Trial Outcomes & Findings for CellFX Comparison to Cryosurgery in Cutaneous Non-Genital Common Warts (NCT NCT04738734)

NCT ID: NCT04738734

Last Updated: 2023-11-24

Results Overview

The primary effectiveness endpoint is the percentage of warts resolved or cleared as assessed "live" by the blinded site investigator at 30 days after the last treatment with CellFX or Cryosurgical Procedure.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

150 participants

Primary outcome timeframe

30 days following the last CellFX or Cryosurgical Procedure up to a maximum of 3 months

Results posted on

2023-11-24

Participant Flow

Participant milestones

Participant milestones
Measure
CellFX Procedure
CellFX device using pre-defined energy protocols CellFX System Device: The CellFX System utilizes non-thermal, localized delivery of a timed series of low energy, nanosecond electrical pulses that can trigger regulated cell death.
Cryosurgical Procedure
Cryosurgery will be standardized across all investigational sites. Investigators will perform the Cryosurgical procedure using the Brymill Cry-Ac B700 Liquid Nitrogen Sprayer. Cryosurgery Liquid Nitrogen Sprayer: Cryosurgery will be standardized across all investigational sites using the Brymill Cry-Ac spray canister with standard cryoprobe.
Overall Study
STARTED
75
75
Overall Study
COMPLETED
68
67
Overall Study
NOT COMPLETED
7
8

Reasons for withdrawal

Reasons for withdrawal
Measure
CellFX Procedure
CellFX device using pre-defined energy protocols CellFX System Device: The CellFX System utilizes non-thermal, localized delivery of a timed series of low energy, nanosecond electrical pulses that can trigger regulated cell death.
Cryosurgical Procedure
Cryosurgery will be standardized across all investigational sites. Investigators will perform the Cryosurgical procedure using the Brymill Cry-Ac B700 Liquid Nitrogen Sprayer. Cryosurgery Liquid Nitrogen Sprayer: Cryosurgery will be standardized across all investigational sites using the Brymill Cry-Ac spray canister with standard cryoprobe.
Overall Study
Withdrawal by Subject
2
4
Overall Study
Lost to Follow-up
5
2
Overall Study
Physician Decision
0
1
Overall Study
Mistake of termination of subject by clinical site
0
1

Baseline Characteristics

CellFX Comparison to Cryosurgery in Cutaneous Non-Genital Common Warts

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
CellFX Procedure
n=75 Participants
CellFX device using pre-defined energy protocols CellFX System Device: The CellFX System utilizes non-thermal, localized delivery of a timed series of low energy, nanosecond electrical pulses that can trigger regulated cell death.
Cryosurgical Procedure
n=75 Participants
Cryosurgery will be standardized across all investigational sites. Investigators will perform the Cryosurgical procedure using the Brymill Cry-Ac B700 Liquid Nitrogen Sprayer. Cryosurgery Liquid Nitrogen Sprayer: Cryosurgery will be standardized across all investigational sites using the Brymill Cry-Ac spray canister with standard cryoprobe.
Total
n=150 Participants
Total of all reporting groups
Age, Continuous
44.6 Years
n=5 Participants
46.2 Years
n=7 Participants
45.4 Years
n=5 Participants
Sex: Female, Male
Female
36 Participants
n=5 Participants
44 Participants
n=7 Participants
80 Participants
n=5 Participants
Sex: Female, Male
Male
39 Participants
n=5 Participants
31 Participants
n=7 Participants
70 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
7 Participants
n=5 Participants
10 Participants
n=7 Participants
17 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
68 Participants
n=5 Participants
65 Participants
n=7 Participants
133 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
3 Participants
n=5 Participants
3 Participants
n=7 Participants
6 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
White
70 Participants
n=5 Participants
67 Participants
n=7 Participants
137 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
3 Participants
n=7 Participants
3 Participants
n=5 Participants
Warts
231 warts
n=5 Participants
248 warts
n=7 Participants
479 warts
n=5 Participants

PRIMARY outcome

Timeframe: 30 days following the last CellFX or Cryosurgical Procedure up to a maximum of 3 months

Population: The population consisted of participants with treated warts and evaluated at 30-days following the last CellFX or Cryosurgical Procedure up to a maximum of 3 months.

The primary effectiveness endpoint is the percentage of warts resolved or cleared as assessed "live" by the blinded site investigator at 30 days after the last treatment with CellFX or Cryosurgical Procedure.

Outcome measures

Outcome measures
Measure
CellFX Procedure
n=216 wart lesions
CellFX device using pre-defined energy protocols CellFX System Device: The CellFX System utilizes non-thermal, localized delivery of a timed series of low energy, nanosecond electrical pulses that can trigger regulated cell death.
Cryosurgical Procedure
n=232 wart lesions
Cryosurgery will be standardized across all investigational sites. Investigators will perform the Cryosurgical procedure using the Brymill Cry-Ac B700 Liquid Nitrogen Sprayer. Cryosurgery Liquid Nitrogen Sprayer: Cryosurgery will be standardized across all investigational sites using the Brymill Cry-Ac spray canister with standard cryoprobe.
Percentage of Warts Resolved
80.7 percentage of warts resolved
Interval 71.1 to 90.2
73.1 percentage of warts resolved
Interval 64.2 to 81.9

PRIMARY outcome

Timeframe: 30 days from the last CellFX or Cryosurgical Procedure up to a maximum of 3 months

Population: The population consisted of participants with treated warts and evaluated for skin textural changes at 30-days following the last CellFX or Cryosurgical Procedure up to a maximum of 3 months.

