Protocol summary

Study aim
Assessing and comparing the effectiveness of gels containing green tea extract, a mixture of green tea extract and Peganum harmala seed extract (in a 50-50 ratio), and a mixture of green tea extract and Peganum harmala seed extract (in an 80-20 ratio) in the treatment of genital warts in women.
Design
A phase 2 randomized, double-blind, 3-arm, parallel-group clinical trial in 60 patients with genital warts. Randomization with https://www.sealedenvelope.com
Settings and conduct
Patients referred to Ghaem hospital, Mashhad by the researcher will be selected if they meet the inclusion and exclusion criteria will enter the random allocation process. In each group, the desired gel is applied three times a day by the patient at home on the lesion at a rate of 2 mm, and the patients are followed up by the researcher by phone once a week to ensure drug use. All three groups of patients are referred for follow-up every two weeks, and the gel box is weighed with a digital scale to ensure drug use by the patient. Then, the lesions are measured by the researcher, and the presence of unwanted inflammatory reactions such as burning, itching, redness, pain, and erosion, severity during the period, is recorded.
Participants/Inclusion and exclusion criteria
Women aged 18 to 50 years with external genital warts who do not have allergies to green tea or Peganum harmala seed extract and are not infected with any other sexually transmitted diseases.
Intervention groups
Three treatment groups: 1- gel containing green tea extract as the standard treatment,2- gel containing green tea extract and Peganum harmala seed extract in a 50-50 ratio, 3-gel containing green tea extract and Peganum harmala seed extract in an 80-20 ratio.
Main outcome variables
Number, size and location, time of onset of lesions, presence of clinical symptoms associated with lesions Visit every two weeks

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20241225064163N2
Registration date: 2025-05-17, 1404/02/27
Registration timing: prospective

Last update: 2025-05-17, 1404/02/27
Update count: 0
Registration date
2025-05-17, 1404/02/27
Registrant information
Name
Elham Dolat
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 51 3802 2608
Email address
dolat1985@gmail.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2025-05-20, 1404/02/30
Expected recruitment end date
2025-08-21, 1404/05/30
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Investigating the effect of ointment containing Green Tea extract and Peganum harmala in the treatment of Genital Warts in Women: a controlled randomized clinical trial
Public title
The effect of ointment containing Green Tea extract and Peganum harmala in the treatment of Genital Warts in Women
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
The individual must not have any specific medical illnesses. They should have no other sexually transmitted diseases (STDs) In the past 6 months, they should not have been under psychiatric supervision and should not be taking psychiatric medications. They must not be allergic to green tea or pennyroyal seeds They should not have speech or behavioral disorders that hinder communication with the researcher. They must not have genital warts inside the vagina Genital warts should be limited to the skin. The number of lesions should be between 2 and 30 The surface area of lesions should be between 2 and 600 square millimeters Their spouse should not have genital warts They should have no history of using specific medications. Both they and their spouse should have only one sexual partner.
Exclusion criteria:
They are breastfeeding or pregnant. They are smoker They are infected with other STDs
Age
From 18 years old to 50 years old
Gender
Female
Phase
1-2
Groups that have been masked
  • Participant
  • Investigator
  • Data analyser
Sample size
Target sample size: 60
Randomization (investigator's opinion)
Randomized
Randomization description
In this study, the Block Randomization method (with blocks of 4) will be used. For this purpose, the website https://www.sealedenvelope.com/ will be utilized.
Blinding (investigator's opinion)
Double blinded
Blinding description
For blinding purposes, the gels will be made to look similar in color and appearance to the tubes and provided to the researcher. Each tube has three different codes, which are known only to the pharmacist.
Placebo
Not used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Ethics Committee of Mashhad University of Medical Sciences
Street address
Ahmad Abad Street
City
Mashhad
Province
Razavi Khorasan
Postal code
9919991766
Approval date
2025-04-21, 1404/02/01
Ethics committee reference number
IR.MUMS.IRH.REC.1404.022

Health conditions studied

1

Description of health condition studied
Genital warts
ICD-10 code
A63.0
ICD-10 code description
Anogenital (venereal) warts

Primary outcomes

1

Description
Number and size of external genital wart lesions
Timepoint
Every two weeks until the 10th week
Method of measurement
The patient is examined by the researcher and all areas of the genital area such as the posterior foreskin, labia majora, groin, pubic and anal areas, and perianal are examined for the presence of lesions and the number and size of the lesions are recorded. To determine the initial size of the lesion, the two main perpendicular diameters of each lesion are measured in millimeters with a ruler and the area of ​​each lesion is obtained from the product of these two diameters.

