Study of Human Papillomavirus Related Genital Pathology Among HIV Positive Women (ANRS CO17)
Study of Human Papillomavirus Related Genital Pathology Among HIV Positive
This study is a Multicentre cohort study with inclusion throughout the full duration of the study.
The primary objective is the study of human papillomavirus related genital pathology in HIV positive women.
The secondary objective are:
- To study the characteristics of HPV infection and related disease in the context of long term HAART and HIV infection ;
- To study the characteristics of atypical cells of uncertain significance detected in Pap smears, whose prevalence has dramatically increased in the last years;
- To describe cervical cancers observed in the cohort
- To study the evolution of recurrent high-grade lesions after surgery
- To describe the evolution of vaginal lesions developed after hysterectomy for high-grade lesions ;
- To describe the specific aspects of surgery for the treatment of cervical lesions according to the specific localization in the endocervix in HIV-positive women ;
- To study the in situ T cell HPV specific response in cervical lesions and the relationship between virological and clinical parameters, host immune status and natural history of lesions ;
- To initiate a prospective study on anal HPV infection and related disease among women infected with HIV.
- To initiate a study on therapeutic and/or prophylactic HPV vaccines in the context of immunosuppression and a high rate of HPV infection ;
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Data were be collected into evaluate:
- Analysis of prognostic factors (CD4, antiviral therapy) of cervical lesions, using Cox models.
- Estimation of rates of Incidence of high grade lesions, of recurrence after surgical treatments using Kaplan Meier tests.
- Logistic regression analysis for the study of factors associated with complete excision after surgical treatment.
- SIR (standardised incidence rate) evaluation for cervical cancer
Study procedures are Annual follow-up in case of normal Pap smear, biannual follow-up in case of cervical lesions. Surgical management of High grade lesions.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Description
Inclusion Criteria:
- women > 18 years old
- attending outpatient gynecology consultation
- HIV positive
- with written informed consent
- on social security
Exclusion Criteria:
- unaffiliated to the social healthy security french system
Study Plan
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Isabelle Heard, MD, Unité biologie de la reproduction, GH Pitié Salpétrière
- Principal Investigator: Manuella Bonmarchand, Service Médecine Interne La Pitié Salpétrière
- Principal Investigator: Roland Tubiana, Service maladies infectieuses La Pitié Salpétrière
- Principal Investigator: Ana Canestri, Service maladies infectieuses La Pitié Salpétrière
- Principal Investigator: Catherine Creen Hebert, Service Gynécologie-obstétrique Louis Mourier
- Principal Investigator: Laurent Mandelbrot, Service Gynécologie Louis Mourier
- Principal Investigator: Francoise Meier, Service Gynécologie Louis Mourier
- Principal Investigator: Elisabeth Foucher, Service Gynécologie Louis Mourier
- Principal Investigator: Marie Jeanne Ducassou, Hôpital de jour CISIH Marseille
- Principal Investigator: Isabelle Poizot Martin, Hôpital de jour CISIH Marseille
- Principal Investigator: Bénédicte Lefèvre, Service des maladies infectieuses St Antoine
- Principal Investigator: Bruno Carbonne, Service Gynécologie St Antoine
- Principal Investigator: Dahlia Torchin, Service Gynécologie St Antoine
- Principal Investigator: Anne Isabelle Richet, Service Gynécologie St Antoine
- Principal Investigator: Jean Paul Viard, centre de diagnostic et thérapeutique Hopital Hotel Dieu
- Principal Investigator: Christine Rousset Jablonski, Service Gynécologie Obstétrique Hopital Hotel Dieu
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 2007-A00703-50
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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