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Last Modified: 1/19/2009     First Published: 7/13/2007  
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Pilot Study of Topical Imiquimod Therapy in Patients With Recurrent Extramammary Paget's Disease of the Vulva

Alternate Title
Basic Trial Information
Objectives
Entry Criteria
Expected Enrollment
Outcomes
Outline
Trial Contact Information
Registry Information

Alternate Title

Topical Imiquimod in Treating Patients With Recurrent Paget's Disease of the Vulva

Basic Trial Information

PhaseTypeStatusAgeSponsorProtocol IDs
No phase specifiedDiagnostic, TreatmentActive18 and overNCIMSKCC-07029
07-029, NCT00504023

Objectives

  1. To assess the clinical and histologic effects of topical imiquimod therapy on recurrent extramammary Paget’s disease.

Entry Criteria

Disease Characteristics:

  • Patients who present to the Gynecology outpatient clinic of Memorial Sloan-Kettering Cancer Center (MSKCC) meeting the following criteria:
    • Biopsy-proven extramammary Paget’s disease of the vulva with histological confirmation performed at MSKCC
      • No underlying adenocarcinoma on biopsy of lesion


  • Recurrent disease


Prior/Concurrent Therapy:

  • Not specified

Patient Characteristics:

  • No known hypersensitivity to imiquimod
  • Not pregnant or nursing

Expected Enrollment

20

Outcomes

Primary Outcome(s)

Clinical and histologic effects

Outline

This is a pilot, prospective, multicenter study.

Patients apply topical imiquimod cream to a target vulvar lesion 3 times weekly. Treatment continues for up to 12 weeks in the absence of disease progression or unacceptable toxicity. If the lesion is still present after completion of 12 weeks of imiquimod therapy, the patient undergoes surgical excision of the target lesion (and any other progressive lesions suspicious for evolving adenocarcinoma) at week 16.

Patients undergo punch biopsy and photographic assessment of a target vulvar lesion at baseline and again at 12 weeks.

After completion of imiquimod therapy or after surgical excision, patients are followed at 6 weeks and then every 3 months for at least 2 years.

Trial Contact Information

Trial Lead Organizations

Memorial Sloan-Kettering Cancer Center

Dennis Chi, MD, FACOG, FACS, Principal investigator
Ph: 212-639-5016; 800-525-2225
Robert Soslow, MD, Principal investigator
Ph: 212-639-5905; 800-525-2225
Email: soslowr@mskcc.org

Trial Sites

U.S.A.
Louisiana
  Shreveport
 Feist-Weiller Cancer Center at Louisiana State University Health Sciences
 Clinical Trials Office - Feist-Weiller Cancer Center at Louisiana State University Health Sciences
Ph: 318-813-1412
New York
  New York
 Memorial Sloan-Kettering Cancer Center
 Dennis Chi, MD, FACOG, FACS
Ph: 212-639-5016
800-525-2225

Registry Information
Official Title A Pilot Study of Topical Imiquimod Therapy for the Treatment of Recurrent Extramammary Paget's Disease
Trial Start Date 2007-04-24
Trial Completion Date 2010-04-26 (estimated)
Registered in ClinicalTrials.gov NCT00504023
Date Submitted to PDQ 2007-06-14
Information Last Verified 2008-12-14
NCI Grant/Contract Number CA08748

Note: The purpose of most clinical trials listed in this database is to test new cancer treatments, or new methods of diagnosing, screening, or preventing cancer. Because all potentially harmful side effects are not known before a trial is conducted, dose and schedule modifications may be required for participants if they develop side effects from the treatment or test. The therapy or test described in this clinical trial is intended for use by clinical oncologists in carefully structured settings, and may not prove to be more effective than standard treatment. A responsible investigator associated with this clinical trial should be consulted before using this protocol.

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