Table 2 Clinical responses in VIN patients treated by imiquimod and TA-CIN

From: Phase II trial of imiquimod and HPV therapeutic vaccination in patients with vulval intraepithelial neoplasia

 

Lesion size in mm

Histology

HPV type

Symptoms

Patient no.

Wk 0

Wk 10

Wk 20

Wk 52

Wk 0

Wk 10

Wk 20

Wk 52

Wk 0

Wk 10

Wk 20

Wk 52

Wk 0

Wk 10

Wk 20

Wk 52

1δ

80

35

30

40

VIN1/2/3

VIN1/2/3

VIN2/3

VIN2/3

Neg

Neg

16

16

Mild

Moderate

Mild

Moderate

2δ

75

60

70

70

VIN3

VIN1/2/3

VIN2/3

VIN2/3

16

16

16

16

Severe

Moderate

Moderate

Severe

3

90

65

40

30

VIN2/3

VIN2/3

VIN2/3

VIN1/2

42

Neg

Neg

Neg

Moderate

Severe

Mild

Mild

4δ

50

40

30

45

VIN2/3

VIN2/3

VIN2/3

VIN2/3

16

16

16

Neg

Severe

Moderate

Mild

Mild

9

>100

25

20

10

VIN3

VIN2/3

VIN2/3

VIN2/3

16

16

16

16

Severe

Moderate

Mild

Mild

16φ

45

20

30

40

VIN2/3

VIN2/3

VIN2/3

VIN2/3

16

16

16

16

Severe

Severe

Severe

Severe

18

30

20

10

20

VIN2/3

VIN2/3

VIN2/3

VIN2/3

16

16

16

16

Mild

Mild

Mild

Mild

5

60

10

0

0

VIN1/2/3

No VIN

No VIN

No VIN

16

Neg

Neg

Neg

Mild

Moderate

None

None

6

65

25

5

0

VIN2/3

No VIN

No VIN

No VIN

16

16

Neg

16,53

Severe

Mild

None

None

7χ

100

50

50

0

VIN3

No VIN

No VIN

No VIN

16,33,84

Neg

N/E

33

Severe

Mild

Mild

Mild

8α

60

25

25

25

VIN2/3

VIN2/3

VIN2

No VIN

16

16,33,81

N/E

16

Severe

Severe

Severe

Severe

10δ

25

10

0

0

VIN2/3

VIN1/2/3

No VIN

No VIN

Neg

Neg

Neg

Neg

Severe

None

None

Mild

11

25

0

0

0

VIN3

No VIN

No VIN

No VIN

Neg

Neg

84

84

Moderate

Moderate

None

None

12

20

0

0

0

VIN3

VIN1/2

No VIN

No VIN

Neg

33

Neg

16,33

Moderate

Moderate

None

None

13

50

40

20

0

VIN3

VIN1/2

No VIN

No VIN

16

16

16

16

None

Mild

None

None

14β

90

15

15

0

VIN2/3

VIN1/2

No VIN

No VIN

16

Neg

Neg

Neg

Moderate

None

Moderate

Mild

15

25

3

0

0

VIN3

No VIN

No VIN

No VIN

16

Neg

16

Neg

Severe

None

None

None

17α

40

3

4

0

VIN2

VIN1/2

No VIN

No VIN

16

Neg

16

16

Moderate

Moderate

Moderate

Mild

19

>100

0

0

0

VIN2/3

No VIN

No VIN

No VIN

16

Neg

6

6

Severe

Mild

Mild

None

  1. Abbreviations: HPV=human papillomavirus; CIN=cervical intraepithelial neoplasia; Neg=negative; N/E=non-evaluable; VIN2/3=vulval intraepithelial neoplasia grades 2 and 3; wk=week.
  2. Patient 7 developed ESI (χ) at week 30; patients 1, 2, 4 and 10 underwent LASER treatment (δ) after trial completion; patient 14 developed recurrence (β) 6 months after trial completion and underwent LASER and surgery. Patients 8 and 17 developed new lesions (α) after week 52 treated with LASER. Patient 16 repeated course of imiquimod (φ) after trial completion.