ClinicalTrials.gg
RecruitingNCT06075264ART-VIN IIBUpdated Aug 14, 2025

Phase II Study of Artesunate Ointment for the Treatment of Vulvar High Grade Squamous Intraepithelial Lesions (Vulvar HSIL, VIN2/3)

A Phase 2 interventional study of Artesunate ointment and Placebo ointment in Vulvar Diseases, HPV Infection and Vulvar HSIL, sponsored by Frantz Viral Therapeutics, LLC. Recruiting at 5 sites in United States. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-08-14.

Sponsored by Frantz Viral Therapeutics, LLC · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Dec 2023; still recruiting 2 years 11 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
27
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Study summary

This is a phase II double-blind, placebo-controlled study of artesunate ointment for the treatment of HPV-associated vulvar HSIL (usual type vulvar intraepithelial neoplasia 2/3).

Read the detailed description

Eligible participants in this study are randomized 2:1 to receive either artesunate or placebo ointment for the treatment of vulvar HSIL. Both groups receive four 5-day cycles of topical ointment, at weeks 0, 2, 4, and 6. Dosing visits may be done in person or as telehealth (ointment may be shipped directly to the patient). Participants are followed closely with vulvar examinations or colposcopies at weeks 8, 18, 6-months and 12-months.

02

Conditions studied

  • Vulvar Diseases
  • HPV Infection
  • Vulvar HSIL
  • Pre-Cancerous Dysplasia
  • HPV Disease
  • VIN, Usual Type
  • VIN 2 of Usual Type
  • VIN 3 of Usual Type
  • Vin II
  • Vin III
  • VIN Grade 2
  • VIN Grade 3
  • High Grade Intraepithelial Neoplasia

Keywords

  • topical treatment
  • ointment
  • non-surgical
  • vulvar cancer prevention
  • high-risk HPV
  • human papillomavirus
  • HPV
  • vulvar HSIL
  • High grade lesions
03

In context

Vulvar Diseases

21 studies on the registry are indexed under Vulvar Diseases; 6 are open to participants now.

This study's planned enrollment of 27 is below the median of 64 across 17 interventional studies indexed under Vulvar Diseases.

Browse Vulvar Diseases studies →

Lead sponsor

Frantz Viral Therapeutics, LLC is the lead sponsor of 4 studies on the registry; 3 are open to participants now.

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

04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Adult women age ≥ 18 years
  • Capable of
  • Able to collaborate with planned follow-up (transportation, compliance history, etc)
  • diagnosis of high-grade vulvar dysplasia (VIN2, VIN3, VIN2/3, HSIL), including both new and recurrent disease. A biopsy diagnosis of vulvar high-grade squamous intraepithelial lesion within the previous 3 months which was not excised or otherwise treated may be accepted for study entry.
  • Positive HPV test at study entry (any genotype).
  • Women of agree to use during the dosing phase (through week 8).
  • Laboratory values at Screening of:

    • Serum (SGPT/ALT) \< 5 x (ULN)
    • Serum aspartate transaminase (SGOT/AST) \< 5 x ULN
    • Serum (total) \< 2.5 x ULN
    • Serum Creatinine ≤ 1.5 x ULN
  • Weight ≥ 50kg

Exclusion criteria

Exclusion Criteria:

  • Pregnant and nursing women
  • Concurrent anal, vulvar, or cervical cancer
  • -positive participants with a \< 200
  • Participants infected with HIV-1 if not on a stable, suppressive antiretroviral therapy (ART) regimen.
  • Unwillingness to undergo an excisional procedure at week 18 to either remove HSIL lesions, or to document histologic regression at a site where HSIL was present at study entry.
  • Currently receiving systemic chemotherapy or radiation therapy for another cancer.
  • Concomitant use of Efavirenz for HIV antiretroviral treatment
  • Concomitant use of strong UGT inhibitors
  • Concomitant use of imiquimod, cidofovir, or 5-fluorouracil (5-FU) for the duration of the study
  • Concurrent dermatological conditions affecting the vulva (e.g., herpetic lesion, Crohn's disease, hidradenitis suppurativa) or vulvar dermatoses (e.g., lichen sclerosis or planus, atopic dermatitis, genital atrophy).
  • Concurrent treatment with systemic
Terms in these criteria, in plain language(10)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

CD4 count

The number of CD4 cells, a type of white blood cell, in a given amount of blood. It is used to follow how well the immune system is doing in HIV.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
27 participants (estimated)

