Safety and Efficacy Double Blind Vehicle Controlled Study of 15% AS101 Gel to Treat External Genital Warts
Primary Purpose
External Genital Warts
Status
Unknown status
Phase
Phase 2
Locations
Israel
Study Type
Interventional
Intervention
15% AS101 gel
Vehicle
Sponsored by
About this trial
This is an interventional treatment trial for External Genital Warts focused on measuring HPV condyloma acuminata
Eligibility Criteria
Inclusion Criteria:
- Women at least 18 years of age and in good health;
- Must sign an ethics committee approved informed consent form and be able to adhere to study visits and protocol requirements;
- Women must agree to avoid sexual contact while the gel is on their skin;
- All study participants who are sexually active must use a protection method of contraception during treatment and for 60 days after completion of treatment;
- Patients with clinical diagnosis of external genital warts, in the external genitalia including vulva (labia minora and majora), inguinal folds, pubic area, perineum, perianal, or buttocks areas; two or more distinct external genital warts, and wart area to be treated that is equal to or less than 10 cm2.
Exclusion criteria:
- Participation in an investigational trial within 30 days prior to screening;
- Previous participation in a trial investigating AS101 for any indication;
- Topical treatment for genital warts within 14 days of screening;
- Cutaneous surgery, including cryosurgery or laser, to genital area within 30 days of screening;
- Skin irritations of other clinical signs or symptoms associated with prior therapy.
- Topical and systemic immunosuppressive or immunomodulatory medications (including corticosteroids) within 30 days prior to screening, and while on study;
- Current active infection with herpes genitalis or history of herpes genitalis infection within the last 30 days prior to screening (patients on long-term suppressive antiviral therapy are eligible);
- Diagnosis of high-grade cervical dysplasia;
- Internal anogenital, vaginal, cervical warts or urethral meatal warts requiring treatment;
- Chronic or acute skin condition that might interfere with the treatment or evaluation of study drug effect;
Screening laboratory tests results from a complete blood count (CBC), chemistry panel and urine pregnancy test obtained during screening:
- Must be within the site laboratory's defined normal reference ranges, and/or according to the Investigator's decision;
- Urine pregnancy test in females of childbearing potential must be negative;
- Inadequate renal function: Serum Creatinine >2.0mg/dL (>2.0 ULN);
- Inadequate liver function: Serum (total) Bilirubin >2 mg/dl or ALT and/or AST greater than two times the upper limit of the reference range.
- Uncontrolled infection or acute severe febrile illness;
- Diagnosed as having uncontrolled cardiovascular, hematological, hepatic, neurological, renal, endocrine, vascular, autoimmune, or gastrointestinal abnormalities or disease;
- Pregnant or lactating;
- Known allergy to AS101 or any component of the investigational formulation; or
- Subjects with any other clinically significant medical condition, psychiatric condition or laboratory abnormality which would, in the judgment of the Investigator, interfere with the subject's ability to participate and comply with the trial.
Sites / Locations
- Ha'Emek Medical Center, Department of Gynecology and obstetricsRecruiting
- Kaplan Medical Center, Department of GynecologyRecruiting
- Ziv Medical Center, Department of Gynecology and obstetricsRecruiting
- Tel-Aviv Sourasky Medical Center, Department of GynecologyRecruiting
Arms of the Study
Arm 1
Arm 2
Arm Type
Active Comparator
Placebo Comparator
Arm Label
AS101
Vehicle
Arm Description
Topical 15% AS101 gel, once a day (overnight)
Vehicle, Once a day topical application (Overnight)
Outcomes
Primary Outcome Measures
Change in number of warts and infected area size (absolute and percent) as compared to Day 1.
Secondary Outcome Measures
Assessment of safety of AS101 15% gel as expressed by the occurence of local topical reactions such as erythema and edema and systemic reactions to the treatment
In complete responders assessment of time to complete clearance of warts.
In complete responders assessment of recurrence rate and time to recurrence.
Collection of patient's satisfaction data from treatment etc.
Assessment of tolerability to the 15% AS101 gel as expressed by patient's itching and burning reports.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01943630
Brief Title
Safety and Efficacy Double Blind Vehicle Controlled Study of 15% AS101 Gel to Treat External Genital Warts
Official Title
A Phase II, Multicenter, Randomized, Double Blind, Vehicle Controlled Study Evaluating the Efficacy and Tolerability of AS101 15% Gel for External Genital Warts.
