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CTRI Number  CTRI/2024/12/077629 [Registered on: 04/12/2024] Trial Registered Prospectively
Last Modified On: 03/12/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparing Inj Vitamin D versus Inj Acyclovir to find which drug is better to treat warts which do not resolve with other treatment options. 
Scientific Title of Study   Evaluation of efficacy of intralesional Inj. Vitamin D versus intralesional Inj. Acyclovir in the treatment of recalcitrant cutaneous warts: A randomised clinical trial. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Ashrita Krishna 
Designation  Post graduate student 
Affiliation  Hassan Institute Of Medical Sciences 
Address  Hassan institute of medical sciences,Department of Dermatology,Venereology and Leprosy,Hassan - 573201

Hassan
KARNATAKA
573201
India 
Phone  9632221374  
Fax    
Email  ashrita.kr@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr.Suresh M R 
Designation  Associate Professor 
Affiliation  Hassan Institute Of Medical Sciences 
Address  Hassan institute of medical sciences,Department of Dermatology,Venereology and Leprosy, room no 14, Hassan - 573201

Hassan
KARNATAKA
573201
India 
Phone  9632221374  
Fax    
Email  drsureshhsn@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Ashrita Krishna 
Designation  Post graduate student 
Affiliation  Hassan Institute Of Medical Sciences 
Address  Hassan institute of medical sciences, Department of Dermatology,Venereology and Leprosy,Hassan - 573201

Hassan
KARNATAKA
573201
India 
Phone  9632221374  
Fax    
Email  ashrita.kr@gmail.com  
 
Source of Monetary or Material Support  
Hassan Institute Of Medical Sciences,Hassan 573201, Karnataka , India 
 
Primary Sponsor  
Name  Ashrita Krishna 
Address  Hassan Institute Of Medical Sciences ,Hassan 573201 
Type of Sponsor  Other [Self] 
 
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 
Ashrita Krishna  Hassan institute of medical sciences  Department of Dermatology, Venereology, and Leprosy, room no-14A,Hassan - 573201
Hassan
KARNATAKA 
09632221374

ashrita.kr@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Etthics Committee-HIMS HASSAN  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: L089||Local infection of the skin and subcutaneous tissue, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Inj Acyclovir  Intralesional injection of acyclovir (70 mg/ml), at a dose of 0.1 ml, injected into the base of each wart.  
Intervention  Inj Vitamin D  Inj Vitamin D3 (0.2mL, 15mg/dl) injected into the base of the warts after injecting with lidocaine (0.2mL, 15mg/dl) 
 
Inclusion Criteria  
Age From  13.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1 or more recalcitrant warts (defined here as warts persistent for a period of more than 6 months, resistant to at least 2 conventional treatment modalities)

Extragenital warts.

Patients willing to give informed written consent for the study.

 
 
ExclusionCriteria 
Details  Mucosal warts,
Pregnancy, lactation, Immunosuppression 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Other 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Achieving Visual analogue score 4   week 8  
 
Secondary Outcome  
Outcome  TimePoints 
Visual analogue score 4   week 2,4,6 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
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)   14/12/2024 
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="0"
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  
Patients with cutaneous warts attending the Outpatient Department of Dermatology were enrolled after obtaining informed written consent with complete history taking and thorough cutaneous examination

Clinico‑demographic details of participants were recorded and clinical,  images were taken at baseline and at each follow‑up visit i.e at 2nd ,4th ,6th, and 8th week .

All patients fulfilling the inclusion criteria will be categorized into two groups depending on the treatment they received, namely, Group A (intralesional Vit D) and Group B (intralesional acyclovir) (n=20 per group ) 1
Group A : Vitamin D3 (0.2mL, 15mg/dl)   injected into the base of the warts after injecting with lidocaine (0.2mL, 15mg/dl). 

Group B : Intralesional injection of acyclovir (70 mg/ml), at a dose of 0.1 ml, injected into the base of each wart.  

 Repeated two weeks apart for a maximum of four sessions or until complete clearance, whichever occureds earlier.
 
Patients were further followed up for a period of 6  months after treatment completion.
Clinical response documented by recording the decrease in number and size of  lesions at each visit i.e., at 2 weekly intervals for 4 sessions and 3 months after the last injection.
The reduction in the size and number of warts classified the response to treatment into four grades based on the Visual Analogue Scale (VAS) score





 
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