Evidence map›Paper›PMID 34515985›Full record

Trial reportAmerican journal of clinical dermatology2021

Phase II, Double-Blind, Vehicle-Controlled Study to Determine the Cantharidin Dose Regimen, Efficacy, Safety, and Tolerability of VP-102 in Subjects with External Genital Warts.

Scott Guenthner, Wendy McFalda, Melita Tate, Kimberly Eads, Jayson Rieger, David K Glover, Cynthia Willson, Pamela Rumney, Ted Rosen, Jennifer Andres and 1 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in American journal of clinical dermatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03981822 (A Phase 2, Double-Blind, Placebo-Controlled Study to Determine the Dose Regimen, Efficacy, Safety, and Tolerability of VP-102 in Subjects With External Genital Warts), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 61% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03981822 phase2completednot on this map

A Phase 2, Double-Blind, Placebo-Controlled Study to Determine the Dose Regimen, Efficacy, Safety, and Tolerability of VP-102 in Subjects With External Genital Warts

TypeinterventionalSponsorVerrica Pharmaceuticals Inc.Ran2019 to 2020Enrolled105ConditionsCondylomata Acuminata, Papillomavirus Infections, Skin Diseases, Viral, Skin Diseases, InfectiousArmsVP-102 and applicator, Placebo
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 1 country.

Scott GuenthnerThe Indiana Clinical Trials Center, Plainfield, IN, USA.ORCID http://orcid.org/0000-0002-6660-2245
Wendy McFaldaClarkston Skin Research, Clarkston, MI, USA.
Melita TateDelRicht Research, Tulsa, OK, USA.
Kimberly EadsThe Indiana Clinical Trials Center, Plainfield, IN, USA.
Jayson RiegerPBM Capital Group, Charlottesville, VA, USA.
David K GloverPBM Capital Group, Charlottesville, VA, USA.
Cynthia WillsonVerrica Pharmaceuticals Inc., 44 West Gay Street, Suite 400, West Chester, PA, 19380, USA.
Pamela RumneyVerrica Pharmaceuticals Inc., 44 West Gay Street, Suite 400, West Chester, PA, 19380, USA.ORCID http://orcid.org/0000-0002-4590-958X
Ted RosenBaylor College of Medicine, Houston, TX, USA.ORCID http://orcid.org/0000-0002-5946-5529
Jennifer AndresVerrica Pharmaceuticals Inc., 44 West Gay Street, Suite 400, West Chester, PA, 19380, USA. medinfo@verrica.com.ORCID http://orcid.org/0000-0002-5537-980X
Melissa OlivadotiVerrica Pharmaceuticals Inc., 44 West Gay Street, Suite 400, West Chester, PA, 19380, USA.ORCID http://orcid.org/0000-0003-3692-5278
West Chester University · USCapital Group (United States) · USIndiana Clinical Trials Center · USBaylor College of Medicine · USUniversity of Tulsa · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExternal genital warts are caused by various subtypes of the human papilloma virus and spread through direct skin-to-skin contact. Approximately 1% of the US population have external genital warts. Although cantharidin has been used to treat external genital warts for decades, there are no US Food and Drug Administration-approved cantharidin products and no reliable or controlled sources of cantharidin available. VP-102 is a drug-device combination product containing cantharidin (0.7% w/v) in a single-use shelf-stable applicator.

objectiveThe objective of this randomized, double-blind, vehicle-controlled, phase II clinical trial was to determine the optimal regimen for the treatment, safety, and efficacy of VP-102 in external genital warts.

methodsThe study was conducted in two parts. Part A was dose finding and Part B was performed following the completion of Part A for a safety and efficacy evaluation. Following completion of Part A, 6-h and 24-h VP-102 regimens under occlusion were selected to be evaluated in Part B.

resultsPooled results from Part B and Part A of the 6-h and 24-h VP-102 treatment regimens showed that 36.7% and 33.3% of participants achieved complete clearance of all treatable external genital warts at the end of treatment vs 4.2% (p < 0.0048) and 0% (p < 0.0075) with the vehicle. Adverse events experienced by the VP-102-treated participants were consistent with the pharmacodynamic action of cantharidin as a vesicant and were primarily mild to moderate in severity. The most common adverse events included application-site vesicles, pain, and erythema. No participants discontinued the study because of adverse events and no serious adverse events were deemed treatment related.

conclusionsThe adverse event profile and efficacy of VP-102 under occlusion demonstrated in this study support the conclusion that a 6-h or up to 24-h exposure regimen represents an acceptable risk:benefit profile and justifies the conduct of a larger vehicle-controlled phase III study in external genital warts. CLINICAL

trial registrationNCT03981822, actual study start date: 25 June, 2019; actual primary completion date: 21 May, 2020; actual study completion date: 8 July, 2020.

Indexed as

CantharidinCondylomata AcuminataAdministration, CutaneousAdultDouble-Blind MethodDrug Administration ScheduleFemaleHumansMaleMiddle AgedTreatment OutcomeCantharidinVP-102

Identifiers

PMID34515985
PMCPMC8436872
OpenAlexW3200006032

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.