Genital Warts

Researchers are studying men with metastatic castration-resistant prostate cancer (mCRPC) to understand how different PET/CT scans can predict outcomes during radioligand therapy with 177Lu-PSMA-617. This is an exploratory, prospective study conducted at a single center, focusing on imaging tumor heterogeneity to help assess therapy effects and patient response. The study is designed specifically for Veterans undergoing this treatment. Participants will receive several types of PET/CT scans at different times: before starting LuPSMA radioligand therapy (RLT), and then after the 2nd, 4th, and 6th treatment cycles. These scans include 18F-Fluciclovine PET/CT (Axumin), 18F-DCFPyL PET/CT, and 18F-FDG PET/CT. The 18F-Fluciclovine scans will be performed within seven days of the PSMA PET scans to compare imaging results at each time point. During the study, detailed imaging measures such as lesion uptake and tumor volume will be collected and analyzed over time. Patients will be followed at the institution to correlate these imaging results with clinical outcomes. The main outcome measured is the impact of 18F-Fluciclovine PET/CT on predicting outcomes of the 177Lu-PSMA-617 therapy from enrollment through 34 weeks of treatment.

Researchers are evaluating the safety and effects of Papillex4, a dietary supplement, on the regression of abnormal cervical cells caused by HPV in women diagnosed with cervical intraepithelial neoplasia (CIN) grades 1 or 2. The main goal is to see if Papillex4 leads to a greater improvement in cervical cell abnormalities compared to a placebo by day 180. Participants will take either Papillex4 or a placebo twice daily for 180 days. Papillex4 contains vitamins, minerals, plant extracts, and other natural substances. Both groups will follow the same dosing schedule with two capsules taken with the first and last meals each day. The study design is randomized and quadruple-blinded, meaning neither participants nor researchers know who receives Papillex4 or placebo. During the study, participants will undergo clinical visits, complete questionnaires, and have cervical cell assessments including PAP smears and HPV tests. Some may have colonoscopy if applicable. Researchers will measure changes in cervical cell abnormalities, HPV clearance, immune markers, micronutrient status, symptom scores, quality of life, and monitor safety events over 180 to 360 days. Participants are expected to maintain their usual lifestyle habits and complete all study activities and visits.

Researchers are evaluating the protective effects, safety, and immune response of an 11-valent recombinant human papillomavirus (HPV) vaccine in Chinese women aged 18 to 45 years. This Phase III clinical trial involves 13,500 women divided into three age groups to assess the vaccine's ability to prevent HPV infections and related cervical lesions. Participants are randomized into experimental and placebo groups to compare outcomes. The trial administers three doses of either the HPV vaccine or a placebo via intramuscular injections into the upper arm deltoid muscle, scheduled at 0, 2, and 6 months. The study uses a double-blind design to ensure unbiased results. The vaccine targets multiple HPV types associated with cervical cancer and related conditions. Participants will undergo follow-up visits including gynecological examinations, pregnancy testing, and monitoring for adverse events. Researchers will measure the incidence of cervical intraepithelial neoplasia (CIN) and HPV-related lesions, as well as antibody responses at multiple time points after vaccination. The trial includes long-term monitoring up to six years to evaluate vaccine safety and effectiveness.

Researchers are evaluating STAR0602, a selective T cell receptor targeting bifunctional antibody-fusion molecule, in adults with advanced solid tumors that are antigen-rich. This open-label, multicenter Phase 1/2 study aims to assess the safety, tolerability, and preliminary clinical activity of STAR0602 in participants with unresectable, locally advanced, or metastatic solid tumors where standard therapies are not effective or suitable. The study has two parts: Phase 1 Dose Escalation and Phase 2 Dose Expansion. In Phase 1, STAR0602 is given intravenously to determine safety, the maximum tolerated dose, and the recommended dose for Phase 2. In Phase 2, participants receive STAR0602 at the established recommended dose to further evaluate safety and clinical activity. Clinical activity is measured by tumor response rates, duration of response, disease control, and progression-free survival. Participants will receive STAR0602 infusions in cycles lasting 28 days. Researchers will monitor safety by tracking dose-limiting toxicities, adverse events, and serious adverse events for up to three years. Tumor responses and survival outcomes are also assessed over this period. Pharmacokinetic measures and anti-drug antibody formation will be evaluated at specified cycles. The total study duration and follow-up can extend up to three years to gather comprehensive safety and activity data.

