About this trial
This is a phase II double blind, placebo-controlled, randomized study of artesunate ointment for the treatment of HIV-negative men and women who have anal high grade squamous intraepithelial lesions (anal HSIL)
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adult men and women age ≥ 18 years
Capable of informed consent
Biopsy-confirmed intra-anal high-grade dysplasia (AIN 2, AIN 3, anal HSIL) by HRA.
Positive anal human papillomavirus (HPV) test.
Disqualifiers
Pregnant and nursing women
Diagnosis of low-grade anal dysplasia (AIN 1, LSIL), without the concomitant diagnosis of anal HSIL, by HRA
Concurrent anal, vulvar, cervical, or penile cancer
HIV-seropositivity
Trial design
Parallel
Treatments tested in this trial
Artesunate ointment
DrugFour 5-day cycles of artesunate ointment given at weeks 0, 2, 4, 6
Placebo
DrugFour 5-day cycles of placebo ointment given at weeks 0, 2, 4, 6
Treatment groups
Trial outcomes
Primary outcomes
Complete and partial response by week 18
Number of participants with complete and partial response after four 5-day cycles of artesunate ointment
Secondary outcomes
HPV clearance
Number of participants who do not have detectable HPV infection
Complete and partial response after week 18
Number of participants with complete and partial response after week 18
Complete and partial peri-anal response after intra-anal ointment application
Number of participants who have complete and partial peri-anal response after 4 5-day cycles of intra-anal ointment
Persistence of response
Number of participants who have complete response and do not have recurrence of anal HSIL
Other outcomes
Safety of intra-anal artesunate ointment
Number of participants who do not have any drug-related serious adverse events
Sponsors and contacts
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Frantz Viral Therapeutics, LLC
Lead sponsor
Laser Surgery Care, LLC
Collaborator
Anal Dysplasia Clinic MidWest
Collaborator