Immunotherapy in Eyelid Viral Papilloma
Role of Immunotherapy in the Treatment of Eyelid Viral Papilloma
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Despite many surgical and interventional modalities of treating ocular warts, all have a destructive nature for this delicate tissue with a high recurrence rate. intralesional injection of Candida antigens was suggested to be an effective and safe treatment for such a condition aim: Providing safe and effective treatment of ocular wart. objective:
- To determine the efficacy of intralesional injection of Candida antigens in the treatment of eyelids wart
- To determine the safety of intralesional injection of Candida antigens in the treatment of eyelids wart
- To report complications of intralesional injection of Candida antigens in the treatment of eyelids wart
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
-
Zagazig, Egypt, 44519
- Zagazig University
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- patients with cutaneous eyelid viral warts whether single or multiple, with no concurrent systemic or topical treatment for warts. Patients aged more than 12 years, with sensitivity test, showed induration less than or equal to five mm. and patients can understand and comply with the requirements of the trials.
Exclusion Criteria:
- pregnancy, breastfeeding, patients with immunodeficiency; like diabetics. In addition, patients with a history of hypersensitivity to any used component in this trial, asthma, or allergic skin diseases. Moreover, patients on any treatment modality for warts at least 1 month before the start of the study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: patients with eyelid warts will receive treatment in the form of intralesional injection of Candida
Intralesional injection of 0.2 ml of 1/1000 solution of Candida albicans antigen using an insulin syringe directly into the warts; Candida albicans 1:20 w/v 10 ml vial (Allergy Laboratories, INC. Oklahoma City, USA.).
The same injection was repeated every 2 weeks until complete clearance for a maximum of six treatment sessions.
|
Intralesional injection of 0.2 ml of 1/1000 solution of Candida albicans antigen using an insulin syringe directly into the warts; Candida albicans 1:20 w/v 10 ml vial (Allergy Laboratories, INC. Oklahoma City, USA.).
The same injection was repeated every 2 weeks until complete clearance for a maximum of six treatment sessions.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
complete response
Time Frame: after maximum 6 treatment sessions of intralesional injection with 2 weeks between the successive sessions
|
to report the complete response defined by the efficacy of intralesional injection of Candida antigen in achieving complete disappearance of eyelid warts and return to normal skin
|
after maximum 6 treatment sessions of intralesional injection with 2 weeks between the successive sessions
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
partial response
Time Frame: after maximum 6 treatment sessions of intralesional injection with 2 weeks between the successive sessions
|
to report Partial response which will be considered when wart regress in size by 50%-99%.
|
after maximum 6 treatment sessions of intralesional injection with 2 weeks between the successive sessions
|
|
Failure
Time Frame: after maximum 6 treatment sessions of intralesional injection with 2 weeks between the successive sessions
|
to report failure which will be considered if less than 50% decrease in wart size.
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after maximum 6 treatment sessions of intralesional injection with 2 weeks between the successive sessions
|
|
complications
Time Frame: after maximum 6 treatment sessions of intralesional injection with 2 weeks between the successive sessions
|
to report any complications in the form of hypersensitivity reaction, erythema, or induration
|
after maximum 6 treatment sessions of intralesional injection with 2 weeks between the successive sessions
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Ayman Marie, Professor, Professor of Medical Microbiology and Immunology, Faculty of Medicine, Zagazig University, Egypt
- Study Chair: Ghada Boghdadi, Professor, Professor of Medical Microbiology and Immunology, Faculty of Medicine, Zagazig University, Egypt
Publications and helpful links
General Publications
- Marei A, Nofal A, Alakad R, Abdel-Hady A. Combined bivalent human papillomavirus vaccine and Candida antigen versus Candida antigen alone in the treatment of recalcitrant warts. J Cosmet Dermatol. 2020 Mar;19(3):758-762. doi: 10.1111/jocd.13077. Epub 2019 Jul 22.
- Aldahan AS, Mlacker S, Shah VV, Kamath P, Alsaidan M, Samarkandy S, Nouri K. Efficacy of intralesional immunotherapy for the treatment of warts: A review of the literature. Dermatol Ther. 2016 May;29(3):197-207. doi: 10.1111/dth.12352. Epub 2016 Mar 15.
- Shaker ESE, Doghim NN, Hassan AM, Musafa SS, Fawzy MM. Immunotherapy in cutaneous warts: comparative clinical Study between MMR vaccine, tuberculin, and BCG Vaccine. J Cosmet Dermatol. 2021 Aug;20(8):2657-2666. doi: 10.1111/jocd.13921. Epub 2021 Jan 6.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- immunotherapy in eyelid warts
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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