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Microwave Treatment of Common and Plantar Warts

Primary Purpose

Warts

Status
Recruiting
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Microwave Treatment (Swift System)
Cryotherapy
Sponsored by
Blackwell Device Consulting
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Warts focused on measuring HPV, Human Papilloma Virus, Swift System, Microwave, Verruca, Common warts, Plantar Warts, Cryotherapy

Eligibility Criteria

18 Years - 64 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Provision of signed and dated informed consent form;
  2. Stated willingness to comply with all study procedures and availability for the duration of the study;
  3. Age 18-64 years inclusive;
  4. A minimum of one clinically significant common wart (usually found on hands, knees and elbows), or two plantar warts. Note: the warts for treatment cannot be a mixture of common and plantar warts;
  5. Subject's common warts must measure between 3mm-10mm or for plantar warts, measure between 3mm-20mm, inclusive;
  6. If currently receiving treatment for common or plantar warts, agree to stop their current medication for at least 28 days prior to the start of study treatment;
  7. Agrees to refrain from using any other wart removal products or treatments during the study period;
  8. Agrees to not take any non-steroidal anti-inflammatory drugs (NSAIDs) or antihistamines within a 12-hour period prior to and after randomized treatment;
  9. Able to perform study assessments.

Exclusion Criteria:

  1. Pregnancy or breast feeding;
  2. Mosaic warts;
  3. Warts (common or plantar) that have been reported by the subject as present for more than 5 years (relates to any wart present and which may not necessarily be treated in this study);
  4. Warts for treatment on areas of thin or sensitive skin as determined by the Investigator, e.g., face, neck, armpits, breasts, buttocks or genitals;
  5. Areas for treatment where the skin is irritated, reddened or showing any sign of inflammation (e.g. itching and swelling);
  6. Warts for treatment with hair growth, birthmarks, dark moles, pigmented skin or any other unusual skin condition;
  7. History of infection in designated treatment area within 90 days prior to first treatment;
  8. Implantable Cardioverter Defibrillator (ICD), pacemaker or other implantable electronic devices;
  9. Metal implants at site of treatment (within foot or ankle);
  10. Known allergy or intolerance to microwave therapy and cryotherapy;
  11. Unstable co-morbidities (cardiovascular disease, active malignancy, inflammatory arthritis);
  12. Participating in another interventional study or have done so within the last 30-days;
  13. Anticipated relocation or extensive travel outside of the local study area preventing compliance with study procedures;
  14. Circulatory conditions affecting the acral areas - peripheral vascular disease, peripheral ischemia, vasculitis, Raynaud's, or related conditions;
  15. Peripheral neuropathy;
  16. Subject with known immunosuppression disorders through illness or medication (for example - corticosteroids, biologic agents, methotrexate, ciclosporin);
  17. Subject with autoimmune disease;
  18. Diabetes (Type I or II);
  19. History of vascular interventions to the legs, deemed as an unacceptable risk by the Investigator;
  20. Prior dissection of axillary lymph nodes (for treated hand) or inguinal lymph nodes (for treated feet);
  21. Dependent lymphedema;
  22. Congestive heart failure;
  23. History of repeated cellulitis (2 or more episodes);
  24. History of deep venous thrombosis;
  25. Subject currently receiving prescribed blood thinning medication;
  26. Subject who has ever had any topical metallic treatment (e.g, aluminum chloride, silver nitrate) within the past year.

Sites / Locations

  • Miami Dermatology and Laser InstituteRecruiting
  • TrueBlue Clinical ResearchRecruiting
  • TrueBlue Clinical ResearchRecruiting
  • Weil Foot & Ankle InstituteRecruiting
  • Oak DermatologyRecruiting
  • Tennessee Clinical Research CenterRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Microwave Treatment (Swift System)

Cryotherapy Treatment

Arm Description

5-10 Watts of microwave energy applied locally on each wart for a 2-3 second burst with 3-5 repetitions per lesion.

For each wart, two cycles of cryotherapy treatment is administered.

Outcomes

Primary Outcome Measures

Clearance of all treated warts, each of which is defined as "resolved" or "not resolved" based on the classification by the blinded site investigator assessing the treated warts at three months post final treatment (up to 5 warts in total).

Secondary Outcome Measures

Clearance of all treated warts at three months post final treatment, each of which is defined as "lesion no longer visible" but assessed by the majority of three independent blinded assessors using photographs
Efficacy of all warts classed as resolved by the blinded site investigator at three months post final treatment, by the number of warts treated
Patient reported satisfaction with treatment at six and twelve months post final treatment
A patient reported satisfaction questionnaire will be completed. The questionnaire relates to how satisfied the subject was about their treatment and likes/ dislikes about their treatment.
Adverse events
Change from baseline for size of treated warts at three months, six months and at twelve months post final treatment
Patient reported pain score since last treatment at three, six and twelve months post final treatment
The subject will be asked to rate the worst pain they have experienced (None, Mild, Moderate, Severe).
Reoccurrence of any treated wart at six and twelve months post final treatment, as classified by the blinded site investigator and separately by photos reviewed by the majority of the three independent blinded assessors.
Clearance of all treated warts, each of which is defined as "resolved" or "not resolved" based on the classification by the blinded site investigator assessing the treated warts at six months and twelve months post final treatment.
The resolution rate for individual warts based on the classification by the blinded site investigator at 3 months post-final treatment.

