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Comparison Between Podofilox Topical Gel 0.5% and Allergan's Condylox® Gel 0.5% for External Anogenital Warts

Primary Purpose

External Anogenital Warts

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Podofilox Gel 0.5%
Condylox Topical Gel 0.5%
Placebo Gel
Sponsored by
Dermax SA
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for External Anogenital Warts

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Willing and able to provide written informed consent prior to participating in this study.
  2. Male or female subjects, aged 18-65 inclusive, with a clinical diagnosis of external anogenital warts (i.e., perianal warts and/or external genital warts), including two or more distinct external genital warts, and wart area that is equal or less than 10 cm2. Histological confirmation should be obtained if there is any doubt of the diagnosis.
  3. Females of childbearing potential may be enrolled if they practice a method of birth control with a reliability of at least 90%.
  4. Sexually active study participants must agree to abstain from sexual activity of any kind throughout the treatment period to prevent cross- and reinfection by HPV.
  5. Any female subject with childbearing potential has a negative urine pregnancy test at Baseline.
  6. Negative HIV test within 4 weeks before Baseline.

    Exclusion Criteria:

  7. Female subjects who are pregnant or lactating or planning to become pregnant during the study period.
  8. Hypersensitivity or intolerance to Podofilox or any component of the formulation.
  9. History of previous unsuccessful treatment with any formulation of Podofilox.
  10. Wart area that is greater than 10 cm2.
  11. Patients with internal anogenital and mucous membrane warts, Bowenoid papulosis, squamous cell carcinoma, active herpes lesion, or other skin abnormalities of treatment area, such as eczema, or skin that had not healed following surgery (cryosurgery, laser ablation or similar).
  12. Primary or secondary immunodeficiency.
  13. Known presence of diabetes type I or II.
  14. Local irritation in any treatment area that would interfere with treatment.
  15. Use within 4 weeks prior to baseline of any: 1) treatment for anogenital warts, 2) systemic corticosteroids, or 3) systemic immunosuppressive drug.
  16. Any medical or surgical condition in the judgment of the Investigator that may interfere with the assessment of efficacy or safety, or pose a risk to the subject.
  17. Patients known to abuse alcohol and/or drugs, or with a history of chronic alcohol or drug abuse that may result in protocol noncompliance.
  18. Received another investigational drug, device or biologic within 90 days prior to the start of Screening or has planned to participate in another clinical trial while enrolled in this study.
  19. Subjects who in the opinion of the investigator, are unlikely to be able to follow the restrictions of the protocol and complete the study
  20. Employee (or employee's family member) of the research center or private practice, CRO or Sponsor, or subjects who have a conflict of interest.
  21. Subjects living (e.g., siblings, spouses, relatives, roommates) in the same household cannot be enrolled in the study at the same time.
  22. Previous enrollment in this study, current enrollment in this study at another participating site or current enrollment in another study (in parallel to this study) at another clinical research site.

Sites / Locations

  • Leon Medical Research
  • Well Pharma Medical Research Corp
  • Paddington Testing Co, Inc
  • TMC Life Research, Inc
  • "Ecology of Health" LLC
  • State Budgetary Institution of Healthcare "Chelyabinsk Regional Clinical Dermatovenerology Dispensary"
  • State autonoumous institution of Healthcare of Moscow region "Korolev Dermatovenerology dispensary"
  • "Moscow scientific-practical center of Dermatovenerology and cosmetology"
  • "Clinic of urology №1" LLC
  • Rostov State Medical University
  • Regional State-Financed Health Institution of Healthcare "Smolensk Dermatovenerologic dispensary"
  • State Budgetary Institution of Healthcare "Dermatovenerologic dispensary #8" of Krasnogvardeyskiy district of Saint Petersburg
  • Medical Center of Private Enterprise "Dzerkalo"
  • Municipal institution "Ivano-Frankivsk Regional Clinical Skin and Venereal Dispensary"
  • Municipal Health Care Institution "Kharkiv City Clinical Dermatovenerologic Dispensary №5"
  • Municipal Institution "Rivne Regional Dermatology and Venerology Dispensary" of Rivne Regional Council
  • Municipal Institution "Zaporizhzhya Regional Dermatovenerology Clinical Dispensary" of Zaporizhzhya Regional Council

