Randomized, placebo-controlled, double-blind study to evaluate the efficacy of 2LPAPI® on the clearance of high-risk oncogenic HPV genital infections (PAPION study)

2024-513969-39-00 Protocol LLB-2017-01 Therapeutic use (Phase IV) Ongoing, recruiting

Start 9 May 2024 · Status Ongoing, recruiting · 2 EU/EEA countries · 19 sites · Protocol LLB-2017-01

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ongoing, recruiting
Participants planned 484
Countries 2
Sites 19

Human Papillomavirus infection

Comparison of the efficacy of 2LPAPI® versus placebo on the clearance of genital HR-HPV infections after 12 months of follow-up.

Key facts

Sponsor
Labo'Life Belgium
Participant type
Patients
Age range
18-64 years
Gender
Female
Therapeutic area
Diseases [C] - Female Urogenital Diseases and Pregnancy Complications [C13]
Trial duration
9 May 2024 → ongoing
Decision date (initial)
2024-05-08
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
Labo'life

External identifiers

EU CT number
2024-513969-39-00
EudraCT number
2017-004346-22
ClinicalTrials.gov
NCT04232917

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Safety, Efficacy

Comparison of the efficacy of 2LPAPI® versus placebo on the clearance of genital HR-HPV infections after 12 months of follow-up.

Secondary objectives 1

  1. Comparison of 2LPAPI® versus placebo on: - HR-HPV infection clearance rate at 6-month visit; - HR-HPV infection clearance rate by HPV type at 6-month and 12-month visits; - Evolution of cytology; - Normalization of cytology for the subpopulation of patients with a baseline non normal cytology, - Safety: adverse events (AEs) and serious adverse events (SAEs) considered as related or not to the study drug.

Conditions and MedDRA coding

Human Papillomavirus infection

VersionLevelCodeTermSystem organ class
20.0 SOC 10038604 Reproductive system and breast disorders 20
25.0 LLT 10086964 HPV infection 100000004848
25.0 LLT 10086966 HPV screening 100000004848
20.0 SOC 10021881 Infections and infestations 1

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. - Women between 25 and 45 years old; - Women of childbearing age under effective contraception; - Patient with last cytology less than 3 years and normal or not more than LSIL or CIN I at the histology - Patient with current cytology presenting normal, ASC-US, AGUS, LSIL, ASC-H, AGC, LSIL+ASC-H results or current diagnosis of CIN I at the histology; - Patient with HR-HPV diagnosis at the current cervical collection; - Patient reporting a current stable sexual relationship (steady sexual partner for the duration of the study); - Patient having the ability to understand and respect the constraints of the study; - Signature of the Informed Consent Form.

Exclusion criteria 1

  1. - Pregnant or breastfeeding women; - Patient presenting HSIL diagnosis at the cytology or CIN II or CIN III diagnosis at the histology; - Patient having received HPV vaccination in the last month; - Patient previously subject to a total hysterectomy; - Patient under immunotherapy treatment (including immunosuppressive treatments) or micro-immunotherapy received in the last six months; - Patient with known lactose intolerance; - Patient who has participated in a clinical study in the last three months; - Patient not sufficiently motivated to engage in a 12-month follow-up, or likely to travel or move before the end of the study; - Patient with severe immune deficiency requiring long-term treatment (*) or under chemotherapy or radiotherapy; - Patient under listed homeopathic or phytotherapy treatment (see list in the protocol); - Patient using or addicted to recreational drugs. (*) important renal or respiratory failure,

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. HR-HPV infection clearance at 12-month visit.