Full Information

First Posted
May 5, 2022
Last Updated
October 6, 2023
Sponsor
Blackwell Device Consulting
Collaborators
Emblation Limited
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1. Study Identification

Unique Protocol Identification Number
NCT05371834
Brief Title
Microwave Treatment of Common and Plantar Warts
Official Title
Pivotal Study to Assess the Clinical Efficacy and Safety of Microwave Treatment in Warts
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Recruiting
Study Start Date
July 6, 2022 (Actual)
Primary Completion Date
December 2023 (Anticipated)
Study Completion Date
December 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Blackwell Device Consulting
Collaborators
Emblation Limited

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
Yes
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a multi-center, open, randomized, parallel-group, controlled, blind-assessed trial of approximately 110 subjects that require treatment for up to 5 common or plantar warts. Subjects will be randomized to one of two treatment groups: Microwave Treatment (Swift® system) or Cryotherapy.
Detailed Description
The primary objective of this study is to collect evidence of the effectiveness of the Swift device for the treatment of common and plantar warts and compare with Cryotherapy. The secondary objectives of this study are to collect evidence of the safety, effectiveness and patient experiences of the Swift device for the treatment of common and plantar warts and compare with Cryotherapy. Eligible subjects who provide written informed consent will be randomized to either Microwave Treatment or Cryotherapy. Each eligible subject will receive treatment at the baseline visit (Visit 2) and again 4-weeks later. Subjects will receive a minimum of 2 treatments or, if further treatment is required, up to a maximum of 4 treatments; each treatment is given in 4-week intervals. Follow-up is 12-weeks after the last treatment has been administered where the warts will be assessed for resolution. Further follow-up visits occur 6-months and 12-months after the last treatment where the warts will be assessed for resolution or reoccurrence (if resolved at the 12-week visit).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Warts
Keywords
HPV, Human Papilloma Virus, Swift System, Microwave, Verruca, Common warts, Plantar Warts, Cryotherapy

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Masking Description
This is an open label study, however, there is a blinded site investigator at each site who will not be aware of the treatment group the subject is assigned. The blinded site investigator will assess resolution and reoccurrence of the warts. Photos of the warts will be taken and these will be reviewed by three independent blinded assessors to assess wart resolution and reoccurrence.
Allocation
Randomized
Enrollment
110 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Microwave Treatment (Swift System)
Arm Type
Experimental
Arm Description
5-10 Watts of microwave energy applied locally on each wart for a 2-3 second burst with 3-5 repetitions per lesion.
Arm Title
Cryotherapy Treatment
Arm Type
Active Comparator
Arm Description
For each wart, two cycles of cryotherapy treatment is administered.
Intervention Type
Device
Intervention Name(s)
Microwave Treatment (Swift System)
Intervention Description
Localized microwave energy applied to the wart lesion. Treatment is in 4-week intervals (minimum of 2 treatments, maximum of 4 treatments). For common warts (usually hands, elbow, knees): Treatment starts at 6W and applied locally for a 2 second burst and the dose and duration is adjusted (up or down) as is tolerable for the subject. Treatment is repeated on the same wart as is tolerable (3-5 repetitions). For plantar warts: Treatment starts at 8W and applied locally for a 2 second burst and the dose and duration is adjusted (up or down) as is tolerable for the subject. Treatment is repeat on the same wart as is tolerable (3-5 repetitions). Less power for a longer time will result in a more gradual temperature rise. Higher power for a shorter time will result in a more immediate temperature rise.
Intervention Type
Device
Intervention Name(s)
Cryotherapy
Intervention Description
Local application of Cryotherapy. Treatment is in 4-week intervals (minimum of 2 treatments, maximum of 4 treatments).
Primary Outcome Measure Information:
Title
Clearance of all treated warts, each of which is defined as "resolved" or "not resolved" based on the classification by the blinded site investigator assessing the treated warts at three months post final treatment (up to 5 warts in total).
Time Frame
3 months post final treatment
Secondary Outcome Measure Information:
Title
Clearance of all treated warts at three months post final treatment, each of which is defined as "lesion no longer visible" but assessed by the majority of three independent blinded assessors using photographs
Time Frame
3 months post final treatment
Title
Efficacy of all warts classed as resolved by the blinded site investigator at three months post final treatment, by the number of warts treated
Time Frame
3 months post final treatment
Title
Patient reported satisfaction with treatment at six and twelve months post final treatment
Description
A patient reported satisfaction questionnaire will be completed. The questionnaire relates to how satisfied the subject was about their treatment and likes/ dislikes about their treatment.
Time Frame
6 and 12 months post final treatment
Title
Adverse events
Time Frame
12 months post final treatment
Title
Change from baseline for size of treated warts at three months, six months and at twelve months post final treatment
Time Frame
3 months, 6 months and 12 months post final treatment
Title
Patient reported pain score since last treatment at three, six and twelve months post final treatment
Description
The subject will be asked to rate the worst pain they have experienced (None, Mild, Moderate, Severe).
Time Frame
3 months, 6 months and 12 months post final treatment
Title
Reoccurrence of any treated wart at six and twelve months post final treatment, as classified by the blinded site investigator and separately by photos reviewed by the majority of the three independent blinded assessors.
Time Frame
6 months and 12 months post final treatment
Title
Clearance of all treated warts, each of which is defined as "resolved" or "not resolved" based on the classification by the blinded site investigator assessing the treated warts at six months and twelve months post final treatment.
Time Frame
6 months and 12 months post final treatment
Title
The resolution rate for individual warts based on the classification by the blinded site investigator at 3 months post-final treatment.
Time Frame
3 months post final treatment

