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Aldara Imiquimod Genital Wart Treatment Information
(latest  Aldara Imiquimod Cream news)


The following represent a comprehensive list of articles that address the use of Aldara Imiquimod for the treatment of the genital warts:

International Study Validates Effectiveness of Aldara For Treating Sexually Transmitted Disease
PR Newswire
June, 2009

Aldara Cream Stimulates Body's Natural Defenses to Clear Genital Warts Infection, New Research Shows
PR Newswire
July, 2009

A Warty Problem for Men
PR Newswire
July, 2009

Do-it-yourself Treatment for Genital Warts
PR Newswire
July, 2009

Please note: Imiquimod is the generic name for Aldara. The generic name represents the medications nonproprietary or chemical name, whereas, the brand name is the name a pharmaceutical give to a medication for marketing purposes.  Imiquimod maybe referenced in some of the following articles:


International Study Validates Effectiveness of Aldara For Treating Sexually Transmitted Disease.
PR Newswire
June, 2009

LONDON -- New findings from a recent, international, open-label study reaffirm that the patient-applied treatment, Aldara (imiquimod) Cream,  is safe and effective for eradicating external genital warts -- the results of which are reflective of a real-life clinic setting.

The study reports that the efficacy of Aldara in male and female patients of different ethnic backgrounds was similar to that in previous randomized, vehicle-controlled studies, according to the International Journal of STD & AIDS.

This international trial is the first published study that investigates the efficacy of a topical therapy for external genital warts in such a large group of patients -- in 114 clinics across five continents (Europe, Canada, Latin America, Australia and South Africa).

Patients whose warts decreased in size but did not totally clear in the initial 16 weeks of  other therapy , were offered the option to try Aldara . This resulted in total clearance of the genital warts in 83 percent of these patients who now used Aldara.

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This continued application of Aldara was well-tolerated by patients, and this study highlights that the frequency of application site reactions was, indeed, lower in the second treatment cycle compared to the initial 16 weeks of therapy.

Furthermore, the results of this study validate previous observations from the highly controlled trials that patients whose warts cleared with Aldara therapy, tended to remain clear.

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'The fact that less than 10 percent of the patients required re-treatment in the 3 months after their warts cleared, is a considerable advantage of Aldara cream compared to many of the other genital wart treatments that are available,' comments lead author Dr. Suzanne Garland, Department of Microbiology and Infectious Diseases, Royal Women's and Royal Children's Hospitals, Victoria, Australia.

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Genital warts, caused by human papillomavirus, are one of the most common sexually transmitted diseases. By one estimate, at least 10 percent of sexually active adults in the Europe are infected with HPV, with perhaps 1-2 percent having genital warts. The incidence of genital warts is greatest in young adults between 18 and 28 years of age.

Aldara, which can be applied by you in the privacy of your own home, is the first in a new class of drugs called immune response modifiers (IRM), which demonstrate in vivo antiviral and antitumor activity. The IRM's mode of action stimulates specific components of the host's own immune system, which act to eradicate the warts. Aldara is recommended as a first-line treatment option for external genital warts by guidelines from the Centers for Disease Control and Prevention (CDC), Latin America and Europe.

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Aldara Cream Stimulates Body's Natural Defenses to Clear Genital Warts Infection, New Research Shows
PR Newswire
July, 2009

Results of a randomized, controlled trial of  patients with external genital warts show that Aldara cream enhances wart clearance and leads to a significant reduction in viral load of human papillomavirus (HPV) (the virus that causes genital warts), as well as prompting the local production of interferon.

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Patients treated with Aldara cream showed significantly reduced HPV 6 and 11 viral load and significantly higher tissue levels of multiple interferons, when compared to the vehicle group.

"When applied topically to the patient's warts, imiquimod induces the body's natural defenses to destroy the warts," explains Stephen Tyring, MD, Ph.D., Professor of Dermatology, Microbiology & Immunology and Internal Medicine at the University of Texas Medical Branch at Galveston, Texas, and author of the study.

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Genital warts is one of the fastest growing sexually transmitted diseases (STDs) in the Europe with approximately 750,000 new cases diagnosed each year. It is caused by the human papillomavirus (HPV), one of the most common STDs affecting as many as one in five American adults.

The newest in a class of drugs called immune response modifiers and representing the first new therapeutic approach to genital warts in five years..

Until now, most traditional treatments for genital warts were performed in the physician's office, involving surgical or chemical removal that is often associated with pain, tissue destruction and scarring. In studies, less than 5% of patients reported pain with Aldara cream.

