Try the modernized beta website. Learn more about the modernization effort.
Working… Menu

Safety and Efficacy of A-007 Topical Gel in the Treatment of High-Grade Squamous Intraepithelial Lesions (HSIL) of the Cervix

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00285207
Recruitment Status : Completed
First Posted : February 1, 2006
Results First Posted : October 11, 2010
Last Update Posted : October 11, 2010
Information provided by:
Tigris Pharmaceuticals

Brief Summary:
A-007 is an investigational therapy which may be effective in the treatment of pre-cancerous cervical dysplasia (abnormal cell growth). The purpose of this study is to evaluate the safety and efficacy of A-007, when used to treat high-grade cervical dysplasia.

Condition or disease Intervention/treatment Phase
Cervical Intraepithelial Neoplasia Uterine Cervical Dysplasia Drug: placebo Drug: A007 Phase 2

Detailed Description:
This is a randomized, double-blind, placebo-controlled study. It will randomize patients in a 1:1 ratio to topical cervical treatment with A-007, or placebo gel. Following biopsy confirmation of High Grade Squamous Intraepithelial Lesions (HSIL), women will treat themselves with gel applied to the cervix via an intravaginal applicator. Patients will apply gel once daily for 5 consecutive days of a 28-day cycle for 2 cycles. Women will return to clinic for safety assessments, colposcopy, cytology, and virologic and immunologic testing.

Layout table for study information
Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 147 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Participant, Investigator)
Primary Purpose: Treatment
Official Title: A Phase 2, Randomized, Double-Blind, Placebo-Controlled, Trial of the Use of 4,4'-Dihydroxybenzophenone-2,4-Dinitrophenyl-hydrazone (A-007) Topical Gel in the Treatment of High-Grade Squamous Intraepithelial Lesions (HSIL) of the Cervix
Study Start Date : January 2006
Actual Primary Completion Date : April 2008
Actual Study Completion Date : June 2008

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
Placebo Comparator: Placebo
Placebo administered topically to the cervix via intravaginal applicator for 5 consecutive days of a 28-day cycle for 2 cycles.
Drug: placebo
5 days of 28 day cycle for 2 cycles

Experimental: A007
0.25% A007 administered topically to the cervix via intravaginal applicator for 5 consecutive days of a 28-day cycle for 2 cycles.
Drug: A007
5 days of 28 day cycle

Primary Outcome Measures :
  1. Pathological Response [ Time Frame: baseline and 4 months ]
    Pathological resonse is defined as a patient who regressed from Cervical intraepithelial neoplasia (CIN) 2/3 to normal at the end of 4 months.

Secondary Outcome Measures :
  1. Local Tolerability and Systemic Safety of A-007 Will be Assessed by Way of CTCAE 3.0. [ Time Frame: over the course of the trial ]
  2. Eradication of Human Papilloma Virus (HPV) Will be Assessed by Way of Cervical Cytology and Swab Collection. [ Time Frame: over the course of the trial ]
  3. Immunologic Parameters B/T Cells Will be Assessed by B/T Cell Profile Collection. [ Time Frame: over the course of the trial ]

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

Layout table for eligibility information
Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No

Inclusion Criteria:

Patients may be enrolled in the study only if they meet all of the following criteria:

  • 18 years of age or older
  • The patient or her authorized representative must sign and date an Ethical Review Board-approved informed consent document. All aspects of the protocol must be explained and written informed consent obtained.
  • Patients must have histological proof of HSIL (CIN 2/3) disease documented.
  • Cervical swabs must test positive for HPV (by Hybrid Capture 2).
  • Patients must have a Hb ≥ 9 g/dl, a peripheral WBC ≥ 3000 mm3 and platelet counts ≥ 100,000 mm3.
  • Normal hepatic and renal functions - AST and ALT < 2.5 x ULN and creatinine < 1.5 x ULN, respectively.
  • Females of childbearing potential must use one of the following birth control methods during the treatment period and 2 weeks thereafter: oral, implantable, injectable contraceptives; abstinence (celibacy). Contraceptive sponges, IUD, spermicides, sponges, condoms, or partner's vasectomy are not acceptable methods of birth control.

Exclusion Criteria:

Patients will be excluded from the study for any of the following preexisting reasons:

  • Patients with LSIL (CIN 1) or invasive squamous cell carcinoma (SCC).
  • SIL (CIN) involving the endocervix as determined by endocervical curettage, or otherwise not amenable to adequate colposcopic follow-up evaluations, i.e. unsatisfactory colposcopy.
  • CIN 3 involving more than two cervical quadrants on colposcopy.
  • Patients treated for cervical SIL within the past year.
  • Patients with other malignancy (except for non-melanoma skin) within the past 5 years.
  • Patients with any active infections (including HIV) other than HPV.
  • Patients with known clinically relevant immunological deficiency.
  • Concurrent treatment with cytotoxic, radiation, or immuno-stimulative therapy, or with systemic corticosteroids at a dose of > 5 mg/d of prednisone (or its equivalent).
  • Participation in another investigational medication trial concurrently or within 30 days, or prior participation in an HPV vaccine trial. Treatment within the last 30 days with a medication that has not received regulatory approval at the time of study entry.
  • Concomitant use of topical vaginal medications.
  • Significant acute or chronic medical or psychiatric illness that, in the judgment of the Investigator, could compromise subject safety, limit the subject's ability to complete the study, and/or compromise the objectives of the study.
  • History of allergy or hypersensitivity to cosmetics, toiletries, or other topical or dermatologic products.
  • Pregnant or lactating females who are nursing and will not consent to cease nursing.
  • Investigators, site personnel directly affiliated with this study, and their immediate families. Immediate family is defined as a spouse, parent, child or sibling, whether biological or legally adopted.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00285207

