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Cantharidin and Occlusion in Verruca Epithelium

A Phase 2, Open Label Study to Evaluate the Efficacy, Safety and Tolerability of VP-102 in Subjects With Common Warts (Verruca Vulgaris)

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03487549
Acronym
COVE-1
Enrollment
56
Registered
2018-04-04
Start date
2018-03-27
Completion date
2019-07-15
Last updated
2024-11-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Common Wart, DNA Virus Infections, Papillomavirus Infections, Skin Diseases, Skin Diseases, Infectious, Skin Diseases, Viral, Tumor Virus Infections, Verruca, Verruca Vulgaris, Virus Diseases, Warts, Warts Hand

Brief summary

This is a Phase 2, open label study (Study number VP-102-105; referred to as COVE-1 \[Cantharidin and Occlusion in Verruca Epithelium\]) to evaluate the efficacy, safety and tolerability of VP-102 treatment in subjects with common warts. This study has two Cohorts.

Detailed description

The first Cohort (Cohort 1) utilizes a treatment interval of at least 14 days between treatments with longer treatment intervals being allowed depending on a specific patient's clinical response.Twenty Subjects (2 years and older) are targeted completing End of Study (EOS) visit in Cohort 1. The second Cohort (Cohort 2) utilizes a treatment interval of 21 days between treatments. Paring of lesions is allowed. Approximately 35 subjects (12 years and older) will be enrolled in Cohort 2. Up to 4 sites will participate in the study.

Interventions

COMBINATION_PRODUCTVP-102 Cantharidin topical film forming solution

VP-102, a single-use drug device combination product containing (cantharidin) topical solution, 0.7% (w/v). Treatment interval of at least 14 days between treatments.

COMBINATION_PRODUCTVP-102 Cantharidin, topical film forming solution

VP-102, a single-use drug device combination product containing (cantharidin) topical solution, 0.7% (w/v). Treatment interval of at least 21 days between treatments.

Sponsors

Instat Consulting, Inc.
CollaboratorOTHER
Paidion Research, Inc.
CollaboratorINDUSTRY
BioClinica, Inc.
CollaboratorINDUSTRY
ALMAC Clinical Services
CollaboratorINDUSTRY
Verrica Pharmaceuticals Inc.
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SEQUENTIAL
Primary purpose
TREATMENT
Masking
NONE

Intervention model description

This study has 2 cohorts. Cohort 1 of the study enrolled 21 subjects and has completed all subject related study activities. Analysis is to be conducted at Day 84. Cohort 2 will utilize 4 sites with an enrollment of approximately 35 subjects. The primary analysis will be conducted at Day 84 with an additional period of follow up out to Day 147.

Eligibility

Sex/Gender
ALL
Age
2 Years to No maximum
Healthy volunteers
No

Inclusion criteria

1. Be healthy, immunocompetent males or females at least 2 years of age and older for Cohort 1 and 12 years of age and older for Cohort 2. 2. Present with 1-6 common warts (verruca vulgaris) located anywhere on the body except for the following prohibited areas: the eye area (including eyelids), lips, oral cavity, nasal cavity, inside of the ears, palms of the hands, volar surface of the fingers or toes, under the finger nails (near and on the sides of the nails is allowed for Cohort 1, but warts near and on the sides of the nail (e.g., periungual) are not allowed in Cohort 2), soles of the feet, or the anogenital area. (Warts within 10 mm of a mucosal surface should not be treated). 3. Have warts that are ≤10 mm in diameter and ≤3 mm in height. (Subjects with warts that are adjacent, touching or clustered may be included so long as the combined diameter in the longest direction does not exceed 10 mm. Individual lesions that are adjacent, touching or clustered should be counted as distinct lesions for the purposes of tracking, inclusion and clearance)(subjects in Cohort 2 can be pared, when necessary and appropriate, prior to evaluating height eligibility) . 4. Have warts that have been present for at least 4 weeks at the time of the baseline visit. 5. Consent to having all warts treated (the physician must also be willing to treat all warts initially present). 6. Be otherwise medically healthy with no clinically significant medical history, physical examination or vital signs as determined by the investigator. 7. Be free of any systemic or dermatologic disorder, which, in the opinion of the investigator, will interfere with the study results or increase the risk of Aes. 8. Refrain from swimming, bathing or prolonged immersion in water or any liquids until the Study drug is removed. 9. Have the ability, or have a guardian with the ability, to follow study instructions and be likely to complete all study requirements. 10. Agree to use no wart-removing product (prescription or over-the-counter \[OTC\]) other than the Study drug during the course of the study. 11. Provide written informed consent or assent in a manner approved by the institutional review board (IRB) and/or have a parent/guardian provide written informed consent as evidenced by the signature on an IRB approved assent/consent form. 12. Provide written authorization for use and disclosure of protected health information. 13. If participating in the optional photographic portion of the study, agree to allow photographs of warts to be taken at each Treatment Visit by the research team and agree to share photos taken at home with the research team via text, email or in-person upload.

