Clinical trial • Not applicable • Oncology|Infectious Disease

N/A for Cervical dysplasia|Human papillomavirus (HPV) infection|Cervical intraepithelial neoplasia (CIN2+)

Not applicable trial of N/A for Cervical dysplasia|Human papillomavirus (HPV) infection|Cervical intraepithelial neoplasia (CIN2+).

Overview

Trial Therapeutic Area
Oncology|Infectious Disease
Trial Disease
Cervical dysplasia|Human papillomavirus (HPV) infection|Cervical intraepithelial neoplasia (CIN2+)
Trial Stage
Not applicable
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
12-08-2024
First CTIS Authorization Date
29-08-2024

Trial design

Placebo til vagifem vaginal tablet 10 mikrogram. (placebo) versus Vagifem 10 mikrogram vaginaltabletter (active; estradiol 10 µg vaginal tablet). Dose details: product name indicates 10 µg vaginal tablet for Vagifem; specific dosing schedule in the submission is not specified.-controlled Not applicable trial across 4 sites in Denmark.

Comparator
Placebo til vagifem vaginal tablet 10 mikrogram. (placebo) versus Vagifem 10 mikrogram vaginaltabletter (active; estradiol 10 µg vaginal tablet). Dose details: product name indicates 10 µg vaginal tablet for Vagifem; specific dosing schedule in the submission is not specified.
Target Sample Size
150

Eligibility

Recruits 150 Not a vulnerable population (isVulnerablePopulationSelected:false). Participants are postmenopausal women aged ≥50 years; informed consent is required (subject information and informed consent form documents are listed). No assent procedures; consent provided by each participant..

Pregnancy Exclusion
Pregnancy
Vulnerable Population
Not a vulnerable population (isVulnerablePopulationSelected:false). Participants are postmenopausal women aged ≥50 years; informed consent is required (subject information and informed consent form documents are listed). No assent procedures; consent provided by each participant.

Inclusion criteria

  • {"criterion_text":"- Women referred for colposcopy aged ≥ 50 years and postmenopausal."}
  • {"criterion_text":"- Women referred for colposcopy due to a positive HPV test and/or an abnormal cervical cytology."}
  • {"criterion_text":"- Women referred for colposcopy due to previous abnormal cervical histology with minimum 6. months since last colposcopy with biopsies."}

Exclusion criteria

  • {"criterion_text":"- Women with use of estrogen within the last 3 months."}
  • {"criterion_text":"- Pregnancy"}
  • {"criterion_text":"- Women with previously amputation, conization or radiation of the cervix"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Scoring of the visibility of the SCJ by the colposcopist as TZ1, TZ2 and TZ3.","definition_or_measurement_approach":"Colposcopist scores visibility of the squamocolumnar junction (SCJ) using transformation zone (TZ) classification TZ1/TZ2/TZ3."}
  • {"endpoint_text":"- Representation of the TZ in at least 25% of the cervical biopsies from each patient described by the pathologist.","definition_or_measurement_approach":"Pathologist assessment of cervical biopsies to determine whether the transformation zone (TZ) is represented in at least 25% of biopsy tissue from each patient."}

Secondary endpoints

  • {"endpoint_text":"- The patients' report on possible side effects during pretreatment.","definition_or_measurement_approach":"Patient-reported side effects collected during pretreatment (patient questionnaire/report)."}
  • {"endpoint_text":"- The proportionen of CIN2+ found in biopsies.","definition_or_measurement_approach":"Pathology assessment of biopsy specimens to determine proportion of cases with Cervical Intraepithelial Neoplasia grade 2 or worse (CIN2+)."}
  • {"endpoint_text":"- The proportion of diagnostics conization.","definition_or_measurement_approach":"Assessment of how many patients undergo diagnostic conization (proportion of participants receiving conization)."}
  • {"endpoint_text":"- Explore for each patient which biopsy represent the most severe histopathologic result by comparing the first biopsy with the other three.","definition_or_measurement_approach":"Comparison of histopathologic results between the first biopsy and the other three biopsies per patient to identify which biopsy shows the most severe lesion."}

Recruitment

Planned Sample Size
150
Recruitment Window Months
40
Consent Approach
Informed consent required from each participant. Subject information and informed consent form documents are listed in the CTIS documents (e.g. 'Deltagerinformation vers 6 dec 2025', 'Samtykkeerklring vers 5'). Participants are adult postmenopausal women (no assent). No languages specified in the available metadata.

Geography

Total Number Of Sites
4
Total Number Of Participants
150

Denmark

Earliest CTIS Part Ii Submission Date
19-08-2024
Latest Decision Or Authorization Date
05-01-2026
Processing Time Days
504
Number Of Sites
4
Number Of Participants
150

Sites

Site Name
Region Midtjylland - Hospitalsparken 15
Department Name
Obstetrics and Gynecology
Contact Person Name
Anne Hammer
Site Name
Region Midtjylland - Skovlyvej 15
Department Name
Obstetrics and Gynecology
Contact Person Name
Vibe Bertelsen
Contact Person Email
vibebert@rm.dk
Site Name
Region Midtjylland - Sundvej 30
Department Name
Obstetrics and Gynecology
Contact Person Name
Christina Blach Kristensen
Contact Person Email
chissore@rm.dk
Site Name
Region Syddanmark - J.B. Winsloews Vej 18
Department Name
Obstetrics and Gynecology
Contact Person Name
Lone Kjeld Petersen
Contact Person Email
lone.kjeld.petersen@rsyd.dk

Sponsor

Primary sponsor

Full Name
Region Midtjylland
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Denmark

Third parties

  • {"country":"Denmark","full_name":"Aarhus Universitet","duties_or_roles":"sponsorDuties codes: 1,8,9","organisation_type":"Educational Institution"}

Investigational products

Investigational Product Name
Placebo til vagifem vaginal tablet 10 mikrogram.
Modality
Other
Routes Of Administration
Vaginal
Route
Vaginal
Investigational Product Name
Vagifem 10 mikrogram vaginaltabletter
Active Substance
Estradiol
Modality
Small molecule
Routes Of Administration
VAGINAL USE
Route
VAGINAL USE
Authorisation Status
Authorised (marketingAuthNumber: 26990; prodAuthStatus: 2)
Starting Dose
10 µg
Dose Levels
10 µg
Maximum Dose
30 µg (maxDailyDoseAmount)

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