Show Show 29 study locations
Sponsors and Collaborators
Tigris Pharmaceuticals
Layout table for investigator information
Principal Investigator: John A Burigo, MD OB/GYN Specialists of the Palm Beaches
Principal Investigator: Ramon Cestero, MD Arrowhead Regional Medical Center
Principal Investigator: Paul M Fine, MD Planned Parenthood of Houston & Southeast Texas, Inc.
Principal Investigator: Keith A Aqua, MD Visions Clinical Research
Principal Investigator: Steven C Blank, MD Mount Vernon Clinical Research, LLC
Principal Investigator: Douglas G Young, MD Northern California Research Corp
Principal Investigator: Allan T Sawyer, MD Hope Research Institute, LLC
Principal Investigator: Mark H Einstein, MD Montefiore Medical Center-Weiler Division
Principal Investigator: Robert M Spitz, MD Coastal Connecticut Research, LLC
Principal Investigator: Thomas A deHoop, MD Greater Cincinnati OB/GYN, Inc.
Principal Investigator: Lance R Bruck, MD Jacobi Medical Center
Principal Investigator: Warner K Huh, MD University of Alabama Highlands, Dept. of OB/GYN
Principal Investigator: Giuseppe Del Priore, MD New York Presbyterian Hospital
Principal Investigator: Michael A Gold, MD University of Oklahoma Health Sciences Center Dept of OB/GYN
Principal Investigator: Richard S Guido, MD Magee-Womens Hospital, Dept of OB/GYN & Reproductive Services
Principal Investigator: Philip E Young, MD IGO Medical Group of San Diego
Principal Investigator: Daron G. Ferris, MD Augusta University
Principal Investigator: Cynthia J Goldberg, MD Visions Clinical Research-Tucson
Principal Investigator: Ana Eduardo, MD Hill Country OB/GYN
Principal Investigator: Phyllis Gee, MD OB/GYN
Principal Investigator: Robert Pfeffer, MD Robin Black OGNP, Costa Mesa California
Principal Investigator: Jonathan A Cosin, MD Medstar Health Research Institute
Principal Investigator: James A Williams, MD South Carolina Oncology Associates
Principal Investigator: Vincent A Culotta, Jr, MD East Jefferson OB/GYN
Principal Investigator: G. Michael Swor, MD Physician Care Clinical Research, LLC.
Principal Investigator: Garn R Mabey, MD Office of R. Garn Mabey, MD
Principal Investigator: Martin Martino, MD Lehigh Valley Hospital
Principal Investigator: Robert Klein, MD Global OB/GYN Centers of Florida
Principal Investigator: William J Mann, MD Jersey Shore University Medical Center
Morgan, LR, Hooper, CL, Rodgers, AH, LoRusso, P, Eilender, DE and Culotta, VA. 4,4'-Dihydroxybenzophenone-2,4-dinitrophenyl-hydrazone (A-007): A CD4+ T-Lymphocyte Modulator Useful in the Treatment of Advanced Cancer. Chemotherapy - accepted 2005.
Morgan, LR, Hooper, CL, Rodgers, AH Culotta, V et al. 4,4'-Dihydroxy benzophenone -2,4-dinitrophenylhydrazone (A-007) A Modulator of CD45+ T Lymphocytes in HPV Infected Anogenital Epithelium. In: HPV Vaccines and Immune Therapy, Cambridge, United Kingdom, 2003

Layout table for additonal information
Responsible Party: Chief Medical Officer, Tigris Identifier: NCT00285207    
Other Study ID Numbers: TG-001
First Posted: February 1, 2006    Key Record Dates
Results First Posted: October 11, 2010
Last Update Posted: October 11, 2010
Last Verified: September 2010
Keywords provided by Tigris Pharmaceuticals:
Cervical Intraepithelial Neoplasia (CIN)
High-grade Cervical Intraepithelial Neoplasia
High-grade Squamous Intraepithelial Lesions (HSIL)
Human Papilloma Virus (HPV)
High-Grade Cervical Intraepithelial Lesions (CIN 2/3)
Additional relevant MeSH terms:
Layout table for MeSH terms
Carcinoma in Situ
Cervical Intraepithelial Neoplasia
Uterine Cervical Dysplasia
Squamous Intraepithelial Lesions of the Cervix
Carcinoma, Squamous Cell
Neoplasms, Glandular and Epithelial
Neoplasms by Histologic Type
Precancerous Conditions
Uterine Cervical Diseases
Uterine Diseases
Neoplasms, Squamous Cell