Secondary endpoints 1

  1. - HR-HPV infection clearance at 6-month visit; - HR-HPV infection clearance by HPV type at 6-month and 12-month visits; - Evolution of cytology (normalization, stagnation or aggravation) at 6-month and 12-month visits; - Normalization of cytology at 6-month and 12-month visits for the subpopulation of patients with a baseline non normal cytology, - Safety: adverse events (AEs) and serious adverse events (SAEs) considered as related or unrelated to the study drug.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

2LPAPI granules en gélules à ouvrir

PRD7275305 · Product

Active substance
Interferon Alfa
Pharmaceutical form
PILLULES
Route of administration
OROMUCOSAL USE
Max daily dose
380 mg milligram(s)
Max total dose
68.4 g gram(s)
Max treatment duration
6 Month(s)
Authorisation status
Authorised
ATC code
NOTAPPLIC — -
Marketing authorisation
HO-BE508551
MA holder
LABO'LIFE BELGIUM
MA country
Belgium
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Placebo 1

Placebo 2LPAPI

N/A · Product

Other product name
N/A
Pharmaceutical form
N/A
Route of administration
OROMUCOSAL USE
Max daily dose
380 mg milligram(s)
Max total dose
68.4 g gram(s)
Max treatment duration
6 Month(s)
ATC code
N/A — N/A
Marketing authorisation
N/A
MA holder
N/A
MA country
Iceland
Paediatric formulation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Labo'Life Belgium

Sponsor organisation
Labo'Life Belgium
Address
Avenue D'Ecolys 2 Bus 36
City
Namur
Postcode
5020
Country
Belgium

Scientific contact point

Organisation
Labo'Life Belgium
Contact name
Laura Ferté Clinical Project Manager

Public contact point

Organisation
Labo'Life Belgium
Contact name
Laura Ferté Clinical Project Manager

Locations

2 EU/EEA countries · 19 investigational sites

By country

CountryMS statusPlanned subjectsSites
Belgium Ongoing, recruiting 284 11
Romania Ongoing, recruiting 200 8
Rest of world 0

Investigational sites

Belgium

11 sites · Ongoing, recruiting
Hôpital Civil Marie Curie - ISPPC
Gynécologie-Obstétrique, Chaussée de Bruxelles, 140, Charleroi
Chu Brugmann
Gynécologie-Obstétrique, Arthur Van Gehuchtenplein 4, 1020, Brussels
Centre Hospitalier de Wallonie picarde Tournai
Gynécologie-Obstétrique, Rue des Sports 51, 7500, Tournai
Private practice of Dr Benoit Moons
Gynécologie-Obstétrique, Rue Julie Billiart, 12, Namur
Centre Hospitalier Reine Astrid Malmédy
Gynécologie-Obstétrique, Rue Devant les Religieuses 2, 4960, Malmedy
Private practice of Dr Sarah Mitri
Gynécologie-Obstétrique, Rue Julie Billiart, 12, Namur
Hôpitaux Iris Sud - Site Etterbeek-Ixelles
Gynécologie-Obstétrique, Rue Jean Paquot 63, 1050, Ixelles
CHU UCL Namur - Site Ste-Elisabeth
Gynécologie-Obstétrique, Place Louise Godin, 15, Namur
Clinique Saint-Jean Kliniek Sint-Jan
Gynécologie-Obstétrique, Kruidtuinlaan 32, 1000, Brussels
CHU Saint-Pierre
Gynécologie-Obstétrique, Rue aux Laines 105, 1000, Bruxelles
Clinique Saint-Pierre Ottignies
Gynécologie-Obstétrique, Avenue Reine Fabiola, 9, Ottignies

