- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01740245
Antisepsis Regimen in the Surgical Treatment of Human Papilloma Virus Generated Cervical Lesions: Polyhexamethylene Biguanide Versus Chlorhexidine
Treatments for the macroscopic or pathologic lesions caused by HPV infection can be classified as topical, surgical, destructive, or immunomodulatory. Post surgical treatments generally consist of analgesic, anti-inflammatory and topical antimicrobial agents to reduce the risk of local infections.
The aim of this study is to compare the efficacy and safety of polyhexamethylene biguanide-based vaginal suppositories to a similar chlorhexidine-based treatment, in the post recovery regimen after surgical treatment of cervical lesions.
Women who underwent to CO2 laser therapy for cervical lesions are randomly assigned to receive 10 days of antiseptic treatment with chlorhexidine digluconate vaginal suppositories, or polyhexamethylene biguanide vaginal suppositories (Monogin® / BiguanelleTM vaginal suppositories, Lo.Li.Pharma, Italy). A weekly follow-up check was performed for 6 weeks.
Study Overview
Status
Intervention / Treatment
Study Type
Phase
- Phase 4
Contacts and Locations
Study Locations
-
-
-
Rome, Italy, 00132
- Agunco
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- positive colposcopy examination
- positive Papanicolaou smear
- pathological biopsy
- physical ablation by CO2 laser therapy for a number of lesions included between 3 and 5
Exclusion Criteria:
- pregnancy
Study Plan
How is the study designed?
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Active Comparator: Chlorhexidine
|
|
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Experimental: Polyhexamethylene biguanide
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Bacterial vaginosis
Time Frame: After three weeks by the day of the laser treatment
|
Diagnosis of eventual bacterial infection is performed according to Amsel's criteria
|
After three weeks by the day of the laser treatment
|
|
Change from baseline bleeding at 6 weeks
Time Frame: At weekly intervals by the day of laser treatment
|
Visual scoring was assessed depending on the grade of the defect (from 1 to 3)
|
At weekly intervals by the day of laser treatment
|
|
Change from baseline healing process at 6 weeks
Time Frame: At weekly intervals by the day of laser treatment
|
Visual scoring for healing is assessed depending on the grade of the defect (from 1 to 3)
|
At weekly intervals by the day of laser treatment
|
|
Change from baseline irritation status at 6 weeks
Time Frame: At weekly intervals by the day of laser treatment
|
Visual scoring for irritation is assessed depending on the grade of the defect (from 1 to 3)
|
At weekly intervals by the day of laser treatment
|
|
Bacterial vaginosis
Time Frame: After six weeks by the day of laser treatment
|
Diagnosis is performed according to the Amsel's criteria
|
After six weeks by the day of laser treatment
|
Collaborators and Investigators
Publications and helpful links
General Publications
- Wiley DJ, Douglas J, Beutner K, Cox T, Fife K, Moscicki AB, Fukumoto L. External genital warts: diagnosis, treatment, and prevention. Clin Infect Dis. 2002 Oct 15;35(Suppl 2):S210-24. doi: 10.1086/342109.
- Kaehn K. Polihexanide: a safe and highly effective biocide. Skin Pharmacol Physiol. 2010;23 Suppl:7-16. doi: 10.1159/000318237. Epub 2010 Sep 8.
- Koburger T, Hubner NO, Braun M, Siebert J, Kramer A. Standardized comparison of antiseptic efficacy of triclosan, PVP-iodine, octenidine dihydrochloride, polyhexanide and chlorhexidine digluconate. J Antimicrob Chemother. 2010 Aug;65(8):1712-9. doi: 10.1093/jac/dkq212. Epub 2010 Jun 15.
- Muller G, Kramer A. Biocompatibility index of antiseptic agents by parallel assessment of antimicrobial activity and cellular cytotoxicity. J Antimicrob Chemother. 2008 Jun;61(6):1281-7. doi: 10.1093/jac/dkn125. Epub 2008 Mar 25.
Study record dates
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- CHX-PHMB
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