Vaginal Photobiomodulation for Chronic Pelvic Pain
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: SoLa Pelvic Therapy.
- Who it may be relevant to
- Registry conditions: Chronic Pelvic Pain, Chronic Pelvic Pain Syndrome (CPPS). Basic parameters: from 18 years · Female.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
Vaginal Photobiomodulation for Chronic Pelvic Pain: a Randomized Controlled Trial
Overview
The goal of this clinical study is to determine if 8 treatments with photobiomodulation using near-infrared laser energy can help reduce chronic pelvic pain in women. Additionally, researchers want to determine if treatment with this type of energy can also alleviate pain with activities such as standing, sitting, urinating, having bowel movements and intercourse.
Detailed description
This clinical trial will be a multi-center, triple-masked randomized study comparing vaginal photobiomodulation to sham, for the treatment of chronic pelvic pain in women. The study will include 126 participants, 63 randomized to vaginal photobiomodulation and 63 randomized to vaginal sham treatment. Potential participants will be recruited in communities and clinics where gynecologists are routinely evaluating patients for chronic pelvic pain.
Women who fulfill inclusion criteria will undergo, screening gynecologic evaluation to ensure they can participate. Informed and written consent will be obtained from all study participants prior to enrollment.
After consent, participants will be randomized to 8 treatments with active photobiomodulation or sham administered twice a week. Study subjects will be randomized using blocked 1:1 randomization with random permuted blocks of 4. Participants, study investigators, staff, and statisticians will remain masked throughout the study and unaware of whether sham or active laser is being administered to each participant.
Treatments will be administered using the SoLá Pelvic Therapy laser, which has been modified to emit sham or active photobiomodulation through the vagina using a thin laser wand protected by a sterile plastic covering. Treatments will be administered by a gynecology providers who specialize in evaluation and management of chronic pelvic pain. The SoLá Pelvic Therapy device auto-calculates power and duration of treatment based on vaginal length. The procedure typically lasts 3-6 minutes depending on the vaginal length and the pre-determined dosing selected by the device.
Patient reported pain levels will be assessed prior to each treatment and again at 1-week and 3-months after treatment. Pain levels will be obtained from both groups at baseline and after each treatment, while demographics, pain intensity, pain impact, pain behavior, and quality of life measures (QoL) will be collected at baseline and after treatment. Need for additional therapies, global impression of change, adherence and satisfaction will be assessed after 8 treatments. To assess effect duration, both groups will be followed for an additional 3 months, after which pain levels, QoL, use of additional treatments, global health, global impression of change, and satisfaction with the procedure will be assessed. After the 3-month follow-up, participation will come to an end.
The primary outcome will be to determine the percentage of participants who achieve a minimal clinically important difference (MCID) in overall pelvic pain, defined as a post-treatment decrease of ≥2 points on a 0-10 pain NRS (Numeric Rating Scale) at 3 months compared to baseline. Secondary outcomes include changes from baseline in:
* mean NRS pain levels of overall pelvic pain and symptom specific pelvic pain (pain with exercise, sitting, standing, bowel movements, urination, and intercourse); * percentage of patients achieving MICD for symptom specific pelvic pain * quality of life measured by decrease in pain intensity, impact, and interference, reduced need for additional treatments; * improvement in global health; * global impression of change, * adherence and satisfaction with treatment. The intervention will be considered superior if 30% or higher percentage of participants achieve MCID compared to placebo (e.g., 30% in sham group vs 60%), or the intervention results in ≥1.1 NRS points reduction in mean pain levels compared to sham (e.g., intervention reduces mean pain levels by 2.4 points while sham reduces mean pain levels by 1.2 NRS points).
All patient reported outcomes (PROs) will be recorded using electronic surveys; many are specifically validated to measure pelvic pain, pelvic function, and quality of life.
Interventions
- Device SoLa Pelvic Therapy
SoLa Pelvic Therapy laser emits near-infrared (810-980 nm wavelength) energy to the vaginal tissues. The device treats at 5-8 W for 3-6 minutes and delivers a fluence of 3,000 and 5,000 J/cm2 through a sterile vaginal probe. Specific treatment time is calculated based on vaginal length. Based on a code input, the device can cycle between emitting laser energy or sham which is visible light without focused laser energy.
Primary outcome measures
- Overall pelvic pain [Time frame: At baseline, at 1-week after completing treatment, and at 3 months after completing treatment.]
Secondary outcome measures (8)
- Symptom specific pelvic pain [Time frame: At baseline, at 1-week after completing treatment, and at 3 months after completing treatment.]
- Pain impact [Time frame: At baseline, at 1-week after completing treatment, and at 3 months after completing treatment.]
- Quality of life [Time frame: At baseline, at 1-week after completing treatment, and at 3 months after completing treatment.]
- Global physical and mental health [Time frame: At baseline, at 1-week after completing treatment, and at 3 months after completing treatment.]
- Satisfaction with treatment. [Time frame: At 1-week after completing treatment.]
- Adherence with treatment. [Time frame: After 5 treatments are completed.]
- Need for additional treatment [Time frame: This questionnaire is completed once a week, prior to each treatment through administration of all 8 treatments (which are administered twice a week), and again at 3 months after completing the last treatment.]
- Global impression of change [Time frame: At 1-week after completing treatment, and at 3 months after completing treatment.]
Eligibility criteria
Inclusion criteria
- Age 18 years or older;
- CPP for 3 months or longer;
- Overall pelvic pain severity ≥4 in the last 7 days;
- Pelvic muscle tenderness pain level ≥4.
Exclusion criteria
- Previous vaginal or vulvar laser therapy;
- Receiving concurrent pelvic physical therapy;
- Unable to tolerate vaginal/pelvic examination
- Taking drugs that have heat- or light- sensitive contraindications;
- Subjectively reports abnormal or decreased sensation in the vagina or rectum;
- History of cancer of the cervix, vagina, uterus, bladder, or vulva or suspected of having neoplasia or pre-cancerous lesions;
- History of autoimmune inflammatory conditions such as vulvar lichen sclerosis or other types of dermatoses;
- History of vaginal trauma, ulcerations, erosions, or other evidence of vaginal and vulvar skin breakdown;
- Less than 6 months post-partum;
- Actively trying to get pregnant or not willing to use contraception during the trial;
- Positive pregnancy test or planning to get pregnant during the study;
- Vaginal discharge or bleeding concerning for neoplasia, infectious, or autoimmune condition; \*
- Pelvic pain has not been fully evaluated or pain is not confirmed as chronic pelvic pain;
- Does not speak, read, or writes English and thus cannot complete surveys;
- Does not have access to smart digital devices or computer, or cannot receive emails.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Quadruple blind
- Primary purpose
- Treatment
Study locations
United States · 5 centers
- Obgyn South — Birmingham
- The Orady Womens Clinic — San Francisco
- Urogynecology of Kansas City — Overland Park
- Boston Urogyn — Boston
- Nurture Women's Health — Frisco
Publications
- Zipper R, Pryor B, Lamvu G. Transvaginal Photobiomodulation for the Treatment of Chronic Pelvic Pain: A Pilot Study. Womens Health Rep (New Rochelle). 2021 Nov 23;2(1):518-527. doi: 10.1089/whr.2021.0097. eCollection 2021. PMID 34841398
- Zipper R, Pryor B. Evaluation of a novel deep tissue transvaginal near-infrared laser and applicator in an ovine model. Lasers Med Sci. 2022 Feb;37(1):639-643. doi: 10.1007/s10103-021-03315-z. Epub 2021 Apr 14. PMID 33855615
Identifiers
NCT: NCT06673108 · SoLaPelvicTherapy