Randomized controlled trial2018Open access

Efficacy and safety of combined high-dose interferon and red light therapy for the treatment of human papillomavirus and associated vaginitis and cervicitis: A prospective and randomized clinical study

Shi HJ, Song H, Zhao QY, Tao CX, Liu M, Zhu QQ

Medicine · 16 citations

How it was studied

Design
Randomized controlled trial (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Independent funding
University or hospital
Ningxia University
University or hospital
Ningxia Medical University

Based on 2 listed funder(s) and full-text disclosure statement.

Publication

Published
2018-09-01 · Medicine (Baltimore) · vol. 97 · issue 37 · p. e12398
Publisher
Wolters Kluwer
Cited
23 citations · more than 77% of similar papers · 1.1× the field average
References
56 works
Access
Open access (journal) · CC-BY-NC-ND
Research areas
Cervical Cancer and HPV Research · Laser Applications in Dentistry and Medicine · Reproductive tract infections research
Keywords
Medicine, Cervicitis, Vaginitis, Human papillomavirus, Gynecology, Internal medicine
MeSH
humans, papillomaviridae, papillomavirus infections, vaginitis, interferon-alpha, recombinant proteins, antiviral agents, treatment outcome, combined modality therapy, phototherapy, prospective studies, single-blind method, adolescent, adult, middle aged, uterine cervicitis, female, young adult, interferon alpha-2

6 authors

From CN

  • Huijuan Shi · correspondingNingxia Medical University; Ningxia Medical University General Hospital
  • Hongbin SongChinese PLA General Hospital
  • Qianying ZhaoNingxia Medical University; Ningxia Medical University General Hospital
  • Chun-Xia TaoNingxia Hui Autonomous Region Peoples Hospital
  • Min LiuNingxia Medical University; Ningxia Medical University General Hospital
  • Qin-Qin ZhuNingxia Hui Autonomous Region Peoples Hospital

Abstract

Background

We evaluated the efficacy and safety of combined high-dose interferon (IFN) and red light therapy for the treatment of subclinical and latent human papillomavirus (HPV) infections.

Methods

Ninety women diagnosed with subclinical or latent HPV infection were randomized to receive topical application of low-dose recombinant IFNα-2b (1 million IU), high-dose IFNα-2b (9 million IU), or a combination of high-dose IFNα-2b and red light therapy on the cervix and vagina. All patients received treatment once daily for 4 weeks. HPV titer was measured immediately and 4, 8, and 12 weeks after treatment to determine the rates of viral clearance and infection cure. Treatment of HPV-associated vaginitis and cervicitis was also evaluated.

Results

Results showed that immediately and 4, 8, and 12 weeks after treatment, the HPV clearance rates and infection cure rates were higher in the high-dose IFN and combination groups compared to the low-dose IFN group. High-dose IFN and combination therapies were significantly effective against both low-risk and high-risk HPV infections. Although the cure rates for vaginitis and cervicitis were significantly higher in the high- compared to the low-dose IFN group, rates were even higher in the combination group compared to the high-dose IFN group. Mild adverse effects were reported by a very small subset of patients (3/30) in the combination group.

Conclusions

This study suggests that combination of high-dose IFN and red light therapy is safe and effective against subclinical and latent HPV infections.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY-NC-ND).

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