Exclusion criteria

1. Are unable to cooperate with the requirements or visits of the study, as determined by the investigator. 2. Are systemically immunosuppressed or have required, or will require, systemic immunosuppressive or immunomodulatory medication (including oral or parenteral corticosteroids) within 30 days prior to enrollment or during the course of the study. (Routine use of inhaled or intranasal corticosteroids during the study is allowed) 3. Have any chronic or acute medical condition that, in the opinion of the investigator, may interfere with the study results or place the subject at undue risk. (e.g., human immunodeficiency virus, systemic lupus erythematosus, viral hepatitis, uncontrolled diabetes). NOTE: Immunizations and flu shots may be administered throughout the study, but not within 5 days before or after treatment. 4. Have more than 6 common warts at baseline. 5. Present with any verruca plana, mosaiform, filiform, subungual (under the nail), genital or anal warts. In Cohort 2, subjects with periungual warts are also excluded. 6. Have any warts present at baseline in an anatomic location that the subject, parent/guardian or the physician is unwilling to treat or are located in an area that cannot be easily occluded with tape. 7. Have had any previous treatment of common warts including, but not limited to, the use of cantharidin, antivirals, retinoids, salicylic acid, lactic acid, hydrogen peroxide, candida antigen, diphencyprone, dinitrochlorobenzene, sandalwood oil, thuja oil, squaric acid dibutyl ester, povidone iodine, nitric oxide, curettage or freezing of warts in the past 14 days. In addition, these treatments or any other over-the-counter wart treatment should not be implemented during the course of the study. 8. Have been treated within 14 days with a product that contains cantharidin (topical or homeopathic preparations) for any reason prior to screening. 9. Have received another investigational product as part of a clinical trial within 30 days prior to the first application of the Study drug. 10. Currently have or have a history of epidermodysplasia verruciformis. 11. Have a history of illness or any dermatologic disorder, which, in the opinion of the investigator, will interfere with accurate assessment of the warts or increase the risk of adverse events. 12. Have an active malignancy or are undergoing treatment for any malignancy. 13. Have a history or presence of clinically significant medical, psychiatric, or emotional condition or abnormality that, in the opinion of the investigator, would compromise the safety of the subject or the quality of the data. 14. Have a history or presence of hypersensitivity or an idiosyncratic reaction to the Study drug or related compounds, or drug product excipients (acetone, ethyl alcohol, nitrocellulose, hydroxypropyl cellulose, castor oil, camphor, gentian violet, and denatonium benzoate). 15. Have a condition or situation that may interfere significantly with the subject's participation in the study (e.g., subjects who required hospitalization in the 2 months prior to screening for an acute or chronic condition including alcohol or drug abuse), at the discretion of the investigator. 16. Are sexually active or may become sexually active and are unwilling to practice responsible birth control methods. (e.g., combination of condoms and foam, birth control pills, intrauterine device, patch, shot and vaginal ring, etc.). Withdrawal is not an acceptable method of birth control. Females that have reached menarche must have a negative urine pregnancy test at each visit prior to treatment with Study drug. 17. Are pregnant or breastfeeding.

Design outcomes

Primary

MeasureTime frameDescription
Cohort 1: Proportion of Subjects Exhibiting Complete Clearance of All Treatable Warts (Baseline and New) at the EOS Visit (Day 84)Treatment Visit Day 1 (Baseline) compared to Day 84 (EOS) Visit.Cohort 1: Proportion of subjects exhibiting complete clearance of all treatable warts (baseline and new) at the EOS Visit (Day 84).
Cohort 2: Proportion of Subjects Exhibiting Complete Clearance of All Treatable Warts (Baseline and New) at the EOT Visit (Day 84)Compare Treatment Visit 1 (Baseline) to EOT Visit (Day 84)Cohort 2: Proportion of subjects exhibiting complete clearance of all treatable warts (baseline and new) at the EOT Visit (Day 84).

Secondary

MeasureTime frameDescription
Cohort 1: Proportion of Subjects Exhibiting Complete Clearance of All Treatable Warts (Baseline and New) at Visit 2, Visit 3, Visit 4 and Over the Duration of the StudyBaseline, Day 14, 28, 42 and 84 (EOS)Cohort 1: Proportion of subjects exhibiting complete clearance of all treatable warts (baseline and new) at Visit 2, Visit 3, Visit 4 and over the duration of the study.
Cohort 2: Change From Baseline in the Number of Treatable Warts (Baseline and New) at the EOT Visit Day 84)Baseline, Day 84 (EOS)Cohort 2: Change from baseline in the number of treatable warts (baseline and new) at the EOT Visit Day 84).
Cohort 1: Change From Baseline in the Number of Treatable Warts (Baseline and New) at the EOS Visit (Day 84)Change in the number of warts compared at Baseline (Visit 1) to the End of Study Visit (Day 84).Cohort 1: Change from baseline in the number of treatable warts (baseline and new) at the EOS Visit (Day 84).
Cohort 2: Proportion of Subjects Exhibiting Complete Clearance of All Treatable Warts, (Baseline and New), at Visit 2, Visit 3, Visit 4 and Over the Duration of the StudyBaseline, Day 21, 42, 63, and 84 (EOS), 105, 126, and 147Cohort 2: Proportion of subjects exhibiting complete clearance of all treatable warts, (baseline and new), at Visit 2, Visit 3, Visit 4 and over the duration of the study.
Cohort 2: Change From Baseline in the Percent of Treatable Warts (Baseline and New) at the EOT Visit (Day 84)Baseline (Visit 1) to End of Treatment Visit (Day 84).Cohort 2: Change from baseline in the percent of treatable warts (baseline and new) at the EOT Visit (Day 84).
Cohort 1: Percent Change From Baseline in the Number of Treatable Warts (Baseline and New) at the EOT Visit (Day 84).Baseline (Visit 1) to End of Treatment Visit (Day 84).Cohort 1: Assessing the percent change from Baseline in the number of treatable warts (Baseline and new) at the EOT visit (Day 84).

