Aminolaevulinic Acid Photodynamic Therapy of Cervical Persistent HPV Infection and Cervical Neoplasia

Overview

The study will examine the effect of aminolaevulinic acid (ALA) photodynamic therapy (PDT) of cervical precancerous lesions in women.

Full Title of Study: “A Pilot Study of Aminolaevulinic Acid (ALA) Photodynamic Therapy (PDT) in Patients With Cervical Persistent High Risk HPV Infection or Cervical Intraepithelial Neoplasia”

Study Type

  • Study Type: Interventional
  • Study Design
    • Allocation: Non-Randomized
    • Intervention Model: Single Group Assignment
    • Primary Purpose: Treatment
    • Masking: None (Open Label)
  • Study Primary Completion Date: January 2017

Interventions

  • Drug: Aminolaevulinic acid photodynamic therapy
    • Aminolaevulinic acid mediated photodynamic therapy

Arms, Groups and Cohorts

  • Experimental: cervical persistent high risk HPV infection
    • Aminolaevulinic acid photodynamic therapy for the treatment of patients with cervical persistent high risk HPV infection
  • Experimental: CIN 1 with high risk HPV infection
    • Aminolaevulinic acid photodynamic therapy for the treatment of patients with CIN 1 and high risk HPV infection
  • Experimental: CIN 2/3
    • Aminolaevulinic acid photodynamic therapy for the treatment of patients with CIN 2/3

Clinical Trial Outcome Measures

Primary Measures

  • Response Rate
    • Time Frame: 3 months after treatments
    • Based on histology
  • clearance of high risk HPV
    • Time Frame: 3 months after treatments
    • proportion of patients with high risk HPV clearance

Participating in This Clinical Trial

Inclusion Criteria

1. Premenopausal women, 25-50 years of age 2. Meet one of the 3 following conditions: high-risk HPV-DNA persistently positive for at least 6 months, without CIN or higher grade lesions as verified by cervical biopsy within the last 3 months; CIN1 as verified by cervical biopsy within the last 3 months and high-risk HPV-DNA positive; CIN2/3 as verified by cervical biopsy within the last 3 months, with intense desire to retain the cervical structure or function 3. Satisfactory colposcopy examination (visibility of entire transformation zone and entire lesion margin ) and endocervical curettage negative 4. In good health condition as confirmed by past medical history, physical examination, electrocardiogram, laboratory tests and urinalysis on the screening and baseline evaluation within the last 4 weeks of the onset of the study 5. Meet the following conditions: pregnancy test negative; no pregnancy plan during the trial;no sexuality or reliable contraceptive measures taken since last menstruation to the onset of the study, agreeing to adopt reliable contraceptive measures during the study 6. Written informed consent signed Exclusion Criteria:

1. Atypical glandular cells of undetermined significance (AGUS) or adenocarcinoma in situ (AIS) on cytology ,or malignant cells on cytology or histology, or other suspicion of either micro-invasive or invasive disease 2. Invasive carcinoma possibility or positive endocervical curettage on colposcopy 3. Severe pelvic inflammatory disease, severe cervicitis, or other severe gynaecological infection as per clinical examination 4. Undiagnosed vaginal bleeding 5. With allergic disease at present; known or suspected porphyria; known allergy to ALA or similar compounds 6. Evidence or history of clinically significant cardiovascular, endocrine, neurologic, pulmonary, hematological, immunological, psychiatric, metabolic disease or other serious diseases 7. Pregnancy or nursing 8. Therapeutic drug or other therapeutic measures applied on cervix or rectum within the last 2 weeks of the onset of the study 9. Participation in any clinical studies within the last 30 days 10. Subjects that the investigators judged to be not suitable to participate the study besides above

Gender Eligibility: Female

Minimum Age: 25 Years

Maximum Age: 50 Years

Are Healthy Volunteers Accepted: No

Investigator Details

  • Lead Sponsor
    • Shanghai Fudan-Zhangjiang Bio-Pharmaceutical Co., Ltd.
  • Provider of Information About this Clinical Study
    • Sponsor
  • Overall Official(s)
    • Beihua Kong, MD, Principal Investigator, Qilu Hospital of Shandong University
    • Youzhong Zhang, MD, Principal Investigator, Qilu Hospital of Shandong University
    • Jining Tao, Master, Study Director, Shanghai Fudan-Zhangjiang Bio-Pharmaceutical Co., Ltd.

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