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CompletedNCT04400578TRICINUpdated Apr 7, 2022

TRICIN: Prospective Study on the Efficacy of Single Topical Trichloroacetic Acid (TCA) 85% in the Treatment of Cervical Intraepithelial Neoplasia (CIN 1/2)

An interventional study of Trichloroacetic acid 85% (TCA) in Cervical Intraepithelial Neoplasia Grade 1 and Cervical Intraepithelial Neoplasia Grade 2, sponsored by Krankenhaus Barmherzige Schwestern Linz. Completed at 1 site in Austria. Open to female participants aged 18 Years to 50 Years. Per ClinicalTrials.gov, last updated 2022-04-07.

Sponsored by Krankenhaus Barmherzige Schwestern Linz · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
102
Allocation
Not applicable
Ages
18 Years to 50 Years
Sex
Female
01

Study summary

Trichloroacetic acid 85% =TCA is an investigational device intended to achieve a complete histologic remission in individuals with cervical intraepithelial neoplasia (CIN) grade 1/2. The device system is to be used only in accordance with the approved Investigational Plan on subjects, who have given written informed consent.

High remission and regression rates are expected after a single topical treatment with 85% TCA. After a single topical treatment with 85% TCA for CIN 1-2 (Expected 70% or higher; null hypothesis: not higher than 55%). Regression is defined as improvement from high grade lesion (CIN 2) at baseline to low grade lesion (CIN 1) after TCA treatment. Regression from CIN 1 normal squamous epithelium after the TCA treatment is equal to remission and will be counted as a remission in combined analysis. Remission is defined as complete histologic remission of CIN back to normal squamous epithelium after the TCA treatment, i.e., no cervical dysplasia is detectable by histology or cytology after the TCA treatment. Type-specific HPV Clearance is defined as disappearance of the HPV type detected at screening.

Read the detailed description

Visit and assessment Schedule:

Visit1 Screening:

  • Informed Consent,
  • Inclusion/Exclusion Criteria,
  • Medical History,
  • Gynecological Examination
  • Cytology
  • HPV Test
  • Colposcopy
  • Biopsy
  • VAS (Visual analog scale)
  • Pregnancy test

Visit 2 Treatment Day with TCA 85%:

  • Colposcopy
  • TCA Treatment
  • VAS
  • Pregnancy test

Visit 3, Control 1, Week 10-14:

  • Cytology
  • HPV Test
  • Colposcopy
  • Biopsy
  • 4-quadrant biopsy
  • ECC
  • Adverse event monitoring If there is no sign of CIN during the colposcopic examination 10-14 weeks a 4-quadrant biopsy and a ECC are performed

Visit 4, Control 2, Week 22-26:

  • Cytology
  • HPV Test
  • Colposcopy
  • Biopsy
  • 4-quadrant biopsy
  • ECC
  • Adverse event monitoring
  • Pregnancy test If there is no sign of CIN during the colposcopic examination 22-26 weeks after the TCA treatment, a 4-quadrant biopsy and a ECC are performed.

Visit 5, EOS , Week 24-30:

  • Results Discussion
02

Conditions studied

  • Cervical Intraepithelial Neoplasia Grade 1
  • Cervical Intraepithelial Neoplasia Grade 2
03

In context

Neoplasms

9,365 studies on the registry are indexed under Neoplasms; 2,489 are open to participants now.

This study's enrollment of 102 is above the median of 50 across 7,253 interventional studies indexed under Neoplasms.

Browse Neoplasms studies →

Lead sponsor

Krankenhaus Barmherzige Schwestern Linz is the lead sponsor of 14 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
18 Years to 50 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Histologically proven CIN 1/2
  • adequate colposcopy (i.e. fully visible transformation zone and margins of any visible lesion)
  • positive HPV test
  • conducted negative pregnancy test
  • women aged 18 to 50 years
  • written informed consent

Exclusion criteria

Exclusion Criteria:

  • Exclusion criteria are a cytologically suspected CIN (Pap IIID, IV)
  • inadequate colposcopy
  • negative or missing biopsy
  • cytology results indicating invasive disease (PAP V)
  • if the cervical lesion recedes into the endocervical canal
  • pregnancy
  • any medical circumstance considered relevant for proper performance of the study, or risks to the patient, at the discretion of the investigator
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
102 participants (actual)

Study arms

  • Experimental
    TRICIN

    If a patient is eligible 1. local anesthesia with Xylocain 10% with a pump spray for a period of 10 seconds- one time application 2. Procain 2%: local anesthesia with a swab for a period of 10 seconds- one time application 3. Trichloroacetic acid TCA 85% 1-2 ml with soaked swab for max. 2 minutes -one time application

    Device: Trichloroacetic acid 85% (TCA)

Interventions

  • DeviceTrichloroacetic acid 85% (TCA)

    Purpose and scope of Medical Device: Treatment and relief of a disease. Application to cervical intraepithelial neoplasia with a cotton swab.TCA is an investigational device intended to achieve a complete histologic remission in individuals with cervical intraepithelial neoplasia (CIN) grade 1/2.

06

What researchers measure

Primary outcomes

  1. CIN remission rate after treatment with TCA 85%

    measured by histologic remission within 6 months

    Time frame: 6 months

Secondary outcomes

  1. CIN regression rate after treatment with TCA 85%

    measured by histologic regression within 6 (improvement of at least one clinical CIN grade) months

    Time frame: 6 months

  2. Pain scores

    measured by Visual Analogue Scale of a single use of TCA 85% in patients with CIN 1/2

    Time frame: 6 months

  3. Type specific human papillomavirus clearance rate after treatment with TCA 85%

    human papillomavirus clearance rate after treatment with TCA 85% with CIN I/CIN // within 6 months

    Time frame: 6 months

07

Study locations

1 site
  • Department of gynaecology, Ordensklinikum Linz Ges.m.b.H, Barmherzige Schwestern
    Linz, 4010, Austria
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 7, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04400578
Lead sponsor
Krankenhaus Barmherzige Schwestern Linz
Collaborators
Medical University of Vienna
Responsible party
Sponsor
First posted
May 22, 2020
Start date
Feb 7, 2020
Primary completion
Jan 18, 2022
Completion
Jan 18, 2022
Last update
Apr 7, 2022

Study contacts

Lukas Hefler, MD
principal investigator · Krankenhaus Barmherzige Schwestern Linz

Oversight

Data monitoring committee
Yes
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 Mar 2020. You cannot join it, but the record below documents what was studied.

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