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Completed

NCT Number: NCT04199078

Clinical Trial to Explore Papilocare Gel Efficacy to Repair of the Cervico-vaginal Mucosa With HPV High Risk Lesions.

Phase II, exploratory, randomized, open, controlled and parallel groups clinical trial to evaluate the effectiveness of exploratory gel Papilocare in the repair of the cervico-vaginal mucosa with lesions caused by HPV-HR. All the patients included in the study will be randomized (1:1:1:1) in 4 arms.

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Key information

Age range

30 year–65 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Hospital U. de Donostia, Donostia / San Sebastian, Guipuzcoa, Spain

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About this study

Phase II, exploratory, randomized, open, controlled and parallel groups clinical trial to evaluate the effectiveness of exploratory gel Papilocare in the repair of the cervico-vaginal mucosa with lesions caused by HPV-HR. All the patients included in the study will be randomized (1:1:1:1) to Arm A (Papilocare schedule A), Arm B (Papilocare schedule B) and Arm C (Papilocare schedule C) Arm D (usual clinical practice-without treatment-).

Selection period of 1 month, followed by randomization and 6 months of treatment followed by a period of another 6 months without treatment.

Patients will visit the site into a total of 5 visits throughout the study. Total study duration: 13 months.

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 inclusive).
  • Able to read and understand the Patient Information Sheet and the Informed Consent form.
  • Acceptance in the participation of the essay and signature of the Informed Consent form.
  • ASC-US or LSIL or AG-US cytological result (maximum 3 months prior to inclusion) with concordant colposcopic image (performed at the screening visit).
  • High risk HPV positive by PCR performed at screening visit.
  • Is able, at the discretion of the researcher, to comply with the requirements of the trial and without hindrance to follow the instructions and assessments throughout it.

Exclusion criteria

  • Clinically relevant immune system alterations, or any other autoimmune disease or in treatment with immunosuppressants.
  • Non-diagnosed abnormal genital hemorrhage (during the 6 months prior to the screening visit).
  • To had been vaccinated against HPV.
  • 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 the inclusion of the trial.
  • Any planned surgery that prevents the correct compliance with the guidelines.
  • Use of vaginal contraceptives or other vaginal hormonal treatments.
  • Contraindications for 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 suspicion of pregnancy or woman who are breastfeeding.

Treatment and study plan

Papilocare vaginal gel

Device

Papilocare is a gel vaginally administered by a singledose cannula. Vaginal gel formulation is effective as a local treatment with controlled systemic absorption and rapid and efficient distribution

Primary outcomes

  1. Evaluate the repairment of the cervico-vaginal mucosa with concordant colposcopic image

    Time frame: 6 months

    Evaluate the repairment of the cervico-vaginal mucosa in positive high risk HPV women with a cytological result of squamous atypia of undetermined significance (ASC-US) or low-grade squamous lesion (LSIL) or glandular atypia of undetermined significance (AG-US), with concordant colposcopic image, 6 months after the start of treatment.

Secondary outcomes

  1. Evaluate the repairment of the cervico-vaginal mucosa with concordant colposcopic image

    Time frame: 3 and 12 months

    Evaluate the repairment of the cervico-vaginal mucosa in positive high risk HPV women with a cytological result of squamous atypia of undetermined significance (ASC-US) or low-grade squamous lesion (LSIL) or glandular atypia of undetermined significance (AG-US), with concordant colposcopic image at 3 and 12 months after the start of treatment.

  2. Evaluation of reeptielization degree of the cervico-vaginal mucosa by a likert-type scale

    Time frame: 3,6 and 12 months

    A likert-type scale will be used to evaluate the reeptielization degree of the cervico-vaginal mucosa at 3, 6 and 12 months after the start of treatment.

  3. Presence of HPV at 6 and 12 months after starting treatment.

    Time frame: 6 and 12 months]

    Percentage of patients with total and partial clearance of HPV measured by genotyping PCR at 6 and 12 months after starting treatment.

  4. Evaluation of vaginal health status by vaginal health index score (Bachmann)

    Time frame: 3,6 and 12 months]

    The vaginal health index score (Bachmann) will be used to evaluate vaginal health status at 3, 6 and 12 months from the start of treatment

  5. To evaluate the safety and tolerability of Papilocare® gel during the 6 months of treatment and 6 months of follow-up.

    Time frame: 6 and 12 months]

    Safety and tolerability: incidence, nature and severity of adverse events at 6 months of treatment and 6 months of follow-up period.

  6. To assess the stress received from the patients at 3, 6 and 12 months after starting treatment.

    Time frame: 3,6 and 12 months]

    The stress will be assessed on the PSS14 scale (Perceived Stress Scale 14 items) at 3, 6 and 12 months after the starting treatment.

  7. Evaluation of the satisfaction of papilocare gel use by a likert-type scale

    Time frame: 3 and 6 months]

    A likert-type scale will be used to evaluate the satisfaction of papilocare gel use by the patients at 3 and 6 months after the start of treat

  8. Percentage of patients with good therapeutic compliance

    Time frame: 3 and 6 months]

    Percentage of patients with good adherence to the treatment will be used to evaluate the therapeutic compliance at 3 and 6 months after the start of treatment.

Sponsors and collaborators

Lead sponsor

Procare Health Iberia S.L.

Industry

Collaborators

  • Adknoma Health Research

Registry information

Official study title

Ensayo clínico Aleatorizado, Abierto, Paralelo, Controlado, multicéntrico, Para Explorar la Eficacia Del Gel Vaginal Papilocare® en la reparación de la Mucosa Cervical Con Lesiones Causadas Por Virus Papiloma Humano de Alto Riesgo

Acronym: PALOMA2

Important dates

Study start
2019
Primary completion
2024
Study completion
2024
First posted
Dec 13, 2019
Registry last updated
Oct 31, 2024

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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