Study Type
Interventional
2. Study Status
Record Verification Date
October 2016
Overall Recruitment Status
Unknown status
Study Start Date
January 2015 (undefined)
Primary Completion Date
May 2017 (Anticipated)
Study Completion Date
May 2017 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
BioMAS Ltd
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The purpose of this double blind study is to determine whether topical 15% AS101 gel is effective and safe as compared to vehicle in the treatment of external genital warts in women.
Detailed Description
Females with external genital warts who meet the eligibility criteria will be randomly allocated in a blinded manner in 1:1 ratio to one of the 2 following study arms: (1) AS101 15% gel or (2) Vehicle. The patients will apply the study drug at home once daily (overnight) until complete clearance of external genital warts or for up to 14 weeks (98 days).
During therapy all patients will return to the clinic every 2 weeks plus/minus 3 days of the treatment visit for clinical assessments of the treated area.
At week 6 of treatment the investigator will evaluate the treated area for all patients. If the investigator determines that there is no change in the disease spread area or lesion number compared to Day 1, study therapy is to be discontinued prior to 14 weeks (98 days) of treatment and the patient will be considered as not cleared. Last observation carried forward (LOCF) method will be used to analyze such patients.
Patients who at week 6 were evaluated by the investigator to have a change in the disease spread area or lesion number compared to Day 1, will continue treatment until complete clearance of warts or up to a maximum of 14 weeks (98 days).
Patients who were evaluated during any of the treatment visits with complete clearance will stop to apply the study therapy, continue to be followed once per 4 weeks for 84 days (12 weeks) for safety and recurrence evaluation. Patients who completed treatment with partial clearance or patients who discontinued for reasons of other than complete clearance will be followed 28 days after discontinuation for disease progression and reference to other therapy if was recommended.
Should significant irritation or any other skin adverse reaction occur during the treatment period, study therapy may be held for up to 7 consecutive days on up to two separate occasions.
Unblinding: Patients will be revealed as to the nature of their treatment only after all patients have completed study.
In case of pregnancy or related serious adverse event the nature of the treatment will be revealed to the patient prior to end of study.
If the investigator determines that there is a disease progression in total lesion number or infected wart area size of the Day 1 treated area, study therapy is to be discontinued prior to 98 days of treatment.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
External Genital Warts
Keywords
HPV condyloma acuminata
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
60 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
AS101
Arm Type
Active Comparator
Arm Description
Topical 15% AS101 gel, once a day (overnight)
Arm Title
Vehicle
Arm Type
Placebo Comparator
Arm Description
Vehicle, Once a day topical application (Overnight)
Intervention Type
Drug
Intervention Name(s)
15% AS101 gel
Intervention Description
Administration of Topical 15% AS101 once a day (overnight)
Intervention Type
Drug
Intervention Name(s)
Vehicle
Intervention Description
Administration of Vehicle once a day (overnight)
Primary Outcome Measure Information:
Title
Change in number of warts and infected area size (absolute and percent) as compared to Day 1.
Time Frame
within 14 weeks of treatment
Secondary Outcome Measure Information:
Title
Assessment of safety of AS101 15% gel as expressed by the occurence of local topical reactions such as erythema and edema and systemic reactions to the treatment
Time Frame
within 14 weeks of treatment and 3 months of follow up
Title
In complete responders assessment of time to complete clearance of warts.
Time Frame
within 14 weeks of treatment
Title
In complete responders assessment of recurrence rate and time to recurrence.
Time Frame
Within 3 months of follow up post treatment
Title
Collection of patient's satisfaction data from treatment etc.
Time Frame
within 14 weeks of treatment
Title
Assessment of tolerability to the 15% AS101 gel as expressed by patient's itching and burning reports.
Time Frame
within 14 weeks of treatment
10. Eligibility
Sex
Female
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Women at least 18 years of age and in good health;
Must sign an ethics committee approved informed consent form and be able to adhere to study visits and protocol requirements;
Women must agree to avoid sexual contact while the gel is on their skin;
All study participants who are sexually active must use a protection method of contraception during treatment and for 60 days after completion of treatment;
Patients with clinical diagnosis of external genital warts, in the external genitalia including vulva (labia minora and majora), inguinal folds, pubic area, perineum, perianal, or buttocks areas; two or more distinct external genital warts, and wart area to be treated that is equal to or less than 10 cm2.
