- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06199128
Efficacy and Safety of Carboxymethyl Beta-glucan and Policarbophil in HPV Positive Patients (Fix)
January 9, 2024 updated by: Uriach Consumer Healthcare
Evaluation of the Efficacy and Safety of the Local Treatment of Carboxymethyl Beta-glucan and Polycarbophil in Patients With Normal Cytology/ASCUS/LSIL (CIN1) With HPV+ PCR Determination
Prospective, Controlled, Multicentre, Real Clinical Practice Study.
Effectiveness of Carboxymethyl β-Glucan treatment in high-risk HPV+ patients
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
To evaluate the effectiveness of local treatment with carboxymethyl-b-glucan and polycarbophil on the clearance time of human papillomavirus (HPV), as well as on the normalisation of cytological alterations identified at study inclusion.
Study Type
Observational
Enrollment (Actual)
533
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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-
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Barcelona, Spain
- Hospital CIMA, Barcelona
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Madrid, Spain, 28031
- Hospital Universitario Infanta Leonor
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Madrid, Spain, 28002
- Hospital Quirón San José
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Madrid, Spain, 28031
- Hospital Universitario Infanta Leonor,
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San Sebastián, Spain, 20012
- Hospital Quirón Donostia
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
No
Sampling Method
Probability Sample
Study Population
The data will be collected from patients who meet the selection criteria.
Description
TREATMENT GROUP
INCLUSION:
- Women aged between 25 and 65 years (inclusive).
- Histological cervical cytology results reported as ASCUS, LSIL/CIN1, with a positive cervical PCR determination for high-risk HPV (genotypes 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66, and 68).
- Patients currently undergoing treatment with the combination of carboxymethyl B-glucan and polycarboxyl (for at least 15 days prior to study initiation)
- Capable of reading and comprehending the patient information sheet and the informed consent form.
- Willing to participate in the study and sign the informed consent form.
EXCLUSION:
- Cervical cytology indicating suspected invasive cervical cancer.
- Ongoing or recent pregnancy terminated within six weeks of the study commencement.
- Clinically significant immunodeficiency-linked pathology.
- Active or terminated immunosuppressive treatment within six months of study entry. Specifically, in the case of corticosteroids, women will be excluded if they are currently or recently receiving corticosteroid treatment (defined as within two weeks prior to study entry) or if they have undergone two or more cycles of corticosteroids at doses equal to or greater than 20 mg/day of Prednisone (or equivalent) orally or parenterally for at least one week's duration in the year prior to study entry.
- Undiagnosed abnormal genital bleeding.
- Total hysterectomy.
- Documented history of cervical pathology caused by HPV.
- Contraindications to the use of the combination of Carboxymethyl B-glucan and polycarboxyl, or known allergies to any of its components.
CONTROL GROUP
INCLUSION:
- Women aged between 25 and 65 years (inclusive).
- Histological cervical cytology results reported as ASCUS, LSIL/CIN1, with a positive cervical PCR determination for high-risk HPV (genotypes 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66, and 68).
- Patients not currently undergoing treatment for HPV.
- Capable of reading and comprehending the patient information sheet and the informed consent form.
- Willing to participate in the study and sign the informed consent form.
EXCLUSION:
- Cervical cytology indicating suspected invasive cervical cancer.
- Ongoing or recent pregnancy terminated within six weeks of the study commencement.
- Clinically significant immunodeficiency-linked pathology.
- Active or terminated immunosuppressive treatment within six months of study entry. Specifically, in the case of corticosteroids, women will be excluded if they are currently or recently receiving corticosteroid treatment (defined as within two weeks prior to study entry) or if they have undergone two or more cycles of corticosteroids at doses equal to or greater than 20 mg/day of Prednisone (or equivalent) orally or parenterally for at least one week's duration in the year prior to study entry.
- Undiagnosed abnormal genital bleeding.
- Total hysterectomy.
- Documented history of cervical pathology caused by HPV.
- Concurrent participation in a clinical study of an investigational drug that could interfere with the current study.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
CONTROL GROUP
For the duration of the study, standard clinical practice will be followed wait and see strategy, without administering carboxymethyl-b-glucan treatment.
