MedPath

TOPical Imiquimod treatment of high-grade Cervical intraepithelial neoplasia (TOPIC trial): a randomized controlled trial

Phase 3
Completed
Conditions
CIN 2/3
high grade cervical intraepithelial neoplasia
10038595
Registration Number
NL-OMON41566
Lead Sponsor
Medisch Universitair Ziekenhuis Maastricht
Brief Summary

Trial ended prematurely

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
6
Inclusion Criteria

- de novo CIN2 or CIN3 lesion, histologically confirmed by diagnostic biopsy
- age of 18 years or older

Exclusion Criteria

- immuno-compromised women,
- pregnant of lactating women,
- legally incapable women
- previous histologically confirmed high grade CIN (CIN 2-3)

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
<p>The main endpoint of the study is regression-or-not of CIN2 or CIN 3 lesions<br /><br>after imiquimod or conservative management, defined as regression to CIN 1 or<br /><br>less, at 20 weeks follow-up and adequate treatment of high-grade CIN by LLETZ,<br /><br>defined as no need for additional treatment within 6 months.</p><br>
Secondary Outcome Measures
NameTimeMethod
<p>1. Side effects of imiquimod therapy and LLETZ therapy as scored by the Common<br /><br>Terminology Criteria for Adverse Events guidelines.<br /><br>2. Disease recurrence at 6, 12 and 24 months follow-up, defined as abnormal<br /><br>cervical cytology for all treatment roups.<br /><br>3. Quality of life (QoL) before, during and after treatment, assessed by the<br /><br>following QoL questionnaires at 0 and 20 weeks and after 1 year:<br /><br>a. Medical Outcomes Study 36-Item Short-Form General Health Survey (RAND 36),<br /><br>to assess generic health-related quality of life<br /><br>b. European Organization for Research and Treatment of Cancer (EORTC)<br /><br>quality-of-life questionnaire: QLQ-C30, to assess cancer-specific<br /><br>health-related quality of life<br /><br>c. European Organization for Research and Treatment of Cancer (EORTC)<br /><br>quality-of-life questionnaire: QLQ-CX24, to assess cervical cancer specific<br /><br>quality of life, including sexual functioning</p><br>
© Copyright 2025. All Rights Reserved by MedPath