Protocol summary

Study aim
The results of this study can help in finding an adjuvant treatment without complications, as well as its effective dose on HPV lesions in infected individuals.
Design
A controlled, parallel-group, single-blind, randomized clinical trial on 48 patients.
Settings and conduct
In this study, 48 women referring to the gynecological clinic of Fatemieh Hospital, Hamadan, with genital lesions, who were confirmed to have HPV by a Pap smear, were randomly enrolled in the study. The patients were then divided into three groups of 12 based on the genotyping results and given placebo or different doses of NBS in each group. The patients were treated and followed up for a period of 6 months and the improvement of HPV lesions was assessed. At the beginning, in the third month and at the end of treatment, the patients' biopsy and serum samples were examined and compared for specific papilloma and inflammatory factors tests as well as general organ health tests, which included the following: HPV genotyping, INF- ƴ, IgG1, SGOT, SGPT, ALP, Bili T & D, BUN, CR, FBS, TG, Chol, HDL, LDL, CBC, ESR
Participants/Inclusion and exclusion criteria
Women with genital lesions who have been confirmed to have HPV by a Pap smear will be included in the study. To ensure that NBS does not affect other organs of the body, patients with a history of taking any specific medications or specific diseases will be excluded from the study.
Intervention groups
Group A or control in which subjects will receive placebo Group B in which subjects will receive 2.5 grams of NBS daily Group C in which subjects will receive 5 grams of NBS daily Group D in which subjects will receive 10 grams of NBS daily
Main outcome variables
The results of this study can help in finding an adjuvant treatment without complications, as well as its effective dose on HPV lesions in infected individuals.

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20250220064778N1
Registration date: 2025-05-13, 1404/02/23
Registration timing: registered_while_recruiting

Last update: 2025-05-13, 1404/02/23
Update count: 0
Registration date
2025-05-13, 1404/02/23
Registrant information
Name
mobin faghih soleimani
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 87 3362 5571
Email address
mobin.f.s99@gmail.com
Recruitment status
recruiting
Funding source
Expected recruitment start date
2025-04-09, 1404/01/20
Expected recruitment end date
2025-09-11, 1404/06/20
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
The effective dose of nutrition bio-shield (NBS) superfood in the treatment of women with human papilloma virus (HPV)
Public title
The effect of nutrition bio-shield superfood in the treatment of human papilloma virus
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Women with genital lesions who have been confirmed to have HPV by Pap smear
Exclusion criteria:
Patients taking specific medication regularly or with specific diseases
Age
From 18 years old to 60 years old
Gender
Female
Phase
N/A
Groups that have been masked
  • Participant
Sample size
Target sample size: 48
Randomization (investigator's opinion)
Randomized
Randomization description
This study uses stratified randomization, in which a total of 48 women with HPV will be enrolled based on initial genotyping, of which 16 will have Low risk HPV, 16 will have High risk HPV, and 16 will have Low risk + High risk HPV, each of which will have its own separate basket. Then, each group will be randomly divided into 4 groups of 4: A. 4 patients will receive placebo only. B. 4 patients will receive 2.5 grams of NBS daily. C. 4 patients will receive 5 grams of NBS daily. D. 4 patients will receive 10 grams of NBS daily. Therefore, each basket contains 16 envelopes and patients will choose randomly. Each envelope has a code written in it (code A, B, C, and D as explained above) and patients are asked to report the code written inside the envelope to the doctor. Then, based on the reported code, the amount of drug or placebo is prescribed to the patient and the required educations and the next visit are determined.
Blinding (investigator's opinion)
Single blinded
Blinding description
The present study will be single-blinded in that, after explaining the study process and obtaining informed consent, the appropriate dose of NBS or placebo will be prescribed by the caregiver based on the code written inside the envelope. The patient will not be informed of the difference in the dose from other participants or receiving placebo, and only the health care provider or physician and the researcher will be aware of the code description.
Placebo
Used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Ethics committee of Hamadan University of Medical Sciences
Street address
Hamadan University of Medical Sciences, Shaheed Fahmideh Ave., Hamadan, IR Iran
City
Hamadan
Province
Hamadan
Postal code
۶۵۱۷۸۳۸۷۳۶
Approval date
2025-01-13, 1403/10/24
Ethics committee reference number
IR.UMSHA.REC.1403.753

Health conditions studied

1

Description of health condition studied
ویروس پاپیلومای انسانی
ICD-10 code
A63.0
ICD-10 code description
Anogenital (venereal) warts

Primary outcomes

1

Description
HPV lesion healing
Timepoint
3 and 6 months after taking NBS
Method of measurement
Clinically, by examining the lesions, which will be recorded at the beginning and at the 3rd and 6th month visits. Also, molecularly, by performing a Pap smear at the beginning and at the 3rd and 6th month, the degree of improvement will be determined.

