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Pulmonary & Respiratory

Recurrent Respiratory Papillomatosis (RRP) Clinical Trials

Also called RRP, Laryngeal Papillomatosis, Respiratory Papillomatosis, Juvenile-Onset Recurrent Respiratory Papillomatosis, JoRRP, Adult-Onset Recurrent Respiratory Papillomatosis, AoRRP

RRP is caused by 2 low-risk types of human papillomavirus, HPV 6 and HPV 11, the same types that cause genital warts. The virus infects the lining of the airway and produces benign growths called papillomas, most often on the vocal cords. They can spread down the windpipe and, rarely, into the lungs, and in a small number of patients they turn cancerous.

In plain words, recurrent respiratory papillomatosis is a rare disease in which wart-like growths caused by a virus called HPV grow in the airway. The growths are not cancer, but they keep coming back and can cause hoarseness and trouble breathing.

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Recurrent Respiratory Papillomatosis

Where treatments stand, from ClinicalTrials.gov and FDA labels

Also 3 studies with no phase, like observational studies, and 1 phase 4 study following medicines after approval.

FDA review0

No decision pending. FDA calendar

FDA-approved medicines2

Papzimeos · Voceryq

Recurrent Respiratory Papillomatosis has 2 FDA-approved medicines, 9 open or active clinical trials (6 recruiting), and no pending FDA decision.

Labels checked October 21, 2026. Corticosteroids and immune globulins count once each.Download the data

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The growths are removed with surgery, using a laser or a microdebrider, but the virus stays in the surrounding tissue and the papillomas grow back. Some patients need surgery every few weeks, and some have had dozens or even hundreds of procedures over their lifetime. In severe cases a tracheostomy keeps the airway open. Doctors have added drugs such as cidofovir and, for severe or lung disease, the cancer drug bevacizumab, with mixed results.

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In August 2025 the FDA approved Papzimeos (zopapogene imadenovec), an immunotherapy that trains the immune system to attack HPV 6 and 11 infected cells, as the first treatment for adults with RRP. In its pivotal trial, 51% of adults needed no surgery for 12 months after treatment.

On October 30, 2026 the FDA granted accelerated approval to a second option for adults, INOVIO's Voceryq (INO-3107), a DNA medicine injected into muscle. Its trial enrolled 32 adults. Of 26 who had at least 3 surgeries in the 12 months before the trial, 7 (27%) needed no surgery in the first year after treatment.

What are the symptoms of Recurrent Respiratory Papillomatosis?

These are common symptoms of Recurrent Respiratory Papillomatosis, and how strong they are varies from person to person.

  • Hoarseness or a changing voice, the most common symptom
  • Noisy breathing, especially when breathing in
  • Shortness of breath or trouble breathing as growths narrow the airway
  • Chronic cough
  • Trouble swallowing
  • In children, symptoms that are often mistaken for asthma or chronic bronchitis

Who gets Recurrent Respiratory Papillomatosis?

RRP has 2 forms. Juvenile-onset RRP usually appears in early childhood; in a CDC study of 576 US children born 2004 to 2013, the median age at diagnosis was 3.4 years, and the virus is thought to pass from mother to baby during birth. Adult-onset RRP usually starts in adulthood and is thought to spread through sexual contact. Symptoms tend to be more severe in children.

The childhood form is becoming rarer as HPV vaccination spreads. In the US, the number of new cases per 100,000 births fell from 2.0 among children born in 2004 to 2005 to 0.5 among those born in 2012 to 2013, and Australia recorded a similar drop after starting school-based HPV vaccination.

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Which medicines are FDA-approved for Recurrent Respiratory Papillomatosis?

There are currently 2 FDA-approved medications for Recurrent Respiratory Papillomatosis.

Just prescribed one of these?Your first 90 days, step by stepWhat happens before the first fill, the tests and refills to expect, and help paying, with a one-page handout to print.
zopapogene imadenovec
Your first 90 days
Precigen
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doruxapapogene ralaplasmid and lalikinogene sifuplasmid-gxfd
Your first 90 days
INOVIO Pharmaceuticals
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Source: openFDA drug labeling data. This list may not include all treatments. Always consult your doctor.

How to get help paying for Recurrent Respiratory Papillomatosis treatment

Charity funds and drugmaker programs for Recurrent Respiratory Papillomatosis, checked at the source.

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Side effects people have reported to the FDA

Side effects people have reported to the FDA

Real-world side effect reports from the FDA Adverse Event Reporting System (FAERS). Includes both FDA-approved drugs and investigational therapies from active clinical trials. Click any drug to see what patients reported.

