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Efficacy of 851B Gel for Treating High-Risk Cervical Human Papillomavirus Infection in Women.
This study has been terminated.
( Lack of efficacy )
First Received: April 6, 2006   Last Updated: December 8, 2008   History of Changes
Sponsored by: Takeda Global Research & Development Center, Inc.
Information provided by: Takeda Global Research & Development Center, Inc.
ClinicalTrials.gov Identifier: NCT00312286
  Purpose

The purpose of this study was to evaluate efficacy of 851B gel over a range of concentrations and dosing regimens on high-risk cervical human papillomavirus infection in women.


Condition Intervention Phase
Papillomavirus Infections
Drug: 851B
Phase II

MedlinePlus related topics: Cancer
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Placebo Control, Parallel Assignment, Safety/Efficacy Study
Official Title: A Randomized, Placebo-Controlled Phase II Study of Multiple Dosing Regimens of Intravaginally Administered 851B Gel for the Treatment of Cervical High Risk HPV Infection

Further study details as provided by Takeda Global Research & Development Center, Inc.:

Primary Outcome Measures:
  • Time to clearance of high-risk human papillomavirus infection. [ Time Frame: At each visit ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Proportion of subjects with evidence of regression to normal cytology. [ Time Frame: Screening Visit and Follow-up Visits (Months 6, 8, 14, 20, and 26). ] [ Designated as safety issue: No ]
  • Proportion of subjects with improvement in cervical lesions as rated by the investigator (measured by colposcopy). [ Time Frame: At each visit ] [ Designated as safety issue: No ]
  • Proportion of subjects who develop histological evidence of cervical intraepithelial neoplasia. [ Time Frame: Visits 1-3 as assigned by group ] [ Designated as safety issue: No ]
  • Time to progression of disease to precancer. [ Time Frame: Visits 1-3 as assigned by group ] [ Designated as safety issue: No ]
  • Change in relative light units ratios relative to the positive control from Hybrid Capture 2® assay (semi-quantitatively assessing viral load). [ Time Frame: At each visit ] [ Designated as safety issue: No ]

Enrollment: 538
Study Start Date: April 2006
Study Completion Date: June 2008
Primary Completion Date: June 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Experimental Drug: 851B
851B 0.15% formulation, gel, topically, twice a week for 2 cycles.
2: Experimental Drug: 851B
851B 1.5% formulation, gel, topically, twice a week for 1 cycle.
3: Experimental Drug: 851B
851B 1.5% formulation, gel, topically, twice a week for 2 cycles.
4: Experimental Drug: 851B
851B 3.0% formulation, gel, topically, once a week for 1 cycle.
5: Experimental Drug: 851B
851B 3.0% formulation, gel, topically, once a week for 2 cycles.
6: Experimental Drug: 851B
851B 3.0% formulation, gel, topically, twice a week for 1 cycle.
7: Experimental Drug: 851B
851B 3.0% formulation, gel, topically, twice a week for 2 cycles.
8: Placebo Comparator Drug: 851B
851B placebo-matching gel, topically, once a week for 1 cycle.
9: Placebo Comparator Drug: 851B
851B placebo-matching gel, topically, twice a week for 1 cycle.
10: Placebo Comparator Drug: 851B
851B placebo-matching gel, topically, once a week for 2 cycles.
11: Placebo Comparator Drug: 851B
851B placebo-matching gel, topically, twice a week for 2 cycles.

Detailed Description:

Cervical cancer is caused by infection with specific genotypes of the human papillomavirus referred to as oncogenic or high-risk human papillomavirus.

Current epidemiologic evidence suggests that 80% of sexually active women will become infected during their lifetime with human papillomavirus and 50% of these infections will be due to high-risk human papillomavirus. With US annual rates of cervical cancer now in the range of 13,000/year, a very substantial number of women are left with uncertainty regarding whether their infection will clear spontaneously or progress to cancer.

Subjects participating in this study were required to visit the clinic for approximately 15 or 16 visits, and maintain a diary of self-dosing and menstruation cycles. The total time of participation in this study was approximately 27 months.

