Table 4.
Primary Outcome Measures | |
Tampon test | Measures pain with tampon insertion and removal on 0–10 NRSa |
Secondary outcome measures | |
Coital pain | Pain experienced with sexual intercourse in the last 24 hours on a 10-10 NRSa |
24-hours Pain | Average vulvodynia pain over last 24 hours on 0–10 NRSa |
Psychometric measures | |
BPI Interference Scaleb | Assesses degree to which pain interferes with physical and emotional functioning and sleep |
HADSc | Measures dimensional and categorical aspects of anxiety and depression |
PGICd | Measures improvement of symptoms with treatment |
FSFIe | Measures sexual function including desire, arousal, lubrication, orgasm, satisfaction and pain subscales |
Locke-Wallace Marital Adjustment Test | Measures degree of happiness in relationship, common interests and beliefs and conflict management |
SF-36f | Measures quality of life |
Leserman Sexual and Physical Abuse Questionnaire | Measures history of physical and sexual abuse |
Biological measures | |
Capsaicin skin sensitivity test | Measures central sensitization, a dimension of neuropathic pain |
Heart rate variability (HRV) | Measures autonomic nervous system dysregulation |
Vaginal algometer | Measures pressure pain thresholds in pelvic floor muscles |
Tender point tenderness | Measures pain to pressure when applied to specific areas in the musculoskeletal system |
Algesiometer | Measures vulvar mechanical hyperalgesia |
Safety end points | |
Medical history, physical exam, Pelvic examination | Assess for any findings that may increase risk for adverse events |
Clinical laboratory testing | Complete blood cell count + differential, comprehensive metabolic panel, urine pregnancy test, urinalysis, Affirm Testg |
Serum creatine phosphokinase (CK) | If signs or symptoms of rhabomyolysis occur |
Serious adverse events (SAEs) | Death, life-threatening drug experience, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability/incapacity or congenital anomaly/birth defect |
NRS: Numeric Rating Scale
BPI: Brief Pain Inventory Interference Scale
HADS: Hamilton Anxiety and Depression Rating Scale
PGIC: Patient Global Impression Change Scale
FSFI: Female Sexual Function Index
SF-36: MOS 36-item short-form health survey
Affirm: VPIII microbial identification test for vaginal infection