NCT04210336

Brief Summary

Clinical Trial phase III, randomized, double-blind, parallel-group, controlled using lactic acid gel to evaluate the efficacy of Papilocare gel in the repair of cervical lesions caused by HPV. The study is divided into two parts. All patients included in the study will be randomized (1: 1) to one of the 2 study groups, Papilocare or lactic acid gel, using a randomization list and in double-blind conditions.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
200

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Aug 2018

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

August 7, 2018

Completed
1.3 years until next milestone

First Submitted

Initial submission to the registry

December 11, 2019

Completed
13 days until next milestone

First Posted

Study publicly available on registry

December 24, 2019

Completed
2.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 30, 2022

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

January 20, 2023

Completed
Last Updated

December 18, 2025

Status Verified

December 1, 2025

Enrollment Period

4.3 years

First QC Date

December 11, 2019

Last Update Submit

December 10, 2025

Conditions

Outcome Measures

Primary Outcomes (1)

  • cervical mucosal repair

    Percentage of patients with cervical lesions negativization confirmed be cytology and accordance colposcopy , at 6 months will be used to evaluate the main variables, degree of cervical mucosal repair in HPV-positive women with ASC-US or LSIL.

    6 months

Secondary Outcomes (6)

  • Reepithelialization degree of the cervical mucosa

    at 3 months

  • Percentage of patients with Viral clearance

    3 and 6 months.

  • Vaginal health status measured by vaginal health index (VHI)

    3 and 6 months.

  • Stress perceived by patients measured by PSS-14 (Perceived Stress Scale 14 items)

    3 and 6 months.

  • Safety and tolerability of Papilocare® gel: Record of the incidence, nature and severity of adverse events

    6 months

  • +1 more secondary outcomes

Other Outcomes (1)

  • Change of biopsy results (optional)

    3 and 6 months.

Study Arms (2)

PAPILOCARE

EXPERIMENTAL

Randomized patients will receive two different guidelines depending on the time of randomization: * Guideline A (from patient 1 to 100 in order of randomization): guideline of 1 cannula per day x 21 days + 7 days rest during the 1st month + 1 cannula / alternate days until completing 6 months (except for menstruation days ). * Guideline B (from patient 101 to 200 in order of randomization): pattern of 1 cannula per day x 21 days + 7 days rest for 3 months + 1 cannula / alternate days until completing 6 months (except for menstruation days) .

Device: PAPILOCARE

LACTIC ACID GEL

ACTIVE COMPARATOR

Randomized patients will receive two different guidelines depending on the time of randomization: * Guideline A (from patient 1 to 100 in order of randomization): guideline of 1 cannula per day x 21 days + 7 days rest during the 1st month + 1 cannula / alternate days until completing 6 months (except for menstruation days ). * Guideline B (from patient 101 to 200 in order of randomization): pattern of 1 cannula per day x 21 days + 7 days rest for 3 months + 1 cannula / alternate days until completing 6 months (except for menstruation days) .

Device: LACTIC ACID GEL

Interventions

Papilocare®: Vaginal Gel based on Coriolus versicolor, medical device class IIa. Route of administration: topical (vaginal). Papilocare® consists of the following ingredients: hyaluronic acid niosomes, β-glucans (magnolol, honokiol and carboxymethyl betaglucan) niosomes, BioEcolia® (Alpha-oligoglycan), Coriolus versicolor, Azadirachta indica (Neem) extract, Centella asiatica and Aloe vera.

PAPILOCARE

The lactic acid gel consists of a carrier gel with the absence of the active ingredients of Papilocare®.

LACTIC ACID GEL

Eligibility Criteria

Age30 Years - 65 Years
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Woman between the ages of 30 and 65 (both included).
  • Able to read and understand the Patient Information Sheet and informed consent
  • Accept participation in the study and sign the Informed Consent.
  • Cytological result of ASC-US or LSIL, with concordant colposcopic image, at most 3 months before the selection visit. It is considered concordant with ASCUS and LSIL, a colposcopic result of normality, of non-specific findings or of type 1 changes.
  • Positive HPV according to cobas 4800 technique (high-risk HPV) carried out in a selection visit (or positive available at most 3 months prior to the baseline visit).
  • Women vaccinated and not vaccinated against HPV.
  • Is able, at the discretion of the researcher, to comply with the requirements of the study and without impediments to follow the instructions and assessments throughout it.

You may not qualify if:

  • Clinically relevant alterations of the immune system or any other autoimmune disease or in treatment with immunosuppressants.
  • Baseline LSIL biopsies with CIN-3.
  • Abnormal undiagnosed genital bleeding (during the 6 months prior to the selection visit)
  • Other symptomatic vulvovaginal infections.
  • Surgical cervical excision in the last year or total hysterectomy.
  • Previous history of gynecological cancer.
  • Any planned surgery that precludes correct compliance with the guideline.
  • Use of vaginal contraceptives or other vaginal hormonal treatments.
  • Contraindications to the use of Papilocare® gel or known allergies to any of its components.
  • Women of childbearing age who do not use effective contraceptive methods, pregnant women, with suspected pregnancy or breastfeeding.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Hospital Universitario Nuestra Señora de la Candelaria

Santa Cruz de Tenerife, Tenerife, 38010, Spain

Location

MeSH Terms

Conditions

Papillomavirus Infections

Condition Hierarchy (Ancestors)

Sexually Transmitted Diseases, ViralSexually Transmitted DiseasesCommunicable DiseasesInfectionsDNA Virus InfectionsVirus DiseasesTumor Virus InfectionsGenital DiseasesUrogenital DiseasesDisease AttributesPathologic ProcessesPathological Conditions, Signs and Symptoms

Study Officials

  • Alfonso Quesada López-Fe, Doctor

    H Nuestra Señora de la Candelaria

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 11, 2019

First Posted

December 24, 2019

Study Start

August 7, 2018

Primary Completion

November 30, 2022

Study Completion

January 20, 2023

Last Updated

December 18, 2025

Record last verified: 2025-12

Data Sharing

IPD Sharing
Will share

The PI from the participant site received the study protocol and the informed consent form previously to the initiation of the study and every time it occurs an amendment over the protocol, ICF or any other study document. Once the study will finish and the data will be analyzed, the PI will receive the CSR.

Shared Documents
STUDY PROTOCOL, ICF, CSR

Locations