Title
Cantharone for the Treatment of Perenial Warts
Trichloroacetic Acid Versus Cantharone for the Treatment of Perenial Warts
Phase
Phase 4Lead Sponsor
Wayne State UniversityStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Wart, GenitalIntervention/Treatment
Cantharidin Trichloroacetic AcidStudy Participants
12Comparison of trichloroacetic acid versus cantharidine for the treatment of perenial warts.
Warts are one of the most common sexually transmitted diseases. They are caused by the human papilloma virus (HPV) that causes cervical cancer. Warts can grow, obstruct labor, and spread. Patients presenting to the obgyn clinic with perenial warts were randomized to treatment with trichloroacetic acid (one of the many types of treatments) or to the treatment with cantharidine group. Cantharidine is a vesicant extracted from beetle bugs which painlessly causes a small blister to form and cures the patient from the HPV infection causing the wart . We compared cosmesis, scar formation, pain and number of treatments (visits) as well as effectiveness in both groups.
Objectives
Determine if cantharone is more effective than trichloroacetic acid (TCA) for removal of warts
Compare pain levels (pain during application) for each method
Compare patient satisfaction for each method
Compare scar formation and cosmesis for each method
A thin film of cantharidin is applied to the surface of the wart and to 1 millimeter area surrounding the wart. After the film dries, it is covered with an occlusive dressing for 24 hours. The patient removes the area the next day and thoroughly washes the area with soap and water. Patients return to clinic a week later.
Trichloroacetic acid is applied to the surface of the wart with a wooden applicator and after drying the area is washed with soap and water in an hour.
application of trichloroacetic acid to perenial warts
Inclusion Criteria: Warts on the perenial area Less than 4mm across. Exclusion Criteria: Pregnancy Less than 18 years old Lesions larger than 4 millimeters across Unclear diagnosis Internal warts Diabetes HIV Warts within 2 cm of mucosal areas