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HAL-PDT for Cervical Intraepithelial Neoplasia Grade 2

4 giugno 2026 aggiornato da: Fei Chen, Peking Union Medical College Hospital

A Prospective, Multicenter Real-world Study of HAL-PDT for Cervical Intraepithelial Neoplasia Grade 2

This is a prospective, multicenter real-world study evaluating the effectiveness and safety of hexaminolevulinate photodynamic therapy (HAL-PDT) in patients with cervical intraepithelial neoplasia grade 2 (CIN2). Treatment is guided by colposcopic response: patients receive 2, 3, or 4 sessions of HAL-PDT based on lesion persistence at Day 60 and Day 90 assessments. The primary endpoint is histopathological regression rate at 6 months after first treatment. Secondary endpoints include histopathological regression at 12 months, HPV clearance at 6 and 12 months, and safety. A total of 500 patients will be enrolled.

Panoramica dello studio

Stato

Non ancora reclutamento

Descrizione dettagliata

BACKGROUND:

Cervical intraepithelial neoplasia grade 2 (CIN2) is a high-grade precancerous lesion with a variable natural history. Current management options include active surveillance or local ablation/excision, but there is interest in minimally invasive treatments that preserve cervical integrity. Hexaminolevulinate photodynamic therapy (HAL-PDT) uses a photosensitizer that accumulates in dysplastic cells and, upon activation by red light, induces targeted cell death while potentially stimulating local anti-HPV immunity.

STUDY DESIGN RATIONALE:

This prospective, multicenter real-world study is designed to assess the effectiveness and safety of HAL-PDT in routine clinical practice. Unlike a traditional randomized controlled trial, this study uses an adaptive treatment regimen guided by colposcopic response at predefined time points. Participants receive an initial two PDT sessions, and additional sessions (up to a total of four) are given if lesions persist on colposcopy. This response-adaptive approach mirrors clinical decision-making and allows evaluation of a tailored treatment strategy.

DETAILED PROCEDURES:

  • Index date: Day 1 (first PDT).
  • PDT sessions: Day 1, Day 30-37 (mandatory for all). Additional PDT at Day 60-67 (if lesions present at D60 colposcopy) and/or at Day 90-97 (if lesions persist after third PDT).
  • Colposcopy with biopsy for histopathology is performed at baseline (within 3 months pre-enrollment), at Month 6 (±7 days), and at Month 12 (±7 days). HPV genotyping and TCT are performed at screening, Month 3 (only for those receiving additional PDT), Month 6, and Month 12.
  • Adverse events are collected from informed consent through the 12-month follow-up.

STATISTICAL METHODS:

The primary analysis will estimate the histopathological regression rate at 6 months with a two-sided 95% confidence interval using the exact binomial method. Secondary endpoints (regression at 12 months, HPV clearance at 6 and 12 months) will be analyzed similarly. Subgroup analyses by number of PDT sessions (2, 3, or 4) are exploratory. No formal hypothesis testing against an external control is planned. Safety data will be summarized descriptively.

SAMPLE SIZE CONSIDERATIONS:

A total of 500 participants will be enrolled.

Tipo di studio

Osservativo

Iscrizione (Stimato)

500

Criteri di partecipazione

I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.

Criteri di ammissibilità

Età idonea allo studio

  • Adulto

Accetta volontari sani

No

Metodo di campionamento

Campione non probabilistico

Popolazione di studio

Adult females aged 18-50 years with newly diagnosed, histologically confirmed CIN2 within 3 months prior to first treatment. Participants must have adequate colposcopy: complete visibility of the transformation zone and lesion margins, no endocervical extension. Cervical size must be suitable for HAL-PDT device placement. Exclusion criteria include prior surgical or physical therapy for CIN2, pregnancy/lactation, active STDs, known porphyria or allergies to study materials, and participation in another trial within 30 days.

Descrizione

Inclusion Criteria:

  • Voluntarily participate in this clinical study, fully understand the study content, procedures, and potential adverse reactions, and be able to sign the written informed consent form.

Able to complete the study in accordance with the study protocol.

Female aged ≥18 years and ≤50 years.

Newly diagnosed High-Grade Squamous Intraepithelial Lesion (HSIL), cervical intraepithelial neoplasia grade 2 (CIN2) within 3 months, specifically: CIN2 confirmed by tissue biopsy within 3 months prior to the first treatment.

Note: Histopathological diagnosis will be assessed by the pathology department of the participating hospital for enrollment.

Adequate colposcopy, including:

Complete visibility of the cervical transformation zone, including the squamocolumnar junction;

Complete visibility of lesion margins;

No lesion extension into the cervical canal.

Cervical size deemed suitable for placement of the HAL-PDT device as assessed by the investigator according to the HAL-PDT package insert.

Meets the following conditions: negative pregnancy test; no plan for pregnancy during the study period; no sexual activity or use of effective and reliable contraception from the end of the last menstrual period to the start of the study, and agreement to use condoms for barrier contraception during the study period.

Exclusion Criteria:

  • Subjects who meet any of the following criteria will be excluded from this study:

Cervical adenocarcinoma in situ or other glandular lesions, invasive cervical cancer, or suspected malignant lesions.

Lesions extending to the vaginal wall, cervical canal, or vaginal fornix, or lesions located on the vulva.

Prior treatment (surgical or physical therapy) for the condition, or receipt of physical or surgical therapy within 3 months after the current histopathological diagnosis of CIN2.

