Evaluation Glizigen® and Ocoxin®-Viusid® in High-grade Cervical Intraepithelial Lesions
Primary Purpose
Carcinoma, Neoplasia; Intraepithelial, Cervix, Glandular Neoplasms
Status
Recruiting
Phase
Phase 2
Locations
Cuba
Study Type
Interventional
Intervention
Glizigen® + Ocoxin-Viusid®
Sponsored by
About this trial
This is an interventional treatment trial for Carcinoma focused on measuring carcinoma, intraepithelial cervix lesions, Oxidative Stress, Ocoxin Viusid, Glizigen Spray
Eligibility Criteria
Inclusion Criteria:
- Patients that meet the diagnostic criteria.
- Patients with age ≥18 years.
- Patients with residual lesion greater than 3 mm after the initial punch, measurable by video colposcopy and with major changes (Criteria from Rio 2011).
- Patients that have a positive test to the oncogenic virus of the human papilloma (16, 18, 31, 33, 45, 52 and 58).
- Patients who give their informed consent to participation in writing.
- Patients who consent to perform the conization according to the study schedule.
- Patients with normal laboratory parameters within the limits established in the institution (complete blood count, platelets and erythrosedimentation. In the case of male sex (vasectomy, use of condoms) while the treatment lasts.
Exclusion Criteria:
- Patients who have received surgical, ablative, radiant, immunomodulatory or chemotherapy treatment 30 days before recruitment.
- Patients pregnant or breastfeeding.
- Patients with acute cervico-vaginal infections.
- Patients with positive serology known to HIV and/or syphilis.
- Patients with diseases that compromise the state of consciousness or their possibility of collaboration.
- Patients with a history of severe allergic history.
- Patients who are participating in another research.
Sites / Locations
- Our Lady of Rule No. 52 &/Remedios and Quiroga, LuyanoRecruiting
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Treatment
Arm Description
Glizigen® spray + Ocoxin-Visuid® oral solution
Outcomes
Primary Outcome Measures
Lesion progression
Colonoscopy. The categories will analyze as:
Complete Response-CR (Disappearance of the initial lesion and no new lesions appear).
Partial Response-PR (Reduction between 30 to 50% or more of the initial lesion and no new lesions appear).
Stable disease-SD (Same morphometry or reduction of less than 30% of the initial lesion).
Progressive Disease-PD (Increase in the diameter of the lesion The lesion extends to one or more quadrants that were not in the initial lesion. It will be considered progressive disease when at least two of the response variables are present.The variable viral load will always be present).
Lesion progression
Histology. The categories will analyze as:
CR (Disappearance of the initial lesion No degree of Cervical intraepithelial Neoplasia (CIN)).
PR (Reduction of CIN to one degree or more).
SD (Same degree of initial lesion is maintained).
PD (Increase in one degree of the lesion of CIN or presence of histological signs of invasion] It will be considered progressive disease when at least two of the response variables are present. The variable viral load will always be present).
Lesion progression
Virological. The categories will analyze as:
CR (Viral genotype- VG: Negative Human Papillomavirus (HPV) detection high or low oncogenic risk and Viral load: Not detectable).
PR (VG: No detection of viral genotypes of high oncogenic risk identified in the initial examination, but positive to HPV of low oncogenic risk Viral load: Reduction of the value of the viral load in at least one base logarithm 10).
SD (VG: Initial genotypes are maintained Viral load: Equal result than the initial examination, no change in the viral load values).
PD (VG: Initial genotypes or appearance of one or more oncogenic genotypes are maintained Viral load: Initial genotypes show an increase in viral load value in at least one base 10 logarithm. Other oncogenic genotypes appear with viral load values greater than or equal to 103 copies / ml.] It will be considered progressive disease when at least two of the response variables are present.The variable viral load will always be present).
Secondary Outcome Measures
Colposcopy response
Complete Response: Disappearance of the initial lesion and no new lesions appear; Partial Response: Reduction between 30 to 50% or more of the initial lesion and no new lesions appear; Stable Disease: Equal morphometry or minor reduction 30% of the initial lesion; Progressive Disease: Increased diameter of the lesion The lesion extends to one or more quadrants that were not in the initial lesion).
Histological Response
Complete Response: Disappearance of initial injury No degree of CIN; Partial Response: Reduction of CIN to one degree or more; Stable Illness: Same degree of initial injury remains; Progressive Disease: Increase by one degree lesion of CIN or presence of histological signs of invasion).
