Could a simple gel replace surgery for HPV-Related cervical changes?
NCT ID NCT05509413
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested whether a vaginal gel called DEFLAGYN, made from silica and citric acid, can help women with unclear cervical smears and high-risk HPV infections clear the virus and avoid surgery. 242 women used the gel for 3 months. The goal was to see if the gel increases the rate of HPV clearance and regression of abnormal cells compared to waiting without treatment.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- DEFLAGYN vaginal gel (silica and citric acid)
- What this could lead to
- If it works, this could offer a non-surgical, wait-and-see option for women with unclear cervical smears and high-risk HPV, potentially reducing the need for procedures like conization.
- What could go wrong
- This is a completed study with limited prior evidence. The gel is a medical device, not a drug, and its effect may be modest. Side effects were not observed in a prior small trial, but larger studies are needed to confirm benefits.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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242 people
The number who actually took part.
- Started
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Nov 2022
- Finished
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Aug 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Female participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Written consent * Unclear cervical smear (ASC-US, ASC-H, LSIL, HSIL or PAP II-p, PAP III-p, PAP IIID1, PAP IIID2 (Munich III) or PAP III, PAP IIID, PAP I + HPV high-risk infection) Exclusion Criteria: * Pregnancy * Known hypersensitivity to any of the ingredients of the vaginal gel * Insufficient knowledge of the German language * Pre-existing oncological diseases
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Marien Hospital Herne
Herne, North Rhine-Westphalia, 44625, Germany
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can a daily supplement help the body fight off HPV?
- Could a Light-Activated cream replace surgery for cervical precancer?
- Cervical surgery may alter blood flow to the uterus
- Enzyme-HPV link in cervical disease explored
- Anesthesia choice may change surgical outcomes in cervical treatment