Other

MeasureTime frameDescription
Cohort 2: Proportion of Subjects Who Respond to Treatment Defined by a ≥ 50% Reduction in Total Wart Area at EOT Compared to BaselineBaseline to EOT (Day 84)Cohort 2: Proportion of subjects who respond to treatment defined by a ≥ 50% reduction in total wart area at EOT compared to baseline.
Cohort 2: Proportion of Subjects Exhibiting Reduction of at Least 1 Treatable Wart From Baseline at Visit 2, Visit 3, Visit 4 and at the EOT Visit (Day 84)Baseline, Day 14, 28, 42, and 84 (EOS)Cohort 2: Proportion of subjects exhibiting reduction of at least 1 treatable wart from baseline at Visit 2, Visit 3, Visit 4 and at the EOT Visit (Day 84).
Cohort 1:Percent Reduction of All Treatable Warts (Baseline and New) From Baseline at Visit 2, Visit 3, Visit 4 and Over the Duration of the Study.Baseline, Day 14, 28, 42, and 84 (EOS)Cohort 1: Percent change from baseline in the number of treatable warts (Baseline and new) from Baseline at Visit 2, Visit 3, Visit 4 and over the duration of the study.
Cohort 2: Percent Reduction of All Treatable Warts (Baseline and New) From Baseline at Follow-up Visits on Day 105, Day 126 and Day 147Baseline to follow-up visits on Day 105, Day 126 and Day 147Cohort 2: Percent reduction of all treatable warts (baseline and new) from baseline at follow-up visits on Day 105, Day 126 and Day 147.
Cohort 2: Change From Baseline in the Number of Treatable Warts (Baseline and New) at Follow-up Visits on Day 105, Day 126 and Day 147baseline to Day 105, Day 126 and Day 147Cohort 2: Change from baseline in the number of treatable warts (baseline and new) at follow-up visits on Day 105, Day 126 and Day 147.
Cohort 2: Proportion of Subjects Exhibiting Complete Clearance of All Treatable Warts (Baseline and New) at Follow-up Visits on Day 105, Day 126 and Day 147Treatment Visit 1 (Baseline) to each follow-up visit Day 105, Day 126 and Day 147.Cohort 2: Proportion of subjects exhibiting complete clearance of all treatable warts (baseline and new) at follow-up visits on Day 105, Day 126 and Day 147.
Cohort 1: Change From Baseline in the Number of Treatable Warts (Baseline and New) at Visit 2, Visit 3, Visit 4 and the EOS VisitBaseline, Day 14, 28, 42, and 84 (EOS)Cohort 1: Change from baseline in the number of treatable warts (baseline and new) at Visit 2, Visit 3, Visit 4 and the EOS Visit.
Cohort 1: Proportion of Subjects Exhibiting ≥ 50% Clearance of All Treatable Warts (Baseline and New) at the EOS Visit as Compared to BaselineCompare Treatment Visit 1 (Baseline) to End of Study (Day 84).Cohort 1: Proportion of subjects exhibiting ≥ 50% clearance of all treatable warts (baseline and new) at the EOS visit as compared to baseline.
Cohort 1-Proportion of Subjects Who Respond to Treatment Defined by a ≥ 50% Reduction in Total Wart Area at EOS Compared to BaselineBaseline, Day 14, 28, 42, and 84 (EOS)Cohort 1-Proportion of subjects who respond to treatment defined by a ≥ 50% reduction in total wart area at EOS compared to baseline.
Cohort 1-Proportion of Subjects Exhibiting Reduction of at Least 1 Treatable Wart From Baseline at Visit 2, Visit 3, Visit 4 and at the EOS Visit (Day 84)Baseline, Day 14, 28, 42, and 84 (EOS)Cohort 1-Proportion of subjects exhibiting reduction of at least 1 treatable wart from baseline at Visit 2, Visit 3, Visit 4 and at the EOS Visit (Day 84).
Cohort 2: Percent Reduction of All Treatable Warts (Baseline and New) From Baseline at Visit 2, Visit 3, Visit 4 and Over Duration of the Study.Baseline to Treatment Visits 2 (Day 21), 3 (Day 42), 4 (Day 63) through the End of Treatment (Day 84).Cohort 2: Intent to Treat population Cohort 2-Percent reduction of all treatable warts (baseline and new) from baseline at Visit 2, Visit 3, Visit 4 and over duration of the study.
Cohort 2: Change From Baseline in the Number of Treatable Warts (Baseline and New) at Treatment Visit 2, Treatment Visit 3, Treatment Visit 4 and the EOT Visit (Day 84)Baseline, Day 14, 28, 42, and 84 (EOS)Cohort 2: Change from baseline in the number of treatable warts (baseline and new) at Treatment Visit 2, Treatment Visit 3, Treatment Visit 4 and the EOT Visit (Day 84).
Cohort 2: Proportion of Subjects Exhibiting ≥ 50 % Clearance of All Treatable Warts (Baseline and New) at the EOT Visit (Day 84) as Compared to BaselineBaseline to Day 84 (EOT)Cohort 2: Proportion of subjects exhibiting ≥ 50 % clearance of all treatable warts (baseline and new) at the EOT Visit (Day 84) as compared to baseline.