This research aims to study the immune response to the nonavalent HPV (9vHPV) vaccine in women living with HIV (WLWH), a group particularly vulnerable to HPV and cervical cancer. There is limited data on reduced-dose schedules of the 9vHPV vaccine in this population, which is important as the previously used quadrivalent HPV vaccine has been discontinued. The study seeks to inform global strategies for cervical cancer elimination by evaluating different dosing schedules in WLWH aged 18 to 45 years. Participants will be randomly assigned to one of two groups: one group will receive three doses of the 9vHPV vaccine following the routine schedule at 0, 2, and 6 months, while the other group will receive two doses at 0 and 6 months, with a third dose at month 12. This design follows current recommendations and allows comparison of immune responses between the routine and extended dosing schedules. During the two-year follow-up, participants will undergo regular assessments to measure immune responses, specifically anti-HPV16/18 antibody levels at months 7 and 24. Researchers will also evaluate vaccine safety, effectiveness, and attitudes toward self-collected HPV samples. Surveys will assess vaccine acceptability and comfort. The study includes monitoring for adverse events and aims to provide data to improve HPV vaccination programs for WLWH globally.

Researchers are evaluating whether using lower doses of radiation can reduce side effects when combined with standard chemotherapy in people with HPV-positive throat cancer. This Phase 2 study focuses on patients with hypoxia negative human papilloma virus (HPV) associated oropharyngeal carcinoma, aiming to improve treatment tolerability while maintaining effectiveness. Chemotherapy drugs involved include cisplatin, carboplatin, 5-fluorouracil (5-FU), paclitaxel, and Abraxane (albumin-bound paclitaxel). Participants are assigned to one of four cohorts based on their specific clinical characteristics. Treatments include radiation over three weeks with a total dose of 30 Gy in 2 Gy fractions, combined with chemotherapy regimens varying by cohort. For example, Cohort B receives carboplatin and paclitaxel starting the same week as radiation; Cohort C includes induction chemotherapy before radiation; and Cohort D focuses on early-stage cases. The study also uses 18F-FMISO PET/CT scans for diagnostic imaging before and during treatment to guide therapy. During the study, participants undergo regular assessments including imaging scans, blood tests to evaluate blood counts and organ function, and clinical evaluations to monitor disease status and side effects. Researchers will measure the number of participants experiencing locoregional cancer recurrence over 2 years. Participants must provide informed consent and comply with study procedures, including MRI scans unless contraindicated. The total participation duration varies depending on treatment and follow-up schedules.

Researchers are evaluating whether monitoring HPV circulating tumor DNA (ctDNA) levels can effectively detect the risk of cancer returning in people with HPV-associated oropharynx cancer (HPV-OPC) who have recently undergone or are scheduled for surgery. The study aims to determine if this monitoring can guide decisions about radiation therapy and chemotherapy, potentially allowing for delayed or reduced treatment. This is a Phase II trial sponsored by Memorial Sloan Kettering Cancer Center. Participants are divided into two groups. In Arm A, those with rising HPV ctDNA levels after surgery may have radiation therapy delayed until ctDNA becomes detectable, with radiation doses of 50-60 Gy planned. In Arm B, patients typically needing 6 to 6.5 weeks of chemoradiation may receive a shorter, 3-week course of radiation with concurrent chemotherapy. Both arms involve detailed imaging with FDG PET/CT scans for treatment planning and to check for cancer spread. Throughout the study, participants will undergo blood tests to measure HPV ctDNA, imaging scans, and complete questionnaires assessing quality of life and financial impact. Researchers will track progression-free survival over two years, along with detailed monitoring of treatment effects. Treatment is personalized based on ctDNA results and pathology findings, with ongoing assessments for safety and effectiveness during follow-up visits.

