CClinicalTrials.gg
CompletedNCT04210336PAPILOCANUpdated Dec 18, 2025

Clinical Trial to Evaluate Papilocare® Gel Efficacy Into Repairment of Cervical Lesions Caused by HPV

An interventional study of PAPILOCARE and LACTIC ACID GEL in HPV Infection and Lesion Cervix, sponsored by Procare Health Iberia S.L.. Completed at 1 site in Spain. Open to female participants aged 30 Years to 65 Years. Per ClinicalTrials.gov, last updated 2025-12-18.

Sponsored by Procare Health Iberia S.L. · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year 4 months after the study started (first participant enrolled Aug 2018, registered Dec 2019).
Phase
Not applicable
Study type
Interventional
Enrollment
200
Allocation
Randomized
Ages
30 Years to 65 Years
Sex
Female
01

Study summary

Clinical Trial phase III, randomized, double-blind, parallel-group, controlled using lactic acid gel to evaluate the efficacy of Papilocare gel in the repair of cervical lesions caused by HPV.

The study is divided into two parts. All patients included in the study will be randomized (1: 1) to one of the 2 study groups, Papilocare or lactic acid gel, using a randomization list and in double-blind conditions.

Read the detailed description

Phase III, randomized, double-blind, parallel-group, controlled using lactic acid gel clinical trial to evaluate the efficacy of Papilocare gel in the repair of cervical lesions caused by HPV.

The study is divided into two parts. All patients included in the study will be randomized (1: 1) to one of the 2 study groups, Papilocare or lactic acid gel, using a randomization list and in double-blind conditions.

The study is divided into 2 parts, the first 100 randomized patients will receive treatment with an administration regimen in both arms: 1 cannula / day for 1 month + 1 cannula on alternate days for 5 months (except for menstruation days). The second part of the study, randomized patients from position 101 to 200, will receive treatment with an administration regimen in both arms: 1 cannula / day for 3 months + 1 cannula on alternate days for 3 months (except the days of menstruation).

Duration of treatment: 6 months Total study duration: 13 months in 5 visits: selection visit, V0 or randomization visit (30 days), V1(Month 3), V2 (Month 6), V3 (Month 12).

02

Conditions studied

  • HPV Infection
  • Lesion Cervix
03

In context

Papillomavirus Infections

495 studies on the registry are indexed under Papillomavirus Infections; 125 are open to participants now.

This study's enrollment of 200 is close to the median of 202 across 332 interventional studies indexed under Papillomavirus Infections.

Browse Papillomavirus Infections studies →

Lead sponsor

Procare Health Iberia S.L. is the lead sponsor of 12 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
30 Years to 65 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  1. Woman between the ages of 30 and 65 (both included).
  2. Able to read and understand the Patient Information Sheet and informed consent
  3. Accept participation in the study and sign the Informed Consent.
  4. Cytological result of ASC-US or LSIL, with concordant colposcopic image, at most 3 months before the selection visit. It is considered concordant with ASCUS and LSIL, a colposcopic result of normality, of non-specific findings or of type 1 changes.
  5. Positive HPV according to cobas 4800 technique (high-risk HPV) carried out in a selection visit (or positive available at most 3 months prior to the baseline visit).
  6. Women vaccinated and not vaccinated against HPV.
  7. Is able, at the discretion of the researcher, to comply with the requirements of the study and without impediments to follow the instructions and assessments throughout it.

Exclusion criteria

Exclusion Criteria:

  1. Clinically relevant alterations of the immune system or any other autoimmune disease or in treatment with immunosuppressants.
  2. Other cytological results other than those provided for in the inclusion criteria.
  3. Baseline LSIL biopsies with CIN-3.
  4. Abnormal undiagnosed genital bleeding (during the 6 months prior to the selection visit)
  5. Other symptomatic vulvovaginal infections.
  6. Surgical cervical excision in the last year or total hysterectomy.
  7. Previous history of gynecological cancer.
  8. Participation in any other clinical trial at present or in the 4 weeks prior to inclusion of the study.
  9. Any planned surgery that precludes correct compliance with the guideline.
  10. Use of vaginal contraceptives or other vaginal hormonal treatments.
  11. Contraindications to the use of Papilocare® gel or known allergies to any of its components.
  12. Women of childbearing age who do not use effective contraceptive methods, pregnant women, with suspected pregnancy or breastfeeding.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
200 participants (actual)

Study arms

  • Experimental
    PAPILOCARE

    Randomized patients will receive two different guidelines depending on the time of randomization: * Guideline A (from patient 1 to 100 in order of randomization): guideline of 1 cannula per day x 21 days + 7 days rest during the 1st month + 1 cannula / alternate days until completing 6 months (except for menstruation days ). * Guideline B (from patient 101 to 200 in order of randomization): pattern of 1 cannula per day x 21 days + 7 days rest for 3 months + 1 cannula / alternate days until completing 6 months (except for menstruation days) .

