Clinical Trial Details
— Status: Not yet recruiting
Administrative data
NCT number |
NCT06356012 |
Other study ID # |
71163523.1.0000.5437 |
Secondary ID |
|
Status |
Not yet recruiting |
Phase |
Phase 4
|
First received |
|
Last updated |
|
Start date |
April 2, 2024 |
Est. completion date |
December 31, 2028 |
Study information
Verified date |
April 2024 |
Source |
Barretos Cancer Hospital |
Contact |
n/a |
Is FDA regulated |
No |
Health authority |
|
Study type |
Interventional
|
Clinical Trial Summary
The goal of this clinical trial is to identify the immunophenotypic profile of the local
immune response, the cervicovaginal microenvironment and the microbiological profile of women
with CIN 3 treated with imiquimod. Participants will be divided in 3 groups: CIN 3 who will
use 16 doses of imiquimod in the uterine cervix, applied twice a week and will be treated
with LEEP procedure; 2) patients with CIN 3 who will undergo standard treatment with LEEP
procedure; 3) patients with negative cytology and HPV (human papillomavirus) test. Blood and
cervicovaginal lavage collections will be performed at different times, for comparisons
between cellular response profiles to imiquimod during treatment and baseline levels in
healthy patients.
Description:
INTRODUCTION: High-grade intraepithelial lesions (CIN 2/3) are considered precursor lesions
of cervical cancer, and its treatment involves destructive or excisional methods. Some
studies have proven the efficacy of the immunomodulator imiquimod as a topical treatment for
CIN 2/3 lesions. Imiquimod activates the innate immune response through dendritic cells,
monocytes and macrophages, in addition to modulating the response pattern of T lymphocytes.
Thus, the characterization of the immune response in the treatment with imiquimod in lesions
caused by oncogenic HPV, may benefit women in a way that it is possible to measure the
response of each patient, improving the understanding of its mechanism of action, directly
impacting the efficacy and adverse events. caused by the drug. OBJECTIVES: To identify the
immunophenotypic profile of the local immune response, the cervicovaginal microenvironment
and the microbiological profile of women with CIN 3 treated with imiquimod. MATERIALS AND
METHODS: It will be included 90 patients, 60 with high-risk HPV, diagnosed with CIN 3 and 30
patients with negative cytology and HPV. Patients will be divided into 3 groups: 1) patients
with CIN 3 who will use 16 doses of imiquimod in the uterine cervix, applied twice a week; 2)
patients with CIN 3 who will undergo standard treatment with Transformation Zone Excision
(EZT); 3) patients with negative cytology and HPV. Blood and cervicovaginal lavage will be
collected for immunophenotypic analysis (flow cytometry), quantification of immunological
mediators (Cytometric Bead Array) and evaluation of the microbiome (MiniION). The results
obtained will be correlated with the clinical and pathological data of the patients.