Protocol summary

Study aim
Evaluation of the effectiveness of vaginal lactoferrin tablets after the end of 6 months in terms of removing the virus (HPV + or HPV -) compared to placebo.
Design
First, the descriptive analysis of the variables in the study will be done. To ensure the correctness of the random assignment, all the variables collected before the start of vaccination (baseline) will be compared in the 2 groups.
Settings and conduct
• Initial visit (zero time): review of complete blood test results and completion of patient demographic questionnaire - physical examination - review of HPV test results (positive/negative - genotyping) - pap smear (cytology, biopsy/pathology) • Second visit (3 months after the start of the study): physical examination - checking the response of the HPV test (positive/negative - genotyping) - pap smear (cytology, biopsy/pathology) • Third visit (6 months after the start of the study): physical examination - checking the response of the HPV test (positive/negative - genotyping) - pap smear (cytology, biopsy/pathology) Yas Hospital - Dr. Keyvan Medical Virology Specialist Laboratory
Participants/Inclusion and exclusion criteria
During the treatment period, people were encouraged to use the drug according to the brochure and daily. At the end of the treatment, the patients were evaluated for virus clearance with HPV test and pap smear for six months at 3 and 6 month visits.
Intervention groups
Female patients with a certain age group, whose HPV test is positive for high-risk strains such as 16, 18 and have a normal pap smear and are classified as CIN1 in terms of citerlogy, can enter the study, but those who are pregnant, have a history of alcohol and smoking, and have a history of warts The use of immunosuppressant drugs is subject to
Main outcome variables
HPV virus, Virus genotype, Cytology of secretions (Pap smear)

General information

Reason for update
Acronym
ELHPV
IRCT registration information
IRCT registration number: IRCT20231004059608N1
Registration date: 2024-05-18, 1403/02/29
Registration timing: prospective

Last update: 2024-05-18, 1403/02/29
Update count: 0
Registration date
2024-05-18, 1403/02/29
Registrant information
Name
naghmeh hadidi
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 21 6411 2808
Email address
hadidi@gmail.com
Recruitment status
recruiting
Funding source
Expected recruitment start date
2024-05-21, 1403/03/01
Expected recruitment end date
2026-05-22, 1405/03/01
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Assessment the Efficacy of Lactoferin as a Natural Product in Virus Clearance in HPV+ Patients: Randomized Double Blind Clinical trial
Public title
Efficacy of Lactoferin in HPV Clearance
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Age: 25 to 50 years Gender: Female Marital Status: Married/Single HPV positive patients (genotypes 16, 18, 31, 33, 39, 45, and 52) Normal pap smear Low grade pathology / CIN1
Exclusion criteria:
Pregnant women observation of internal/external warts history of surgery َalchohol consumption AIDS (HIV+) Drug use within 90 days People with systemic immunosuppressive disorders Patients who have received local or systemic treatment in the last three months. Abnormal pap smear High grade pathology Cancer Conization history Suffering from chronic diseases (diabetes, fatty liver and metabolic diseases, etc.) Having more than 3 sexual partners Patients with a history of treatment with Eldara and similar drugs (local and systemic) History of Allergy, sensitivity to medicine, Anaphylaxis shock
Age
From 25 years old to 50 years old
Gender
Female
Phase
3
Groups that have been masked
  • Participant
  • Care provider
  • Data analyser
  • Data and Safety Monitoring Board
Sample size
Target sample size: 80
More than 1 sample in each individual
Number of samples in each individual: 1
Vaginal discharge
Randomization (investigator's opinion)
Randomized
Randomization description
Randomization will be done in blocks of 8 blocks. Excel software and the rand() function are used to prepare random sequences inside each block. After determining the type of intervention in each participant, a non-repeating four-digit code is assigned to the individual. This number is the participant's randomization code and will be identified with this number until the end of the study. This number will be written on all the pages of the participant information collection forms. People will enter the study in blocks of 8, each block will have a variable number of 3 treatment and placebo groups. In total and at the end, four groups of 20 people will receive placebo and three different concentrations of the drug respectively.
Blinding (investigator's opinion)
Double blinded
Blinding description
The study is double-blind, and only the principal investigator and the epidemiologist know about the assigned treatment, and the physician, evaluator, and laboratory will all be masked. (Regarding the similarity of the packaging of pharmaceutical forms and placebo - the sameness of all tests, sampling, questionnaires and other conditions of the study).
Placebo
Used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Medical Ethics Committee of Pasteur Institute of Iran
Street address
Farvardin St. 12 - Pasteur Institute of Iran
City
Tehran
Province
Tehran
Postal code
1316943551
Approval date
2024-04-17, 1403/01/29
Ethics committee reference number
IR.PII.REC.1403.002

