Prospective randomized study on sexual health and self-perceived quality of life (PROMs) in patients treated for cervical cancer

2025-521460-36-00 Protocol Providence Therapeutic use (Phase IV) Ongoing, recruiting

Start 8 May 2026 · Status Ongoing, recruiting · 1 EU/EEA countries · 2 sites · Protocol Providence

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ongoing, recruiting
Participants planned 120
Countries 1
Sites 2

Cervical cancer

To assess the improvement in sexual function and self-perceived quality of life using PROMs (Patient-Reported Outcomes) in patients treated for cervical cancer who undergo a multimodal intervention in the sexual sphere and lifestyle compared to those who undergo care within routine clinical practice.

Key facts

Sponsor
Fundacio De Recerca Clinic Barcelona-Institut D’Investigacions Biomediques August Pi I Sunyer
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Female
Therapeutic area
Diseases [C] - Female Urogenital Diseases and Pregnancy Complications [C13]
Trial duration
8 May 2026 → ongoing
Decision date (initial)
2025-05-09
Transition trial
No
Low-intervention
Yes
Rare-disease indication
No
Vulnerable population
No
Funding sources
Public TV Marathon

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy

To assess the improvement in sexual function and self-perceived quality of life using PROMs (Patient-Reported Outcomes) in patients treated for cervical cancer who undergo a multimodal intervention in the sexual sphere and lifestyle compared to those who undergo care within routine clinical practice.

Secondary objectives 5

  1. To assess sexual function (using the FSFI questionnaire) in women treated for cervical cancer after completion of treatment and its evolution over one year.
  2. To assess self-perceived quality of life (using the EORTC QLQ-30, Cx- 24 and Cervantes-Reduced Scale) questionnaires in women treated for cervical cancer after completing treatment and its evolution over one year.
  3. To detect the needs of the treated patients based on the PROMs that allow proposing improvement strategies that can increase their sexual health and quality of life.
  4. To assess vaginal trophism more objectively using the Vaginal Health Index (VHI) and vaginal thickness measured by ultrasound in women with cervical cancer after completion of treatment and over the course of one year.
  5. To assess adherence to the proposed multimodal treatment and the adverse effects reported.

Conditions and MedDRA coding

Cervical cancer

Study design 1 period

#TitleAllocationBlindingRoles blindedArms
1 Description of allocation and arms
All patients will be randomized in two arms
Randomised Controlled None Control Arm: Standard of care
Intervention arm: Patients will receive a multimodal intervention in the sexual sphere

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 5

  1. Women of legal age
  2. Patients with primary cervical cancer stage FIGO I-III (initial or locally advanced) of squamous histology, adenocarcinoma or adenosquamous.
  3. Patients treated for cancer with surgery and/or radiotherapy ± systemic treatment in the Gynaecological Oncology Units of hospitals in Spain.
  4. Complete response after oncospecific treatment was obtained.
  5. Signature of the informed consent (IC) by the patient or responsible family member.

Exclusion criteria 9

  1. Patients under 18 years of age
  2. Pregnancy or breastfeeding.
  3. Partial response after completion of oncospecific treatment.
  4. Patients with premalignant pathology.
  5. Diagnosis of a tumor of non-cervical origin or atypical histologies.
  6. Impossibility of completing the questionnaires included in the protocol autonomously.
  7. Contraindications to the use of vaginal estrogens.
  8. Patients undergoing fertility-sparing treatment (trachelectomy or conization).
  9. Patients undergoing palliative treatment.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Global score on the FSFI (Female Sexual Function Index) form at the end of the first year after treatment.

