About this trial
This is a phase II double blind, placebo-controlled, randomized study of Artesunate vaginal inserts for the treatment of women who have cervical high grade intraepithelial neoplasia (CIN2/3).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adult females age ≥ 25 years
Capable of informed consent
Any HPV genotype detectable by DNA test/HPV genotyping
Colposcopically-directed, histologically confirmed tissue diagnosis of cervical high grade squamous intraepithelial lesions (CIN2, CIN3, or CIN2/3)
Disqualifiers
Pregnant and nursing women
Active autoimmune disease
Taking immunosuppressive medication
HIV seropositivity
Trial design
Parallel
Treatments tested in this trial
Artesunate vaginal insert
DrugArtesunate formulated as vaginal inserts, 200mg
Placebo vaginal insert
DrugPlacebo for artesunate vaginal inserts
Treatment groups
Trial outcomes
Primary outcomes
Proportion of participants with histologic regression by week 17
Number of participants who undergo histologic regression to cervical intraepithelial neoplasia (CIN) 1 or less by week 17, following three 5-day cycles of artesunate vaginal inserts, as determined by the LEEP histopathologic analysis
Secondary outcomes
Number of participants who have achieved clearance of detectable human papilloma virus (HPV) by week 17
Number of participants who had HPV strains detected at study entry which become undetectable by week 17
Number of participants who have achieved clearance of detectable human papilloma virus (HPV) after three 5-day cycles of artesunate and the LEEP procedure.
Number of participants who had HPV strains detected at study entry which become undetectable after three 5-day cycles of artesunate and the LEEP procedure
Other outcomes
Number of participants with Treatment-Emergent Adverse Events (TEAE)
Number of participants who had adverse events, as defined by CTCAE v5.0, related to the study intervention
Number of participants who withdrew from the study due to TEAEs
Number of participants who were withdrawn from the study due to adverse events related to the study drug
Sponsors and contacts
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Frantz Viral Therapeutics, LLC
Lead sponsor
Amarex Clinical Research
Collaborator
M.D. Anderson Cancer Center
Collaborator
Harris Health System (L.B.J. Hospital)
Collaborator
The Cleveland Clinic
Collaborator
University of Michigan
Collaborator
Florida Gynecologic Oncology
Collaborator