About this trial
The following hypothesis is tested: Medical grade honey in CIN II causes a higher clearance of the hr-HPV virus and an increase in the normalization of CIN II lesions compared to expectant management.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Women 18-40 years
Primary CIN II confirmed histologically in the biopsy on colposcopic examination
Sufficient mastery of the Dutch language
Disqualifiers
Simultaneous abnormality in columnar epithelial cells (AIS).
Hr-HPV negative cytology
Immunosuppressant use/Autoimmune disease (HIV, CVID)
History of cervical carcinoma or previous treatment for CIN (LLETZ or imiquimod)
Trial design
Single group
Treatments tested in this trial
Medical grade honey formulation (MGH) (L-Mesitran®)
DrugDaily application of 5 grams (with applicator) for the first 3 months, followed by weekly application of 5 grams for the following 3 months.
Treatment groups
Trial outcomes
Primary outcomes
Clearance of hr-HPV
The following hypothesis is tested: Medical grade honey in CIN II causes a higher clearance of the hr-HPV virus
Secondary outcomes
Regression of CIN II
Defined as a regression to Pap 1
Clearance of hr-HPV and normalization of cytology (KOPAC)
Normalization of cytology (KOPAC) (depending on NVOG/RIVM flowchart).
Characteristics of the vaginal microbiome
Species specific and diversity analysis, changes due to honey and relationship with the other outcomes measures
Cervical immune status
Immunohistochemical stains on colposcopy biopsies for T and Myeloid cells
Sponsors and contacts
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