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
64 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Provision of signed and dated informed consent form; Stated willingness to comply with all study procedures and availability for the duration of the study; Age 18-64 years inclusive; A minimum of one clinically significant common wart (usually found on hands, knees and elbows), or one plantar wart. Note: the warts for treatment cannot be a mixture of common and plantar warts; Subject's common warts must measure between 3mm-10mm or for plantar warts, measure between 3mm-20mm, inclusive; If currently receiving treatment for common or plantar warts, agree to stop their current medication for at least 28 days prior to the start of study treatment; Agrees to refrain from using any other wart removal products or treatments during the study period; Agrees to not take any non-steroidal anti-inflammatory drugs (NSAIDs) or antihistamines within a 12-hour period prior to and after randomized treatment; Able to perform study assessments. Exclusion Criteria: Pregnancy or breast feeding; Mosaic warts for treatment; Warts (common or plantar) that have been reported by the subject as present for more than 5 years (relates to any wart present and which may not necessarily be treated in this study); Warts for treatment on areas of thin or sensitive skin as determined by the Investigator, e.g., face, neck, armpits, breasts, buttocks or genitals; Areas for treatment where the skin is irritated, reddened or showing any sign of inflammation (e.g. itching and swelling); Warts for treatment with hair growth, birthmarks, dark moles, pigmented skin or any other unusual skin condition; History of infection in designated treatment area within 90 days prior to first treatment; Implantable Cardioverter Defibrillator (ICD), pacemaker or other implantable electronic devices; Metal implants at site of treatment (within foot or ankle); Known allergy or intolerance to microwave therapy and cryotherapy; Unstable co-morbidities (cardiovascular disease, active malignancy, inflammatory arthritis); Participating in another interventional study or have done so within the last 30-days; Anticipated relocation or extensive travel outside of the local study area preventing compliance with study procedures; Circulatory conditions affecting the acral areas - peripheral vascular disease, peripheral ischemia, vasculitis, Raynaud's, or related conditions; Peripheral neuropathy; Subject with known immunosuppression disorders through illness or medication (for example - corticosteroids, biologic agents, methotrexate, ciclosporin); Subject with autoimmune disease; Diabetes (Type I or II); History of vascular interventions to the legs, deemed as an unacceptable risk by the Investigator; Prior dissection of axillary lymph nodes (for treated hand) or inguinal lymph nodes (for treated feet); Dependent lymphedema; Congestive heart failure; History of repeated cellulitis (2 or more episodes); History of deep venous thrombosis; Subject currently receiving prescribed blood thinning medication; Subject who has ever had any topical metallic treatment (e.g, aluminum chloride, silver nitrate) within the past year.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Emblation
Phone
+44 (0)1786 657223
Email
clinical@emblation.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Dr Bhatia
Organizational Affiliation
Oak Dermatology
Official's Role
Principal Investigator
Facility Information:
Facility Name
Miami Dermatology and Laser Institute
City
Miami
State/Province
Florida
ZIP/Postal Code
33173
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Dr Waibel
First Name & Middle Initial & Last Name & Degree
Dr Waibel
Facility Name
TrueBlue Clinical Research
City
Palm Harbor
State/Province
Florida
ZIP/Postal Code
34685
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Dr Tharp
Email
michael.tharp@tbcrtampa.com
Facility Name
TrueBlue Clinical Research
City
Tampa
State/Province
Florida
ZIP/Postal Code
33609
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Dr Tharp
Email
michael.tharp@tbcrtampa.com
Facility Name
Weil Foot & Ankle Institute
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60642
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
J-C Minor
Facility Name
Oak Dermatology
City
Naperville
State/Province
Illinois
ZIP/Postal Code
60563
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
P Todd
First Name & Middle Initial & Last Name & Degree
Dr Bhatia
Facility Name
Tennessee Clinical Research Center
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37215
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Dr Gold
First Name & Middle Initial & Last Name & Degree
Dr Gold

12. IPD Sharing Statement

Learn more about this trial

Microwave Treatment of Common and Plantar Warts

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