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Study of Imiquimod Cream Prior to Ablative Therapy in External Ano-Genital Warts

Phase 4
Completed
Conditions
Genital Warts
Interventions
Other: vehicle cream
Registration Number
NCT00189293
Lead Sponsor
MEDA Pharma GmbH & Co. KG
Brief Summary

The purpose of this study is to compare the recurrence rate following total clearance of external genital warts (EGWs) when clearance has been obtained by imiquimod (3 applications per week for 4 weeks) followed by ablative therapy (laser or electrocautery therapy) with that from just ablative therapy treatment alone.

Detailed Description

To compare the recurrence rate 24 weeks after ablative therapy in subjects with external genital warts trated with imiquimod, 3 applications per week for 4 weeks followed by ablative therapy versus vehicle, 3 applications per week for 4 weeks followed by ablative therapy. A recurrence is defined as the investoigator-assessed occurrence of lesion(s) within the baseline area cleared by the treatment: imiquimod/vehicle then ablative therapy (either the initial ablative therápy session (A0), or if required for complete clearance of baseline lesions, a second ablative therapy session (A2).

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
128
Inclusion Criteria
  • Subjects with at least 1 visible genital or perianal wart
  • Total wart area 1 to 40 square centimeters.
Exclusion Criteria
  • Pregnant or lactating women
  • Known other sexually transmitted disease
  • Evidence of a clinically significant immunodeficiency
  • Evidence of unstable cardiovascular, pulmonary, hematological, hepatic, renal, endocrine, collagen vascular, neurological or gastrointestinal abnormality or disease.
  • Treatment within the 4 weeks prior to the Randomization Visit with any of the following systemic or topical treatments: interferons, interferon inducers, immunomodulators, immunosuppressive drugs, antiviral drugs (except for systemic acyclovir, valacyclovir and famciclovir), cytotoxic drugs, investigational drugs, or any drugs known to have major organ toxicity.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
1ImiquimodImiquimod 5% cream
2vehicle creamvehicle cream
Primary Outcome Measures
NameTimeMethod
recuurence rate 24 weeks after ablative therapy24 weeks
Secondary Outcome Measures
NameTimeMethod
Recurrence rate at 4 and 12 weeks post ablation4 and 12 weeks
Healing and cosmetic outcome4, 12 and 24 weeks
Time to recurrence
Reduction of EGW area4 and 12 weeks
Local and general tolerability
Percent of complete clearance after initial topical treatmentup to 6 weeks after initial topical treatment
Occurrence of new lesions

Trial Locations

Locations (12)

Unità Operativa di Ginecologia Oncologica, RCCS Ospedale Oncologico

🇮🇹

Bari, Italy

Servizio Autonomo di Diagnosi Precoce dei Tumori Ginecologici Ospedale Vittorio Emanuele

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Catania, Italy

Clinica Ostetrica Ginecologica, Ospedale Careggi

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Firenze, Italy

Struttura Complessa di Ostetricia e Ginecologia Ospedale Cardinal Massaia

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Asti, Italy

Struttura Complessa Oncologia Chirurgica C Istituto Scientifico dei Tumori IST

🇮🇹

Genova, Italy

Servizio di Ginecologia Preventiva, Istituti Clinici di Perfezionamento

🇮🇹

Milano, Italy

Clinica Ostetrica Ginecologica Azienda Ospedaliera L. Sacco

🇮🇹

Milano, Italy

Unità di Ginecologia Preventiva e Oncologica Università di Modena e Reggio Emilia

🇮🇹

Modena, Italy

Ostetricia e Ginecologia, Ospedale S. Maria delle Grazie

🇮🇹

Pozzuoli, Italy

Unità Operativa di Ginecologia Oncologica, Ospedale Oncologico M. Ascoli

🇮🇹

Palermo, Italy

Clinica Ostetrica e Ginecologica Università Politecnica delle Marche

🇮🇹

Ancona, Italy

Ambulatorio di Colposcopia e Patologia Cervico-Vaginale, Università Cattolica del Sacro Cuore

🇮🇹

Roma, Italy

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