Exclusion criteria:
Participation in an investigational trial within 30 days prior to screening;
Previous participation in a trial investigating AS101 for any indication;
Topical treatment for genital warts within 14 days of screening;
Cutaneous surgery, including cryosurgery or laser, to genital area within 30 days of screening;
Skin irritations of other clinical signs or symptoms associated with prior therapy.
Topical and systemic immunosuppressive or immunomodulatory medications (including corticosteroids) within 30 days prior to screening, and while on study;
Current active infection with herpes genitalis or history of herpes genitalis infection within the last 30 days prior to screening (patients on long-term suppressive antiviral therapy are eligible);
Diagnosis of high-grade cervical dysplasia;
Internal anogenital, vaginal, cervical warts or urethral meatal warts requiring treatment;
Chronic or acute skin condition that might interfere with the treatment or evaluation of study drug effect;
Screening laboratory tests results from a complete blood count (CBC), chemistry panel and urine pregnancy test obtained during screening:
Must be within the site laboratory's defined normal reference ranges, and/or according to the Investigator's decision;
Urine pregnancy test in females of childbearing potential must be negative;
Inadequate renal function: Serum Creatinine >2.0mg/dL (>2.0 ULN);
Inadequate liver function: Serum (total) Bilirubin >2 mg/dl or ALT and/or AST greater than two times the upper limit of the reference range.
Uncontrolled infection or acute severe febrile illness;
Diagnosed as having uncontrolled cardiovascular, hematological, hepatic, neurological, renal, endocrine, vascular, autoimmune, or gastrointestinal abnormalities or disease;
Pregnant or lactating;
Known allergy to AS101 or any component of the investigational formulation; or
Subjects with any other clinically significant medical condition, psychiatric condition or laboratory abnormality which would, in the judgment of the Investigator, interfere with the subject's ability to participate and comply with the trial.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
BioMas Ltd
Phone
+972-72-2204004
Email
papillomatrial@gmail.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Shabtai Romano, MD
Organizational Affiliation
Ha'Emek Medical center, Department of Gynecology & obstetrics
Official's Role
Principal Investigator
Facility Information:
Facility Name
Ha'Emek Medical Center, Department of Gynecology and obstetrics
City
Afula
ZIP/Postal Code
1834111
Country
Israel
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Shabtai Romano, MD
Phone
+972-4-6494331
Email
shabtai_r@clalit.org.il
Email
papillomatrial@gmail.com
First Name & Middle Initial & Last Name & Degree
Shabtai Romano, MD
First Name & Middle Initial & Last Name & Degree
Moshe Bustan, MD
Facility Name
Kaplan Medical Center, Department of Gynecology
City
Rehovot
ZIP/Postal Code
76100
Country
Israel
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Alon Ben-Arie, MD
Phone
972-8-9441325
Email
Alon_B@clalit.org.il
Email
Papillomatrial@gmail.com
First Name & Middle Initial & Last Name & Degree
Alon Ben-Arie, MD
First Name & Middle Initial & Last Name & Degree
Dora Milman, MD
Facility Name
Ziv Medical Center, Department of Gynecology and obstetrics
City
Safed
ZIP/Postal Code
13100
Country
Israel
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Inbar Ben-Shachar, MD
Phone
972-4-6828959
Email
Inbar.b@ziv.health.gov.il
Email
Papillomatrial@gmail.com
First Name & Middle Initial & Last Name & Degree
Inbar Ben-Shachar, MD
First Name & Middle Initial & Last Name & Degree
David Peleg, MD
Facility Name
Tel-Aviv Sourasky Medical Center, Department of Gynecology
City
Tel-Aviv
ZIP/Postal Code
64239
Country
Israel
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Dan Grisaru, MD PhD
Phone
+972-3-6925604
Email
dangr@tlvmc.gov.il
Email
Papillomatrial@gmail.com
First Name & Middle Initial & Last Name & Degree
Dan Grisaru, MD PhD Prof
First Name & Middle Initial & Last Name & Degree
Jacob Niv, MD
First Name & Middle Initial & Last Name & Degree
Yifat Oxhorn, MD
12. IPD Sharing Statement
Learn more about this trial
Safety and Efficacy Double Blind Vehicle Controlled Study of 15% AS101 Gel to Treat External Genital Warts
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