Secondary endpoints 5

  1. Score on the FSFI form at diagnosis, after treatment (defined as baseline level: 1 month after surgery and 3 months after treatment with radiotherapy ± systemic treatment), at 6 and 12 months after treatment. The score in each of the sexual response domains that make up the FSFI (subjective desire and stimulus, lubrication, orgasm, satisfaction, and pain or discomfort) will also be evaluated individually.
  2. Score on the quality of life forms (EORTC QLQ-30, Cx-24, Cervantes- Reduced) at diagnosis, after treatment (baseline level), at 6 months and 12 months after treatment. The score on each of the 5 functional scales (physical functioning, daily activities, emotional functioning, cognitive functioning and social functioning), 3 symptom scales (fatigue, pain and nausea, vomiting), the global health status scale and the 6 independent items of EORTC QLQ-30
  3. Adherence to multimodal treatment in the intervention arm, defined as the percentage of patients in the intervention arm who have undergone each of the items included in the multimodal treatment.
  4. Adverse effects with the use of treatments, assessing their number, severity and type (A - Augmented; B - Bizarre)
  5. Vaginal Health Index (VHI) score and thickness measured by ultrasound, for assessment of vaginal trophism at diagnosis, after treatment (baseline level), at 6 and 12 months after treatment.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 5

Estriol

SCP150153 · ATC

Active substance
Estriol
Route of administration
VAGINAL USE
Max daily dose
100 µg microgram(s)
Max total dose
100 µg microgram(s)
Max treatment duration
3 Week(s)
Authorisation status
Authorised
ATC code
G03CA04 — ESTRIOL
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Promestriene

SUB10087MIG · Substance

Active substance
Promestriene
Pharmaceutical form
VAGINAL CREAM
Route of administration
VAGINAL USE
Max daily dose
30 mg/g milligram(s)/gram
Max total dose
30 mg/g milligram(s)/gram
Max treatment duration
3 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Progesterone

SUB10076MIG · Substance

Active substance
Progesterone
Pharmaceutical form
CAPSULE, SOFT
Route of administration
ORAL USE
Max daily dose
200 mg milligram(s)
Max total dose
600 mg milligram(s)
Max treatment duration
4 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Estradiol Valerate

SUB07245MIG · Substance

Active substance
Estradiol Valerate
Pharmaceutical form
COATED TABLET
Route of administration
ORAL
Max daily dose
2 mg milligram(s)
Max total dose
2 mg milligram(s)
Max treatment duration
6 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Estradiol Hemihydrate

SUB11941MIG · Substance

Active substance
Estradiol Hemihydrate
Pharmaceutical form
TRANSDERMAL PATCH
Route of administration
TRANSDERMAL USE
Max daily dose
100 µg microgram(s)
Max total dose
2100 µg microgram(s)
Max treatment duration
21 Day(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Fundacio De Recerca Clinic Barcelona-Institut D’Investigacions Biomediques August Pi I Sunyer

Sponsor organisation
Fundacio De Recerca Clinic Barcelona-Institut D’Investigacions Biomediques August Pi I Sunyer
Address
Calle Rosellon 149-153
City
Barcelona
Postcode
08036
Country
Spain

Scientific contact point

Organisation
Fundacio De Recerca Clinic Barcelona-Institut D’Investigacions Biomediques August Pi I Sunyer
Contact name
Laura Burunat Ruesgas

Public contact point

Organisation
Fundacio De Recerca Clinic Barcelona-Institut D’Investigacions Biomediques August Pi I Sunyer
Contact name
Laura Burunat Ruesgas

Locations

1 EU/EEA country · 2 investigational sites

By country

CountryMS statusPlanned subjectsSites
Spain Ongoing, recruiting 120 2
Rest of world 0

Investigational sites

Spain

2 sites · Ongoing, recruiting
Hospital Universitario 12 De Octubre
Gynaecology, Avenida De Cordoba Sn, 28041, Madrid
Hospital Clinic De Barcelona
Gynaecology, Calle Villarroel 170, 08036, Barcelona

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Spain 2026-05-08 2026-05-08

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 10 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1 Protocol annexed_2025-521460-36-00_redacted 1
Recruitment arrangements (for publication) K1_ Recruitment arrangements_Providence_ 1
Subject information and informed consent form (for publication) L1_SIS and ICF with Appendix 1_SP 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC__Blissel 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Evopad 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Progesterona 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Progynova 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Promestireno 1
Synopsis of the protocol (for publication) D1 Protocol synopsis_EN-2025-521460-36-00_redacted 1
Synopsis of the protocol (for publication) D1 Protocol synopsis_SP-2025-521460-36-00_redacted 1

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-03-14 Spain Acceptable
2025-05-09
2025-05-09