    Device: PAPILOCARE

  • Active comparator
    LACTIC ACID GEL

    Randomized patients will receive two different guidelines depending on the time of randomization: * Guideline A (from patient 1 to 100 in order of randomization): guideline of 1 cannula per day x 21 days + 7 days rest during the 1st month + 1 cannula / alternate days until completing 6 months (except for menstruation days ). * Guideline B (from patient 101 to 200 in order of randomization): pattern of 1 cannula per day x 21 days + 7 days rest for 3 months + 1 cannula / alternate days until completing 6 months (except for menstruation days) .

    Device: LACTIC ACID GEL

Interventions

  • DevicePAPILOCARE

    Papilocare®: Vaginal Gel based on Coriolus versicolor, medical device class IIa. Route of administration: topical (vaginal). Papilocare® consists of the following ingredients: hyaluronic acid niosomes, β-glucans (magnolol, honokiol and carboxymethyl betaglucan) niosomes, BioEcolia® (Alpha-oligoglycan), Coriolus versicolor, Azadirachta indica (Neem) extract, Centella asiatica and Aloe vera.

  • DeviceLACTIC ACID GEL

    The lactic acid gel consists of a carrier gel with the absence of the active ingredients of Papilocare®.

06

What researchers measure

Primary outcomes

  1. cervical mucosal repair

    Percentage of patients with cervical lesions negativization confirmed be cytology and accordance colposcopy , at 6 months will be used to evaluate the main variables, degree of cervical mucosal repair in HPV-positive women with ASC-US or LSIL.

    Time frame: 6 months

Secondary outcomes

  1. Reepithelialization degree of the cervical mucosa

    Percentage of patients with negativity of cervical lesions by cytology and accordance colposcopy, at 3 months

    Time frame: at 3 months

  2. Percentage of patients with Viral clearance

    Percentage of patients with initial HPV clearance measured by PCR at 3 and 6 months.

    Time frame: 3 and 6 months.

  3. Vaginal health status measured by vaginal health index (VHI)

    Changes in the VHI (vaginal health index -Bachmann) at 3 and 6 months. VHI was developed in order to objectively assess female urogenital health (Bachmann GMaturitas. 1995 Dec; 22 Suppl():S1-S5.). This test evaluates overall elasticity, fluid secretion type and consistency, vaginal pH, epithelial mucosa and moisture. Minimum score is 5 and maximum is 25. Lower scores corresponds to greater urogenital atrophy.

    Time frame: 3 and 6 months.

  4. Stress perceived by patients measured by PSS-14 (Perceived Stress Scale 14 items)

    Changes PSS-14 scale (Perceived Stress Scale 14 items) at 3 and 6 months. The PSS-14 is comprised of 14 items, score ranges from 0-56, with higher scores indicating greater perceived stress

    Time frame: 3 and 6 months.

  5. Safety and tolerability of Papilocare® gel: Record of the incidence, nature and severity of adverse events

    Record of the incidence, nature and severity of adverse events: during the 6 months of treatment duration.

    Time frame: 6 months

  6. Satisfaction degree with Papilocare gel use: Likert type scale

    Patients satisfaction degree with papilocare gel use as treatment will be evaluated by a likert type scale. A Likert scale is a psychometric scale commonly involved in research that employs questionnaires. It is the most widely used approach to scaling responses in survey research.Likert scaling assumes distances between each choice (answer option) are equal. Higher scores corresponds to better satisfaction with papilocare gel use.

    Time frame: 3 and 6 months.

Other outcomes

  1. Change of biopsy results (optional)

    Only in cases that a biopsy has been performed per routine, the change or maintenance of biopsy results will be evaluated.

    Time frame: 3 and 6 months.

07

Study locations

1 site
  • Hospital Universitario Nuestra Señora de la Candelaria
    Santa Cruz de Tenerife, Tenerife 38010, Spain
08

References and documents

Individual participant data

Plan to share: Yes — The PI from the participant site received the study protocol and the informed consent form previously to the initiation of the study and every time it occurs an amendment over the protocol, ICF or any other study document. Once the study will finish and the data will be analyzed, the PI will receive the CSR.

Supporting information: Study protocol, Icf, Csr

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 18, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04210336
Lead sponsor
Procare Health Iberia S.L.
Responsible party
Sponsor
First posted
Dec 24, 2019
Start date
Aug 7, 2018
Primary completion
Nov 30, 2022
Completion
Jan 20, 2023
Last update
Dec 18, 2025

Study contacts

Alfonso Quesada López-Fe, Doctor
principal investigator · H Nuestra Señora de la Candelaria

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Dec 2025. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion