Artesunate Vaginal Inserts for the Treatment of Cervical Intraepithelial Neoplasia (CIN2/3)

NCT ID: NCT04098744

Last Updated: 2025-10-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

78 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-09-09

Study Completion Date

2026-12-31

Brief Summary

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This is a phase II double blind, placebo-controlled, randomized study of Artesunate vaginal inserts for the treatment of women who have cervical high grade intraepithelial neoplasia (CIN2/3).

Detailed Description

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Eligible participants in this study are randomized 2:1 to receive either artesunate or placebo vaginal inserts for the treatment of CIN2/3. Both groups receive three 5-day cycles of the respective drug, at weeks 0, 2, and 4. Dosing visits can be done as telehealth visits (medication is mailed to the patient's home). Participants are followed after receiving artesunate at weeks 6, 17, and 40. All participants undergo a LEEP procedure at week 17.

Primary Objective: To evaluate the histopathologic response to three 5-day cycles of artesunate vaginal inserts in adult females with biopsy-proven HPV-associated CIN 2/3.

Secondary Objectives:

* To evaluate the safety of artesunate vaginal inserts for the treatment of CIN2/3
* To evaluate the viral clearance after three 5-day cycles of artesunate vaginal inserts in adult females with biopsy-proven HPV-associated CIN 2/3.
* To evaluate viral clearance after three 5-day cycles of artesunate and the LEEP procedure

Conditions

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CIN 2/3 HPV Infection Pre-Cancerous Dysplasia Cervical Dysplasia HPV Related Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators
Participants, study team, and sponsor are blinded to the treatment assignment.

Study Groups

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Artesunate vaginal insert

Participants will receive three 5-day cycles of artesunate vaginal inserts, 200mg/day, at week 0, week 2, week 4.

Group Type EXPERIMENTAL

Artesunate vaginal insert

Intervention Type DRUG

Artesunate formulated as vaginal inserts, 200mg

Placebo vaginal inserts

Participants will receive three 5-day cycles of placebo vaginal inserts, at week 0, week 2, and week 4.

Group Type PLACEBO_COMPARATOR

Placebo vaginal insert

Intervention Type DRUG

Placebo for artesunate vaginal inserts

Interventions

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Artesunate vaginal insert

Artesunate formulated as vaginal inserts, 200mg

Intervention Type DRUG

Placebo vaginal insert

Placebo for artesunate vaginal inserts

Intervention Type DRUG

Other Intervention Names

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Artesunic acid DHA artemisinin

Eligibility Criteria

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Inclusion Criteria

* Adult females age ≥ 25 years
* Capable of informed consent
* Any HPV genotype detectable by DNA test/HPV genotyping
* Colposcopically-directed, histologically confirmed tissue diagnosis of cervical high grade squamous intraepithelial lesions (CIN2, CIN3, or CIN2/3)
* Women of childbearing potential agree to use birth control through week17 of the study.
* Weight ≥ 50kg

Exclusion Criteria

* Pregnant and nursing women
* Active autoimmune disease
* Taking immunosuppressive medication
* HIV seropositivity
* Immunocompromised subjects
* Evidence of concurrent cervical adenocarcinoma in situ
* Concurrent malignancy except for nonmelanoma skin lesions, because treatment for other cancers have systemic effects
Minimum Eligible Age

25 Years

Maximum Eligible Age

100 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Amarex Clinical Research

OTHER

Sponsor Role collaborator

M.D. Anderson Cancer Center

OTHER

Sponsor Role collaborator

Harris Health System (L.B.J. Hospital)

UNKNOWN

Sponsor Role collaborator

The Cleveland Clinic

OTHER

Sponsor Role collaborator

University of Michigan

OTHER

Sponsor Role collaborator

Florida Gynecologic Oncology

UNKNOWN

Sponsor Role collaborator

Frantz Viral Therapeutics, LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Florida Gynecologic Oncology

Fort Myers, Florida, United States

Site Status RECRUITING

University of Michigan

Ann Arbor, Michigan, United States

Site Status RECRUITING

Cleveland Clinic Fairview Hospital

Cleveland, Ohio, United States

Site Status RECRUITING

Cleveland Clinic Foundation

Cleveland, Ohio, United States

Site Status RECRUITING

Hillcrest Hospital

Mayfield Heights, Ohio, United States

Site Status RECRUITING

The Harris Health System (L.B.J Hospital)

Houston, Texas, United States

Site Status RECRUITING

University of Texas, M.D. Anderson

Houston, Texas, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Mihaela Plesa, BA, CCRP

Role: CONTACT

440-255-1155 ext. 100

Ahmad Bayat, MD

Role: CONTACT

(301) 956-2523

Facility Contacts

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Cami Hansen

Role: primary

239-334-6626

Mubeenah Syedah

Role: primary

734-998-6349

Donna White

Role: primary

216-445-8090

Megan Park

Role: backup

216-445-8090

Donna White

Role: primary

216-445-8090

Megan Park

Role: backup

216-445-8090

Donna White

Role: primary

216-445-8090

Megan Park

Role: backup

216-445-8090

Jessica Gallegos

Role: primary

713-563-4580

Cindy Melendez

Role: backup

713-563-4582

Jessica Gallegos

Role: primary

713-563-4580

Cindy Melendez

Role: backup

713-563-4582

Other Identifiers

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2020 0237

Identifier Type: OTHER

Identifier Source: secondary_id

20 1148

Identifier Type: OTHER

Identifier Source: secondary_id

ART-CIN IIB

Identifier Type: -

Identifier Source: org_study_id

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