Virological response
Complete response: Viral genotype: Negative result for the detection of human papillomavirus (HPV) with high or low oncogenic risk and Viral load: Not detectable; Partial response: Viral genotype: No detection of viral genotypes of high oncogenic risk (16, 18, 31 , 33, 45, 52 and 58) identified in the initial examination, but positive to HPV of low oncogenic risk and viral load: Reduction of the value of the viral load in at least one logarithm of base 10; Stable Disease: Viral genotype: Se maintain the initial genotypes and viral load: Same result as the initial examination, no change in the viral load values; Progressive Disease: Viral genotype: The initial genotypes are maintained or the appearance of one or more oncogenic genotypes and viral load: genotypes initials show an increase in the viral load value in at least one logarithm of base 10. Other oncogenic genotypes appear with viral load values greater than or equal to 103 copies/ml)
Adverse Events (AE)
The AE will measure as: -Occurrence of an AE in the patient (Yes/No) -Description of the AE (Name of the AE presented) -Duration of the AE (Difference of dates between the start and end of the AE) -Intensity of the AE (Classification according to CECMED Regulation 45/2007 in: Mild, Moderate, and Severe) -Gravity of AE (Serious or Not serious. Considering serious adverse events those that: 1.Produce the patient' death, 2.Life-threatening, 3.Hospitalization or prolongation of hospitalization indicated, 4. Produce significant or persistent disability, 5.Produce birth defect or congenital anomaly) -Attitude respect to the treatment under study (No changes, Dose modification, Temporary interruption of the treatments under study, Definitive interruption of the treatments under study). -Result of the EA (Recovered, improved, persists or sequels) -Causality Relationship (Definitive, Very likely, Probable, Possible, Not related, Unknown)
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03549273
Brief Title
Evaluation Glizigen® and Ocoxin®-Viusid® in High-grade Cervical Intraepithelial Lesions
Official Title
Evaluation of the Effect of the Combination of the Natural Products Glizigen® and Ocoxin®-Viusid® in the Treatment of High-grade Cervical Intraepithelial Lesions. Phase II
Study Type
Interventional
2. Study Status
Record Verification Date
July 2022
Overall Recruitment Status
Recruiting
Study Start Date
March 11, 2019 (Actual)
Primary Completion Date
December 15, 2022 (Anticipated)
Study Completion Date
June 15, 2023 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Catalysis SL
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
Phase II clinical trial, monocentric, not controlled, in patients with high grade cervical intraepithelial lesions. A total of 62 patients with a diagnosis of CIN II, III or carcinoma in situ will be included. It is expected that with the combination of natural products Glizigen® and Ocoxin®-Viusid® at least 60% of patients with treated intraepithelial lesions (IEL) have a global response (complete or partial), with elimination of the human papillomavirus and the viral load.
Detailed Description
Main objective: To evaluate the effect of the combination of Glizigen® and Ocoxin®-Viusid® in the treatment of high-grade cervical intraepithelial lesions. Specific objectives: 1. To evaluate the overall response (colposcopic, histological and virological) in patients treated with the combination of the natural products Glizigen® and Ocoxin®-Viusid® in the treatment of high-grade cervical intraepithelial lesions. 2. Evaluate the colposcopic response in patients treated with the combination of natural products. 3. Evaluate the histological response in patients treated with the combination of natural products after conization. 4. Evaluate the virological response in patients treated with the combination of natural products. 5.Describe adverse events during treatment.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Carcinoma, Neoplasia; Intraepithelial, Cervix, Glandular Neoplasms, Epithelial Neoplasm, Neoplasms
Keywords
carcinoma, intraepithelial cervix lesions, Oxidative Stress, Ocoxin Viusid, Glizigen Spray
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
62 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Treatment
Arm Type
Experimental
Arm Description
Glizigen® spray + Ocoxin-Visuid® oral solution
Intervention Type
Dietary Supplement
Intervention Name(s)
Glizigen® + Ocoxin-Viusid®
Intervention Description
Glizigen® spray, topical use, 2 times a day for 6 months with an interruption for 2 months at the end of the third month.
Ocoxin®-Viusid® 60 ml daily (1 vial every 12 hours) by oral route for 8 months, preferably administered after breakfast and lunch, without interruption.
Primary Outcome Measure Information:
Title
Lesion progression
Description
Colonoscopy. The categories will analyze as:
Complete Response-CR (Disappearance of the initial lesion and no new lesions appear).
