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NCT Number: NCT07730645

Evaluation of Low-thermal Argon Plasma Devitalization for the Treatment of CIN 2 Versus Standard of Active Surveillance

The study aims to show that treatment with LtAPD works better than a sham treatment or simply monitoring the condition closely without active treatment ("active surveillance"), in achieving complete healing of a tissue abnormality on the cervix called CIN 2, after 6 months. This will be confirmed by examining tissue samples under a microscope (histopathological examination).

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Key information

Age range

18 year–40 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

University Hospital Tuebingen, Department of Women's Health

Tübingen, Baden-Wurttemberg, 72076, Germany

Location contact

Martin Weiss, Prof. Dr.

CONTACT

[email protected]

+49 7071 29 82211

About this study

Participation in the study lasts 6 months. Eligible participants are randomly assigned to one of two groups: participants receiving LtAPD treatment (treatment group) or participants receiving a sham procedure, in which LtAPD treatment is simulated but not actually applied (control group). All participants continue to be managed according to the current standard of care, active surveillance with regular monitoring, throughout the study. Participants remain blinded to their treatment assignment. The study includes four visits.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Female sex
  • Age 18 - 40 years at the time of signing the informed consent
  • Histologically confirmed CIN 2
  • Full visibility of the entire transformation zone (Type 1 or Type 2) and entire lesion in colposcopy
  • Ability to understand the nature of the clinical investigation and voluntarily signs the informed consent document prior to any study-related procedures

Exclusion criteria

  • Histologically confirmed CIN other than CIN 2, or indication of (micro-) invasive cervical disease
  • CIN lesions extending to the vaginal vault or suspicion of endocervical disease
  • Current pregnancy or planned pregnancy within the next 6 months
  • Presence of severe local inflammation or active infection
  • Presence of a severe cardiovascular, neurological, psychiatric, endocrine, or hematological disease, immunocompromised condition or malignant tumor of any origin, as judged by the investigator
  • Participation in an interfering clinical study, as judged by the investigator

Treatment and study plan

Treatment with low-thermal argon plasma devitalization

Device

Single session of LtAPD treatment applied to the CIN2 lesion under colposcopic guidance; outpatient, no anesthesia required.

Sham treatment

Device

Single session of sham treatment (no argon gas delivery and plasma ignition; acoustic signal to maintain blinding) followed by active surveillance according to current clinical guidelines.

Primary outcomes

  1. Histopathological remission of CIN 2

    Time frame: at 6 months

    Percentage of patients with histopathologically confirmed remission of CIN 2 (absence of CIN 2 or higher grade lesion), assessed by cervical biopsy/histopathological evaluation

Secondary outcomes

  1. HPV remission rate

    Time frame: at 6 months

    Percentage of patients with HPV remission, assessed by validated HPV testing and p16 immunohistochemistry

  2. Cytological remission of CIN

    Time frame: at 6 months

    Percentage of patients with cytological remission, assessed by Papanicolaou (PAP) smear according to the Bethesda classification system

  3. Quality of life, comfort/ discomfort of the treatment procedure and sexual activity

    Time frame: at baseline, intervention, 6 months

    Change from baseline in quality of life and sexual health at baseline and 6 months, assessed by the Freiburg Index of Patient Satisfaction (FIPS) and the Sexual Activity Questionnaire (SAQ)

  4. Correlation of electrosurgical unit (ESU) and video data with CIN remission and applied argon plasma

    Time frame: at 6 months

    assessed by correlation of ESU and video data with CIN remission and applied argon plasma

Study contacts

Contact information is provided by the study sponsor or research team.

Martin Weiss, Prof. Dr.

CONTACT

[email protected]

+49 7071 29 82211

Sponsors and collaborators

Lead sponsor

University Hospital Tuebingen

Other

Registry information

Official study title

Evaluation of Low-thermal Argon Plasma Devitalization (LtAPD) for the Treatment of Cervical Intraepithelial Neoplasia (CIN) Grade 2 Versus Standard of Active Surveillance

Acronym: CINPLASTA

Important dates

Study start
2026
Primary completion
2029
Study completion
2029
First posted
Jul 28, 2026
Registry last updated
Jul 28, 2026

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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