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To evaluate the efficacy of SR-T100 gel by observing total clearance rate of treated baseline EGW(s) on the treated area.
A double-blind, randomized,vehicle-controlled, parallel-group, and dose-ranging study to evaluate the efficacy and safety of SR-T100 gel in patients with EGW(s). The primary efficacy endpoint will be defined as the proportion of patients whose baseline EGW(s) on the treated area achieve total clearance. The efficacy of SR-T100 gel in prevention of new EGW(s) occurrence will be evaluated. Distinct to existing medications for EGWs, SR-T100 gel possesses characteristics of high safety and low LSR causality. SR-T100 gel will be administered on EGW lesion(s) for clearance and on the surrounding clinical normal skin for prevention of new EGW(s) occurrence.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Vehicle gel | Placebo Comparator | vehicle gel is used as a control group. The maximum daily dosage is 3 times of 400+/-100 mg of gel, meaning no more than 1,500 mg of gel. Patients should wash thoroughly their hands, then squeeze until 4 cm of gel is out from the aluminum tube. Apply gel on the lesion warts and on the clinical normal skin on the treated area. |
|
| SR-T100 gel with 1.0 % SM | Active Comparator | SR-T100 contains 1.0% SM. The maximum daily dosage is 3 times of 400+/-100 mg of gel, meaning no more than 1,500 mg of gel. Patients should wash thoroughly their hands, then squeeze until 4 cm of gel is out from the aluminum tube. Apply gel on the lesion warts and on the clinical normal skin on the treated area. |
|
| SR-T100 gel with 2.3% SM | Active Comparator | SR-T100 contains 2.3% SM. The maximum daily dosage is 3 times of 400+/-100 mg of gel, meaning no more than 1,500 mg of gel. Patients should wash thoroughly their hands, then squeeze until 4 cm of gel is out from the aluminum tube. Apply gel on the lesion warts and on the clinical normal skin on the treated area. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Vehicle gel | Drug | Clinical diagnosed lesion site(s): Topical application once daily with occlusive dressing. Clinical normal skin on treated area: Topical application thrice daily without occlusive dressing. Total application <1,500 mg gel per day. |
| Measure | Description | Time Frame |
|---|---|---|
| Total clearance rate of baseline lesion(s) | 16 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Total clearance rate of all lesion(s) | 16 weeks | |
| Period duration of achieving total clearance of baseline lesion(s) and new lesion(s) | 16 weeks | |
| Partial clearance rate |
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Inclusion Criteria:
Exclusion Criteria:
Patients with peri-anal warts.
Male patients with warts on scrotum or perineum.
Patients with other genital infections.
Patients with internal genital warts (such as urethral, intra-vaginal, cervical, rectal, or intra-anal genital warts).
Patients with active systemic infections.
Patients with other genital diseases that may confound evaluation and treatment for genital warts.
Patients with immuno-compromised medical condition.
Patients have received investigational drug prior to 30 days of randomization visit.
Patients with cancer or cancer history within 5 years of the randomization visit.
Patients have on-going human papilloma virus (HPV) infection other than genital area.
Patients with human immunodeficiency virus (HIV), venereal disease research laboratory (VDRL), or treponema pallidum particle agglutination assay (TPHA) positive result.
Female patients have high-grade pathology in Papanicolaou smear tests based on Bethesda system.
Female patients are pregnant or lactating.
Patients have history of allergy or sensitivity to Solanum undatum plant extract, SM, or SR-T100 gel excipients including carbomer, propylene glycol, and triethanolamine.
Patients with prohibited pre-medication or procedures shown below:
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| Name | Affiliation | Role |
|---|---|---|
| Kou-Wha Kuo, PhD | G&E Herbal Biotechnology Co., LTD | Study Director |
| Cheng-Yang Chou, M.D. | National Cheng Kung University, Tainan, Taiwan | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kaohsiung Medical University Chung-Ho Memorial Hospital | Kaohsiung City | Taiwan | ||||
| Kaohsiung Municipal Ta-Tung Hospital |
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| SR-T100 gel with 1.0 % SM | Drug | Clinical diagnosed lesion site(s): Topical application once daily with occlusive dressing. Clinical normal skin on treated area: Topical application thrice daily without occlusive dressing. Total application <1,500 mg gel per day. |
|
| SR-T100 gel with 2.3% SM | Drug | Clinical diagnosed lesion site(s): Topical application once daily with occlusive dressing. Clinical normal skin on treated area: Topical application thrice daily without occlusive dressing. Total application <1,500 mg gel per day. |
|
| 16 weeks |
| New lesion(s) occurrence rate | 16 weeks |
| Recurrence rate in the 12-week follow-up time | 28 weeks |
| Recurrence time period | 28 weeks |
| Safety: evaluate the changes occurring from baseline to EOT visit | including PE, vital sign, lab. test, local skin reaction, and adverse event, etc. | 28 weeks |
| Kaohsiung City |
| Taiwan |
| National Cheng Kung University Hospital | Tainan | Taiwan |
| ID | Term |
|---|---|
| D003218 | Condylomata Acuminata |
| ID | Term |
|---|---|
| D030361 | Papillomavirus Infections |
| D015229 | Sexually Transmitted Diseases, Viral |
| D012749 | Sexually Transmitted Diseases |
| D003141 | Communicable Diseases |
| D007239 | Infections |
| D004266 | DNA Virus Infections |
| D014777 | Virus Diseases |
| D014860 | Warts |
| D017193 | Skin Diseases, Viral |
| D014412 | Tumor Virus Infections |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
| D012874 | Skin Diseases, Infectious |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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