Study arms

  • Active comparator
    Artesunate ointment

    Artesunate formulated as topical ointment, 40% Four 5-day cycles of artesunate ointment every 2 weeks

    Drug: Artesunate ointment

  • Placebo comparator
    Placebo ointment

    Placebo ointment Four 5-day cycles of placebo ointment every 2 weeks

    Drug: Placebo ointment

Interventions

  • topical ointment, as a non-surgical treatment

    Also known as: Artesunic acid, Dihydroartemisinin (DHA), Artemisinin

  • DrugPlacebo ointment

    topical placebo ointment

    Also known as: Placebo to artesunate ointment

06

What researchers measure

Primary outcomes

  1. Number of participants with complete histologic response

    Number of participants who have complete histologic response following topical artesunate ointment

    Time frame: 18 weeks

Secondary outcomes

  1. Number of participants who have achieved viral clearance

    Number of participants who achieve clearance of HPV genotypes present at screening. These genotypes become undetectable over the study window.

    Time frame: Week 18

  2. Number of participants who show partial response

    Number of participants with documented partial response following topical artesunate

    Time frame: Week 18

  3. Number of participants who have durable response

    Number of participants with documented complete response who do not have recurrence of their vulvar HSIL over the study window

    Time frame: Week 18

  4. Incidence of Treatment-Emergent Adverse Events (TEAE)

    Number of participants who report artesunate-related serious adverse events

    Time frame: 8 weeks

07

Study locations

5 of 5 sites recruiting
  • Florida Gynecologic Oncology
    Fort Myers, Florida 33905, United States
    Recruiting
  • Ascension St. Vincent
    Indianapolis, Indiana 46260, United States
    Recruiting
  • Cleveland Clinic Fairview Hospital
    Cleveland, Ohio 44111, United States
    Recruiting
    • Donna White · Contactwhited11@ccf.org · 216-445-8090
    • Megan Park · Contactparkm2@ccf.org · 216-445-8090
    • Chad Michener, MD · Principal investigator
    • Mariam AlHilli, MD · Sub investigator
    • Steven Waggonner, MD · Sub investigator
    • Robert DeBernardo, MD · Sub investigator
    • Roberto Vargas, MD · Sub investigator
  • Cleveland Clinic Foundation
    Cleveland, Ohio 44195, United States
    Recruiting
    • Donna White · Contactwhited11@ccf.org · 216-445-8090
    • Megan Park · Contactparkm2@ccf.org · 216-445-8090
    • Chad Michener, MD · Principal investigator
    • Lindsey Beffa, MD · Sub investigator
    • Steven Waggonner, MD · Sub investigator
    • Robert DeBernardo, MD · Sub investigator
    • Roberto Vargas, MD · Sub investigator
    • Mariam AlHilli, MD · Sub investigator
    • Johanna Kelley, MD · Sub investigator
    • Daniel Margul, MD · Sub investigator
    • Michelle Kuznicki, MD · Sub investigator
  • Hillcrest Hospital
    Mayfield Heights, Ohio 44124, United States
    Recruiting
    • Donna White · Contactwhited11@ccf.org · 216-445-8090
    • Megan Park · Contactparkm2@ccf.org · 216-445-8090
    • Chad Michener, MD · Principal investigator
    • Mariam AlHilli, MD · Sub investigator
    • Steven Waggonner, MD · Sub investigator
    • Robert DeBernardo, MD · Sub investigator
    • Roberto Vargas, MD · Sub investigator
    • Lindsey Beffa, MD · Sub investigator
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Dec 2023 (actual). Primary completion is estimated for Dec 2026, 36 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 4, 2023
First posted
Oct 10, 2023
StartActual
Dec 6, 2023
Primary completionEst.
Dec 2026
CompletionEst.
Dec 2027
Last update
Aug 14, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 14, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06075264
Lead sponsor
Frantz Viral Therapeutics, LLC
Responsible party
Sponsor
First posted
Oct 10, 2023
Start date
Dec 6, 2023
Primary completion
Dec 2026 (estimated)
Completion
Dec 2027 (estimated)
Last update
Aug 14, 2025

Study contacts

Mihaela Plesa
Contact
fvtinfo@frantzgroup.com
440-255-1155
Ahmad Bayat, MD
Contact
301-956-2523

Oversight

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

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Studies of the drug tested here: Artesunate

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