Secondary outcomes

1

Description
Occurrence of new lesions
Timepoint
Every two weeks
Method of measurement
Observation

2

Description
Occurrence of reactions and side effects
Timepoint
Every two weeks
Method of measurement
Questioning the patient

Intervention groups

1

Description
Intervention group 1: gel containing green tea extract and pecan seeds in a 50-50 ratio
Category
Treatment - Drugs

2

Description
Control group: gel containing green tea extract
Category
Treatment - Drugs

3

Description
Intervention group 2: gel containing green tea extract and pecan seeds in a 80-20 ratio
Category
Treatment - Drugs

Recruitment centers

1

Recruitment center
Name of recruitment center
Ghaem Hospital
Full name of responsible person
Maliheh Hasanzade Mofrad
Street address
Department of Gynecology, Ghaem Hospital, Ahmad Abad Street, Mashhad
City
Mashhad
Province
Razavi Khorasan
Postal code
9919991766
Phone
+98 915 311 4410
Email
hasanzademofradm@mums.ac.ir

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Mashhad University of Medical Sciences
Full name of responsible person
Mohsen Tafaghodi
Street address
Vice Chancellor for Research and Technology, Qureshi Building, Daneshgah Street, Mashhad
City
Mashhad
Province
Razavi Khorasan
Postal code
9919991766
Phone
+98 915 311 4410
Email
tafaghodim@mums.ac.ir
Grant name
Malihe Hasanzade Mofrad
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Mashhad University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Gonabad University of Medical Sciences
Full name of responsible person
Davoud Salarbashi
Position
Assistant Professor
Latest degree
Ph.D.
Other areas of specialty/work
Food safety and Health
Street address
Gonabad Medical Sciences Central Headquarters, Imam Khomeini Street, Ghadir Square, Gonabad
City
Gonabad
Province
Razavi Khorasan
Postal code
9919991766
Phone
+98 915 303 0852
Email
davoud.salarbashi2@gmail.com

Person responsible for scientific inquiries

Contact
Name of organization / entity
Gonabad University of Medical Sciences
Full name of responsible person
Davoud Salarbashi
Position
Assistant Professor
Latest degree
Ph.D.
Other areas of specialty/work
Food safety and Health
Street address
Gonabad Medical Sciences Central Headquarters, Imam Khomeini Street, Ghadir Square, Gonabad
City
Gonabad
Province
Razavi Khorasan
Postal code
9919991766
Phone
+98 915 303 0852
Email
davoud.salarbashi2@gmail.com

Person responsible for updating data

Contact
Name of organization / entity
Gonabad University of Medical Sciences
Full name of responsible person
Davoud Salarbashi
Position
Assistant Professor
Latest degree
Ph.D.
Other areas of specialty/work
Food safety and Health
Street address
Gonabad Medical Sciences Central Headquarters, Imam Khomeini Street, Ghadir Square, Gonabad
City
Gonabad
Province
Razavi Khorasan
Postal code
9919991766
Phone
+98 915 303 0852
Email
davoud.salarbashi2@gmail.com

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Undecided - It is not yet known if there will be a plan to make this available
Study Protocol
Undecided - It is not yet known if there will be a plan to make this available
Statistical Analysis Plan
Not applicable
Informed Consent Form
Undecided - It is not yet known if there will be a plan to make this available
Clinical Study Report
Not applicable
Analytic Code
Not applicable
Data Dictionary
Not applicable
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