Health conditions studied

1

Description of health condition studied
virus clearance in HPV+ patients
ICD-10 code
R87.810
ICD-10 code description
Cervical high risk human papillomavirus (HPV) DNA test positive

Primary outcomes

1

Description
HPV clearance in HPV+ after 6 months
Timepoint
0-3-6 month
Method of measurement
hpv genotyping test

2

Description
pap smear
Timepoint
0-3-6 month
Method of measurement
cytology and pap smear

Secondary outcomes

empty

Intervention groups

1

Description
Intervention group: Lactoferin Vaginal Tablet 300 mg ( produced in fanda pharma) to be used once daily by applicator at bedtime from 5th day of mense for 21 days
Category
Treatment - Drugs

2

Description
Control group:placebo -Vaginal tablets without lactoferrin - one tablet daily at bedtime using a vaginal tablet applicator from the 5th day of the monthly period for 21 days.
Category
Placebo

Recruitment centers

1

Recruitment center
Name of recruitment center
yas hospital
Full name of responsible person
Dr. Fariba Yarandi
Street address
northern ostad nejatollahi, karimkhan zand
City
tehran
Province
Tehran
Postal code
1598718311
Phone
+98 21 8894 8217
Email
yarandi_f@yahoo.com

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Pasture Institute of Iran
Full name of responsible person
Delaram Doroud
Street address
No. 69, 12th Farvardin St, Enghelab Av,
City
Tehran
Province
Tehran
Postal code
1316943551
Phone
+98 21 6411 2808
Email
hadidi@gmail.com
Grant name
Research Grant No. 2225
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Pasture Institute of Iran
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Pasture Institute of Iran
Full name of responsible person
Naghmeh Hadidi
Position
Associate Professor
Latest degree
Ph.D.
Other areas of specialty/work
Medical Pharmacy
Street address
No 69, 12th Farvardin St, Enghelab av.
City
Tehran
Province
Tehran
Postal code
1316943551
Phone
+98 21 6411 2808
Email
hadidi@gmail.com

Person responsible for scientific inquiries

Contact
Name of organization / entity
Pasture Institute of Iran
Full name of responsible person
Naghmeh Hadidi
Position
Associate Professor
Latest degree
Ph.D.
Other areas of specialty/work
Medical Pharmacy
Street address
No. 69, 12th Farvardin St, Enghhelab Av.
City
Tehran
Province
Tehran
Postal code
1316943551
Phone
+98 21 6411 2808
Email
hadidi@gmail.com

Person responsible for updating data

Contact
Name of organization / entity
Pasture Institute of Iran
Full name of responsible person
Naghmeh Hadidi
Position
Associate Professor
Latest degree
Ph.D.
Other areas of specialty/work
Medical Pharmacy
Street address
No. 69, 12th Farvardin St, Enghelab Av.
City
Tehran
Province
Tehran
Postal code
1316943551
Phone
+98 21 6411 2808
Email
hadidi@gmail.com

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Yes - There is a plan to make this available
Study Protocol
Undecided - It is not yet known if there will be a plan to make this available
Statistical Analysis Plan
Undecided - It is not yet known if there will be a plan to make this available
Informed Consent Form
No - There is not a plan to make this available
Clinical Study Report
Yes - There is a plan to make this available
Analytic Code
Undecided - It is not yet known if there will be a plan to make this available
Data Dictionary
Undecided - It is not yet known if there will be a plan to make this available
Title and more details about the data/document
research section at PII site ( Pasteur.ac.ir)
When the data will become available and for how long
unlimited
To whom data/document is available
researchers and patients attending the study
Under which criteria data/document could be used
detailed information about study
From where data/document is obtainable
contact with responsible person
What processes are involved for a request to access data/document
phone contact
Comments
for more information email would be also applicable
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