Status:

RECRUITING

Predicting Response In Cervical Intraepithelial Neoplasia to Topical Imiquimod Treatment

Lead Sponsor:

Catharina Ziekenhuis Eindhoven

Collaborating Sponsors:

ZonMw: The Netherlands Organisation for Health Research and Development

Stichting Olijf: Dutch patient association for women with gynaecological cancer

Conditions:

Cervical High Grade Squamous Intraepithelial Lesion

Cervical Intraepithelial Neoplasia Grade 2/3

Eligibility:

FEMALE

18+ years

Brief Summary

Imiquimod is a good non-invasive treatment option for women with cervical high-grade squamous intraepithelial neoplasia (cHSIL), especially those with a possible (future) pregnancy wish. Complete resp...

Detailed Description

RATIONALE: A persistent high risk Human Papilloma Virus (hrHPV) infection can cause (pre)malignant anogenital lesions of the cervix, vulva or vagina. Cervical high grade squamous intraepithelial lesio...

Eligibility Criteria

Inclusion

  • Primary cHSIL lesions (e.g. CIN3 or CIN 2), histologically confirmed by diagnostic biopsy Nota bene: In case of CIN 2, expectative management must be discussed according to the Dutch national guideline with the patient, if the patient prefers imiquimod therapy the patient can be treated with imiquimod and enrolled in the study, if the patient prefers expectative management they can be enrolled in the observational CIN 2 group.
  • Recurrent or residual cHSIL lesions after initial LLETZ treatment (e.g. CIN2 or CIN3), histologically confirmed by diagnostic biopsy
  • Age of 18 years or older

Exclusion

  • Concomitant diagnoses of VAIN (vaginal intraepithelial neoplasia e.g. vaginal HSIL)
  • PAP (Papanicolaou) 4 cytology as indication for the baseline colposcopy at study entrance
  • Adenocarcinoma in situ (AIS) diagnosis
  • Previous imiquimod therapy for cHSIL
  • Previous cervical malignancy
  • Current malignant disease
  • Immunodeficiency (including HIV/AIDS and immunosuppressive medication)
  • Pregnancy
  • Legal incapability
  • Insufficient knowledge of the Dutch language

Key Trial Info

Start Date :

June 1 2022

Trial Type :

OBSERVATIONAL

Allocation :

ESTIMATED

End Date :

December 1 2026

Estimated Enrollment :

410 Patients enrolled

Trial Details

Trial ID

NCT05405270

Start Date

June 1 2022

End Date

December 1 2026

Last Update

September 11 2023

Active Locations (15)

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Page 1 of 4 (15 locations)

1

Amphia

Breda, Netherlands

2

Albert Schweitzer Ziekenhuis

Dordrecht, Netherlands

3

Catharina Ziekenhuis Eindhoven

Eindhoven, Netherlands

4

Tergooi MC

Hilversum, Netherlands