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Aminolaevulinic Acid Photodynamic Therapy of Cervical Persistent HPV Infection and Cervical Neoplasia

Phase 2
Completed
Conditions
Cervical Persistent High Risk HPV Infection
Cervical Intraepithelial Neoplasia
Interventions
Drug: Aminolaevulinic acid photodynamic therapy
Registration Number
NCT02304770
Lead Sponsor
Shanghai Fudan-Zhangjiang Bio-Pharmaceutical Co., Ltd.
Brief Summary

The study will examine the effect of aminolaevulinic acid (ALA) photodynamic therapy (PDT) of cervical precancerous lesions in women.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
73
Inclusion Criteria
  1. Premenopausal women, 25-50 years of age

  2. Meet one of the 3 following conditions:

    high-risk HPV-DNA persistently positive for at least 6 months, without CIN or higher grade lesions as verified by cervical biopsy within the last 3 months; CIN1 as verified by cervical biopsy within the last 3 months and high-risk HPV-DNA positive; CIN2/3 as verified by cervical biopsy within the last 3 months, with intense desire to retain the cervical structure or function

  3. Satisfactory colposcopy examination (visibility of entire transformation zone and entire lesion margin ) and endocervical curettage negative

  4. In good health condition as confirmed by past medical history, physical examination, electrocardiogram, laboratory tests and urinalysis on the screening and baseline evaluation within the last 4 weeks of the onset of the study

  5. 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

  6. Written informed consent signed

Exclusion Criteria
  1. Atypical glandular cells of undetermined significance (AGUS) or adenocarcinoma in situ (AIS) on cytology ,or malignant cells on cytology or histology, or other suspicion of either micro-invasive or invasive disease
  2. Invasive carcinoma possibility or positive endocervical curettage on colposcopy
  3. Severe pelvic inflammatory disease, severe cervicitis, or other severe gynaecological infection as per clinical examination
  4. Undiagnosed vaginal bleeding
  5. With allergic disease at present; known or suspected porphyria; known allergy to ALA or similar compounds
  6. Evidence or history of clinically significant cardiovascular, endocrine, neurologic, pulmonary, hematological, immunological, psychiatric, metabolic disease or other serious diseases
  7. Pregnancy or nursing
  8. Therapeutic drug or other therapeutic measures applied on cervix or rectum within the last 2 weeks of the onset of the study
  9. Participation in any clinical studies within the last 30 days
  10. Subjects that the investigators judged to be not suitable to participate the study besides above

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
CIN 1 with high risk HPV infectionAminolaevulinic acid photodynamic therapyAminolaevulinic acid photodynamic therapy for the treatment of patients with CIN 1 and high risk HPV infection
CIN 2/3Aminolaevulinic acid photodynamic therapyAminolaevulinic acid photodynamic therapy for the treatment of patients with CIN 2/3
cervical persistent high risk HPV infectionAminolaevulinic acid photodynamic therapyAminolaevulinic acid photodynamic therapy for the treatment of patients with cervical persistent high risk HPV infection
Primary Outcome Measures
NameTimeMethod
Response Rate3 months after treatments

Based on histology

clearance of high risk HPV3 months after treatments

proportion of patients with high risk HPV clearance

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (4)

Qilu Hospital of Shandong University

🇨🇳

Jinan, Shandong, China

The First Affliated Hospital with Nanjing Medical University

🇨🇳

Nanjing, Jiangsu, China

The Obstetrics & Gynecology Hospital of Fudan University

🇨🇳

Shanghai, Shanghai, China

Women's Hospital School of Medicine Zhejiang University

🇨🇳

Hangzhou, Zhejiang, China

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