Countries

United States

Participant flow

Recruitment details

The protocol was originally designed with one- cohort, it was later modified to include two cohorts. Subjects in Cohort 1 completed enrollment prior to beginning enrollment of new Subjects into Cohort 2.

Participants by arm

ArmCount
VP-102 - Cohort 1
Open label of VP-102 cantharidin topical film forming solution, using the VP-102 applicator. Utilized a treatment interval of at least 14 days between treatments with longer treatment intervals being allowed depending on a specific patient's clinical response. No paring of lesions was allowed. VP-102 Cantharidin topical film forming solution: VP-102 Cantharidin topical film forming solution. Treatment interval of at least 14 days between treatments. VP-102 Applicator: The applicator is used to apply the Study drug.The product is a combination therapy which includes the drug VP-102 and the applicator which is the device.
21
VP-102 - Cohort 2
Open label of VP-102 cantharidin topical film forming solution, using the VP-102 applicator. Utilized a treatment interval of at least 21 days between treatments with longer treatment intervals being allowed depending on a specific patient's clinical response. Paring of lesions was allowed. VP-102 Cantharidin topical film forming solution: VP-102 Cantharidin topical film forming solution. Treatment interval of at least 21days between treatments. VP-102 Applicator: The applicator is used to apply the Study drug.The product is a combination therapy which includes the drug VP-102 and the applicator which is the device.
35
Total56

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyLost to Follow-up21
Overall StudyProtocol Violation01
Overall StudyWithdrawal by Subject20

Baseline characteristics

CharacteristicVP-102 - Cohort 1VP-102 - Cohort 2Total
Age, Categorical
<=18 years
5 Participants8 Participants13 Participants
Age, Categorical
>=65 years
8 Participants1 Participants9 Participants
Age, Categorical
Between 18 and 65 years
8 Participants26 Participants34 Participants
Age, Continuous37.86 years
STANDARD_DEVIATION 21.247
37.66 years
STANDARD_DEVIATION 16.435
37.75 years
STANDARD_DEVIATION 18.212
Baseline wart count2.19 Baseline wart count
STANDARD_DEVIATION 1.569
1.65 Baseline wart count
STANDARD_DEVIATION 1.098
1.85 Baseline wart count
STANDARD_DEVIATION 1.311
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants1 Participants2 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
20 Participants34 Participants54 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants1 Participants1 Participants
Race (NIH/OMB)
Black or African American
5 Participants0 Participants5 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
16 Participants34 Participants50 Participants
Region of Enrollment
United States
21 participants35 participants56 participants
Sex: Female, Male
Female
11 Participants22 Participants33 Participants
Sex: Female, Male
Male
10 Participants13 Participants23 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 210 / 34
other
Total, other adverse events
20 / 2132 / 34
serious
Total, serious adverse events
0 / 210 / 35

Outcome results

Primary

Cohort 1: Proportion of Subjects Exhibiting Complete Clearance of All Treatable Warts (Baseline and New) at the EOS Visit (Day 84)

Cohort 1: Proportion of subjects exhibiting complete clearance of all treatable warts (baseline and new) at the EOS Visit (Day 84).

Time frame: Treatment Visit Day 1 (Baseline) compared to Day 84 (EOS) Visit.

Population: ITT Population

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Cohort 1Cohort 1: Proportion of Subjects Exhibiting Complete Clearance of All Treatable Warts (Baseline and New) at the EOS Visit (Day 84)4 Participants
Primary

Cohort 2: Proportion of Subjects Exhibiting Complete Clearance of All Treatable Warts (Baseline and New) at the EOT Visit (Day 84)

Cohort 2: Proportion of subjects exhibiting complete clearance of all treatable warts (baseline and new) at the EOT Visit (Day 84).

Time frame: Compare Treatment Visit 1 (Baseline) to EOT Visit (Day 84)

Population: ITT Population

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Cohort 1Cohort 2: Proportion of Subjects Exhibiting Complete Clearance of All Treatable Warts (Baseline and New) at the EOT Visit (Day 84)18 Participants
Secondary

Cohort 1: Change From Baseline in the Number of Treatable Warts (Baseline and New) at the EOS Visit (Day 84)

Cohort 1: Change from baseline in the number of treatable warts (baseline and new) at the EOS Visit (Day 84).

Time frame: Change in the number of warts compared at Baseline (Visit 1) to the End of Study Visit (Day 84).

Population: ITT Population

ArmMeasureGroupValue (MEAN)Dispersion
Cohort 1Cohort 1: Change From Baseline in the Number of Treatable Warts (Baseline and New) at the EOS Visit (Day 84)Baseline2.19 Number of wartsStandard Deviation 1.569
Cohort 1Cohort 1: Change From Baseline in the Number of Treatable Warts (Baseline and New) at the EOS Visit (Day 84)End of Treatment Visit-0.95 Number of wartsStandard Deviation 1.658
Secondary

Cohort 1: Percent Change From Baseline in the Number of Treatable Warts (Baseline and New) at the EOT Visit (Day 84).

Cohort 1: Assessing the percent change from Baseline in the number of treatable warts (Baseline and new) at the EOT visit (Day 84).

Time frame: Baseline (Visit 1) to End of Treatment Visit (Day 84).

