Imiquimod in Preventing Cervical Cancer in Women With Cervical Neoplasia
Fjalë kyçe
Abstrakt
Përshkrim
OBJECTIVES:
- Compare the chemopreventive efficacy of topical imiquimod followed by local ablative or excisional therapy vs ablative/excisional therapy alone in patients with recurrent or high-grade cervical intraepithelial neoplasia.
- Compare the toxicity of these regimens in these patients.
- Compare the quality of life of patients treated with these regimens.
- Determine the safety and tolerability of imiquimod in these patients.
OUTLINE: This is a randomized, multicenter study. Patients are stratified according to participating center, disease (primary vs recurrent or persistent), severity of dysplasia (grade I vs grade II vs grade III), current tobacco use (yes vs no), planned surgical procedure (excisional vs laser vs cryotherapy vs other), and time since first abnormal Pap smear, including pathology of ascus favor dysplasia (less than 1 year vs 1-3 years vs more than 3 years). Patients are randomized to one of two treatment arms.
- Arm I: Patients undergo ablative or excisional therapy.
- Arm II: Patients have topical imiquimod applied to the cervix for 6-10 hours twice weekly for a total of 5 doses. Within 3-4 weeks after the final application, patients undergo ablative or excisional therapy.
Quality of life is assessed at baseline, after last dose of study drug (arm II only), 3-5 days after ablation or excisional therapy, at 3 months, and then annually thereafter.
Patients are followed every 3-4 months until 2 consecutive normal Pap smears or colposcopic exams, every 6 months for 2 years, and then annually until 5 years after completion of study therapy.
PROJECTED ACCRUAL: A total of 66-152 (33-76 per treatment arm) will be accrued for this study within 18 months.
Datat
| Verifikuar së fundmi: | 06/30/2016 |
| Paraqitur së pari: | 03/07/2002 |
| Regjistrimi i vlerësuar u dorëzua: | 01/25/2003 |
| Postuar së pari: | 01/26/2003 |
| Përditësimi i fundit i paraqitur: | 07/11/2016 |
| Përditësimi i fundit i postuar: | 07/12/2016 |
| Data e fillimit të studimit aktual: | 05/31/1999 |
| Data e vlerësuar e përfundimit primar: | 06/30/2004 |
| Data e vlerësimit të përfundimit të studimit: | 01/31/2010 |
Gjendja ose sëmundja
Ndërhyrja / trajtimi
Drug: Ablative or excisional therapy + imiquimod
Procedure: Ablative or excisional therapy
Faza
Grupet e krahëve
| Krah | Ndërhyrja / trajtimi |
|---|---|
| Other: Ablative or excisional therapy Patients undergo ablative or excisional therapy.
Quality of life is assessed at baseline, 3-5 days after ablation or excisional therapy, at 3 months, and then annually thereafter.
Patients are followed every 3-4 months until 2 consecutive normal Pap smears or colposcopic exams, every 6 months for 2 years, and then annually until 5 years after completion of study therapy. | |
| Experimental: Ablative or excisional therapy + imiquimod Patients have topical imiquimod applied to the cervix for 6-10 hours twice weekly for a total of 5 doses. Within 3-4 weeks after the final application, patients undergo ablative or excisional therapy. Quality of life is assessed at baseline, after last dose of study drug, 3-5 days after ablation or excisional therapy, at 3 months, and then annually thereafter.
Patients are followed every 3-4 months until 2 consecutive normal Pap smears or colposcopic exams, every 6 months for 2 years, and then annually until 5 years after completion of study therapy. | Drug: Ablative or excisional therapy + imiquimod |
Kriteret e pranimit
| Moshat e pranueshme për studim | 18 Years Për të 18 Years |
| Gjinitë e pranueshme për studim | Female |
| Pranon Vullnetarë të Shëndetshëm | po |
| Kriteret | DISEASE CHARACTERISTICS: - Histologically confirmed primary grade II or III cervical intraepithelial neoplasia (CIN) or persistent grade I-III CIN (dysplasia that is not new and requires treatment) - Squamous cell lesions not involving endocervix by colposcopy OR colposcopy with negative cytobrush or endocervical curettage - No untreated cervical or vaginal infection other than human papilloma virus - No desire for hysterectomy as ablative therapy PATIENT CHARACTERISTICS: Age: - 18 and over Life expectancy: - At least 5 years Other: - Not pregnant or nursing - Negative pregnancy test - Fertile patients must use effective contraception during and for 3 months after study - HIV negative - No AIDS - No known hypersensitivity to imiquimod - No latex allergy PRIOR CONCURRENT THERAPY: Other: - No concurrent immunosuppressive therapy |
Rezultati
Masat Kryesore të Rezultateve
1. Overall survival [Up to 7.5 years]
Masat dytësore të rezultateve
1. Compare the quality of life of patients treated with these regimens [Up to 7.5 years]
