ClinicalTrials.gg
RecruitingNCT06261684Updated Feb 15, 2024

Intralesional Acyclovir Versus Cryotherapy in the Treatment of Plantar Warts. A Randomized Controlled Trial.

A Phase 2/3 interventional study of Intralesional Acyclovir and Cryotherapy in Plantar Wart, sponsored by Cairo University. Recruiting at 1 site in Egypt. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2024-02-15.

Sponsored by Cairo University · Phase 2/3, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Oct 2024, 2 years 1 month ago, but the record still lists the study as recruiting.
  • Started Oct 2023; still recruiting 3 years 1 month later.
Phase
Phase 2/3
Study type
Interventional
Enrollment
92
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

The goal of this prospective randomized controlled study is to study the safety and efficacy of intralesional acyclovir compared to cryotherapy in plantar warts. The main questions needed to be answered are:

  1. Is Intralesional acyclovir safe for plantar warts?
  2. Is Intralesional acyclovir more efficient in treating plantar warts compared to cryotherapy?
02

Conditions studied

  • Plantar Wart

Browse trials for

03

In context

Warts

171 studies on the registry are indexed under Warts; 35 are open to participants now.

This study's planned enrollment of 92 is above the median of 70 across 155 interventional studies indexed under Warts.

Browse Warts studies →

Lead sponsor

Cairo University is the lead sponsor of 4,941 studies on the registry; 1,458 are open to participants now.

Of its 37 completed or terminated interventional studies of FDA-regulated products, 5 (14%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
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

  • Patients aged 18 years or older, of both genders, with plantar warts

Exclusion criteria

Exclusion Criteria:

  • Patients on systemic treatment for warts eg. Acitretin, Acyclovir
  • to Acyclovir
  • Previous treatment to the same wart during the last 3 months
  • patients (as , intake, uncontrolled diabetes, etc.)
  • Pregnant and breastfeeding females
  • Cognitively impaired patients
Terms in these criteria, in plain language(4)

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

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.

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 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Investigator, Outcomes assessor)
Enrollment
92 participants (estimated)

Study arms

  • Experimental
    Intralesional Acyclovir

    Intralesional acyclovir will be prepared by diluting 1 ampoule of Acyclovir 250mg into 3.5ml of saline solution to achieve a concentration of approximately 70mg/ml. Then 0.1ml will be injected intra-lesionally into the base of the wart. Any hyperkeratotic lesions should be pared before the treatment. This process will be repeated every 2 weeks for 5 sessions, and can be discontinued if complete resolution is achieved early.

    Drug: Intralesional Acyclovir

  • Active comparator
    Cryotherapy

    Patients allocated to Group B will undergo cryotherapy using a liquid nitrogen spray gun. Any hyperkeratotic lesions should be pared before the treatment. Two freeze-thaw cycles will be applied each session, the spray gun should be held 1cm away from the wart and maintained until the wart and the 1-3mm of surrounding skin shows freezing, and each cycle should last 15 seconds. Next, the lesion will be left to thaw completely before starting the second cycle. This process will be repeated every 2 weeks for 5 sessions, and can be discontinued if complete resolution is achieved early

    Device: Cryotherapy

Interventions

  • DrugIntralesional Acyclovir

    Intralesional Acyclovir in plantar warts

  • DeviceCryotherapy

    Cryotherapy of plantar warts

06

What researchers measure

Primary outcomes

  1. Cure rate

    Number of patients healed after completion of the sessions

    Time frame: 10 weeks (5 sessions max)

  2. Recurrence rate

    Number of patients had recurred plantar warts after receiving the treatment

    Time frame: 24 weeks

  3. Patient satisfaction score

    Patient satisfaction questionnaire score

    Time frame: 10 weeks

Secondary outcomes

  1. Correlation of treatment with number of ipsilateral warts

    Number of warts increased, decreased or stationary

    Time frame: 10 weeks

  2. Correlation of treatment with age

    Percentage of patients successfully treated in each age group (Young 18-32 years; Middle age 33-46, Old age 47-60

    Time frame: 10 weeks

  3. Correlation of treatment with gender

    Percentage of successfully treated male to female patients

    Time frame: 10 weeks

  4. Correlation of treatment with size of the wart

    Percentage of successful treatment compared to the size of the wart

    Time frame: 10 weeks

07

Study locations

1 of 1 sites recruiting
  • Cairo University Hospital
    Cairo, Egypt
    Recruiting
    • Basant Helal, MRCP · Contact
    • Shahira Ramadan, Professor · Principal investigator
    • Yousra Azzazi, Lecturer · Sub investigator
08

References and documents

Publications

  • Elsayed A, Nassar A, Marei A, Hoseiny HAM, Alakad R. Intralesional Acyclovir: A Potential Therapeutic Option for Cutaneous Warts. J Cutan Med Surg. 2022 Jan-Feb;26(1):25-30. doi: 10.1177/12034754211037998. Epub 2021 Aug 19. PubMed 34412535 ↗
  • Garcia-Oreja S, Alvaro-Afonso FJ, Tardaguila-Garcia A, Lopez-Moral M, Garcia-Madrid M, Lazaro-Martinez JL. Efficacy of cryotherapy for plantar warts: A systematic review and meta-analysis. Dermatol Ther. 2022 Jun;35(6):e15480. doi: 10.1111/dth.15480. Epub 2022 Apr 6. PubMed 35365922 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 15, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06261684
Lead sponsor
Cairo University
Responsible party
Basant Ahmed Mohamed Abdelaal Helal (Dermatology Resident, Cairo University) — Principal investigator
First posted
Feb 15, 2024
Start date
Oct 1, 2023
Primary completion
Oct 1, 2024 (estimated)
Completion
Oct 1, 2024 (estimated)
Last update
Feb 15, 2024

Study contacts

Basant Helal, MRCP
Contact
basant_helal@hotmail.com
+201144166922
Shahira Ramadan, Professor
study chair · Cairo University
Yousra Azzazi, Lecturer
study director · Cairo University

Oversight

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

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