Population: ITT Population

ArmMeasureValue (MEAN)Dispersion
Cohort 1Cohort 1: Percent Change From Baseline in the Number of Treatable Warts (Baseline and New) at the EOT Visit (Day 84).-31.19 Percent changeStandard Deviation 42.776
Secondary

Cohort 1: Proportion of Subjects Exhibiting Complete Clearance of All Treatable Warts (Baseline and New) at Visit 2, Visit 3, Visit 4 and Over the Duration of the Study

Cohort 1: Proportion of subjects exhibiting complete clearance of all treatable warts (baseline and new) at Visit 2, Visit 3, Visit 4 and over the duration of the study.

Time frame: Baseline, Day 14, 28, 42 and 84 (EOS)

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Cohort 1Cohort 1: Proportion of Subjects Exhibiting Complete Clearance of All Treatable Warts (Baseline and New) at Visit 2, Visit 3, Visit 4 and Over the Duration of the StudyComplete Clearance Reported at any Visit?5 Participants
Cohort 1Cohort 1: Proportion of Subjects Exhibiting Complete Clearance of All Treatable Warts (Baseline and New) at Visit 2, Visit 3, Visit 4 and Over the Duration of the StudyComplete Clearance Reported at Day 140 Participants
Cohort 1Cohort 1: Proportion of Subjects Exhibiting Complete Clearance of All Treatable Warts (Baseline and New) at Visit 2, Visit 3, Visit 4 and Over the Duration of the StudyComplete Clearance Reported at Day 282 Participants
Cohort 1Cohort 1: Proportion of Subjects Exhibiting Complete Clearance of All Treatable Warts (Baseline and New) at Visit 2, Visit 3, Visit 4 and Over the Duration of the StudyComplete Clearance Reported at Day 425 Participants
Cohort 1Cohort 1: Proportion of Subjects Exhibiting Complete Clearance of All Treatable Warts (Baseline and New) at Visit 2, Visit 3, Visit 4 and Over the Duration of the StudyComplete Clearance Reported at Day 84 (EOS)4 Participants
Secondary

Cohort 2: Change From Baseline in the Number of Treatable Warts (Baseline and New) at the EOT Visit Day 84)

Cohort 2: Change from baseline in the number of treatable warts (baseline and new) at the EOT Visit Day 84).

Time frame: Baseline, Day 84 (EOS)

Population: ITT Population

ArmMeasureValue (MEAN)Dispersion
Cohort 1Cohort 2: Change From Baseline in the Number of Treatable Warts (Baseline and New) at the EOT Visit Day 84)-0.85 change in wart countStandard Deviation 1.064
Secondary

Cohort 2: Change From Baseline in the Percent of Treatable Warts (Baseline and New) at the EOT Visit (Day 84)

Cohort 2: Change from baseline in the percent of treatable warts (baseline and new) at the EOT Visit (Day 84).

Time frame: Baseline (Visit 1) to End of Treatment Visit (Day 84).

Population: ITT Population

ArmMeasureValue (MEAN)Dispersion
Cohort 1Cohort 2: Change From Baseline in the Percent of Treatable Warts (Baseline and New) at the EOT Visit (Day 84)-53.79 percentage of change in wart countStandard Deviation 55.241
Secondary

Cohort 2: Proportion of Subjects Exhibiting Complete Clearance of All Treatable Warts, (Baseline and New), at Visit 2, Visit 3, Visit 4 and Over the Duration of the Study

Cohort 2: Proportion of subjects exhibiting complete clearance of all treatable warts, (baseline and new), at Visit 2, Visit 3, Visit 4 and over the duration of the study.

Time frame: Baseline, Day 21, 42, 63, and 84 (EOS), 105, 126, and 147

Population: ITT Population

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Cohort 1Cohort 2: Proportion of Subjects Exhibiting Complete Clearance of All Treatable Warts, (Baseline and New), at Visit 2, Visit 3, Visit 4 and Over the Duration of the StudyComplete Clearance Reported at Day 21 (Treatment Visit 2)5 Participants
Cohort 1Cohort 2: Proportion of Subjects Exhibiting Complete Clearance of All Treatable Warts, (Baseline and New), at Visit 2, Visit 3, Visit 4 and Over the Duration of the StudyComplete Clearance Reported at Day 42 (Treatment Visit 3)7 Participants
Cohort 1Cohort 2: Proportion of Subjects Exhibiting Complete Clearance of All Treatable Warts, (Baseline and New), at Visit 2, Visit 3, Visit 4 and Over the Duration of the StudyComplete Clearance Reported at Day 63 (Treatment Visit 4)12 Participants
Cohort 1Cohort 2: Proportion of Subjects Exhibiting Complete Clearance of All Treatable Warts, (Baseline and New), at Visit 2, Visit 3, Visit 4 and Over the Duration of the StudyComplete Clearance Reported at Day 84 (EOT)18 Participants
Cohort 1Cohort 2: Proportion of Subjects Exhibiting Complete Clearance of All Treatable Warts, (Baseline and New), at Visit 2, Visit 3, Visit 4 and Over the Duration of the StudyComplete Clearance Reported at Day 10516 Participants
Cohort 1Cohort 2: Proportion of Subjects Exhibiting Complete Clearance of All Treatable Warts, (Baseline and New), at Visit 2, Visit 3, Visit 4 and Over the Duration of the StudyComplete Clearance Reported at Day 12613 Participants
Cohort 1Cohort 2: Proportion of Subjects Exhibiting Complete Clearance of All Treatable Warts, (Baseline and New), at Visit 2, Visit 3, Visit 4 and Over the Duration of the StudyComplete Clearance Reported at Day 14713 Participants
Other Pre-specified

Cohort 1: Change From Baseline in the Number of Treatable Warts (Baseline and New) at Visit 2, Visit 3, Visit 4 and the EOS Visit

Cohort 1: Change from baseline in the number of treatable warts (baseline and new) at Visit 2, Visit 3, Visit 4 and the EOS Visit.

