Comparing laser treatment to clobetasol for vulvar lichen sclerosus
Official title: Monocentric, Prospective, Randomised, Single Blinded, Active-controlled Trial to Prove That the Treatment With Monalisa Glide is Equal to Topic Clobetasol Propionate Maintenance Therapy in Vulvar Lichen Sclerosus
Run by Kantonsspital Winterthur KSW · NCT06135402 · Data updated 2026-11-12
This study is testing whether laser treatment can work better than the usual clobetasol cream for people with vulvar lichen sclerosus who have already started treatment.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | Women only |
| Enrollment | 120 (estimated) |
| Sponsor | Kantonsspital Winterthur KSW Academic / other |
| Drugs / interventions | radiation |
| Locations | 1 site (Winterthur, Canton of Zurich) |
| Status | Recruiting |
| Started | November 10, 2023 |
| Main results expected | November 1, 2027 |
| Study ends | November 1, 2027 |
| Registry record updated | September 23, 2025 |
| Trial ID | NCT06135402 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are pre- or postmenopausal women who have completed 12 weeks of clobetasol treatment and are German-speaking.
✕Probably not a fit
Patients with contraindications for laser treatment or topical clobetasol, as well as those with significant comorbidities, will not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This trial investigates the effectiveness of laser maintenance therapy versus standard treatment with clobetasol propionate in patients with vulvar lichen sclerosus. The study aims to assess the impact of fractional CO2-Laser on skin quality and disease management compared to the traditional topical corticosteroid approach. Participants must have completed an initial 12-week treatment with clobetasol and will be randomly assigned to receive either laser treatment or continued clobetasol maintenance. The trial will also evaluate the duration of the laser's therapeutic effects.
Why it matters
Potential benefit: If successful, this study could provide a more effective long-term treatment option for patients suffering from vulvar lichen sclerosus.
How similar studies have gone: While laser treatment has shown promise in improving vulvovaginal conditions, this specific comparison with clobetasol is relatively novel and has not been extensively tested.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Pre- or postmenopausal * 12 weeks of continuous topical clobetasol treatment completed. * Written informed consent * German speaking (Study information and IC available only in German) Exclusion Criteria: * Contraindication and limitations for the use of Mona Lisa Glide-Laser as described in the instructions for use * Contraindication for the use of topic clobetasol * History of vulva laser * Immune-suppression * Pregnancy or planned pregnancy, breast feeding. * Clinically significant concomitant diseases states as severe renal failure, hepatic dysfunction, severe cardiovascular disease, cancer. * History of vulvar or pelvic radiation therapy * Uncertain vulvar findings, which require a biopsy. * Acute vulvitis, especially recurrent genital herpes * History of vaginal mesh implantation within 6 months preceding this study * Known or suspected non-compliance, drug or alcohol abuse * Inability to follow the procedures of the investigation, e.g. due to language problems, psychological disorders, dementia, etc. of the subject * Participation in another investigation with an investigational drug or another MD within the 30 days preceding and during the present investigation * Previous enrolment into the current investigation * Enrolment of the PI, his/her family members, employees and other dependent persons
Where it's running
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Kantonsspital Winterthur
Winterthur, Canton of Zurich, Switzerland Recruiting
Study contacts
- Principal investigator: Gesine Meili, MD — Clinic of obstetrics and gynecology
- Study coordinator: Rebecca R Zachariah, MD
- Email: rebecca.zachariah@ksw.ch
- Phone: +41522663173
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Delgocitinib Cream for Adult Lichen Sclerosus
This study tests whether twice-daily delgocitinib cream works for adults with lichen sclerosus, first to find the best dose in women and then to evaluate it in both women and men.
-
Male lichen sclerosus: risk factors, treatments, and effects on quality of life
This project will follow men with lichen sclerosus to see if routine treatments (like topical corticosteroids or circumcision) influence symptoms, disease progression, and quality of life over time.
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Radiofrequency plus steroid cream versus steroid cream alone for vulvar lichen sclerosus
This trial tests whether adding dynamic quadripolar radiofrequency to standard high‑potency steroid cream helps women of reproductive age with vulvar lichen sclerosus more than steroid cream alone.
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Methotrexate treatment for severe vulvar lichen sclerosus
This trial will try methotrexate to reduce symptoms and prevent further scarring in women with severe vulvar lichen sclerosus who have not improved with high‑potency topical steroids.
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Clobetasol ointment versus fractional CO2 laser for vulvar lichen sclerosus
We are testing whether clobetasol ointment or fractional CO2 laser works better to reduce inflammation and symptoms in women with biopsy-confirmed vulvar lichen sclerosus who have not used topical corticosteroids.
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Using StrataMGT to reduce symptoms of vulvar lichen sclerosus
This study is testing if a new treatment called StrataMGT can help women with vulvar lichen sclerosus feel better and improve their quality of life.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.