Condyloma Clinical Trial
Official title:
Phase 1 Study of Multikine in the Treatment of Perianal Warts
Caused by the human papillomavirus (HPV), anogenital warts are a common sexually-transmitted
infection (STI). They are distressing to those who have them and are a source of viral
shedding and transmission to others. Treatment of warts is aimed at destruction of the
lesion.
Objectives:
1. Establish safety of Multikine in treatment of perianal condyloma.
2. Describe presence of anal HPV and anal dysplasia in participants with perianal
condyloma.
3. Describe adverse effects associated with Multikine in the management of perianal
condyloma.
Design:
Phase I, dose-escalation trial. Potential participants desiring treatment for their perianal
warts will be referred to study by their primary clinician. All participants will undergo
baseline anal Pap, anal HPV subtyping, perianal condyloma characterization (count,
measurement, photography), and complete a baseline questionnaire. Cohort A participants will
undergo perilesional Multikine injections (200IU) once daily, Monday through Friday, for 14
days, off for 14 days, then again once daily, Monday through Friday for 14 days. If no
serious adverse events are noted after 4 weeks of therapy, cohort B will be studied using
the same schedule but with a dose of 400IU per treatment. Each participant will undergo anal
Pap and anal HPV subtyping once weekly during treatment. Condyloma characterization (count,
measurement, photography) will occur prior to each treatment. After treatment completed,
participants will complete a follow-up visit at 70, 100, 130, 160 days and have anal Pap,
anal HPV subtyping, and perianal condyloma characterization (count, measurement,
photography) performed.
Subjects:
The study will be open to adult men and women who are HIV-infected who receive medical care
from the Naval Medical Center San Diego.
Main Outcome Measures:
1. Perianal wart characterization [count, measurement (in millimeters diameter)],
photography)
2. HPV subtype in anal canal
3. Anal dysplasia cytologic grade
4. Questionnaire responses
5. Adverse effects experienced during treatment, recorded in symptom log
There are no further details to describe regarding this research project ;
Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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