Secondary outcomes

1

Description
Impact of NBS on immune status by measuring INF- ƴ, IgG1
Timepoint
At the beginning of the study and at months 3 and 6
Method of measurement
serum sample

2

Description
The effect of NBS on other organs by measuring cell blood counts, liver and kidney enzymes, lipid profiles, and fasting blood sugar
Timepoint
At the beginning of the study and at months 3 and 6
Method of measurement
serum sample

Intervention groups

1

Description
The first intervention group: which includes 12 patients and will receive 2.5 grams of NBS (a herbal blend containing nutritious cereal grains and other herbal materials; manufactured by NBS organic company in Istanbul, Turkey) once a day.
Category
Treatment - Drugs

2

Description
The second intervention group: which includes 12 patients and will receive 5 grams of NBS once a day.
Category
Treatment - Drugs

3

Description
The third intervention group: which includes 12 patients and will receive 10 grams of NBS once a day.
Category
Treatment - Drugs

4

Description
Control group: This group, which includes 12 patients, will take 2.5 grams of placebo once daily for 6 months.
Category
Placebo

Recruitment centers

1

Recruitment center
Name of recruitment center
Fatemieh hospital
Full name of responsible person
Farid Azizi Jalilian
Street address
Fatemieh hospital, Pasdaran Ave., Hamadan, IR Iran
City
Hamadan
Province
Hamadan
Postal code
6517789971
Phone
+98 81 3825 5890
Email
h-fatemiyeh@umsha.ac.ir
Web page address
https://scanteb.com/listing/%D8%A8%DB%8C%D9%85%D8%A7%D8%B1%D8%B3%D8%AA%D8%A7%D9%86-%D9%81%D8%A7%D8%B7%D9%85%DB%8C%D9%87-%D9%87%D9%85%D8%AF%D8%A7%D9%86/

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Hamedan University of Medical Sciences
Full name of responsible person
Ali Reza Soltanian
Street address
Hamadan university of medical sciences, Shahid Fahmideh Ave, Hamadan, Iran
City
Hamadan
Province
Hamadan
Postal code
6517669664
Phone
+98 81 3838 0025
Fax
+98 81 3838 0509
Email
soltanian@umsha.ac.ir
Web page address
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Hamedan University of Medical Sciences
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
Hamedan University of Medical Sciences
Full name of responsible person
Farid Azizi Jalilian
Position
Associate professor
Latest degree
Ph.D.
Other areas of specialty/work
Virology
Street address
Hamadan university of medical sciences, Shahid Fahmideh Ave., Hamadan, Iran
City
Hamadan
Province
Hamadan
Postal code
6517838736
Phone
+98 81 3525 0182
Email
azizifarid@gmail.com

Person responsible for scientific inquiries

Contact
Name of organization / entity
Hamedan University of Medical Sciences
Full name of responsible person
Farid Azizi Jalilian
Position
Associate professor
Latest degree
Ph.D.
Other areas of specialty/work
Virology
Street address
Hamadan university of medical sciences, Shahid Fahmideh Ave., Hamadan, Iran
City
Hamadan
Province
Hamadan
Postal code
6517838736
Phone
+98 81 3525 0182
Fax
Email
azizifarid@gmail.com
Web page address

Person responsible for updating data

Contact
Name of organization / entity
Hamedan University of Medical Sciences
Full name of responsible person
Farid Azizi Jalilian
Position
Associate professor
Latest degree
Ph.D.
Other areas of specialty/work
Virology
Street address
Hamadan university of medical sciences, Shahid Fahmideh Ave., Hamadan, Iran
City
Hamadan
Province
Hamadan
Postal code
6517838736
Phone
+98 81 3525 0182
Fax
Email
azizifarid@gmail.com
Web page address

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Undecided - It is not yet known if there will be 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
Undecided - It is not yet known if there will be a plan to make this available
Clinical Study Report
Undecided - It is not yet known if there will be 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
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