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Diagnosis and genetic testing

How Recurrent Respiratory Papillomatosis is diagnosed

Caused by infection with HPV types 6 and 11, not by an inherited gene change.

Trusted Recurrent Respiratory Papillomatosis resources

Reputable organizations and medical references for learning more about Recurrent Respiratory Papillomatosis, including disease registries, foundation resources, and clinical guidelines.

Active clinical trials for Recurrent Respiratory Papillomatosis

Use this Recurrent Respiratory Papillomatosis clinical trial finder to see the 6 studies recruiting patients and 3 not yet recruiting in the United States and worldwide, with eligibility criteria in plain English. Of these, 6 test a treatment and 3 are observational studies or registries; each card says which. Every trial comes from ClinicalTrials.gov.

Jump to the trial list, the site map or the pipeline timeline.

Note: Trial recruitment statuses on ClinicalTrials.gov may not immediately reflect recent FDA decisions, sponsor announcements, or enrollment changes. Always confirm a trial's current status directly with the study coordinator before making plans.

9 active trials worldwide
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Not yet recruitingTreatment trialPhase 2Recently updatedNCT07756840

Combination Bevacizumab and PRGN-2012 in Adults With Recurrent Respiratory Papillomatosis (RRP)

Intervention: PRGN-2012, Bevacizumab

Sponsor: National Cancer Institute (NCI)

Background:

Ages 18 Years to 120 Years1 location
Expected to start Nov 2026Updated todayEst. Jul 2029 (~2y 7m)
RecruitingPatient registry covering many conditionsRecently updatedNCT01793168

Rare Disease Patient Registry & Natural History Study - Coordination of Rare Diseases at Sanford

Sponsor: Sanford Health

The Coordination of Rare Diseases at Sanford (CoRDS) is an international patient registry that serves as a centralized resource for rare disease research. Individuals affected by rare diseases, undiagnosed conditions, and disorders of unknown prevalence may voluntarily contribute...

Ages not specified1 location
Started Jul 2010Updated 2 weeks agoEst. Dec 2100 (~74y 2m)
Not yet recruitingTreatment trialPhase 3Recently updatedNCT07901738

Zopapogene Imadenovec for the Treatment of Recurrent Respiratory Papillomatosis in Children

Intervention: Zopapogene imadenovec-drba

Sponsor: Precigen, Inc

Recurrent respiratory papillomatosis (RRP) is a rare disease in which wart-like growths caused by human papillomavirus (HPV) types 6 or 11 form in the airway. These growths can affect the voice and breathing and often come back after they are removed, meaning many children will n...

Ages 1 Year to 17 Years1 location
Expected to start Dec 2026Updated 2 weeks agoEst. Jan 2029 (~2y 2m)
Not yet recruitingTreatment trialPhase 1/2Recently updatedNCT07339163

Efficacy of Booster Injection With Gardasil-9 Vaccine on Intersurgical Interval* for Adults With Recurrent Respiratory Papillomatosis*

Intervention: GARDASIL®9 (Human Papillomavirus 9-valent Vaccine, Recombinant)

Sponsor: Ohio State University · Merck Sharp & Dohme LLC

The investigators propose the study titled "Efficacy of booster injection with Gardasil-9 vaccine on intersurgical interval (ISI) for adults with recurrent respiratory papillomatosis (RRP)".

Ages 18 Years+1 location
Expected to start Dec 2026Updated 3 weeks agoEst. Apr 2028 (~1y 4m)
RecruitingTreatment trialPhase 1Updated a few months agoNCT07317154

Autologous Dendritic Cell Vaccine For Recurrent Respiratory Papillomatosis (RRP) Patients

Intervention: Autologous HPV6 E6-and E7-derived peptide-loaded dendritic cell

Sponsor: Mayo Clinic

The purpose of this study is to evaluate the safety and immunogenicity of autologous DC vaccine in recurrent respiratory papillomatosis patients

Ages 18 Years+1 location
Expected to start Sep 2026Updated 4 months agoEst. Jun 2027 (~7 months)
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Active trial locations8 cities in the US
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Trial Pipeline

Jan 2021 to Nov 2031
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Data from ClinicalTrials.gov, U.S. National Library of Medicine.
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Recurrent Respiratory Papillomatosis news and guides

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Companies developing Recurrent Respiratory Papillomatosis treatments

Drugmakers that list Recurrent Respiratory Papillomatosis in their rare disease portfolio, 2 in all.

Questions people ask about Recurrent Respiratory Papillomatosis