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CTRI Number  CTRI/2024/11/077359 [Registered on: 26/11/2024] Trial Registered Prospectively
Last Modified On: 20/11/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Vaccine 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparison between Intralesional MMR and Intralesional Vitamin D3 in treatment of cutaneous warts using dermoscopy  
Scientific Title of Study   Evaluation of efficacy of intralesional MMR with Vitamin D3 in cutaneous warts using dermoscopy  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
U1111-1313-9310  UTN 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Ketaki Shaha 
Designation  Junior resident 
Affiliation  Teerthankar Mahaveer Medical College and Research Centre 
Address  Department of DVL, Teerthankar Mahaveer Medical college and research centre, NH24 Delhi road, Moradabad

Moradabad
UTTAR PRADESH
244001
India 
Phone  9561019222  
Fax    
Email  ketki1521999@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Dilip Meena 
Designation  Professor 
Affiliation  Teerthankar Mahaveer Medical College and Research Centre 
Address  Department of DVL, Teerthankar Mahaveer Medical college and research centre, NH24 Delhi road, Bagadpar, Moradabad

Moradabad
UTTAR PRADESH
244001
India 
Phone  8191811380  
Fax    
Email  dilip.aiims@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Dilip Meena 
Designation  Professor 
Affiliation  Teerthankar Mahaveer Medical College and Research Centre 
Address  Department of DVL, Teerthankar Mahaveer Medical college and research centre, NH24 Delhi road, Bagadpur, Moradabad


UTTAR PRADESH
244001
India 
Phone  8191811380  
Fax    
Email  dilip.aiims@gmail.com  
 
Source of Monetary or Material Support  
Teerthankar Mahaveer Medical College and Research Centre, NH24 Delhi Road , Moradabad 244001, Uttar Pradesh, India 
 
Primary Sponsor  
Name  Teerthankar Mahaveer Medical College and Research Centre 
Address  Teerthankar Mahaveer Medical XpCollege and Research centre, NH24 Delhi road, Moradabad 
Type of Sponsor  Private medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Ketaki Shaha  Teerthankar Mahaveer Medical college and research centre  Department of DVL, Teerthanakr Mahaveer Medical College and Research Centre, NH24 Delhi Road, Bagadpur,Moradabad,Moradabad
Moradabad
UTTAR PRADESH 
9561019222

ketki1521999@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Teerthankar Mahaveer University- Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: B079||Viral wart, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  intralesional injection of Inj Vitamin D3(6,00,000IU; 15 mg/ml)  Patients will receive intralesional injection of upto 0.5 mL of Inj Vitamin D3(6,00,000IU; 15 mg/ml)into a wart each session after injection of IL lignocaine with 31 G insulin syringe.Amount of injection on each wart will depend on the size of each wart. The intralesional injection will be given every three weeks for a maximum of 4 doses or until complete resolution, whichever is earlier.Photographic and Dermoscopic comparison will be used to assess decrease in size and number of warts and thus the response to treatment and clinical response will be noted. Follow up will be made every monthly for 3 months  
Comparator Agent  Intralesional injection of reconstituted MMR vaccine   Patients will receive a intralesional injection of upto of 0.5ml of reconstituted MMR vaccine into wart in each session with 31 G insulin syringe. Amount of injection on each wart will depend on the size of each wart. The intralesional injection will be given every three weeks for a maximum of 4 doses or until complete resolution, whichever is earlier.Photographic and Dermoscopic comparison will be used to assess decrease in size and number of warts and thus the response to treatment and clinical response will be noted. Follow up will be made every monthly for 3 months  
 
Inclusion Criteria  
Age From  12.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  1. Clinically diagnosed patients of warts attending the Department of Dermatology, Venereology & Leprosy(both out-patient and in-patient)of Teerthankar Mahaveer Medical College,Moradabad(UP)
2. Age from 12 years to 70 years of both sexes
3.Patients giving informed and willing consent 
 
ExclusionCriteria 
Details  1.Patients under any systemic or topical treatment of warts for the last 4 weeks
2.PatientswithapasthistoryofanallergicresponsetoMMRoranyothervaccineorVitaminD3.
3.Patientswithcurrentacutefebrileillness,anybacterialinfection,immunocompromisedandonimmunosuppressants
4.Pregnantandlactatingfemales
5.Patientswithhistoryofkeloid 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
• To determine the efficacy of IL MMR vaccine in the treatment of warts.
• To determine the efficacy of IL vitamin D3 in the treatment of warts.
• To compare the efficacy of IL MMR vaccine and IL Vitamin D3 during follow up using dermoscopy.
To identify various dermoscopic features of warts before and after immunotherapy.  
3,6,9,12 weeks,1,2,3 months 
 
Secondary Outcome  
Outcome  TimePoints 
To determine the side effects of IL MMR vaccine and IL Vitamin D3 in treatment of warts.  3,6,9,12 weeks,1,2,3 months 
 
Target Sample Size   Total Sample Size="122"
Sample Size from India="122" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   01/12/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="3"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

All patients attending DVL OPD at TMU Hospital clinically diagnosed with warts with or without distant warts meeting the inclusion and exclusion criteria to be enrolled in the study. Investigator blinding will be done. Based on computer generated random number table, patients will be assigned to either Group A or Group B and allocation concealment will be done while assigning groups.

A detailed history will be taken and dermatological examination will be done.Dermoscopic evaluation would be done using both polarized and non-polarized mode using Dermlite DL5 dermoscope at baseline and in subsequent treatment session by other investigator. Structured case record form would be used for the purpose of recording of history and examination findings.

All Group A patients will receive intralesional injection of upto 0.5 mL of Inj Vitamin D3(6,00,000IU; 15 mg/ml)into a wart each session after injection of IL lignocaine with 31 G insulin syringe

All Group B patients will receive a intralesional injection of upto of 0.5ml of reconstituted MMR vaccine into wart in each session with 31 G insulin syringe. 

Amount of injection on each wart will depend on the size of each wart. The intralesional injection will be given every three weeks for a maximum of 4 doses or until complete resolution, whichever is earlier.

Photographic and Dermoscopic comparison will be used to assess decrease in size and number of warts and thus the response to treatment and clinical response will be noted.

Follow up will be made every monthly for 3 months.


 
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