Intralesional Acyclovir Versus Cryotherapy in the Treatment of Plantar Warts. A Randomized Controlled Trial.
NCT ID: NCT06261684
Last Updated: 2024-02-15
Study Results
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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RECRUITING
PHASE2/PHASE3
92 participants
INTERVENTIONAL
2023-10-01
2024-10-01
Brief Summary
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1. Is Intralesional acyclovir safe for plantar warts?
2. Is Intralesional acyclovir more efficient in treating plantar warts compared to cryotherapy?
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
DOUBLE
Study Groups
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Intralesional Acyclovir
Intralesional acyclovir will be prepared by diluting 1 ampoule of Acyclovir 250mg into 3.5ml of saline solution to achieve a concentration of approximately 70mg/ml. Then 0.1ml will be injected intra-lesionally into the base of the wart. Any hyperkeratotic lesions should be pared before the treatment. This process will be repeated every 2 weeks for 5 sessions, and can be discontinued if complete resolution is achieved early.
Intralesional Acyclovir
Intralesional Acyclovir in plantar warts
Cryotherapy
Patients allocated to Group B will undergo cryotherapy using a liquid nitrogen spray gun. Any hyperkeratotic lesions should be pared before the treatment. Two freeze-thaw cycles will be applied each session, the spray gun should be held 1cm away from the wart and maintained until the wart and the 1-3mm of surrounding skin shows freezing, and each cycle should last 15 seconds. Next, the lesion will be left to thaw completely before starting the second cycle. This process will be repeated every 2 weeks for 5 sessions, and can be discontinued if complete resolution is achieved early
Cryotherapy
Cryotherapy of plantar warts
Interventions
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Intralesional Acyclovir
Intralesional Acyclovir in plantar warts
Cryotherapy
Cryotherapy of plantar warts
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
* Hypersensitivity to Acyclovir
* Previous treatment to the same wart during the last 3 months
* Immunocompromised patients (as HIV, steroid intake, uncontrolled diabetes, etc.)
* Pregnant and breastfeeding females
* Cognitively impaired patients
18 Years
70 Years
ALL
No
Sponsors
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Cairo University
OTHER
Responsible Party
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Basant Ahmed Mohamed Abdelaal Helal
Dermatology Resident
Principal Investigators
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Shahira Ramadan, Professor
Role: STUDY_CHAIR
Cairo University
Yousra Azzazi, Lecturer
Role: STUDY_DIRECTOR
Cairo University
Locations
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Cairo University Hospital
Cairo, , Egypt
Countries
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Central Contacts
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Facility Contacts
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Basant Helal, MRCP
Role: primary
References
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Elsayed A, Nassar A, Marei A, Hoseiny HAM, Alakad R. Intralesional Acyclovir: A Potential Therapeutic Option for Cutaneous Warts. J Cutan Med Surg. 2022 Jan-Feb;26(1):25-30. doi: 10.1177/12034754211037998. Epub 2021 Aug 19.
Garcia-Oreja S, Alvaro-Afonso FJ, Tardaguila-Garcia A, Lopez-Moral M, Garcia-Madrid M, Lazaro-Martinez JL. Efficacy of cryotherapy for plantar warts: A systematic review and meta-analysis. Dermatol Ther. 2022 Jun;35(6):e15480. doi: 10.1111/dth.15480. Epub 2022 Apr 6.
Other Identifiers
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MS-259-2023
Identifier Type: -
Identifier Source: org_study_id
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