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Completed

NCT Number: NCT04210336

Clinical Trial to Evaluate Papilocare® Gel Efficacy Into Repairment of Cervical Lesions Caused by HPV

Clinical Trial phase III, randomized, double-blind, parallel-group, controlled using lactic acid gel to evaluate the efficacy of Papilocare gel in the repair of cervical lesions caused by HPV.

The study is divided into two parts. All patients included in the study will be randomized (1: 1) to one of the 2 study groups, Papilocare or lactic acid gel, using a randomization list and in double-blind conditions.

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Key information

Age range

30 year–65 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Hospital Universitario Nuestra Señora de la Candelaria

Santa Cruz de Tenerife, Tenerife, 38010, Spain

About this study

Phase III, randomized, double-blind, parallel-group, controlled using lactic acid gel clinical trial to evaluate the efficacy of Papilocare gel in the repair of cervical lesions caused by HPV.

The study is divided into two parts. All patients included in the study will be randomized (1: 1) to one of the 2 study groups, Papilocare or lactic acid gel, using a randomization list and in double-blind conditions.

The study is divided into 2 parts, the first 100 randomized patients will receive treatment with an administration regimen in both arms: 1 cannula / day for 1 month + 1 cannula on alternate days for 5 months (except for menstruation days). The second part of the study, randomized patients from position 101 to 200, will receive treatment with an administration regimen in both arms: 1 cannula / day for 3 months + 1 cannula on alternate days for 3 months (except the days of menstruation).

Duration of treatment: 6 months Total study duration: 13 months in 5 visits: selection visit, V0 or randomization visit (30 days), V1(Month 3), V2 (Month 6), V3 (Month 12).

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Woman between the ages of 30 and 65 (both included).
  • Able to read and understand the Patient Information Sheet and informed consent
  • Accept participation in the study and sign the Informed Consent.
  • Cytological result of ASC-US or LSIL, with concordant colposcopic image, at most 3 months before the selection visit. It is considered concordant with ASCUS and LSIL, a colposcopic result of normality, of non-specific findings or of type 1 changes.
  • Positive HPV according to cobas 4800 technique (high-risk HPV) carried out in a selection visit (or positive available at most 3 months prior to the baseline visit).
  • Women vaccinated and not vaccinated against HPV.
  • Is able, at the discretion of the researcher, to comply with the requirements of the study and without impediments to follow the instructions and assessments throughout it.

Exclusion criteria

  • Clinically relevant alterations of the immune system or any other autoimmune disease or in treatment with immunosuppressants.
  • Other cytological results other than those provided for in the inclusion criteria.
  • Baseline LSIL biopsies with CIN-3.
  • Abnormal undiagnosed genital bleeding (during the 6 months prior to the selection visit)
  • Other symptomatic vulvovaginal infections.
  • Surgical cervical excision in the last year or total hysterectomy.
  • Previous history of gynecological cancer.
  • Participation in any other clinical trial at present or in the 4 weeks prior to inclusion of the study.
  • Any planned surgery that precludes correct compliance with the guideline.
  • Use of vaginal contraceptives or other vaginal hormonal treatments.
  • Contraindications to the use of Papilocare® gel or known allergies to any of its components.
  • Women of childbearing age who do not use effective contraceptive methods, pregnant women, with suspected pregnancy or breastfeeding.

Treatment and study plan

PAPILOCARE

Device

Papilocare®: Vaginal Gel based on Coriolus versicolor, medical device class IIa.

Route of administration: topical (vaginal). Papilocare® consists of the following ingredients: hyaluronic acid niosomes, β-glucans (magnolol, honokiol and carboxymethyl betaglucan) niosomes, BioEcolia® (Alpha-oligoglycan), Coriolus versicolor, Azadirachta indica (Neem) extract, Centella asiatica and Aloe vera.

LACTIC ACID GEL

Device

The lactic acid gel consists of a carrier gel with the absence of the active ingredients of Papilocare®.

Primary outcomes

  1. cervical mucosal repair

    Time frame: 6 months

    Percentage of patients with cervical lesions negativization confirmed be cytology and accordance colposcopy , at 6 months will be used to evaluate the main variables, degree of cervical mucosal repair in HPV-positive women with ASC-US or LSIL.

Secondary outcomes

  1. Reepithelialization degree of the cervical mucosa

    Time frame: at 3 months

    Percentage of patients with negativity of cervical lesions by cytology and accordance colposcopy, at 3 months

  2. Percentage of patients with Viral clearance

    Time frame: 3 and 6 months.

    Percentage of patients with initial HPV clearance measured by PCR at 3 and 6 months.

  3. Vaginal health status measured by vaginal health index (VHI)

    Time frame: 3 and 6 months.

    Changes in the VHI (vaginal health index -Bachmann) at 3 and 6 months.

    VHI was developed in order to objectively assess female urogenital health (Bachmann GMaturitas. 1995 Dec; 22 Suppl():S1-S5.). This test evaluates overall elasticity, fluid secretion type and consistency, vaginal pH, epithelial mucosa and moisture. Minimum score is 5 and maximum is 25. Lower scores corresponds to greater urogenital atrophy.

  4. Stress perceived by patients measured by PSS-14 (Perceived Stress Scale 14 items)

    Time frame: 3 and 6 months.

    Changes PSS-14 scale (Perceived Stress Scale 14 items) at 3 and 6 months.

    The PSS-14 is comprised of 14 items, score ranges from 0-56, with higher scores indicating greater perceived stress

  5. Safety and tolerability of Papilocare® gel: Record of the incidence, nature and severity of adverse events

    Time frame: 6 months

    Record of the incidence, nature and severity of adverse events: during the 6 months of treatment duration.

  6. Satisfaction degree with Papilocare gel use: Likert type scale

    Time frame: 3 and 6 months.

    Patients satisfaction degree with papilocare gel use as treatment will be evaluated by a likert type scale.

    A Likert scale is a psychometric scale commonly involved in research that employs questionnaires. It is the most widely used approach to scaling responses in survey research.Likert scaling assumes distances between each choice (answer option) are equal. Higher scores corresponds to better satisfaction with papilocare gel use.

Other outcomes

  1. Change of biopsy results (optional)

    Time frame: 3 and 6 months.

    Only in cases that a biopsy has been performed per routine, the change or maintenance of biopsy results will be evaluated.

Sponsors and collaborators

Lead sponsor

Procare Health Iberia S.L.

Industry

Registry information

Official study title

Estudio clínico, Aleatorizado, Doble Ciego, Paralelo, Controlado Con Gel de ácido láctico Para Evaluar la Eficacia Del Gel Papilocare® en la reparación de Lesiones Cervicales Causadas Por VPH. A Randomized, Double-blind, Parallel-group, Controlled Clinical Trial Using Lactic Acid Gel to Evaluate the Efficacy of Papilocare® Gel in Repairing Cervical Lesions Caused by HPV.

Acronym: PAPILOCAN

Important dates

Study start
2018
Primary completion
2022
Study completion
2023
First posted
Dec 24, 2019
Registry last updated
Dec 18, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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