Low-grade Cervical Intraepithelial Neoplasia, Moducare
Conditions
Brief summary
MODUCIN-1 (MODUcare for CIN1) is a prospective, single center, open-label, randomized trial that its purpose is to compare MODUCARE versus Wait-and-See Approach for the regression rate of histologically proven low-grade Cervical Intraepithelial Neoplasia (CIN1).
Detailed description
Human Papillomavirus (HPV) is causally associated with cervical cancer and precancerous lesions (dysplasias) of the cervix. These lesions are detected mainly in the transformation zone and are diagnosed with colposcopy and biopsy confirmation. In high-grade lesions conization (surgical removal of a cone tissue form the cervix) is the therapy of choice, but in low-grade lesions monitoring and no-treatment is preferred. However, this wait-and-see approach can be assisted by pharmaceutical treatment, like MODUCARE. MODUCARE is classified as a natural dietary supplement, specifically an immune support supplement containing a patented blend of plant sterols and sterolins, primarily beta-sitosterol and beta-sitosterol glucoside, derived from plant sources. It is taken orally, 2 capsules three times daily for the first month and then 1 capsule three times daily for next 5 months (in total 6 months).
Interventions
MODUCARE is classified as a natural dietary supplement, specifically an immune support supplement containing a patented blend of plant sterols and sterolins, primarily beta-sitosterol and beta-sitosterol glucoside, derived from plant sources.
Sponsors
Study design
Intervention model description
* ARM A: Control Arm for Wait-and-See approach * ARM B: Intervation Arm for MODUCARE oral capsules, dosage 2 x 3 for 1 month and 1 x 3 for 5 months (total 6 months, as per instructions provided by the manufacturer)
Eligibility
Inclusion criteria
* Histologically proven CIN1 * Any HPV status (negative, positive: high or low risk) * Any Pap test result * Age 18 - 85 years old * ECOG Performance status 0 - 1
Exclusion criteria
* Pregnancy * Low likelihood of patient compliance to treatment protocol and follow-up * Previous operation to the cervix * Previous pelvic malignancy * Pre-existing histologically proven CIN1 \> 12 months * Pre-existing histologically proven CIN2 and/or CIN3 * Hypersensitivity to trial medication
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Regression rate of CIN1 | 6 months after randomization |
Secondary
| Measure | Time frame |
|---|---|
| Regression rate of CIN1 | 12 months after randomization |
| Progression rate of CIN1 | 6 & 12 months after randomization |
| Treatment related adverse events | : 6 months after randomization |
Contacts
Aristotle University Of Thessaloniki