The date of the first HAL-PDT treatment falls within 7 half-lives of the last antiviral medication.

History of toxic shock syndrome.

Severe pelvic inflammatory disease, severe cervicitis, or other severe gynecological infectious diseases found on colposcopic or clinical examination.

Investigator judges that vaginal bleeding during treatment may affect treatment outcomes.

Receipt of any inactivated vaccine within 2 weeks prior to the first treatment, or any live vaccine within 4 weeks prior to the first treatment.

Previous severe cardiovascular, cerebrovascular, neurological, psychiatric, endocrine, or hematopoietic disease that has not been cured; known severely compromised immune function, or need for long-term use of corticosteroids or immunosuppressants; history of malignancy within 5 years.

History of clinically significant immunosuppression or confirmed autoimmune disease; or primary immunodeficiency.

Known or newly identified active sexually transmitted diseases (STDs), including but not limited to HIV, syphilis, genital herpes, unless adequately treated and tested negative before study treatment.

Presence of a cardiac pacemaker.

Suspected or known porphyria, or known allergy to hexaminolevulinate, its chemically similar compounds, or photosensitizers.

Allergy to silicone.

Pregnant or breastfeeding women.

Delivery or miscarriage within 6 weeks prior to enrollment.

Participation in any other clinical trial within 30 days prior to HAL-PDT treatment.

Poor compliance or judged by the investigator to be unsuitable for participation in this clinical study.

Piano di studio

Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.

Come è strutturato lo studio?

Dettagli di progettazione

Coorti e interventi

Gruppo / Coorte
HAL-PDT
All enrolled participants with histologically confirmed CIN2 receive response-guided HAL-PDT. The first two PDT sessions are administered on Day 1 and Day 30-37. At Day 60 (±7 days), colposcopy is performed: participants with complete lesion resolution receive no further PDT (Cohort A, 2 sessions total); those with persistent lesions receive a third PDT at Day 60-67, followed by colposcopy at Day 90. If lesions resolve at Day 90, participants enter follow-up (Cohort B, 3 sessions total); if still persistent, a fourth PDT is given at Day 90-97 (Cohort C, 4 sessions total).

Cosa sta misurando lo studio?

Misure di risultato primarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Histopathological regression rate at 6 months
Lasso di tempo: 6 months after the first HAL-PDT session
Proportion of participants with histopathological downgrading from cervical intraepithelial neoplasia grade 2 (CIN2) to normal or low-grade squamous intraepithelial lesion (LSIL/CIN1) on colposcopy-directed cervical biopsy, assessed at 6 months after the first HAL-PDT treatment.
6 months after the first HAL-PDT session

Misure di risultato secondarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Histopathological regression rate at 12 months
Lasso di tempo: 12 months after the first HAL-PDT session
Proportion of participants with histopathological downgrading from cervical intraepithelial neoplasia grade 2 (CIN2) to normal or low-grade squamous intraepithelial lesion (LSIL/CIN1) on colposcopy-directed cervical biopsy, assessed at 12 months after the first HAL-PDT treatment.
12 months after the first HAL-PDT session
HPV clearance rate at 6 months
Lasso di tempo: 6 months after the first HAL-PDT session
Proportion of participants with clearance of high-risk human papillomavirus (HPV) subtypes (including but not limited to HPV 16, 18, 52, 58) assessed at 6 months after the first HAL-PDT treatment. HPV clearance is defined as undetectable of the same high-risk HPV subtype that was present at baseline.
6 months after the first HAL-PDT session
HPV clearance rate at 12 months
Lasso di tempo: 12 months after the first HAL-PDT session
Proportion of participants with clearance of high-risk human papillomavirus (HPV) subtypes (including but not limited to HPV 16, 18, 52, 58) assessed at 12 months after the first HAL-PDT treatment. HPV clearance is defined as undetectable of the same high-risk HPV subtype that was present at baseline.
12 months after the first HAL-PDT session
Safety and tolerability of HAL-PDT
Lasso di tempo: From informed consent through 12 months after first HAL-PDT session (approximately up to 12 months)
Incidence, type, severity (mild, moderate, severe), duration, and relatedness to study treatment of adverse events (AEs) and serious adverse events (SAEs) occurring from signing of informed consent through the end of study follow-up.
From informed consent through 12 months after first HAL-PDT session (approximately up to 12 months)

Collaboratori e investigatori

Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.

Studiare le date dei record

Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.

Studia le date principali

Inizio studio (Stimato)

15 giugno 2026

Completamento primario (Stimato)

15 giugno 2028

Completamento dello studio (Stimato)

15 dicembre 2029

Date di iscrizione allo studio

Primo inviato

4 giugno 2026

Primo inviato che soddisfa i criteri di controllo qualità

4 giugno 2026

Primo Inserito (Effettivo)

8 giugno 2026

Aggiornamenti dei record di studio

Ultimo aggiornamento pubblicato (Effettivo)

8 giugno 2026

Ultimo aggiornamento inviato che soddisfa i criteri QC

4 giugno 2026

Ultimo verificato

1 giugno 2026

Maggiori informazioni

Termini relativi a questo studio

Altri numeri di identificazione dello studio

  • WHRWS2601

Informazioni su farmaci e dispositivi, documenti di studio

Studia un prodotto farmaceutico regolamentato dalla FDA degli Stati Uniti

No

Studia un dispositivo regolamentato dalla FDA degli Stati Uniti

No

Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .

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