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CompletedNCT05383625Updated May 20, 2022

Gardasil Versus Cervarix in the Treatment of Warts

A Phase 3 interventional study of Quadrivalent Human Papillomavirus (Types 6,11,16,18) Recombinant Vaccine and Bivalent Human Papilloma Virus Vaccine in Verruca Viral, sponsored by Zagazig University. Completed at 1 site in Egypt. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-05-20.

Sponsored by Zagazig University · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Oct 2021, 5 years ago, and no results have been posted to the registry.
  • Registered 1 year 8 months after the study started (first participant enrolled Sep 2020, registered May 2022).
Phase
Phase 3
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

Warts are common, benign, epidermal proliferations caused by HPV infecting skin and mucous membranes. Treatment of warts poses a true challenge despite existing variable therapeutic modalities, whether destructive or immunotherapeutic. Human papilloma virus (HPV) vaccines are FDA approved for the prevention of genital warts and wart related precancerous and cancerous lesions but they are not indicated for treatment of preexisting warts yet

Read the detailed description

Approximately 35% of viral warts tend to be recalcitrant either showing no response to treatment or having prompt recurrences after treatment, causing frustration for both patients and physicians. Success rates vary significantly across patients and across different therapeutic interventions ranging from 7% to 90%.

Immunotherapy is proposed to enhance virus recognition by the cell mediated immunity, which allows the clearance of both treated and untreated warts and helps to prevent recurrences through induction of a long-term acquired immunity to HPV.

Few reports suggest the possibility of using quadrivalent or bivalent HPV vaccines as therapeutic modality rather than only preventive modality. This is a randomized controlled study to assess the efficacy and safety of quadrivalent and bivalent HPV vaccines in the treatment of warts

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Conditions studied

  • Verruca Viral

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In context

Warts

180 studies on the registry are indexed under Warts; 28 are open to participants now.

This study's enrollment of 50 is below the median of 70 across 159 interventional studies indexed under Warts.

Browse Warts studies →

Lead sponsor

Zagazig University is the lead sponsor of 447 studies on the registry; 75 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Adult Patients with recalcitrant multiple warts of any type. Warts were considered recalcitrant if they persisted for at least 6 months without any response to 2 different therapeutic modalities or more.
  • Immunocompetent patients.
  • Patients who do not receive any treatment of warts for at least 1 month before the start of study.

    • Patients who are able to understand and follow the study protocol and approve to sign the informed consent

Exclusion criteria

Exclusion Criteria:

  • Patients with acute febrile illness.
  • Past history of asthma.
  • Allergic skin disorders, such as generalized eczema, or severe urticaria.
  • Pregnancy or lactation

    • History of hypersensitivity to the treatment vaccines.
    • Children
    • Immunocompromised patients
    • Patients unable to follow the study protocol
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Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
50 participants (actual)

Study arms

  • Experimental
    Quadrivalent vaccine

    Patient receive 0.1 ml of quadrivalent HPV vaccine intralesional every two weeks

    Drug: Quadrivalent Human Papillomavirus (Types 6,11,16,18) Recombinant Vaccine

  • Experimental
    Bivalent Vaccine

    Patient received 0.1 ml of bivalent HPV vaccine intralesional once every two weeks

    Drug: Bivalent Human Papilloma Virus Vaccine

  • Placebo comparator
    Saline control

    Patient received 0.1 ml of intralesional saline once every two weeks

    Drug: Saline

Interventions

  • DrugQuadrivalent Human Papillomavirus (Types 6,11,16,18) Recombinant Vaccine

    intralesional 0.1 ml every two weeks

  • DrugBivalent Human Papilloma Virus Vaccine

    Intralesional 0.1 ml every two weeks

  • DrugSaline

    intralesional into the largest warts every two weeks

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What researchers measure

Primary outcomes

  1. Therapeutic response

    The percentage of patients in each group achieving complete, partial or no response at the end of the treatment sessions

    Time frame: Through study completion for a maximum of 12 weeks, evaluation held at two weeks interval and at the end of treatment sessions (12th week visit)

Secondary outcomes

  1. Safety measure

    Immediate adverse events recorded by the treating physician within 1 hour post injection

    Time frame: Through study completion every treatment session held at two weeks interval for a maximum of 5 sessions

  2. Safety measure

    Delayed adverse events reported by the patients in between sessions

    Time frame: Through study completion for a maximum of 12 weeks held every two weeks till the end of the treatment sessions (12th week visit)

  3. Recurrence

    Percentage of patients experiencing recurrences in each group

    Time frame: 6 months following the end of treatment sessions

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Study locations

1 site
  • Dermatology department, Zagazig University Hospitals, Faculty of Medicine, Zagazig University
    Zagazig, Select Region 44511, Egypt
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References and documents

Publications

  • Nofal A, Marei A, Amer A, Amen H. Significance of interferon gamma in the prediction of successful therapy of common warts by intralesional injection of Candida antigen. Int J Dermatol. 2017 Oct;56(10):1003-1009. doi: 10.1111/ijd.13709. Epub 2017 Aug 8. PubMed 28791682 ↗
  • Nofal A, Marei A, Ibrahim AM, Nofal E, Nabil M. Intralesional versus intramuscular bivalent human papillomavirus vaccine in the treatment of recalcitrant common warts. J Am Acad Dermatol. 2020 Jan;82(1):94-100. doi: 10.1016/j.jaad.2019.07.070. Epub 2019 Jul 29. PubMed 31369771 ↗
  • Nofal A, Nofal E, Yosef A, Nofal H. Treatment of recalcitrant warts with intralesional measles, mumps, and rubella vaccine: a promising approach. Int J Dermatol. 2015 Jun;54(6):667-71. doi: 10.1111/ijd.12480. Epub 2014 Jul 29. PubMed 25070525 ↗
  • Landis MN, Lookingbill DP, Sluzevich JC. Recalcitrant plantar warts treated with recombinant quadrivalent human papillomavirus vaccine. J Am Acad Dermatol. 2012 Aug;67(2):e73-4. doi: 10.1016/j.jaad.2011.08.022. No abstract available. PubMed 22794819 ↗
  • Kreuter A, Waterboer T, Wieland U. Regression of cutaneous warts in a patient with WILD syndrome following recombinant quadrivalent human papillomavirus vaccination. Arch Dermatol. 2010 Oct;146(10):1196-7. doi: 10.1001/archdermatol.2010.290. No abstract available. PubMed 20956677 ↗

Individual participant data

Plan to share: Yes

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 20, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05383625
Lead sponsor
Zagazig University
Responsible party
Hagar Nofal (Clinical Professor, Zagazig University) — Principal investigator
First posted
May 20, 2022
Start date
Sep 1, 2020
Primary completion
Oct 1, 2021
Completion
Dec 1, 2021
Last update
May 20, 2022

Oversight

FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in May 2022. You cannot join it, but the record below documents what was studied.

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