Patients with recurrrent external condylomata acuminata located at the following genital regions: labia minora and majora, introitus vaginae, clitoris, prepuce, glans penis, coronal sulcus and frenulum, perianal skin, perineal region, inguinal- and pubes region. MedDRA version: 20.0 Level: LLT Classification code 10010295 Term: Condylomata acuminatum System Organ Class: 100000016515
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - External condylomata acuminata (at least one) defined as: condylomata acuminata, condylomata gigantea, keratotic genital warts, papular warty-like lesions within 6 months after removal of previously clinically diagnosed external condylomata acuminata (at least one) - Willingness for single session ablation by scissor snip excision, curettage, electrocautery or laser surgery - Age = 18 - Ability of patient to understand character and individual consequences of the clinical trial - provision of written informed consent Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 200 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 200
Exclusion criteria
Exclusion criteria: - Contraindications to vaccination with Gardasil® according to the summary of product characteristics - HIV infection or other known immune deficiency disease or current treatment with immunosuppressive drugs - Syphilis (clinical features of first stage and second stage) - Previous treatment with Imiquimod within the last 30 days prior to visit 1 -Previous/concomitant treatment with any other immunomodulators within the last 90 days prior to visit 1 - Previous immunization with Gardasil® or Cervarix - Patients who are unlikely to adhere to the protocol - Participation in other ongoing clinical trials or during their observation period - Pregnancy (women of child bearing potential, WOCBP, will be asked before enrollment and visit 4, and a pregnancy urine test will be perofmed at visits 1-3 before study medication is applied)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Primary objective is to evaluate the efficacy of Gardasil® compared with placebo on the prevention of recurrence of condylomata acuminata. The primary endpoint is the recurrence rate of condylomata acuminata within 6 month after the third vaccination. Recurrence is defined as (1) the presence of new lesion(s) in the area which had been treated or within 1 cm near the previously treated area and/or (2) appearance of new warts/lesions on other genital sites. All recurrences are verified by biopsy and histology. ;Secondary Objective: To compare Gardasil® versus placebo with respect to: •Time to recurrence of condylomata acuminata from the day of administration of first vaccination up to 6 months after last vaccination •Incidence of HPV 6/11 related external condylomata acuminata •Presence (DNA) and biological activity (RNA) of HPV6/11 and other HPV types in condylomata acuminata at visit 1 to visit 4 •HPV specific immunological outcomes (HPV antibody at visit 1 to visit 4 and T-cell responses at visit 1, visit 3 and visit 4) •Associations between immunological and clinical outcomes •Safety and tolerability ;Primary end point(s): Recurrence is defined as (1) the presence of new lesion(s) in the area which had been treated or (2) appearance of new warts on other genital sites. All recurrences are verified by biopsy and histology.;Timepoint(s) of evaluation of this end point: The primary endpoint is the recurrence rate of condylomata acuminata within 6 month after the third vaccination. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): To compare Gardasil® versus placebo with respect to: - Time to recurrence of condylomata acuminata from the day of administration of first vaccination up to 6 months after last vaccination - Incidence of HPV 6/11 related external condylomata acuminata - Presence (DNA) and biological activity (RNA) of HPV6/11 and other HPV types in condylomata acuminata at visit 1 to visit 4 - HPV specific immunological outcomes (HPV antibody at visit 1 to visit 4 and T-cell responses at visit 1 and visit 4) - Associations between immunological and clinical outcomes - Safety and tolerability ;Timepoint(s) of evaluation of this end point: Time to recurrence of condylomata acuminata from the day of administration of first vaccination up to 6 months after last vaccination | — |
Countries
Germany
Contacts
Deutsches Krebsforschungszentrum (DKFZ)