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NCT05317364 · ClinicalTrials.gov registry record · Phase 4

Topical Vaginal Estrogen for Postpartum Obstetric Anal Sphincter Injury Recovery

A Phase 4 study, sponsored by University of Alabama at Birmingham.

Terminated
Registry status
Phase 4
Development phase
38
Enrollment target

NCT05317364: Clinical Trial Phase 4 study, sponsored by University of Alabama at Birmingham.

NCT05317364 is a Phase 4 study that was terminated before completion, run by University of Alabama at Birmingham. The registered enrollment target is 38 participants, below the 518-participant average among 9,235 other Phase 4 trials with a reported enrollment target (93% lower). According to ClinicalTrials.gov, the official US trial registry.

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The verdict

NCT05317364, a Phase 4 study, was terminated before completion, sponsored by University of Alabama at Birmingham.

TERMINATED
Registry status
Phase 4
Development phase
38 participants
Enrollment target

Study Summary

Obstetric anal sphincter injuries (OASIS) cause significant morbidity and are well known risk factors for sexual dysfunction, urinary and anal incontinence. Postpartum and breastfeeding are relative hypoestrogenic states with risk factors for dyspareunia and vaginal atrophy. Estrogen deficiency results in changes in the vaginal epithelium and poor tissue quality which results in poor wound healing. For postmenopausal women with vaginal atrophy undergoing surgery for pelvic organ prolapse, early administration of topical vaginal E2 therapy resulted in improved markers of tissue quality. Currently, there are limited studies to reference for proposed treatment modalities to improve sexual function and incontinence in this population. In this proposed randomized, placebo-controlled trial, women who sustain OASIS will be recruited and randomized to begin intravaginal estrogen therapy or placebo at their 2-week follow-up visit after hospital discharge. Participants will complete validated questionnaires relating to sexual function and pelvic floor disorders (urinary and anal incontinence) symptom distress and impact. The primary outcome of this study will be sexual dysfunction symptom severity measured by the female sexual function index (FSFI) at 6 months postpartum. Secondary outcomes will be urinary and anal incontinence distress and impact measured by St. Mark's score and the fecal incontinence quality of life (FIQOL) questionnaire for anal incontinence and urogenital distress inventory (UDI-6) for urinary incontinence. The objective of this study is to determine if intra-vaginal estrogen therapy improves sexual function and incontinence symptom distress and impact for postpartum women after OASIS.

Primary Outcome

measured by the female sexual function index (FSFI). Minimum score 1, maximum score 36. Higher scores indicate a higher level of sexual function.

Interventions

  • DRUG Estradiol 0.01% Vag Cream
  • DRUG Placebo vaginal cream

Trial Details

FieldValue
Enrollment Target 38 participants
Start Date 2022-07-14
Est. Completion 2026-02-13
Phase Phase 4
University of Alabama at Birmingham

1,160 total trials

Why NCT05317364 stopped before completion

NCT05317364 is an interventional study that assigns participants to a tested intervention. The registry caps enrollment at 38 participants, a relatively small participant target, below the 518-participant average among 9,235 other Phase 4 trials with a reported enrollment target (93% lower).

The record links to 0 conditions, and to 2 interventions - of which Estradiol 0.01% Vag Cream is the first listed.

NCT05317364 does not publish any study locations in the registry export this page uses.

Frequently Asked Questions

What is clinical trial NCT05317364 about?

NCT05317364 is a clinical study titled "Topical Vaginal Estrogen for Postpartum Obstetric Anal Sphincter Injury Recovery". Obstetric anal sphincter injuries (OASIS) cause significant morbidity and are well known risk factors for sexual dysfunction, urinary and anal incontinence. Postpartum and breastfeeding are relative hypoestrogenic states with risk factors for dyspareunia and vaginal atrophy. Estrogen deficiency resu...

What is the current status of trial NCT05317364?

This trial is currently terminated. It is a Phase 4 study. The enrollment target is 38 participants. The study started on 2022-07-14. Estimated completion is 2026-02-13.

What interventions are being tested in trial NCT05317364?

The interventions under investigation include: Estradiol 0.01% Vag Cream (DRUG), Placebo vaginal cream (DRUG).

Who is sponsoring clinical trial NCT05317364?

This trial is sponsored by University of Alabama at Birmingham, which has 1,160 total clinical trials registered on ClinicalTrials.gov.

How this trial's enrollment target compares

Where NCT05317364's enrollment target sits among peer trials

38 1476th of 2000 higher than 519 of 2,000 other Phase 4 trials

participants (enrollment target), bucketed by value

Each bar is a band; taller bars hold more other Phase 4 trials. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count and share, and where it sits relative to this entry.

Source ClinicalTrials.gov registry export · 2026-08-08

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Source: ClinicalTrials.gov NCT05317364, the US trial registry maintained by the National Library of Medicine. NCT05317364 (small enrollment · none site footprint · terminated) retrieved and formatted by PlainTrial, see methodology.