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Active Comparator

Placebo Comparator

Arm Label

Podofilox Gel 0.5 %

Condylox Topical Gel 0.5%

Placebo Gel

Arm Description

Podofilox Gel 0.5% twice a day, three days following by four days of discontinuation, up to four cycles

Condylox Topical Gel 0.5% twice daily, three days following by four days of discontinuation, up to four cycles

Subjects in this arm will receive a vehicle that matches the test product, except for the inclusion of the active ingredient

Outcomes

Primary Outcome Measures

Number and Percentage of Subjects With Total Disappearance of All Warts Within All Treated Areas.
The primary endpoint is the Number and Percentage of subjects in the per protocol (PP) population with "treatment success" defined as "total disappearance of all warts within all treated areas".

Secondary Outcome Measures

Local Application Site Reaction Scores (Erythema, Dryness, Burning/Stinging, Erosion, Edema, Pain, Itching, and Bleeding) Per Skin Reaction Scale.
Local application site reactions scores (erythema, dryness, burning/stinging, erosion, edema, pain, itching and bleeding) in each group during the study drug application period. Other adverse events including serious adverse events throughout the study participation. Local skin reaction scores for erythema, dryness, burning/stinging, erosion, edema, pain, itching and bleeding will be recorded by the Investigator for every study visit based on their intensity. Skin Reaction Scale will be used absent, mild (slight, barely perceptible), moderate (distinct presence) and severe (marked, intense).
Analysis of Safety Variables Will be Based on All Adverse Events (AE).
AEs will be summarized based on the frequency of AEs and their severity for all treated subjects.

Full Information

First Posted
January 11, 2018
Last Updated
July 7, 2021
Sponsor
Dermax SA
Collaborators
bioRASI, LLC
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1. Study Identification

Unique Protocol Identification Number
NCT03532776
Brief Title
Comparison Between Podofilox Topical Gel 0.5% and Allergan's Condylox® Gel 0.5% for External Anogenital Warts
Official Title
A Multicenter, Randomized, Double-Blind, Parallel Group, Placebo- Controlled, Study of Hyloris Developments' Podofilox Topical Gel 0.5% Compared to Allergan's Condylox® Gel 0.5% in Male and Female Patients With External Anogenital Warts.
Study Type
Interventional

2. Study Status

Record Verification Date
February 2019
Overall Recruitment Status
Completed
Study Start Date
April 20, 2018 (Actual)
Primary Completion Date
December 2, 2018 (Actual)
Study Completion Date
January 31, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Dermax SA
Collaborators
bioRASI, LLC

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
No

5. Study Description

Brief Summary
A clinical endpoint bioequivalence (BE) study for a Podofilox Gel 0.5% formulation for the treatment of external anogenital warts in comparison to Condylox® Gel 0.5% that follows the study design and recommendations according to Office of Generic Drugs (OGD) of U.S. Food and Drug Administration (FDA) Draft Guidance for Podofilox recommendations
Detailed Description
This is a multicenter, parallel group, randomized, double-blind, placebo-controlled, trial with clinical endpoint comparing Podofilox Topical Gel 0.5% to Condylox® Gel 0.5% and a matching placebo. The study will be conducted among adult male and female patients with external anogenital warts. The Investigator will assess vital signs and perform physical examination identifying any clinically significant abnormalities. Laboratory samples will be collected, including HIV, Hepatitis B&C, and urine pregnancy tests (UPT) for women of childbearing potential. The Investigator will confirm the diagnosis of External Anogenital Warts (EAW) and the absence of contraindications specified in the exclusion criterion 4 during the visual examination. The biopsy of skin lesions will be performed per the discretion of the Investigator for microscopic verification of the diagnosis of EAWs if any doubts of the diagnosis.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
External Anogenital Warts

