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Topical Imiquimod in Treating Patients With Recurrent Paget's Disease of the Vulva
This study is currently recruiting participants.
Study NCT00504023   Information provided by National Cancer Institute (NCI)
First Received: July 17, 2007   Last Updated: April 8, 2009   History of Changes
This Tabular View shows the required WHO registration data elements as marked by

July 17, 2007
April 8, 2009
April 2007
Clinical and histologic effects [ Designated as safety issue: No ]
Same as current
Complete list of historical versions of study NCT00504023 on ClinicalTrials.gov Archive Site
 
 
 
Topical Imiquimod in Treating Patients With Recurrent Paget's Disease of the Vulva
A Pilot Study of Topical Imiquimod Therapy for the Treatment of Recurrent Extramammary Paget's Disease

RATIONALE: Biological therapies, such as imiquimod, may stimulate the immune system in different ways and stop tumor cells from growing. Applying topical imiquimod to the vulva may be an effective treatment for recurrent Paget's disease.

PURPOSE: This clinical trial is studying how well topical imiquimod works in treating patients with recurrent Paget's disease of the vulva.

OBJECTIVES:

  • To assess the clinical and histologic effects of topical imiquimod therapy on recurrent extramammary Paget's disease.

OUTLINE: This is a pilot, prospective, multicenter study.

Patients apply topical imiquimod cream to a target vulvar lesion 3 times weekly. Treatment continues for up to 12 weeks in the absence of disease progression or unacceptable toxicity. If the lesion is still present after completion of 12 weeks of imiquimod therapy, the patient undergoes surgical excision of the target lesion (and any other progressive lesions suspicious for evolving adenocarcinoma) at week 16.

Patients undergo punch biopsy and photographic assessment of a target vulvar lesion at baseline and again at 12 weeks.

After completion of imiquimod therapy or after surgical excision, patients are followed at 6 weeks and then every 3 months for at least 2 years.

 
Interventional
Treatment
Vulvar Cancer
  • Drug: imiquimod
  • Procedure: biopsy
  • Procedure: conventional surgery
 
 

*   Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
 
Recruiting
20
 
April 2010   (final data collection date for primary outcome measure)

DISEASE CHARACTERISTICS:

  • Patients who present to the Gynecology outpatient clinic of Memorial Sloan-Kettering Cancer Center (MSKCC) meeting the following criteria:

    • Biopsy-proven extramammary Paget's disease of the vulva with histological confirmation performed at MSKCC

      • No underlying adenocarcinoma on biopsy of lesion
  • Recurrent disease

PATIENT CHARACTERISTICS:

  • No known hypersensitivity to imiquimod
  • Not pregnant or nursing

PRIOR CONCURRENT THERAPY:

  • Not specified
Female
18 Years and older
No
 
United States
 
 
NCT00504023
 
MSKCC-07029
Memorial Sloan-Kettering Cancer Center
National Cancer Institute (NCI)
Principal Investigator: Dennis S. Chi, MD, FACOG, FACS Memorial Sloan-Kettering Cancer Center
Principal Investigator: Robert Soslow, MD Memorial Sloan-Kettering Cancer Center
National Cancer Institute (NCI)
December 2008

 †    Required WHO trial registration data element.
††   WHO trial registration data element that is required only if it exists.