Imiquimod 5% Cream in the Treatment of External Genital or Perianal Warts in HIV+ Patients
Exploratory Evaluation of Imiquimod 5% Cream in the Treatment of External Genital or Perianal Warts in HIV+ Patients Treated With HAART (CD4+ ≥ 200 Cells mm3): An Open Labeled, Non-comparative Study
2 other identifiers
interventional
52
2 countries
18
Brief Summary
Imiquimod 5% cream in the treatment of external genital or perianal warts in HIV+ patients
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_4
Started Aug 2002
18 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
August 1, 2002
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2004
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2004
CompletedFirst Submitted
Initial submission to the registry
September 26, 2008
CompletedFirst Posted
Study publicly available on registry
September 29, 2008
CompletedFebruary 7, 2022
April 1, 2015
1.5 years
September 26, 2008
February 4, 2022
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
The percentage of subjects with total clearance of initially treated external genital or perianal warts.
week 16
Secondary Outcomes (8)
Total clearance
week 16
Percentage of subjects with a partial reduction of initial wart area;
week 16
Time to achieve reduction in wart area;
week 16
Reduction in wart number
week 16
Appearance of new warts
week 16
- +3 more secondary outcomes
Study Arms (1)
Imiquimod
EXPERIMENTALImiquimod 5% cream
Interventions
Subjects were treated with imiquimod (one sachet/20 cm2), three applications per week, for up to 16 weeks, or fewer in the case of total clearance of initial warts. At the visit at the end of treatment, a second scraping of the lesion area was carried out to determine the sub-type of HPV.
Eligibility Criteria
You may qualify if:
- Subject able to understand and willing to give written informed consent.
- Subject ≥ 18 and \< 70 years of age.
- Male or female with an HIV infection documented by serology (enzyme linked immunoabsorbent assay (ELISA)), Western Blot assay, or HIV viral load.
- Treated with HAART for at least six months and compliant with the treatment.
- Evidence of efficacy of HAART: total CD4+ lymphocyte counts of ≥ 200 cells/mm3 AND plasma HIV RNA level \< 104 RNA copies/mL within four weeks prior to the Treatment Initiation Visit.
- Presence of at least one visible genital or perianal wart as determined by clinical diagnosis.
- Total wart area \> 10 mm2 and ≤ 4000 mm2 (diameter \> 0.4 cm and ≤ 7.1 cm)
- Karnofsky Performance Status ≥ 70 %.
- Accepting to abstain from sexual intercourse when study drug is on the skin.
- In case of a coexisting AIDS-defining illness, both this illness and any treatment being received for it must have been stable for the four weeks preceding enrolment in the trial.
- If female and of childbearing potential, have negative urine pregnancy tests, and willing to use a medically acceptable method of contraception during the 16-week treatment period. Subjects were considered to be of childbearing potential unless the uterus or both ovaries had been removed or they were two or more years postmenopausal. For this study, the following were considered to be acceptable methods of contraception:
- Surgical sterilization, defined as tubal ligation of the subject or a vasectomy of the subject's partner if that subject is in a monogamous heterosexual relationship (at the Investigator's discretion)
- Oral, injectable, or implantable contraceptives
- Condoms (with spermicide)
- Diaphragm/cervical cap (with spermicide)
- +2 more criteria
You may not qualify if:
- Women pregnant or lactating;
- Treatment within four weeks prior to the Treatment Initiation Visit and throughout the entire study with:
- Any genital wart therapy, or Immunomodulators
- Systemic antiviral drugs other than acyclovir, valacyclovir, or famcyclovir and other than HAART
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- MEDA Pharma GmbH & Co. KGlead
- ORION Santecollaborator
Study Sites (18)
Départment de Gynécologie-Obstétrique CHU Saint-Pierre
Brussels, B-1000, Belgium
Service de Dermatologie CHU Saint-Pierre
Brussels, B-1000, Belgium
Service Dermatologie C.H. François Rabelais (César de Paepe)
Brussels, B-1000, Belgium
Service de Dermatologie Hôpital Erasme
Brussels, B-1070, Belgium
Service de Dermatologie et Vénéréologie Hôpital Saint Jacques
Besançon, F-25030, France
Cabinet Médical
Bordeaux, F-33800, France
Service de Dermatologie, Hôpital Ambroise Paré
Boulogne-Billancourt, F-92100, France
Service de Maladies Infectieuses Hôpital de la Conception
Marseille, F-13005, France
Service de Dermatologie Hôtel Dieu
Nantes, F-44000, France
Service de Dermatologie Hôpital de l'Archet II
Nice, F-06202, France
Service Dermatologie Hopital COCHIN - Pavillon Tarnier
Paris, F-75006, France
Cabinet Médical
Paris, F-75011, France
Institut Alfred Fournier
Paris, F-75014, France
Cabinet Médical
Paris, F-75015, France
Service de Dermatologie Groupe Hospitalier Bichat Claude Bernard
Paris, F-75018, France
Service de Dermatologie Hopital Tenon
Paris, F-75020, France
Service de Dermatologie Groupe Hospitalier La Grave
Toulouse, F-31052, France
Service de Dermatologie Centre Hospitalier de Valence
Valence, F-26000, France
Related Publications (1)
Saiag P, Bauhofer A, Bouscarat F, Aquilina C, Ortonne JP, Dupin N, Mougin C. Imiquimod 5% cream for external genital or perianal warts in human immunodeficiency virus-positive patients treated with highly active antiretroviral therapy: an open-label, noncomparative study. Br J Dermatol. 2009 Oct;161(4):904-9. doi: 10.1111/j.1365-2133.2009.09210.x. Epub 2009 May 15.
PMID: 19466962DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Philippe Saiag, MD, Prof.
Hospital Ambroise Pare, Department of Dermatology
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
Study Record Dates
First Submitted
September 26, 2008
First Posted
September 29, 2008
Study Start
August 1, 2002
Primary Completion
February 1, 2004
Study Completion
February 1, 2004
Last Updated
February 7, 2022
Record last verified: 2015-04