To follow up the efficacy and safety of Candida antigen, bivalent HPV vaccine in treatment of common warts either mono or combined intralesional therapy
* Group A: 54 patients will be treated with Candida antigen. All patients will be directly injected with Candida antigen into the largest wart using an insulin syringe. Injections will be done at 2-week intervals until complete clearance will be achieved or for a maximum of five treatment sessions. * Group B: 54 patients will be treated with bivalent HPV vaccine solution intralesional into the largest wart using an insulin syringe. Injections will be done at 2-week intervals until complete clearance will be achieved or for a maximum of five treatment sessions. * Group C: 54 patients will be treated with both agents intralesionally into the largest wart using an insulin syringe at 2-week intervals until complete clearance will be achieved or for a maximum of five treatment sessions. it is thought that candida antigen act through a cell-mediated immune response and bivalent HPV vaccine act mainly through humoral immunity, so we want to study their effect as single or mixed agents
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
162
we will study the efficacy and safety of agent in the treatment of multiple warts, we will follow up the recurrence rate of each group
we will study the efficacy and safety of agent in the treatment of multiple warts, we will follow up the recurrence rate of each group
Reham Essam
Zagazig, Al Sharqia, Egypt
RECRUITINGcomplete response
if there is disappearance of warts and return of the normal skin markings
Time frame: upto 3 months
partial response
if warts regressed in size by 50-99% (the size will be measured as the summation of size of all lesions in cm)
Time frame: upto 3 months
no response
if there is \< 50% decrease in wart size. (the size will be measured as the summation of size of all lesions in cm)
Time frame: upto 3 months
recurrence rate after recovery
appearance of new lesions or recurrence of previous one
Time frame: follow up for 6 months after recovery
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