Researchers are evaluating the effect of the 9-valent HPV vaccine (9vHPV/Gardasil-9™) on reducing the infectivity and transmission of Human Papillomavirus (HPV) types 16 and/or 18 in women who test positive for these types in cervical, oral, and anal samples. This non-randomized, open-label Phase 4 study aims to show that a 3-dose vaccination regimen can lower the ability of HPV to infect cells and be passed to sexual partners, based on the production of specific antibodies triggered by the vaccine. Secondary goals include measuring antibody levels for all nine HPV types covered by the vaccine and assessing infectivity reduction after one or two doses as well. Participants receive the 9vHPV vaccine in a three-dose series given by intramuscular injection on Day 1, Month 2, and Month 6. The study includes two cohorts: women aged 35 or older without or with mild cervical lesions (CIN 1/2) eligible for conservative treatment, and women aged 27 or older with multiple cervical, vulvar, or anal lesions also eligible for conservative treatment. All participants undergo vaccination and sample collection at four scheduled visits over about seven months. During the study, participants will provide cervical, anal, oral, and blood samples at Visits 1, 2, and 3 before vaccination and at Visit 4 after vaccination completion. Additional procedures include a urine pregnancy test at the first visit and completion of health and sexual activity questionnaires at Visits 1 and 4. Researchers will analyze viral infectivity using a cellular assay, measure antibody levels, detect HPV virions and DNA, and perform genotyping. The study's main outcome is the change in HPV infectivity before and after vaccination, with all monitoring and assessments completed within a seven-month period.

Human Papillomavirus (HPV) infection is the most common sexually transmitted infection worldwide and is linked to approximately 4.5% of all cancers, including most cervical, vaginal, and anal cancers. Women with a history of high-grade HPV-induced gynecological lesions may have an increased risk of developing anal cancer. This research aims to study proctological follow-up for women at risk, based on age, smear results, and HPV tests, to better understand and manage the development of HPV-related anal lesions. This observational study proposes a proctology follow-up protocol for women considered at risk due to their history of high-grade HPV-induced gynecological lesions. The follow-up frequency is tailored according to the patient's age and risk factors, occurring every 3 years, 5 years, or annually. The study will observe patients participating in this follow-up to gather data on the risk of developing HPV-induced lesions and to develop a screening and anal follow-up model. Participants will undergo regular proctological examinations and follow-ups as part of the protocol. Researchers will monitor the risk of developing HPV-related lesions over time and assess the effectiveness of the proposed screening model. The study will measure outcomes during the first year and includes ongoing surveillance to improve clinical recommendations. Participants' data and health will be observed without intervention, with the study extending until the end of 2032.

This research aims to improve the use of HIV, STI, and HCV prevention and care services among racially and ethnically diverse gay, bisexual, and other men who have sex with men (GBMSM) and transgender women living in rural Appalachia. By combining peer navigation with mobile health (mHealth) strategies, the study seeks to reduce health disparities in these vulnerable populations and inform public health practices and policies. Participants will be assigned to one of two groups: an intervention group receiving a culturally compatible, bilingual approach that includes peer navigation and mHealth communication, or a delayed-intervention group. Community health leaders will raise awareness, support service access, and conduct in-person group sessions over 12 months. They will also use social media and apps to communicate and support participants throughout the intervention. During the study, researchers will track HIV, STI, and HCV testing rates at baseline, immediately after the 12-month intervention, and again 12 months later. They will also monitor the use of prevention methods like PrEP, syringe services, and gender-affirming care. Participants will be involved in group activities, receive ongoing support via mHealth platforms, and have their service use regularly assessed to measure the intervention's impact through 24 months from baseline.