  Eligibility

Ages Eligible for Study:   18 Years to 45 Years
Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • A female subject of childbearing potential who is sexually active using contraception.
  • Subject is willing to abstain from all sexual contact involving her genitalia for at least 24 hours prior to and 24 hours after study drug administration.
  • Subject must be neither pregnant nor lactating from Screening throughout the duration of the study.
  • Subject has 1 of the following:

    • Menstruating with a stable cycle and has at least 21 non-bleeding days.
    • Amenorrheic (due to injectable or extended-cycle contraceptives).
  • Subject is willing to refrain from using vaginal douche products during the treatment period and through the Follow-up Month 4 visit.
  • Subject has a Pap test interpretation of either low-grade squamous intraepithelial lesions or atypical squamous cells of undetermined significance.
  • Subject has a uterine cervical sample that is high-risk human papillomavirus positive.

Exclusion Criteria:

  • The Subject has evidence of an uncontrolled, clinically significant medical condition as determined by the investigator.
  • The Subject has a history of hemorrhagic diatheses or coagulopathy.
  • The Subject has a history of toxic shock syndrome.
  • The Subject has received any of the following medications in the timeframes listed below:

    • 851 (in any form) or an active (non-placebo) human papillomavirus vaccine at any time prior to the screening visit.
    • In the 4 weeks prior to the screening visit the subject has received:

      • Interferon therapy or other therapies that promote a proinflammatory immune state, including:

        • immunomodulators.
        • cytotoxic drugs.
        • drugs known to have major organ toxicity.
      • Used a vaginal douche 72 hours prior to the screening visit.
      • Received any investigational drug within 60 days of Study Day 1.
      • Used in the 2 weeks prior to Study Day 1:

        • oral or inhaled corticosteroids (>1000 mcg/day, fluticasone propionate >600 mg/day, or equivalent).
        • systemic steroids.
        • topical drugs to the anogenital area.
        • NuvaRing.
  • The Subject has a history of hypersensitivity to any components of the gel formulation or to iodine.
  • The Subject has given birth or has had a spontaneous or induced abortion within 2 months of Study Day 1.
  • The Subject uses an intrauterine device, diaphragm, NuvaRing, or additional contraceptive foam or gel for birth control.
  • The Subject has:

    • histology read as high-grade cervical intraepithelial neoplasia.
    • cytology read as high-grade squamous intraepithelial lesion.
    • cytology read as atypical glandular cytological abnormalities.
    • cytology read as atypical squamous cells - cannot exclude high grade.
    • cervical carcinoma of any type.
    • apparent endocervical involvement.
    • high-grade vulvar intraepithelial neoplasia.
    • high-grade vaginal intraepithelial neoplasia.
  • If the limits of a cervical lesion cannot be readily visualized.
  • If the limits of the transformation zone cannot be readily visualized.
  • The subject has clinical evidence of a vaginal infection or sexually transmitted infection, other than cervical human papillomavirus infection at the Study Day 1 visit.
  • The Subject has had a cervical biopsy within 1 month prior to the screening visit.
  • The Subject has had any previous ablative or surgical treatment of the cervix within 3 months prior to the screening visit;
  • The Subject has a history of alcoholism or substance abuse within 1 year or has current alcohol or substance abuse as assessed by the investigator.
  • The Subject has tested positive for human immunodeficiency virus at the screening visit or has evidence of any other immunosuppressive disease.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00312286

  Show 93 Study Locations
Sponsors and Collaborators
Takeda Global Research & Development Center, Inc.
Investigators
Study Director: Medical Director Takeda Global Research & Development Center, Inc.
  More Information

No publications provided

Responsible Party: Takeda Global Research & Development Center, Inc. ( Sr. VP, Clinical Science )
Study ID Numbers: 1547-851B
Study First Received: April 6, 2006
Last Updated: December 8, 2008
ClinicalTrials.gov Identifier: NCT00312286     History of Changes
Health Authority: United States: Food and Drug Administration;   Canada: Health Canada

Keywords provided by Takeda Global Research & Development Center, Inc.:
Cervical Neoplasms
Drug Therapy
Human Papillomavirus
Cervical Human Papillomavirus
Cervical Dysplasia
Chemoprevention
High Risk Cervical Human Papillomavirus
Atypical Squamous Cells of Undetermined Significance
Low Grade Intraepithelial Lesions

Study placed in the following topic categories:
Virus Diseases
Uterine Cervical Neoplasms
DNA Virus Infections
Papillomavirus Infections
Uterine Cervical Dysplasia
Cervical Intraepithelial Neoplasia

Additional relevant MeSH terms:
Virus Diseases
Communicable Diseases
Tumor Virus Infections
DNA Virus Infections
Papillomavirus Infections
Infection

ClinicalTrials.gov processed this record on May 07, 2009