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CompletedNCT06439433Updated Jun 3, 2024

ALA-PDT in Patients With CIN2 in p16-positivity and High-risk HPV Infection

A Phase 2 interventional study of Aminolaevulinic acid (500-mg bottle) and Aminolaevulinic acid (750-mg bottle) in Cervical Intraepithelial Neoplasia Grade 2, Papillomavirus Infections and p16 Protein, sponsored by Shanghai Fudan-Zhangjiang Bio-Pharmaceutical Co., Ltd.. Completed at 5 sites in China. Open to female participants aged 18 Years to 45 Years. Per ClinicalTrials.gov, last updated 2024-06-03.

Sponsored by Shanghai Fudan-Zhangjiang Bio-Pharmaceutical Co., Ltd. · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Registered 2 years 11 months after the study started (first participant enrolled May 2021, registered May 2024).
Phase
Phase 2
Study type
Interventional
Enrollment
119
Allocation
Randomized
Ages
18 Years to 45 Years
Sex
Female
01

Study summary

Efficacy and Safety of ALA-PDT in patients with cervical intraepithelial neoplasia grade 2 (CIN2) in p16-positivity and high-risk HPV infection.

Read the detailed description

A multi-center, randomized, double-blind, placebo-controlled phase IIc clinical trial of ALA-PDT in patients with cervical intraepithelial neoplasia grade 2 (CIN2) in p16-positivity and high-risk HPV infection.

02

Conditions studied

  • Cervical Intraepithelial Neoplasia Grade 2
  • Papillomavirus Infections
  • p16 Protein
03

In context

Papillomavirus Infections

505 studies on the registry are indexed under Papillomavirus Infections; 128 are open to participants now.

This study's enrollment of 119 is below the median of 202 across 338 interventional studies indexed under Papillomavirus Infections.

Browse Papillomavirus Infections studies →

Lead sponsor

Shanghai Fudan-Zhangjiang Bio-Pharmaceutical Co., Ltd. is the lead sponsor of 25 studies on the registry; 6 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 45 Years
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

  • Premenopausal women, 18-45 years of age
  • Satisfactory the colposcopy examination (cervical transformation zone types: Type 1 or 2) at screening, and CIN2 as verified by cervical biopsy and p16-positivity within the last 3 months
  • Intense desire to retain the cervical structure or function
  • High-risk (including probably/possibly carcinogenic) HPV-DNA (i.e. 16, 18, 26, 31, 33, 35, 39, 45, 51, 52, 53, 56, 58, 59, 66, 68, 73 or 82) positive within the last 3 months
  • Meet the following conditions: pregnancy test negative; no pregnancy plan during the trial;no sexuality or reliable contraceptive measures taken since last menstruation to the onset of the study, agreeing to adopt reliable contraceptive measures during the study
  • Signed written informed consent

Exclusion criteria

Exclusion Criteria:

  • Atypical glandular cells (AGS) or adenocarcinoma in situ (AIS) on cytology ,or malignant cells on cytology or histology, or other suspicion of either micro-invasive or invasive disease
  • Invasive carcinoma possibility or lesions extending to the vaginal wall
  • Severe pelvic inflammatory disease, severe cervicitis, or other severe gynaecological infection as per clinical examination
  • Undiagnosed vaginal bleeding within the last 3 months
  • With allergic disease at present; known or suspected porphyria; known allergy to ALA or analogues
  • With serious cardiovascular, neurologic, psychiatric, endocrine, hematological disease; immunocompromised conditions or long-term glucocorticoid or immunosuppressants exposure; patients with malignant tumors within the last 5 years
  • Hepatic or renal functions abnormal (alanine aminotransferase or aspartate transaminase > 3 upper limit of normal [ULN], or total bilirubin > 1.5 ULN, or serum creatinine or blood urea nitrogen > 1.5 ULN)
  • History of treatment with systemic antivirals (continued for ≥ 14 days) within the last 3 months
  • Pregnancy or nursing
  • Participation in any clinical studies within the last 30 days
  • Poor compliance or inability to complete the trial
  • Subjects that the investigators judged to be not suitable to participate the study besides above
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
119 participants (actual)

Study arms

  • Experimental
    ALA A Group

    ALA 500mg Group

    Drug: Aminolaevulinic acid (500-mg bottle)

  • Experimental
    ALA B Group

    ALA 750mg Group

    Drug: Aminolaevulinic acid (750-mg bottle)

  • Placebo comparator
    Placebo

    Placebo Group

    Drug: Placebo

Interventions

  • DrugAminolaevulinic acid (500-mg bottle)

    once a week for 6 weeks

    Also known as: ALA 500mg

  • DrugAminolaevulinic acid (750-mg bottle)

    once a week for 6 weeks

    Also known as: ALA 750mg

  • DrugPlacebo

    once a week for 6 weeks

06

What researchers measure

Primary outcomes

  1. Response rate at week 12 after last treatment

    "Response" is defined as: pathology showed normal or only inflammatory changes or CIN1

    Time frame: Baseline and week 12 after treatments

Secondary outcomes

  1. Response rate at week 24 after last treatment

    "Response" is defined as: pathology showed normal or only inflammatory changes or CIN1

    Time frame: Baseline and week 24 after treatments

  2. Cure rate at week 12 after last treatment

    "Cure" is defined as: pathology showed normal or only inflammatory changes

    Time frame: Baseline and week 12 after treatments

  3. Cure response rate at week 24 after last treatment

    "Cure" is defined as: pathology showed normal or only inflammatory changes

    Time frame: Baseline and week 24 after treatments

  4. Clearance rate of HPV at week 12 after last treatment

    Proportion of patients with HPV clearance

    Time frame: Baseline and week 12 after treatments

  5. Clearance rate of HPV at week 24 after last treatment

    Proportion of patients with HPV clearance

    Time frame: Baseline and week 24 after treatments

Other outcomes

  1. Response rate of HPV16 and/or HPV18 positive patients at week 12 after last treatment

    "Response" is defined as: pathology showed normal or only inflammatory changes or CIN1

    Time frame: Baseline and week 12 after treatments

  2. Response rate of HPV16 and/or HPV18 positive patients at week 24 after last treatment

    "Response" is defined as: pathology showed normal or only inflammatory changes or CIN1

    Time frame: Baseline and week 24 after treatments

07

Study locations

5 sites
  • Peking University Third Hospital
    Beijing, Beijing Municipality 100191, China
  • The First Affiliated Hospital of Zhengzhou University
    Zhengzhou, Henan 450000, China
  • Qilu Hospital of Shandong University
    Jinan, Shandong 250012, China
  • The Obstetrics & Gynecology Hospital of Fudan University
    Shanghai, Shanghai Municipality 200011, China
  • Renji Hospital Affiliated to Shanghai Jiaotong University School of Medicine
    Shanghai, Shanghai Municipality 200120, China
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from May 2021 to primary completion in Dec 2023, 30 months.

Of 28 phase 2 interventional studies under Papillomavirus Infections, half reached primary completion within 33 months of starting (the median), counting those still running; a quarter within 22 and three quarters within 80. This study's 30 months is close to that.

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

Registered
May 28, 2024
First posted
Jun 3, 2024
StartActual
May 31, 2021
Primary completionActual
Dec 20, 2023
CompletionActual
Mar 6, 2024
Last update
Jun 3, 2024
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 Jun 3, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06439433
Responsible party
Sponsor
First posted
Jun 3, 2024
Start date
May 31, 2021
Primary completion
Dec 20, 2023
Completion
Mar 6, 2024
Last update
Jun 3, 2024

Oversight

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 May 2024. You cannot join it, but the record below documents what was studied.

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