Testing VERRUTOP® liquid to treat warts on the hands in children and teenagers

ISRCTN ISRCTN90862249
DOI https://doi.org/10.1186/ISRCTN90862249
Secondary identifying numbers ISDINTOP W1
Submission date
04/09/2019
Registration date
06/09/2019
Last edited
07/10/2019
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Skin and Connective Tissue Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
Warts are very common and can affect anybody. They are caused by several viruses. Palmoplantar warts (warts on the palm of the hand), especially in babies and toddlers, are a common reason for a visit to a dermatology (skin) clinic. There can be several warts in a small area, meaning that it can be too painful for the child to have them all treated at the same time by the doctor freezing them with liquid nitrogen. Nitric-zinc complex solution (NZCS) is a liquid containing nitric acid, zinc, copper and organic acids, sold as Verrutop®, that can be applied to the wart (including warts on the palm or close to the fingernail) to reduce its size painlessly. This study aims to investigate whether Verrutop® treatment is effective and tolerable in children and teenagers with warts on the palm or near the fingernail.

Who can participate?
Children over 5 years old with warts on the palm or near the fingernail.

What does the study involve?
Verrutop® is applied directly to warts using thin tube until the wart changes colour. This application is repeated, with intervals of at least 2 weeks, until the wart has disappeared or until the investigator considers that no further treatment is required.

What are the possible benefits and risks of participating?
The frequent follow-ups can benefit the participants because they are more likely to have the wart treated regularly. The Verrutop® application is only applied to the wart and not the skin around it, so the normal skin should not be damaged. Verrutop® stimulates the release of a substance called nitric oxide, which can protect against viral infection, so it is less likely that the wart will regrow. Side effects are extremely rare and occur only where the liquid has been applied.

Where is the study run from?
Hospital Universitario Son Espases (Spain)

When is the study starting and how long is it expected to run for?
January 2018 to December 2018.

Who is funding the study?
ISDIN SA (Spain)

Who is the main contact?
Javier Bustos, javier.bustos@isdin.com

Contact information

Miss Javier Bustos
Public

ISDIN S.A.
Provençals 33
Barcelona
08019
Spain

Phone +34 (0)932402020
Email javier.bustos@isdin.com

Study information

Study designProspective and open study
Primary study designInterventional
Secondary study designNon randomised study
Study setting(s)Hospital
Study typeTreatment
Scientific titleEvaluation of the application of VERRUTOP® in the treatment of palmoplantar and periungual warts in the paediatric population
Study objectivesVerrutop® is already in use in adults and children. It induces a painless caustic effect on 'difficult-to-treat' warts, including those in palmoplantar and periungual locations. However, there are few data available on this product in children and adolescents in clinical studies; therefore, the objective of the present study was to describe the efficacy and tolerability of Verrutop® in the treatment of palmoplantar and periungual warts in this population.
Ethics approval(s)Approved 27/02/2018, Comité d'Ética de la Investigació de les llles Balears (CEl-lB) (Son Espases Hospital Univeristari) , C/Crta. de Valldermossa, 79 07120 Palma Mallorca; Tel: +34 (0)871 205 000; Email: sonespases.info@ssib.es), ref: CI-214-18
Health condition(s) or problem(s) studiedPalmoplantar and periungual warts
InterventionVerrutop® is topically applied on warts using a 30 µL capillary tube on each lesion until the wart changes color. Patients received Verrutop application every 2 weeks, until the wart was resolved or until the investigator considered that no further treatment was required. Product quantity applied is under investigator’s criteria.
Intervention typeDevice
Pharmaceutical study type(s)
PhasePhase IV
Drug / device / biological / vaccine name(s)Verrutop
Primary outcome measureClearance of warts assessed by a dermatologist at the clinical site during all study visits and at the end of treatment. Complete clearance of verruca will be defined as the restoration of normal skin upon close inspection.
Secondary outcome measures1. Number of sessions needed for complete disappearance of warts
2. Physician’s global satisfaction evaluation
3. Physician and patient's evaluation of esthetic results
4. Tolerability of treatment
Overall study start date21/12/2017
Completion date18/12/2018

Eligibility

Participant type(s)Patient
Age groupChild
SexBoth
Target number of participants12
Total final enrolment12
Key inclusion criteria1. Eligible patients were immunocompetent children and adolescents, with at least one palmoplantar or periungual wart suitable for topical treatment
2. Patients who had not used any other topical treatment during the previous month
Key exclusion criteria1. Pregnancy or lactation
2. Received previous treatments interfering with the evaluation of the warts during 30 days previous to be included in the study
Date of first enrolment01/03/2018
Date of final enrolment18/08/2018

Locations

Countries of recruitment

  • Spain

Study participating centre

Hospital Universitario Son Espases
Carretera de Valldemossa, 79
Palma de Mallorca (Islas Baleares)
07020
Spain

Sponsor information

ISDIN S.A.
Industry

Provençals 33
Barcelona
08019
Spain

Phone +34 (0)932402020
Email javier.bustos@isdin.com
ROR logo "ROR" https://ror.org/04dg86p75

Funders

Funder type

Industry

ISDIN S.A

No information available

Results and Publications

Intention to publish date01/10/2019
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planThe researchers intend to publish the study results in an international peer-reviewed indexed scientific journal.
IPD sharing planThe datasets generated and analysed during the current study will be available upon request and for no less than 5 years from Javier Bustos (javier.bustos@isdin.com). The data sets are stored on MS Excel spreadsheets and all appropriate requests for appropriate analysis and mechanisms will be considered.
Written informed consent from participants was obtained.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/12/2019 07/10/2019 Yes No

Editorial Notes

07/10/2019: Publication reference and total final enrolment number added.
06/09/2019: Trial's existence confirmed by ethics committee.