Topical Imiquimod vs. LEEP for Women With Carcinoma In-situ of the Cervix
NCT02130323 · Status: COMPLETED · Phase: PHASE2/PHASE3 · Type: INTERVENTIONAL · Enrollment: 22
Last updated 2017-06-27
Summary
OBJECTIVE: The standard of care for high grade cervical intraepithelial neoplasia grade 2 to 3 (CIN 2-3) has been the excision of the cervical transformation zone by way of a loop electrosurgical excision procedure (LEEP) or cold knife conization (CKC). However, it has been recognized that these procedures can increase the risks for pre-term labor in women who still desire to conceive. Recent studies have shown that medical treatment with Imiquimod, a topical immune response modulator, has significant effects on histological regression of CIN 2-3 when compared with placebo. The investigators propose that treatment with Imiquimod may be preferable offering similar outcomes on histological regression when compared with excision or ablation while potentially avoiding or reducing the number of surgical procedure that places them at risk for future pregnancies.
Conditions
- Cervical Intraepithelial Neoplasia
Interventions
- DRUG
-
Imiquimod
12.5mg (5%) once a week vaginally for 16 weeks
- PROCEDURE
-
Loop Electrosurgical Excision Procedure
Patients with CIN 2-3 will be randomized to receive intervention, CKC or LEEP versus medical therapy with Imiquimod.
Sponsors & Collaborators
-
United States Naval Medical Center, San Diego
lead FED
Principal Investigators
-
Addie N Alkhas, MD · United States Naval Medical Center, San Diego
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 21 Years
- Sex
- FEMALE
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2015-02-28
- Primary Completion
- 2016-12-21
- Completion
- 2017-05-09
- FDA Drug
- Yes
Countries
- United States
Study Locations
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