Partial Response-PR (Reduction between 30 to 50% or more of the initial lesion and no new lesions appear).
Stable disease-SD (Same morphometry or reduction of less than 30% of the initial lesion).
Progressive Disease-PD (Increase in the diameter of the lesion The lesion extends to one or more quadrants that were not in the initial lesion. It will be considered progressive disease when at least two of the response variables are present.The variable viral load will always be present).
Time Frame
9 months
Title
Lesion progression
Description
Histology. The categories will analyze as:
CR (Disappearance of the initial lesion No degree of Cervical intraepithelial Neoplasia (CIN)).
PR (Reduction of CIN to one degree or more).
SD (Same degree of initial lesion is maintained).
PD (Increase in one degree of the lesion of CIN or presence of histological signs of invasion] It will be considered progressive disease when at least two of the response variables are present. The variable viral load will always be present).
Time Frame
9 months
Title
Lesion progression
Description
Virological. The categories will analyze as:
CR (Viral genotype- VG: Negative Human Papillomavirus (HPV) detection high or low oncogenic risk and Viral load: Not detectable).
PR (VG: No detection of viral genotypes of high oncogenic risk identified in the initial examination, but positive to HPV of low oncogenic risk Viral load: Reduction of the value of the viral load in at least one base logarithm 10).
SD (VG: Initial genotypes are maintained Viral load: Equal result than the initial examination, no change in the viral load values).
PD (VG: Initial genotypes or appearance of one or more oncogenic genotypes are maintained Viral load: Initial genotypes show an increase in viral load value in at least one base 10 logarithm. Other oncogenic genotypes appear with viral load values greater than or equal to 103 copies / ml.] It will be considered progressive disease when at least two of the response variables are present.The variable viral load will always be present).
Time Frame
9 months
Secondary Outcome Measure Information:
Title
Colposcopy response
Description
Complete Response: Disappearance of the initial lesion and no new lesions appear; Partial Response: Reduction between 30 to 50% or more of the initial lesion and no new lesions appear; Stable Disease: Equal morphometry or minor reduction 30% of the initial lesion; Progressive Disease: Increased diameter of the lesion The lesion extends to one or more quadrants that were not in the initial lesion).
Time Frame
9 months
Title
Histological Response
Description
Complete Response: Disappearance of initial injury No degree of CIN; Partial Response: Reduction of CIN to one degree or more; Stable Illness: Same degree of initial injury remains; Progressive Disease: Increase by one degree lesion of CIN or presence of histological signs of invasion).
Time Frame
9 months
Title
Virological response
Description
Complete response: Viral genotype: Negative result for the detection of human papillomavirus (HPV) with high or low oncogenic risk and Viral load: Not detectable; Partial response: Viral genotype: No detection of viral genotypes of high oncogenic risk (16, 18, 31 , 33, 45, 52 and 58) identified in the initial examination, but positive to HPV of low oncogenic risk and viral load: Reduction of the value of the viral load in at least one logarithm of base 10; Stable Disease: Viral genotype: Se maintain the initial genotypes and viral load: Same result as the initial examination, no change in the viral load values; Progressive Disease: Viral genotype: The initial genotypes are maintained or the appearance of one or more oncogenic genotypes and viral load: genotypes initials show an increase in the viral load value in at least one logarithm of base 10. Other oncogenic genotypes appear with viral load values greater than or equal to 103 copies/ml)
Time Frame
9 months
Title
Adverse Events (AE)
Description
The AE will measure as: -Occurrence of an AE in the patient (Yes/No) -Description of the AE (Name of the AE presented) -Duration of the AE (Difference of dates between the start and end of the AE) -Intensity of the AE (Classification according to CECMED Regulation 45/2007 in: Mild, Moderate, and Severe) -Gravity of AE (Serious or Not serious. Considering serious adverse events those that: 1.Produce the patient' death, 2.Life-threatening, 3.Hospitalization or prolongation of hospitalization indicated, 4. Produce significant or persistent disability, 5.Produce birth defect or congenital anomaly) -Attitude respect to the treatment under study (No changes, Dose modification, Temporary interruption of the treatments under study, Definitive interruption of the treatments under study). -Result of the EA (Recovered, improved, persists or sequels) -Causality Relationship (Definitive, Very likely, Probable, Possible, Not related, Unknown)
Time Frame
9 months
10. Eligibility
Sex
Female
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Patients that meet the diagnostic criteria.
