Matrix Metalloproteinases and Human Papillomavirus in Dysplasias and Cancers of the Cervix (MMP-HPV)
Involvement of Matrix Metalloproteinases and Association With the Expression of Human Papillomavirus in Dysplasias and Cancers of the Cervix
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Cervical cancer is the second most common cancer among European women under 45 years old. It is secondary to cervical dysplasia induced by persistent human papillomavirus infection. The involvement of matrix metalloproteinases in carcinogenesis of the cervix is real, but their expressions vary according to the published series. An association between the expression of MMPs and that of the human papillomavirus deserves to be explored, as this can have a prognostic influence in the case of gradual expression demonstrated in the development of (pre) cancerous lesions of the cervix.
This study aims to compare the expression of matrix metalloproteinases and their tissue inhibitors between 4 groups of patients defined according to the severity of the cervical lesion.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Bordeaux, France
- CHU de Bordeaux
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
For control group:
- Age between 20 and 65 years
- Patients hospitalized for partial or total removal of the cervix
- Absence of cervical lesion observed on biopsy or hysterectomy
- Free, informed and written consent, dated and signed by the patient and the investigator (at the latest before any examination required by the study)
- Affiliate or beneficiary of a social security scheme
For dysplasia and cancer group:
- Age between 20 and 65 years
- Cervical Intraepithelial Neoplasia or previously untreated cervical cancer
- Free, informed and written consent, dated and signed by the patient and the investigator (at the latest before any examination required by the study)
- Affiliate or beneficiary of a social security scheme
Exclusion Criteria:
For control group:
- History of laser or conisation
- Known antecedent of HIV infection
- Congenital or acquired immunodepression
- Long-term treatment with corticosteroids or immunosuppressants
- Persons placed under the protection of justice
For dysplasia and cancer group:
- History of laser or conisation
- Pre-treatment of invasive cancers by radiotherapy or chemotherapy
- Known antecedent of HIV infection
- Congenital or acquired immunodepression
- Long-term treatment with corticosteroids or immunosuppressants
- Persons placed under the protection of justice
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Basic Science
- Allocation: Non-Randomized
- Interventional Model: Sequential Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Other: Control group
Study of the expression of matrix metalloproteinases and their tissue inhibitors
|
Two types of samples are envisaged: tissue (large biopsies, coin of conization or hysterectomy) to affirm the diagnosis and detect the matrix metalloproteinases and their tissue inhibitors by immunohistochemistry; cell sample (monolayer smear type) to evaluate the expression of oncogenic Human papillomavirus.
|
|
Other: Low grade lesion group
Study of the expression of matrix metalloproteinases and their tissue inhibitors
|
Two types of samples are envisaged: tissue (large biopsies, coin of conization or hysterectomy) to affirm the diagnosis and detect the matrix metalloproteinases and their tissue inhibitors by immunohistochemistry; cell sample (monolayer smear type) to evaluate the expression of oncogenic Human papillomavirus.
|
|
Other: High grade lesions group
Study of the expression of matrix metalloproteinases and their tissue inhibitors
|
Two types of samples are envisaged: tissue (large biopsies, coin of conization or hysterectomy) to affirm the diagnosis and detect the matrix metalloproteinases and their tissue inhibitors by immunohistochemistry; cell sample (monolayer smear type) to evaluate the expression of oncogenic Human papillomavirus.
|
|
Other: Cancer group
Study of the expression of matrix metalloproteinases and their tissue inhibitors
|
Two types of samples are envisaged: tissue (large biopsies, coin of conization or hysterectomy) to affirm the diagnosis and detect the matrix metalloproteinases and their tissue inhibitors by immunohistochemistry; cell sample (monolayer smear type) to evaluate the expression of oncogenic Human papillomavirus.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Immunohistochemical score of expressions of matrix metalloproteinases
Time Frame: At the screening
|
The immunohistochemical score is the modified HScore, also called Quickscore.
It is calculated by multiplying the percentage of cells that are marked (from 0 to 100) by intensity (from 0 to 3).
The total score is between 0 and 300.
This score will be defined on normal, tumoral and stromal cells according to the analyzed tissue (normal, dysplasias or cancer)
|
At the screening
|
|
Immunohistochemical score of expressions of matrix metalloproteinases inhibitors
Time Frame: At the screening
|
The immunohistochemical score is the modified HScore, also called Quickscore.
It is calculated by multiplying the percentage of cells that are marked (from 0 to 100) by intensity (from 0 to 3).
The total score is between 0 and 300.
This score will be defined on normal, tumoral and stromal cells according to the analyzed tissue (normal, dysplasias or cancer)
|
At the screening
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Jean-Luc BRUN, Dr, University Hospital, Bordeaux
Study record dates
Study Major Dates
Study Start (Actual)
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 (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
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
- Urogenital Diseases
- Genital Diseases
- Pathologic Processes
- Urogenital Neoplasms
- Neoplasms by Site
- Neoplasms
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Disease Attributes
- Infections
- Virus Diseases
- Uterine Diseases
- Genital Diseases, Female
- Communicable Diseases
- Sexually Transmitted Diseases, Viral
- Sexually Transmitted Diseases
- DNA Virus Infections
- Genital Neoplasms, Female
- Uterine Cervical Diseases
- Uterine Neoplasms
- Tumor Virus Infections
- Pathological Conditions, Signs and Symptoms
- Uterine Cervical Neoplasms
- Papillomavirus Infections
- Investigative Techniques
- Specimen Handling
- Clinical Laboratory Techniques
- Diagnostic Techniques and Procedures
- Diagnosis
- Surgical Procedures, Operative
- Cytological Techniques
- Cytodiagnosis
- Diagnostic Techniques, Surgical
- Diagnostic Techniques, Obstetrical and Gynecological
- Biopsy
- Vaginal Smears
Other Study ID Numbers
Other Study ID Numbers
- CHUBX 2007/08
- 2007-A00624-49 (Other Identifier: ANSM)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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