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临床试验/NCT06439433
NCT06439433已完成2 期

A Multi-center, Randomized, Double-blind, Placebo-controlled Phase IIc Clinical Trial of ALA-PDT in Patients With Cervical Intraepithelial Neoplasia Grade 2 (CIN2) in p16-positivity and High-risk HPV Infection

Shanghai Fudan-Zhangjiang Bio-Pharmaceutical Co., Ltd.5 个研究点 分布在 1 个国家目标入组 119 人开始时间: 2021年5月31日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
状态
已完成
入组人数
119
试验地点
5
主要终点
Response rate at week 12 after last treatment

研究概览

简要总结

Efficacy and Safety of ALA-PDT in patients with cervical intraepithelial neoplasia grade 2 (CIN2) in p16-positivity and high-risk HPV infection.

详细描述

A multi-center, randomized, double-blind, placebo-controlled phase IIc clinical trial of ALA-PDT in patients with cervical intraepithelial neoplasia grade 2 (CIN2) in p16-positivity and high-risk HPV infection.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

入排标准

年龄范围
18 Years 至 45 Years(Adult)
性别
Female
接受健康志愿者

入选标准

  • Premenopausal women, 18-45 years of age
  • Satisfactory the colposcopy examination (cervical transformation zone types: Type 1 or 2) at screening, and CIN2 as verified by cervical biopsy and p16-positivity within the last 3 months
  • Intense desire to retain the cervical structure or function
  • High-risk (including probably/possibly carcinogenic) HPV-DNA (i.e. 16, 18, 26, 31, 33, 35, 39, 45, 51, 52, 53, 56, 58, 59, 66, 68, 73 or 82) positive within the last 3 months
  • Meet the following conditions: pregnancy test negative; no pregnancy plan during the trial;no sexuality or reliable contraceptive measures taken since last menstruation to the onset of the study, agreeing to adopt reliable contraceptive measures during the study
  • Signed written informed consent

排除标准

  • Atypical glandular cells (AGS) or adenocarcinoma in situ (AIS) on cytology ,or malignant cells on cytology or histology, or other suspicion of either micro-invasive or invasive disease
  • Invasive carcinoma possibility or lesions extending to the vaginal wall
  • Severe pelvic inflammatory disease, severe cervicitis, or other severe gynaecological infection as per clinical examination
  • Undiagnosed vaginal bleeding within the last 3 months
  • With allergic disease at present; known or suspected porphyria; known allergy to ALA or analogues
  • With serious cardiovascular, neurologic, psychiatric, endocrine, hematological disease; immunocompromised conditions or long-term glucocorticoid or immunosuppressants exposure; patients with malignant tumors within the last 5 years
  • Hepatic or renal functions abnormal (alanine aminotransferase or aspartate transaminase > 3 upper limit of normal [ULN], or total bilirubin > 1.5 ULN, or serum creatinine or blood urea nitrogen > 1.5 ULN)
  • History of treatment with systemic antivirals (continued for ≥ 14 days) within the last 3 months
  • Pregnancy or nursing
  • Participation in any clinical studies within the last 30 days
  • Poor compliance or inability to complete the trial
  • Subjects that the investigators judged to be not suitable to participate the study besides above

研究组 & 干预措施

ALA A Group

Experimental

ALA 500mg Group

干预措施: Aminolaevulinic acid (500-mg bottle) (Drug)

ALA B Group

Experimental

ALA 750mg Group

干预措施: Aminolaevulinic acid (750-mg bottle) (Drug)

Placebo

Placebo Comparator

Placebo Group

干预措施: Placebo (Drug)

结局指标

主要结局

Response rate at week 12 after last treatment

时间窗: Baseline and week 12 after treatments

"Response" is defined as: pathology showed normal or only inflammatory changes or CIN1

次要结局

  • Clearance rate of HPV at week 12 after last treatment(Baseline and week 12 after treatments)
  • Response rate at week 24 after last treatment(Baseline and week 24 after treatments)
  • Cure rate at week 12 after last treatment(Baseline and week 12 after treatments)
  • Cure response rate at week 24 after last treatment(Baseline and week 24 after treatments)
  • Clearance rate of HPV at week 24 after last treatment(Baseline and week 24 after treatments)

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (5)

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