Time frame: Baseline, Day 14, 28, 42, and 84 (EOS)

Population: ITT Population

ArmMeasureGroupValue (MEAN)Dispersion
Cohort 1Cohort 1: Change From Baseline in the Number of Treatable Warts (Baseline and New) at Visit 2, Visit 3, Visit 4 and the EOS VisitTreatment Visit 2-0.5 change in wart countStandard Deviation 0.218
Cohort 1Cohort 1: Change From Baseline in the Number of Treatable Warts (Baseline and New) at Visit 2, Visit 3, Visit 4 and the EOS VisitTreatment Visit 3-0.43 change in wart countStandard Deviation 1.326
Cohort 1Cohort 1: Change From Baseline in the Number of Treatable Warts (Baseline and New) at Visit 2, Visit 3, Visit 4 and the EOS VisitTreatment Visit 4-0.76 change in wart countStandard Deviation 1.446
Cohort 1Cohort 1: Change From Baseline in the Number of Treatable Warts (Baseline and New) at Visit 2, Visit 3, Visit 4 and the EOS VisitEnd of Study-0.95 change in wart countStandard Deviation 1.658
Other Pre-specified

Cohort 1:Percent Reduction of All Treatable Warts (Baseline and New) From Baseline at Visit 2, Visit 3, Visit 4 and Over the Duration of the Study.

Cohort 1: Percent change from baseline in the number of treatable warts (Baseline and new) from Baseline at Visit 2, Visit 3, Visit 4 and over the duration of the study.

Time frame: Baseline, Day 14, 28, 42, and 84 (EOS)

Population: ITT Population

ArmMeasureGroupValue (MEAN)Dispersion
Cohort 1Cohort 1:Percent Reduction of All Treatable Warts (Baseline and New) From Baseline at Visit 2, Visit 3, Visit 4 and Over the Duration of the Study.Treatment Visit 2 Day 14-0.79 Percent change in number of wartsStandard Deviation 3.637
Cohort 1Cohort 1:Percent Reduction of All Treatable Warts (Baseline and New) From Baseline at Visit 2, Visit 3, Visit 4 and Over the Duration of the Study.Treatment Visit 3 Day 28-12.30 Percent change in number of wartsStandard Deviation 30.462
Cohort 1Cohort 1:Percent Reduction of All Treatable Warts (Baseline and New) From Baseline at Visit 2, Visit 3, Visit 4 and Over the Duration of the Study.Treatment Visit 4 Day 42-29.29 Percent change in number of wartsStandard Deviation 42.845
Cohort 1Cohort 1:Percent Reduction of All Treatable Warts (Baseline and New) From Baseline at Visit 2, Visit 3, Visit 4 and Over the Duration of the Study.EOS Day 84-31.19 Percent change in number of wartsStandard Deviation 42.776
Other Pre-specified

Cohort 1: Proportion of Subjects Exhibiting ≥ 50% Clearance of All Treatable Warts (Baseline and New) at the EOS Visit as Compared to Baseline

Cohort 1: Proportion of subjects exhibiting ≥ 50% clearance of all treatable warts (baseline and new) at the EOS visit as compared to baseline.

Time frame: Compare Treatment Visit 1 (Baseline) to End of Study (Day 84).

Population: ITT Population

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Cohort 1Cohort 1: Proportion of Subjects Exhibiting ≥ 50% Clearance of All Treatable Warts (Baseline and New) at the EOS Visit as Compared to Baseline7 Participants
Other Pre-specified

Cohort 1-Proportion of Subjects Exhibiting Reduction of at Least 1 Treatable Wart From Baseline at Visit 2, Visit 3, Visit 4 and at the EOS Visit (Day 84)

Cohort 1-Proportion of subjects exhibiting reduction of at least 1 treatable wart from baseline at Visit 2, Visit 3, Visit 4 and at the EOS Visit (Day 84).

Time frame: Baseline, Day 14, 28, 42, and 84 (EOS)

Population: ITT Population

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Cohort 1Cohort 1-Proportion of Subjects Exhibiting Reduction of at Least 1 Treatable Wart From Baseline at Visit 2, Visit 3, Visit 4 and at the EOS Visit (Day 84)Reduction of >= 1 Wart from Baseline at any visit?9 Participants
Cohort 1Cohort 1-Proportion of Subjects Exhibiting Reduction of at Least 1 Treatable Wart From Baseline at Visit 2, Visit 3, Visit 4 and at the EOS Visit (Day 84)Wart Reduction >= 1 Reported at Day 14 (Visit 2)1 Participants
Cohort 1Cohort 1-Proportion of Subjects Exhibiting Reduction of at Least 1 Treatable Wart From Baseline at Visit 2, Visit 3, Visit 4 and at the EOS Visit (Day 84)Wart Reduction >= 1 Reported at Day 28 (Visit 3)4 Participants
Cohort 1Cohort 1-Proportion of Subjects Exhibiting Reduction of at Least 1 Treatable Wart From Baseline at Visit 2, Visit 3, Visit 4 and at the EOS Visit (Day 84)Wart Reduction >= 1 Reported at Day 42 (Visit 4)8 Participants
Cohort 1Cohort 1-Proportion of Subjects Exhibiting Reduction of at Least 1 Treatable Wart From Baseline at Visit 2, Visit 3, Visit 4 and at the EOS Visit (Day 84)Wart Reduction >= 1 Reported at Day 84 (EOS)7 Participants
Other Pre-specified

Cohort 1-Proportion of Subjects Who Respond to Treatment Defined by a ≥ 50% Reduction in Total Wart Area at EOS Compared to Baseline

Cohort 1-Proportion of subjects who respond to treatment defined by a ≥ 50% reduction in total wart area at EOS compared to baseline.

