Actively Recruiting

Age: 18Years - 70Years
FEMALE
NCT06649201

Vulvovaginal Graft-versus-Host Disease: Diagnosis and Microbiome Evaluation

Led by Case Comprehensive Cancer Center · Updated on 2026-03-09

40

Participants Needed

1

Research Sites

112 weeks

Total Duration

On this page

Sponsors

C

Case Comprehensive Cancer Center

Lead Sponsor

I

Incyte Corporation

Collaborating Sponsor

AI-Summary

What this Trial Is About

The goal of this observational study is to investigate the development of vulvovaginal graft-versus-host- disease (GVHD), an under-reported and under-recognized manifestation of chronic GVHD. This study aims to characterize the vaginal microbiome in participants undergoing allogeneic hematopoietic cell transplantation (HCT). The main questions it aims to answer are: * Is the vaginal microbiome altered during allogeneic HCT? * What changes may help researchers understand the development of vulvovaginal GVHD? Participants will be asked to undergo an assessment of vulvovaginal symptoms through a vulvovaginal symptom questionnaire once pre-transplant, 6 months post-transplant, and twelve12 months post- transplant. Participants will also be asked to undergo a vaginal microbiome (collection of bacteria, fungi, and viruses that live on our bodies) evaluation through a vaginal exam performed by a gynecologist with collection of vaginal samples once pre-transplant and again six months post-treatment and twelve months post-transplant. If a participant develops symptoms of vulvovaginal GVHD at any point in time during the post-transplant follow up, the participant may partake in additional vaginal exams to diagnose GVHD at the time of symptom onset.

CONDITIONS

Official Title

Vulvovaginal Graft-versus-Host Disease: Diagnosis and Microbiome Evaluation

Who Can Participate

Age: 18Years - 70Years
FEMALE

Eligibility Criteria

Eligible

You may qualify if you...

  • Female participants planning to undergo allogeneic HCT or who have developed vulvovaginal GVHD after HCT
  • Any conditioning regimen including myeloablative or reduced intensity
  • Any donor source including matched, mismatched, unrelated, umbilical cord, or haploidentical
  • Any graft source including bone marrow or peripheral blood stem cells
  • Any GVHD prevention regimen
  • Age between 18 and 70 years
  • English speaking and able to provide written informed consent
  • Agree to vaginal gynecologic exams
  • Co-enrollment in other clinical trials allowed
Not Eligible

You will not qualify if you...

  • Unable or unwilling to undergo vaginal gynecologic exam due to discomfort or pain
  • Medical, psychiatric, or other illnesses that may prevent compliance with study assessments
  • Current diagnosis or history of untreated sexually transmitted infections such as Herpes Simplex Virus, Gonorrhea, Chlamydia, or Trichomonas
  • History of lichen sclerosis or lichen planus before transplant
  • History or current diagnosis of vaginal or vulvar cancer

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Trial Site Locations

Total: 1 location

1

Cleveland Clinic Taussig Cancer Institute, Case Comprehensive Cancer Center

Cleveland, Ohio, United States, 44195

Actively Recruiting

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Research Team

B

Betty K Hamilton, MD

CONTACT

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

1

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