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
466 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Podofilox Gel 0.5 %
Arm Type
Experimental
Arm Description
Podofilox Gel 0.5% twice a day, three days following by four days of discontinuation, up to four cycles
Arm Title
Condylox Topical Gel 0.5%
Arm Type
Active Comparator
Arm Description
Condylox Topical Gel 0.5% twice daily, three days following by four days of discontinuation, up to four cycles
Arm Title
Placebo Gel
Arm Type
Placebo Comparator
Arm Description
Subjects in this arm will receive a vehicle that matches the test product, except for the inclusion of the active ingredient
Intervention Type
Drug
Intervention Name(s)
Podofilox Gel 0.5%
Intervention Description
Apply twice daily for three consecutive days, then discontinuing for four consecutive days, up to four treatment cycles
Intervention Type
Drug
Intervention Name(s)
Condylox Topical Gel 0.5%
Intervention Description
Apply twice daily for three consecutive days, then discontinuing for four consecutive days, up to four treatment cycles
Intervention Type
Drug
Intervention Name(s)
Placebo Gel
Intervention Description
Apply twice daily for three consecutive days, then discontinuing for four consecutive days, up to four treatment cycles
Primary Outcome Measure Information:
Title
Number and Percentage of Subjects With Total Disappearance of All Warts Within All Treated Areas.
Description
The primary endpoint is the Number and Percentage of subjects in the per protocol (PP) population with "treatment success" defined as "total disappearance of all warts within all treated areas".
Time Frame
28 days.
Secondary Outcome Measure Information:
Title
Local Application Site Reaction Scores (Erythema, Dryness, Burning/Stinging, Erosion, Edema, Pain, Itching, and Bleeding) Per Skin Reaction Scale.
Description
Local application site reactions scores (erythema, dryness, burning/stinging, erosion, edema, pain, itching and bleeding) in each group during the study drug application period. Other adverse events including serious adverse events throughout the study participation. Local skin reaction scores for erythema, dryness, burning/stinging, erosion, edema, pain, itching and bleeding will be recorded by the Investigator for every study visit based on their intensity. Skin Reaction Scale will be used absent, mild (slight, barely perceptible), moderate (distinct presence) and severe (marked, intense).
Time Frame
28 days (at visit 6)
Title
Analysis of Safety Variables Will be Based on All Adverse Events (AE).
Description
AEs will be summarized based on the frequency of AEs and their severity for all treated subjects.
Time Frame
The AE reporting period for this study begins with the signature of the Informed Consent Form and, for unresolved AEs, ends 30 days following the last study medication application, a total of up to 65 days.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Willing and able to provide written informed consent prior to participating in this study. Male or female subjects, aged 18-65 inclusive, with a clinical diagnosis of external anogenital warts (i.e., perianal warts and/or external genital warts), including two or more distinct external genital warts, and wart area that is equal or less than 10 cm2. Histological confirmation should be obtained if there is any doubt of the diagnosis. Females of childbearing potential may be enrolled if they practice a method of birth control with a reliability of at least 90%. Sexually active study participants must agree to abstain from sexual activity of any kind throughout the treatment period to prevent cross- and reinfection by HPV. Any female subject with childbearing potential has a negative urine pregnancy test at Baseline. Negative HIV test within 4 weeks before Baseline. Exclusion Criteria: Female subjects who are pregnant or lactating or planning to become pregnant during the study period. Hypersensitivity or intolerance to Podofilox or any component of the formulation. History of previous unsuccessful treatment with any formulation of Podofilox. Wart area that is greater than 10 cm2. Patients with internal anogenital and mucous membrane warts, Bowenoid papulosis, squamous