Time frame: Baseline, Day 14, 28, 42, and 84 (EOS)

Population: ITT Population

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Cohort 1Cohort 1-Proportion of Subjects Who Respond to Treatment Defined by a ≥ 50% Reduction in Total Wart Area at EOS Compared to Baseline9 Participants
Other Pre-specified

Cohort 2: Change From Baseline in the Number of Treatable Warts (Baseline and New) at Follow-up Visits on Day 105, Day 126 and Day 147

Cohort 2: Change from baseline in the number of treatable warts (baseline and new) at follow-up visits on Day 105, Day 126 and Day 147.

Time frame: baseline to Day 105, Day 126 and Day 147

Population: ITT Population

ArmMeasureGroupValue (MEAN)Dispersion
Cohort 1Cohort 2: Change From Baseline in the Number of Treatable Warts (Baseline and New) at Follow-up Visits on Day 105, Day 126 and Day 147Day 105-0.82 change in wart countStandard Deviation 0.983
Cohort 1Cohort 2: Change From Baseline in the Number of Treatable Warts (Baseline and New) at Follow-up Visits on Day 105, Day 126 and Day 147Day 126-0.73 change in wart countStandard Deviation 0.911
Cohort 1Cohort 2: Change From Baseline in the Number of Treatable Warts (Baseline and New) at Follow-up Visits on Day 105, Day 126 and Day 147Day 147-0.73 change in wart countStandard Deviation 0.911
Other Pre-specified

Cohort 2: Change From Baseline in the Number of Treatable Warts (Baseline and New) at Treatment Visit 2, Treatment Visit 3, Treatment Visit 4 and the EOT Visit (Day 84)

Cohort 2: Change from baseline in the number of treatable warts (baseline and new) at Treatment Visit 2, Treatment Visit 3, Treatment Visit 4 and the EOT Visit (Day 84).

Time frame: Baseline, Day 14, 28, 42, and 84 (EOS)

Population: ITT Population

ArmMeasureGroupValue (MEAN)Dispersion
Cohort 1Cohort 2: Change From Baseline in the Number of Treatable Warts (Baseline and New) at Treatment Visit 2, Treatment Visit 3, Treatment Visit 4 and the EOT Visit (Day 84)Day 21 (Treatment Visit 2)-0.39 change in wart countStandard Deviation 0.998
Cohort 1Cohort 2: Change From Baseline in the Number of Treatable Warts (Baseline and New) at Treatment Visit 2, Treatment Visit 3, Treatment Visit 4 and the EOT Visit (Day 84)Day 42 (Treatment Visit 3)-0.48 change in wart countStandard Deviation 0.712
Cohort 1Cohort 2: Change From Baseline in the Number of Treatable Warts (Baseline and New) at Treatment Visit 2, Treatment Visit 3, Treatment Visit 4 and the EOT Visit (Day 84)Day 63 (Treatment Visit 4)-0.52 change in wart countStandard Deviation 0.712
Cohort 1Cohort 2: Change From Baseline in the Number of Treatable Warts (Baseline and New) at Treatment Visit 2, Treatment Visit 3, Treatment Visit 4 and the EOT Visit (Day 84)Day 84 (End of Treatment Visit)-0.85 change in wart countStandard Deviation 1.064
Other Pre-specified

Cohort 2: Percent Reduction of All Treatable Warts (Baseline and New) From Baseline at Follow-up Visits on Day 105, Day 126 and Day 147

Cohort 2: Percent reduction of all treatable warts (baseline and new) from baseline at follow-up visits on Day 105, Day 126 and Day 147.

Time frame: Baseline to follow-up visits on Day 105, Day 126 and Day 147

Population: ITT Population

ArmMeasureGroupValue (MEAN)Dispersion
Cohort 1Cohort 2: Percent Reduction of All Treatable Warts (Baseline and New) From Baseline at Follow-up Visits on Day 105, Day 126 and Day 147Day 105-50.91 percentage change from BaselineStandard Deviation 54.736
Cohort 1Cohort 2: Percent Reduction of All Treatable Warts (Baseline and New) From Baseline at Follow-up Visits on Day 105, Day 126 and Day 147Day 126-45.61 percentage change from BaselineStandard Deviation 52.556
Cohort 1Cohort 2: Percent Reduction of All Treatable Warts (Baseline and New) From Baseline at Follow-up Visits on Day 105, Day 126 and Day 147Day 147-45.61 percentage change from BaselineStandard Deviation 52.556
Other Pre-specified

Cohort 2: Percent Reduction of All Treatable Warts (Baseline and New) From Baseline at Visit 2, Visit 3, Visit 4 and Over Duration of the Study.

Cohort 2: Intent to Treat population Cohort 2-Percent reduction of all treatable warts (baseline and new) from baseline at Visit 2, Visit 3, Visit 4 and over duration of the study.

