured: After 4, 6, 8, 10, and 12 weeks of treatment from baseline (V0)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Apr 2025
  2. Study start1 Aug 2024
  3. Primary completion30 Jan 2026
  4. Study completionMay 2026 (estimated)

Resources

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
Prospective, randomized, controlled, 2-arms, placebo-controlled, double-blind, multicentre clinical investigation
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
156 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06922136
Sponsor's protocol ID
QQ53-21-01
Status last verified
Feb 2026
First submitted
17 Mar 2025
Last updated
12 Feb 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Hyalo Gyn Vaginal Gel in people with Vulvo Vaginal Atrophy, run by Fidia Farmaceutici s.p.a. at 7 sites in Italy.

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 13 inclusion and 13 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: under way, not looking for participants, as of the sponsor's last update on 12 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 7 sites in Italy. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. 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?

This study is still under way. Results are not available in the source record yet.

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?

Evaluation of the performance of Hyalo Gyn® vaginal gel in the improvement of patient's perception of vulvovaginal dryness associated with vulvovaginal atrophy, after 12 weeks of treatment, compared to placebo. (time frame: after 12 weeks of treatment). 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 12 Feb 2026; AzTrials last refreshed its copy on 8 Nov 2026.

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