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|
TREATMENT GROUP
For a period of three months, patients will be administered once daily treatment with Carboxymethyl β-glucan and Polycarbophil
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It is a vaginal spray gel designed for the prevention and treatment of cervical lesions caused by HPV.
This is achieved by controlling the physiological conditions of the transformation zone of the cervico-vaginal mucosa.
The composition of the gel, which includes polycarbophil and carboxymethyl-beta-glucan, effectively shields the cervico-vaginal mucosa from the damaging effects of external agents due to its bioadhesive capacity.
Additionally, it contributes to the re-epithelialization and regression of cervical lesions
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Evolution in the total or partial negativization of high-risk HPV infection in women with or without cytological alterations upon local treatment with carboxymethyl-β-glucan and polycarbophil.
Time Frame: 6 months
|
Evaluation of the total or partial negativization of HPV by HPV PCR test with genotype
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6 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Normalization rate of abnormal colposcopy
Time Frame: 6 Months
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Evaluation of abnormal or normal colposcopy
|
6 Months
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Change in the incidence of cytological alterations upon local treatment with carboxymethyl - β-glucan and polycarbophil during the follow-up time
Time Frame: 6 Months
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Change in the incidence of cytological alterations development measured by reflex cytology test (Normal Cytology; ASCUS; LSIL or HSIL cytology)
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6 Months
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Determine the effect of local treatment with carboxymethyl - β-glucan and polycarbophil on the total negativization rate of HPV
Time Frame: 6 Months
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Evaluation of HPV total negativization rate by HPV PCR test with genotype
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6 Months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Carmen Pingarrón Santofima, Doctor, Hospital Quirón San José
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Stentella P, Biamonti A, Carraro C, Inghirami P, Mancino P, Pietrangeli D, Votano S, Lazzari P, DE Medici C. Efficacy of carboxymethyl beta-glucan in cervical intraepithelial neoplasia: a retrospective, case-control study. Minerva Ginecol. 2017 Oct;69(5):425-430. doi: 10.23736/S0026-4784.17.04053-9.
- Pietrantoni E, Signore F, Berardi G, Donadio F, Donadio C. [Role of beta-glucan in the treatment of recurrent candidiasis and HPV-correlated lesions and reparative process of epidermis]. Minerva Ginecol. 2010 Feb;62(1):1-5. Italian.
- Chaichian S, Moazzami B, Sadoughi F, Haddad Kashani H, Zaroudi M, Asemi Z. Functional activities of beta-glucans in the prevention or treatment of cervical cancer. J Ovarian Res. 2020 Mar 5;13(1):24. doi: 10.1186/s13048-020-00626-7.
- Lavitola G, Della Corte L, De Rosa N, Nappi C, Bifulco G. Effects on Vaginal Microbiota Restoration and Cervical Epithelialization in Positive HPV Patients Undergoing Vaginal Treatment with Carboxy-Methyl-Beta-Glucan. Biomed Res Int. 2020 Apr 27;2020:5476389. doi: 10.1155/2020/5476389. eCollection 2020.
- Laccetta G, Carrone A, Burratti M, Mancino P. Effect of the treatment with beta-glucan in women with cervical cytologic report of atypical squamous cells of undetermined significance (ASCUS) and low-grade squamous intraepithelial lesions (L-SIL). Minerva Ginecol. 2015 Apr;67(2):113-20. Epub 2015 Feb 5.
- Jentschke M, Lehmann R, Drews N, Hansel A, Schmitz M, Hillemanns P. Psychological distress in cervical cancer screening: results from a German online survey. Arch Gynecol Obstet. 2020 Sep;302(3):699-705. doi: 10.1007/s00404-020-05661-9. Epub 2020 Jun 27.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
September 22, 2022
Primary Completion (Actual)
September 22, 2023
Study Completion (Actual)
November 22, 2023
Study Registration Dates
First Submitted
December 18, 2023
First Submitted That Met QC Criteria
January 9, 2024
First Posted (Actual)
January 10, 2024
Study Record Updates
Last Update Posted (Actual)
January 10, 2024
Last Update Submitted That Met QC Criteria
January 9, 2024
Last Verified
December 1, 2023
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- The Fix Study V.2 12/Jul/2022
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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