Patients with age ≥18 years.
Patients with residual lesion greater than 3 mm after the initial punch, measurable by video colposcopy and with major changes (Criteria from Rio 2011).
Patients that have a positive test to the oncogenic virus of the human papilloma (16, 18, 31, 33, 45, 52 and 58).
Patients who give their informed consent to participation in writing.
Patients who consent to perform the conization according to the study schedule.
Patients with normal laboratory parameters within the limits established in the institution (complete blood count, platelets and erythrosedimentation. In the case of male sex (vasectomy, use of condoms) while the treatment lasts.
Exclusion Criteria:
Patients who have received surgical, ablative, radiant, immunomodulatory or chemotherapy treatment 30 days before recruitment.
Patients pregnant or breastfeeding.
Patients with acute cervico-vaginal infections.
Patients with positive serology known to HIV and/or syphilis.
Patients with diseases that compromise the state of consciousness or their possibility of collaboration.
Patients with a history of severe allergic history.
Patients who are participating in another research.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Águeda Santana Martínez
Phone
7 690-7225
Email
aguesam@infomed.sld.cu
First Name & Middle Initial & Last Name or Official Title & Degree
ivis Mendoza Hernández
Phone
7 690-7225
Email
ivis@cencec.sld.cu
Facility Information:
Facility Name
Our Lady of Rule No. 52 &/Remedios and Quiroga, Luyano
City
Havana
ZIP/Postal Code
10500
Country
Cuba
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Águeda Santana, Dr.
Phone
+53-76907225
Email
aguesam@infomed.sld.cu
First Name & Middle Initial & Last Name & Degree
Águeda Santana Martínez, Dr.
First Name & Middle Initial & Last Name & Degree
Ivis Mendoza Hernández, Ms.C
First Name & Middle Initial & Last Name & Degree
Elena García López, Ms.C
First Name & Middle Initial & Last Name & Degree
Daimy Bajo Cardoso, Dr.
First Name & Middle Initial & Last Name & Degree
Julián Rodríguez Álvarez, Ms.C
12. IPD Sharing Statement
Plan to Share IPD
Yes
Citations:
PubMed Identifier
23683837
Citation
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Results Reference
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Citation
A'Hern RP. Sample size tables for exact single-stage phase II designs. Stat Med. 2001 Mar 30;20(6):859-66. doi: 10.1002/sim.721.
Results Reference
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PubMed Identifier
22914406
Citation
Bornstein J, Bentley J, Bosze P, Girardi F, Haefner H, Menton M, Perrotta M, Prendiville W, Russell P, Sideri M, Strander B, Tatti S, Torne A, Walker P. 2011 colposcopic terminology of the International Federation for Cervical Pathology and Colposcopy. Obstet Gynecol. 2012 Jul;120(1):166-72. doi: 10.1097/AOG.0b013e318254f90c.
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PubMed Identifier
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Citation
Hernandez-Garcia S, Gonzalez V, Sanz E, Pandiella A. Effect of Oncoxin Oral Solution in HER2-Overexpressing Breast Cancer. Nutr Cancer. 2015;67(7):1159-69. doi: 10.1080/01635581.2015.1068819. Epub 2015 Aug 4.
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PubMed Identifier
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Diaz-Rodriguez E, Hernandez-Garcia S, Sanz E, Pandiella A. Antitumoral effect of Ocoxin on acute myeloid leukemia. Oncotarget. 2016 Feb 2;7(5):6231-42. doi: 10.18632/oncotarget.6862.
Results Reference
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PubMed Identifier
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Citation
Vilar Gomez E, Gra Oramas B, Soler E, Llanio Navarro R, Ruenes Domech C. Viusid, a nutritional supplement, in combination with interferon alpha-2b and ribavirin in patients with chronic hepatitis C. Liver Int. 2007 Mar;27(2):247-59. doi: 10.1111/j.1478-3231.2006.01411.x.
Results Reference
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Citation
Stillo M, Carrillo Santisteve P, Lopalco PL. Safety of human papillomavirus vaccines: a review. Expert Opin Drug Saf. 2015 May;14(5):697-712. doi: 10.1517/14740338.2015.1013532. Epub 2015 Feb 18.
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Evaluation Glizigen® and Ocoxin®-Viusid® in High-grade Cervical Intraepithelial Lesions
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