cell carcinoma, active herpes lesion, or other skin abnormalities of treatment area, such as eczema, or skin that had not healed following surgery (cryosurgery, laser ablation or similar). Primary or secondary immunodeficiency. Known presence of diabetes type I or II. Local irritation in any treatment area that would interfere with treatment. Use within 4 weeks prior to baseline of any: 1) treatment for anogenital warts, 2) systemic corticosteroids, or 3) systemic immunosuppressive drug. Any medical or surgical condition in the judgment of the Investigator that may interfere with the assessment of efficacy or safety, or pose a risk to the subject. Patients known to abuse alcohol and/or drugs, or with a history of chronic alcohol or drug abuse that may result in protocol noncompliance. Received another investigational drug, device or biologic within 90 days prior to the start of Screening or has planned to participate in another clinical trial while enrolled in this study. Subjects who in the opinion of the investigator, are unlikely to be able to follow the restrictions of the protocol and complete the study Employee (or employee's family member) of the research center or private practice, CRO or Sponsor, or subjects who have a conflict of interest. Subjects living (e.g., siblings, spouses, relatives, roommates) in the same household cannot be enrolled in the study at the same time. Previous enrollment in this study, current enrollment in this study at another participating site or current enrollment in another study (in parallel to this study) at another clinical research site.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Evgeniy Cherepanov, MD
Organizational Affiliation
bioRASI, LLC
Official's Role
Study Director
Facility Information:
Facility Name
Leon Medical Research
City
Miami
State/Province
Florida
ZIP/Postal Code
33015
Country
United States
Facility Name
Well Pharma Medical Research Corp
City
Miami
State/Province
Florida
ZIP/Postal Code
33143
Country
United States
Facility Name
Paddington Testing Co, Inc
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19103
Country
United States
Facility Name
TMC Life Research, Inc
City
Houston
State/Province
Texas
ZIP/Postal Code
77054
Country
United States
Facility Name
"Ecology of Health" LLC
City
Chelyabinsk
Country
Russian Federation
Facility Name
State Budgetary Institution of Healthcare "Chelyabinsk Regional Clinical Dermatovenerology Dispensary"
City
Chelyabinsk
Country
Russian Federation
Facility Name
State autonoumous institution of Healthcare of Moscow region "Korolev Dermatovenerology dispensary"
City
Korolev
Country
Russian Federation
Facility Name
"Moscow scientific-practical center of Dermatovenerology and cosmetology"
City
Moscow
Country
Russian Federation
Facility Name
"Clinic of urology №1" LLC
City
Penza
Country
Russian Federation
Facility Name
Rostov State Medical University
City
Rostov-on-Don
Country
Russian Federation
Facility Name
Regional State-Financed Health Institution of Healthcare "Smolensk Dermatovenerologic dispensary"
City
Smolensk
Country
Russian Federation
Facility Name
State Budgetary Institution of Healthcare "Dermatovenerologic dispensary #8" of Krasnogvardeyskiy district of Saint Petersburg
City
St. Petersburg
Country
Russian Federation
Facility Name
Medical Center of Private Enterprise "Dzerkalo"
City
Dnipro
Country
Ukraine
Facility Name
Municipal institution "Ivano-Frankivsk Regional Clinical Skin and Venereal Dispensary"
City
Ivano-Frankivs'k
Country
Ukraine
Facility Name
Municipal Health Care Institution "Kharkiv City Clinical Dermatovenerologic Dispensary №5"
City
Kharkiv
Country
Ukraine
Facility Name
Municipal Institution "Rivne Regional Dermatology and Venerology Dispensary" of Rivne Regional Council
City
Rivne
Country
Ukraine
Facility Name
Municipal Institution "Zaporizhzhya Regional Dermatovenerology Clinical Dispensary" of Zaporizhzhya Regional Council
City
Zaporizhzhya
Country
Ukraine

12. IPD Sharing Statement

Plan to Share IPD
Undecided

Learn more about this trial

Comparison Between Podofilox Topical Gel 0.5% and Allergan's Condylox® Gel 0.5% for External Anogenital Warts

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