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"Many patients have previously avoided treatment for genital warts because of fear of painful chemical and surgical procedures," notes Tyring.

Although there is no cure for genital warts, treatment can alleviate physical symptoms and psychological reactions such as shame, embarrassment, self-blame, and problems with sexuality.

Genital warts are spread by direct, skin-to-skin contact, usually during sexual activity, and may appear within several weeks, several months, or never appear at all. Genital warts can be quite noticeable, or so small as to be invisible to the naked eye. They are usually flesh-colored, and can be raised or flat, single or multiple. Genital warts may cause itching, burning, pain and tenderness.

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A Warty Problem for Men
PR Newswire
July, 2009

As any man who has had genital warts will tell you, they are unsightly and something you want to get rid of and not ever see again. Now uncircumcised men with this infection have the option of applying a cream to fight genital warts.

According to the research published in the International Journal of STD and AIDS(1), total clearance of the warts was achieved in 82% of the uncircumcised male patients who applied Aldara imiquimod cream. In addition, once the warts were cleared, they tended not to return in these patients during the follow-up period.

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This open-label, dose escalation study was conducted in clinics in Germany and France. Male patients (n=64), with an average age of 30 years, were treated until clearance of baseline target warts or for up to 16 weeks. Aldara was well tolerated, with the two most frequently reported local skin reactions being erythema and erosion. Two thirds of patients had undergone previous treatment for genital warts with various surgical or caustic therapies, which, as the investigators noted, can be inappropriate for uncircumcised males. Furthermore, patients who cleared their warts after Aldara treatment tended to remain clear.

Aldara  is the first in a new class of drugs called immune response modifiers (IRMs) that demonstrate both antiviral and antitumor activity. IRMs act by stimulating the patient's own immune system to fight the virus and therefore resolve the warts.

Aldara Imiquimod information, comprehensive list of articles that   address the Aldara Imiquimod.

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Aldara is approved worldwide for the treatment of genital warts. However, as the study author, Professor Herald Gollnick, Department of Dermatology and Venerology, University of Magdeburg, Germany, explains: "As most of the patients in previous pivotal clinical studies (conducted primarily in the US and Canada) were circumcised, this study was undertaken in France and Germany to evaluate Aldara in uncircumcised men. The results are particularly significant for areas of the world where male circumcision is not widely performed, for example, in Europe."

Genital warts are caused by the human papillomavirus (HPV) and are one of the most common sexually transmitted diseases (STD) today. By one estimate, at least 10% of sexually active adults in the U.S. are infected with HPV, with perhaps 1-2% having genital warts(3). A number of subtypes of the HPV can be transmitted together and while the types that cause genital warts are benign, other subtypes are known to cause cancers of the genital area. So, treatment is not only cosmetically desirable but important to prevent the continued transmission of HPV and the risk of other more life-threatening diseases.

The increasing incidence of genital warts from HPV infection is a global concern, with the greatest prevalence in young adults between 18 and 28 years of age. "Effective treatment of the disease is of great importance from not only a medical perspective but also from a psychological and economic perspective," according to Professor Gollnick.

This study shows Aldara was effective in uncircumcised men and is an important advance because it avoids the problems often associated with other treatments, and the rates of warts returning after treatment typically associated with their use.

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Do-it-yourself Treatment for Genital Warts
PR Newswire
July, 2009

A topical prescription drug called Aldara completely eradicated genital warts in 80% the people who applied it thrice weekly for three-months, according to a study published in last month's issue of Archives of Dermatology. The participants were healthy men and women with two to 50 external warts in the anal/genital area. Two different doses of Aldara were used in the study, 5% and 1%. The higher strength provided better results. The warts completely disappeared in half the people using the 5%.

Genital warts, wrote the investigators, Libby Edwards, M.D. and colleagues, are "benign tumors induced by any of multiple different types of the human papillomavims." The usual treatments for this condition must be doctor-administered. They are not only painful and drastic (e.g., freezing, cauterizing, excision) but they also have high failure rates (2-72%).

Recurrences occur in Aldara-treated people too, but the investigators say the rate is lower than that of the more drastic treatments. Although this study lasted only 12 weeks, Dr. Edwards and colleagues observed a far lower recurrence rate even among the study participants who were using the weaker 1% version of Aldara. In a telephone interview, Dr. Edwards explained, "It's extremely unlikely that Aldara eradicates the human papillomavirus in most patients." This is true of other treatments, but Dr. Edwards cited a major advantage for this topical medication:all other treatments adversely affect the skin surrounding the warts."

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