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Investigation to assess whether Mi-Gel applied to the vulvar vestibule results in a reduction in pain with intercourse compared to a placebo

Randomised, double-blind, placebo-controlled trial assessing the efficacy of Mi-Gel in the treatment of women with entry dyspareunia

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12619001163190
Enrollment
90
Registered
2019-08-20
Start date
2019-11-11
Completion date
2022-09-03
Last updated
2026-08-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

A randomised, double-blinded study to determine if the application of Mi-Gel to the vulvar vestibule results in reduced impact of pain compared to placebo in patients with entry dyspareunia.

Interventions

the study investigational product is a gel called Mi-Gel. Mi-Gel is a combination of two registered active ingredients, amitriptyline and oestriol. Participants will be asked to apply 0.5ml of product twice a day to the vulvar vestibule. The study is placebo-controlled with the placebo looking and feeling like the investigational product, but does not have any active ingredients. Participants will use Mi-Gel or the placebo for 8 weeks. This study is double-blinded. Adherence to the study gel wil

the study investigational product is a gel called Mi-Gel. Mi-Gel is a combination of two registered active ingredients, amitriptyline and oestriol. Participants will be asked to apply 0.5ml of product twice a day to the vulvar vestibule. The study is placebo-controlled with the placebo looking and feeling like the investigational product, but does not have any active ingredients. Participants will use Mi-Gel or the placebo for 8 weeks. This study is double-blinded. Adherence to the study gel will be done by weighing the gel before and after use.

Sponsors

Women's Health & Research Institute of Australia
Lead SponsorCommercial sector/Industry

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

1. Female 2. Aged 18 or over 3. Entry dyspareunia duration of at least 3 months

Exclusion criteria

1. Aged less than 18 2. Not sexually active 3. Current use of amitriptyline or oestriol (topical or oral) (Patients would be suitable for inclusion after a wash out period of six weeks) 4. Pudendal Nerve Block procedure within the last three months or planning on having a Pudendal Nerve Block procedure during the course of the trial 5. Known allergy to amitriptyline or oestriol 6. Contraindication to use of amitriptyline or oestriol 7. Pregnant or unwilling to use methods to avoid potential pregnancy, as determined by a urine test 8. Other peri-vaginal infections or vulvovaginal disorders including current acute/chronic candidiasis or active DIV/psoriasis/lichen sclerosis 9. Endometrial hyperplasia or undiagnosed genital bleeding 10. Previous myocardial infarction, thrombosis, breast cancer, cancer of any sexual organs, liver disease and/or porphyria 11. History of chemotherapy or radiation therapy 12. Lack of lubrication due to chronic conditions such as diabetes mellitus, atherosclerosis or auto-immune disorders 13. Current diagnosis of vaginismus 14. The investigator believes the candidate would not make a good clinical trial patient

Outcome results

None listed

Source: ANZCTR · Data processed: Aug 9, 2026