Hyaluronic Acid + Vaginal Estrogen for Genitourinary Syndrome

SA
CE
Overseen ByChristina Escobar, MD
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores new treatment options for genitourinary syndrome of menopause (GSM), which causes symptoms like vaginal dryness and discomfort. Participants will receive either a hyaluronic acid (HLA) vaginal insert (Revaree) or a vaginal estrogen cream (Estrace) to determine which is more effective. The trial seeks postmenopausal women experiencing GSM symptoms who can attend two appointments over 12 weeks. The study aims to identify effective non-hormonal treatments for those who prefer or require alternatives to traditional hormone therapy. As an unphased study, this trial allows participants to contribute to important research that may lead to new treatment options for GSM.

Will I have to stop taking my current medications?

The trial requires that you stop using any hormone replacement therapy (HRT) or raloxifene at least six weeks before starting. Other medications are not specifically mentioned, so it's best to discuss with the trial team.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research has shown that Revaree, which contains hyaluronic acid, is generally safe and well-tolerated. It effectively relieves symptoms like vaginal dryness without causing harmful side effects, making it a promising non-hormonal option for treating genitourinary syndrome of menopause (GSM).

In contrast, Estrace, a vaginal cream with estrogen, is widely used and approved by the FDA. However, it can cause side effects such as nausea, high blood pressure, and an increased risk of certain cancers. Users should consider these potential risks.

Both treatments have undergone safety testing, but they present different risk profiles. Participants considering these treatments should consult a healthcare provider to determine the best option for them.12345

Why are researchers excited about this trial's treatments?

Unlike the standard of care for genitourinary syndrome of menopause, which typically involves hormonal treatments like vaginal estrogen (Estrace), the investigational treatment, Revaree, offers a hormone-free alternative by using hyaluronic acid. Hyaluronic acid is unique because it naturally attracts and retains moisture, which can help alleviate dryness and discomfort without the need for hormones. This is particularly exciting for individuals who cannot or prefer not to use hormonal therapies due to personal or medical reasons. Researchers are eager to see how Revaree compares to traditional treatments in terms of effectiveness and patient preference.

What evidence suggests that this trial's treatments could be effective for GSM?

Research has shown that Revaree, a vaginal insert with hyaluronic acid, effectively treats symptoms of menopause-related changes, such as vaginal dryness. Studies found that about 80% of women using Revaree experienced reduced vaginal dryness within four weeks. Another study reported an 84% improvement in dryness and an 86% reduction in discomfort. In this trial, some participants will receive Revaree as part of the investigational arm, indicating it is a promising non-hormonal option for these symptoms.678910

Who Is on the Research Team?

LN

Lila Nachtigall, MD

Principal Investigator

NYU Langone Health

Are You a Good Fit for This Trial?

Inclusion Criteria

Postmenopausal status as defined by amenorrhea for >12 months or history of bilateral salpingo-oophrectomy or if the patient has had a hysterectomy and menopausal symptoms for >1 year or FSH > 40
Negative Pap smear as per ASCCP guidelines
Capable of giving informed consent
See 3 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants are randomized to receive either a hyaluronic acid vaginal insert or vaginal estrogen topical cream for 12 weeks

12 weeks
Baseline visit, 12-week follow-up visit

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Estrace
  • Revaree
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: InvestigationalExperimental Treatment1 Intervention
Group II: Standard of CareActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

NYU Langone Health

Lead Sponsor

Trials
1,431
Recruited
838,000+

JDS Therapeutics, LLC

Industry Sponsor

Trials
1
Recruited
50+

Citations

A National Survey on Patient Satisfaction and Use Trends ...This survey study demonstrated high levels of relief from vaginal atrophy symptoms across a wide age range with the use of Revaree.
Effects of the Vaginal Suppository Revaree® Plus on Women ...After four weeks, approximately 80% of women showed an improvement in vaginal dryness by at least one category (n=70). There were no serious ...
A randomized, pilot trial comparing vaginal hyaluronic acid ...The aim of this study was to compare the efficacy of a non-hormone alternative, vaginal hyaluronic acid (HLA), to a standard-of-care therapy, vaginal estrogen.
Revaree® Plus vs. Revaree®: What Are the Differences?Clinical trials of Revaree have shown that women experienced an 84% improvement in vaginal dryness, as well as an 86% reduction in vaginal ...
Revaree Reviews | The science, safety, and cost [2025]Effectiveness. Rating: 9.4 / 10. Studies on both Revaree and hyaluronic acid for vaginal dryness in general have all seen positive outcomes ...
Estradiol CreamOther effects can include high blood pressure, liver problems, high blood sugar, fluid retention, enlargement of benign tumor ('fibroids') of ...
SAFETY DATA SHEETOverdosage of estrogen may cause nausea and vomiting, and withdrawal bleeding may occur in females.
estrace cream - accessdata.fda.govESTRACE® (estradiol vaginal cream, USP, 0.01%) should not be used during pregnancy. (See CONTRAINDICATIONS.) Estrogen administration to nursing mothers has ...
ESTRACE® Cream (estradiol vaginal cream, USP, 0.01%) ...The WHI estrogen plus progestin substudy also demonstrated an increased risk of invasive breast cancer [see CLINICAL STUDIES and WARNINGS, Malignant Neoplasms, ...
Estradiol (vaginal route) - Side effects & dosageEstradiol vaginal gel, insert, and ring are used to treat changes in and around the vagina (such as vaginal dryness, itching, and burning) ...
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