Time frame: Baseline to Treatment Visits 2 (Day 21), 3 (Day 42), 4 (Day 63) through the End of Treatment (Day 84).

Population: ITT population

ArmMeasureGroupValue (MEAN)Dispersion
Cohort 1Cohort 2: Percent Reduction of All Treatable Warts (Baseline and New) From Baseline at Visit 2, Visit 3, Visit 4 and Over Duration of the Study.Day 21 (Treatment Visit 2)-18.18 percentage of change in wart countStandard Deviation 37.119
Cohort 1Cohort 2: Percent Reduction of All Treatable Warts (Baseline and New) From Baseline at Visit 2, Visit 3, Visit 4 and Over Duration of the Study.Day 42 (Treatment Visit 3)-29.85 percentage of change in wart countStandard Deviation 41.392
Cohort 1Cohort 2: Percent Reduction of All Treatable Warts (Baseline and New) From Baseline at Visit 2, Visit 3, Visit 4 and Over Duration of the Study.Day 63 (Treatment Visit 4)-37.12 percentage of change in wart countStandard Deviation 53.078
Cohort 1Cohort 2: Percent Reduction of All Treatable Warts (Baseline and New) From Baseline at Visit 2, Visit 3, Visit 4 and Over Duration of the Study.Day 84 (End of Treatment Visit)-53.79 percentage of change in wart countStandard Deviation 55.241
Other Pre-specified

Cohort 2: Proportion of Subjects Exhibiting ≥ 50 % Clearance of All Treatable Warts (Baseline and New) at the EOT Visit (Day 84) as Compared to Baseline

Cohort 2: Proportion of subjects exhibiting ≥ 50 % clearance of all treatable warts (baseline and new) at the EOT Visit (Day 84) as compared to baseline.

Time frame: Baseline to Day 84 (EOT)

Population: ITT Population

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Cohort 1Cohort 2: Proportion of Subjects Exhibiting ≥ 50 % Clearance of All Treatable Warts (Baseline and New) at the EOT Visit (Day 84) as Compared to Baseline19 Participants
Other Pre-specified

Cohort 2: Proportion of Subjects Exhibiting Complete Clearance of All Treatable Warts (Baseline and New) at Follow-up Visits on Day 105, Day 126 and Day 147

Cohort 2: Proportion of subjects exhibiting complete clearance of all treatable warts (baseline and new) at follow-up visits on Day 105, Day 126 and Day 147.

Time frame: Treatment Visit 1 (Baseline) to each follow-up visit Day 105, Day 126 and Day 147.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Cohort 1Cohort 2: Proportion of Subjects Exhibiting Complete Clearance of All Treatable Warts (Baseline and New) at Follow-up Visits on Day 105, Day 126 and Day 147Complete Clearance Reported at Day 10516 Participants
Cohort 1Cohort 2: Proportion of Subjects Exhibiting Complete Clearance of All Treatable Warts (Baseline and New) at Follow-up Visits on Day 105, Day 126 and Day 147Complete Clearance Reported at Day 12613 Participants
Cohort 1Cohort 2: Proportion of Subjects Exhibiting Complete Clearance of All Treatable Warts (Baseline and New) at Follow-up Visits on Day 105, Day 126 and Day 147Complete Clearance Reported at Day 14713 Participants
Other Pre-specified

Cohort 2: Proportion of Subjects Exhibiting Reduction of at Least 1 Treatable Wart From Baseline at Visit 2, Visit 3, Visit 4 and at the EOT Visit (Day 84)

Cohort 2: Proportion of subjects exhibiting reduction of at least 1 treatable wart from baseline at Visit 2, Visit 3, Visit 4 and at the EOT Visit (Day 84).

Time frame: Baseline, Day 14, 28, 42, and 84 (EOS)

Population: ITT Population

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Cohort 1Cohort 2: Proportion of Subjects Exhibiting Reduction of at Least 1 Treatable Wart From Baseline at Visit 2, Visit 3, Visit 4 and at the EOT Visit (Day 84)Day 21 (Treatment Visit 2)7 Participants
Cohort 1Cohort 2: Proportion of Subjects Exhibiting Reduction of at Least 1 Treatable Wart From Baseline at Visit 2, Visit 3, Visit 4 and at the EOT Visit (Day 84)Day 42 (Treatment Visit 3)13 Participants
Cohort 1Cohort 2: Proportion of Subjects Exhibiting Reduction of at Least 1 Treatable Wart From Baseline at Visit 2, Visit 3, Visit 4 and at the EOT Visit (Day 84)Day 63 (Treatment Visit 4)15 Participants
Cohort 1Cohort 2: Proportion of Subjects Exhibiting Reduction of at Least 1 Treatable Wart From Baseline at Visit 2, Visit 3, Visit 4 and at the EOT Visit (Day 84)Day 84 (End of Treatment Visit)20 Participants
Other Pre-specified

Cohort 2: Proportion of Subjects Who Respond to Treatment Defined by a ≥ 50% Reduction in Total Wart Area at EOT Compared to Baseline

Cohort 2: Proportion of subjects who respond to treatment defined by a ≥ 50% reduction in total wart area at EOT compared to baseline.

Time frame: Baseline to EOT (Day 84)

Population: ITT Population

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Cohort 1Cohort 2: Proportion of Subjects Who Respond to Treatment Defined by a ≥ 50% Reduction in Total Wart Area at EOT Compared to Baseline23 Participants

Source: ClinicalTrials.gov · Data processed: Feb 14, 2026