The safety endpoint is the percentage of warts with skin textural changes where the wart was originally treated and showed textual changes of the surrounding skin where the wart was treated and included; scabbing, swelling, crusting, blister, or ulceration when assessed by the blinded site investigator.

Outcome measures

Outcome measures
Measure
CellFX Procedure
n=216 wart lesions
CellFX device using pre-defined energy protocols CellFX System Device: The CellFX System utilizes non-thermal, localized delivery of a timed series of low energy, nanosecond electrical pulses that can trigger regulated cell death.
Cryosurgical Procedure
n=232 wart lesions
Cryosurgery will be standardized across all investigational sites. Investigators will perform the Cryosurgical procedure using the Brymill Cry-Ac B700 Liquid Nitrogen Sprayer. Cryosurgery Liquid Nitrogen Sprayer: Cryosurgery will be standardized across all investigational sites using the Brymill Cry-Ac spray canister with standard cryoprobe.
Percentage of Warts Treated With Skin Textural Changes
41.4 percentage of warts
Interval 32.5 to 50.3
13.1 percentage of warts
Interval 5.73 to 20.5

PRIMARY outcome

Timeframe: 90 days from the last CellFX or Cryosurgical Procedure up to a maximum of 6 months

Population: The population consisted of participants with treated warts and evaluated at 90-days following the last CellFX or Cryosurgical Procedure up to a maximum of 6 months.

The skin change safety event is defined as the presence of hyperpigmentation, hypopigmentation, or scarring as assessed by the blinded site investigator.

Outcome measures

Outcome measures
Measure
CellFX Procedure
n=208 wart lesions
CellFX device using pre-defined energy protocols CellFX System Device: The CellFX System utilizes non-thermal, localized delivery of a timed series of low energy, nanosecond electrical pulses that can trigger regulated cell death.
Cryosurgical Procedure
n=227 wart lesions
Cryosurgery will be standardized across all investigational sites. Investigators will perform the Cryosurgical procedure using the Brymill Cry-Ac B700 Liquid Nitrogen Sprayer. Cryosurgery Liquid Nitrogen Sprayer: Cryosurgery will be standardized across all investigational sites using the Brymill Cry-Ac spray canister with standard cryoprobe.
Presence of Pigmentary and Scarring Skin Changes
37.3 percentage of lesions
Interval 25.5 to 49.0
23.7 percentage of lesions
Interval 14.1 to 33.3

Adverse Events

CellFX Procedure

Serious events: 0 serious events
Other events: 10 other events
Deaths: 0 deaths

Cryosurgical Procedure

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
CellFX Procedure
n=75 participants at risk
CellFX device using pre-defined energy protocols CellFX System Device: The CellFX System utilizes non-thermal, localized delivery of a timed series of low energy, nanosecond electrical pulses that can trigger regulated cell death.
Cryosurgical Procedure
n=75 participants at risk
Cryosurgery will be standardized across all investigational sites. Investigators will perform the Cryosurgical procedure using the Brymill Cry-Ac B700 Liquid Nitrogen Sprayer. Cryosurgery Liquid Nitrogen Sprayer: Cryosurgery will be standardized across all investigational sites using the Brymill Cry-Ac spray canister with standard cryoprobe.
Skin and subcutaneous tissue disorders
Skin Neoplasm
1.3%
1/75 • Number of events 1 • 150 days
1.3%
1/75 • Number of events 3 • 150 days
Skin and subcutaneous tissue disorders
Neoplasm of uncertain behavior of skin
0.00%
0/75 • 150 days
1.3%
1/75 • Number of events 1 • 150 days
Skin and subcutaneous tissue disorders
Paraesthesia
4.0%
3/75 • Number of events 5 • 150 days
0.00%
0/75 • 150 days
Skin and subcutaneous tissue disorders
Neuropathy
2.7%
2/75 • Number of events 2 • 150 days
0.00%
0/75 • 150 days
Skin and subcutaneous tissue disorders
Infection
1.3%
1/75 • Number of events 1 • 150 days
0.00%
0/75 • 150 days
Infections and infestations
Tinea Versicolor
1.3%
1/75 • Number of events 1 • 150 days
0.00%
0/75 • 150 days
General disorders
Pain
2.7%
2/75 • Number of events 2 • 150 days
0.00%
0/75 • 150 days

Additional Information

William A. Knape, VP Clinical, Regulatory, and Quality Affairs

Pulse Biosciences, Inc.

Phone: 510-906-4649

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60