Romania

8 sites · Ongoing, recruiting
Lotus Med S.R.L.
Gynecology-Obstetrics, Strada Dornei 79-81, 012292, Bucharest
Primed Medicine Omc S.R.L.
Gynecology-Obstetrics, Dinicu Golescu Boulevard 10, 010862, Bucharest
Centrul Medical Paleologu S.R.L.
Gynecology-Obstetrics, Paleologu Street 22 Etaj 1 Apartament 4 Sectorul 3, Romania, Bucharest
Clinical Research Network
Gynecology-Obstetrics, 47th Bd. Theodor Pallady, 3rd floor, Bucharest
Centrul Medical Euromed S.R.L.
Gynecology-Obstetrics, Strada Parintele Galeriu Nr 6c, 020762, Bucharest
Amca Medical S.R.L.
Gynecology-Obstetrics, Strada Dr. Maximilian Popper 8-10, District 3, Bucharest
Spitalul Clinic Nicolae Malaxa
Gynecology-Obstetrics, Soseaua Vergului Nr 12, 022448, Bucharest
Clinica New Aid S.R.L.
Gynecology-Obstetrics, Bloc A5 Scara A, Bulevardul Bratianu C. I. Nr. 16, Pitestii

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Belgium 2024-05-09 2024-05-10
Romania 2025-11-18 2025-11-18

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 30 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol_2017-004346-22_Public 14
Recruitment arrangements (for publication) K1_Recruitment and consent procedure 1
Recruitment arrangements (for publication) K1_recruitment and consent procedure_RO 1
Recruitment arrangements (for publication) K2_Recruitment material advertisement EN 1
Recruitment arrangements (for publication) K2_Recruitment material Poster EN-RO 1
Recruitment arrangements (for publication) K2_Recruitment material Poster RO 1
Recruitment arrangements (for publication) K2_Recruitment material_advertisement 1
Recruitment arrangements (for publication) K2_Recruitment material_Poster_DE_Public 2
Recruitment arrangements (for publication) K2_Recruitment material_Poster_EN_Public 2
Recruitment arrangements (for publication) K2_Recruitment material_Poster_FR_Public 2
Recruitment arrangements (for publication) K2_Recruitment material_Poster_NL_Public 2
Subject information and informed consent form (for publication) Blank 1
Subject information and informed consent form (for publication) D4_Patient Diary_DE_Public 3
Subject information and informed consent form (for publication) D4_Patient Diary_EN_Public 3
Subject information and informed consent form (for publication) D4_Patient Diary_FR_Public 3
Subject information and informed consent form (for publication) D4_Patient Diary_NL_Public 3
Subject information and informed consent form (for publication) L1_ICF adult EN-RO_Clean-Public 3
Subject information and informed consent form (for publication) L1_ICF adult RO_Clean-Public 3
Subject information and informed consent form (for publication) L1_ICF_adult_DE_Public 11
Subject information and informed consent form (for publication) L1_ICF_adult_EN_Public 11
Subject information and informed consent form (for publication) L1_ICF_adult_FR_Public 11
Subject information and informed consent form (for publication) L1_ICF_adult_NL_Public 11
Subject information and informed consent form (for publication) L2_Leaflet IMP_FR-NL-DE 4
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC 2LPAPI Sep 2021
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC 2LPAPI EN 1
Synopsis of the protocol (for publication) D1_Synopsis 2024-513969-39-00 RO_Clean-Public 1
Synopsis of the protocol (for publication) D1_Synopsis_2024-513969-39-00_DE_Public 10
Synopsis of the protocol (for publication) D1_Synopsis_2024-513969-39-00_EN_Public 9
Synopsis of the protocol (for publication) D1_Synopsis_2024-513969-39-00_FR_Public 10
Synopsis of the protocol (for publication) D1_Synopsis_2024-513969-39-00_NL_Public 9

Application history

5 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-04-29 Belgium Acceptable
2024-05-08
2024-05-08
2 SUBSTANTIAL MODIFICATION SM-1 2024-07-09 Belgium Acceptable
2024-08-20
2024-09-23
3 SUBSTANTIAL MODIFICATION SM-2 2024-11-08 Belgium Acceptable
2025-02-07
2025-02-10
4 SUBSEQUENT ADDITION OF MSC APP-4 2025-02-20 2025-05-19
5 SUBSTANTIAL MODIFICATION SM-3 2025-06-27 Belgium Acceptable
2025-09-12
2025-09-12