- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02220192
An Alternative Treatment for Cervical Intraepithelial Neoplasia Using the Focal Loop Electrosurgical Excision Procedure
April 5, 2016 updated by: Michelle Khan, University of Alabama at Birmingham
Focal Loop Electrosurgical Excision Procedure for High-Grade Cervical Intraepithelial Neoplasia: an Alternative Treatment Approach
This is a pilot study to test the short-term effectiveness of an alternative treatment approach for precancerous cells of the cervix.
The study will also explore whether this new treatment is feasible to perform and if it is acceptable to patients.
Study Overview
Status
Completed
Intervention / Treatment
Detailed Description
Standard treatment for precancerous cells of the cervix is called electrosurgical excision procedure (LEEP).
Standard LEEP involves treating the entire cervix using FDA-approved equipment.
Focal LEEP utilizes the same surgery and the same equipment but only treats the visually unhealthy part of the cervix and not the entire cervix.
Side effects and unusual symptoms will be monitored as well as the patient's thoughts and recommendations of the procedure.
The total amount of time of study participation is six months.
Study Type
Interventional
Enrollment (Actual)
11
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Alabama
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Birmingham, Alabama, United States, 35294
- University of Alabama at Birmingham
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
21 years to 45 years (Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
Female
Description
Inclusion Criteria:
- Age 21-45 years old
- Histologically confirmed high-grade cervical intraepithelial neoplasia (CIN2, CIN3, or CIN2/3). A copy of the pathology report is required at the time of enrollment. We will only include patients that had their biopsy performed at the UAB Colposcopy clinic because those that return for treatment represent a select group that is more reliable for follow-up given the standard no-show rate of 50% at the clinic.
- Focal lesion visualized in its entirety colposcopically and involving less than or equal to 2 quadrants of the cervix.
- Satisfactory (adequate) colposcopy.
- Lives within 100 miles of the University of Alabama at Birmingham.
Exclusion Criteria:
- Any suspicion for invasive cancer.
- Glandular abnormalities on cytology or histology.
- Cervical lesion incompletely visualized (e.g. extending into the endocervical canal).
- Endocervical curettage positive for high-grade cervical intraepithelial neoplasia.
- Unreliable for follow-up (drug use, planning to move out of region, etc.). Any patient that lives >100 miles away will be excluded due to concern for possible loss to follow-up.
- Immunosuppression (HIV positive, history of transplantation, lupus on immunosuppressive medication, etc.).
- Pregnancy.
- Mental condition rendering the subject unable to understand the nature, scope, and possible consequences of the study.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Focal LEEP
All patients will undergo focal treatment of high-grade cervical intraepithelial neoplasia using LEEP.
A two-week follow-up assessment will evaluate the side effects of the treatment and any unusual symptoms.
This will be done through a phone survey.
At six months a clinic visit is required to assess whether there are any precancerous cells of the patient's cervix.
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Focal LEEP may or may not cause less damage to the cervix versus standard LEEP.
This could potentially be an advantage by avoiding future complications during pregnancy.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of cases of recurrent high-grade cervical intraepithelial neoplasia
Time Frame: 6 months
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Recurrence of high-grade cervical intraepithelial neoplasia will be determined from cytologic and/or histologic evidence collected six months following the focal LEEP procedure.
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6 months
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Acceptability of focal LEEP procedure
Time Frame: 2 weeks following focal LEEP procedure
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A 15-minute questionnaire will be conducted by phone with the patient.
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2 weeks following focal LEEP procedure
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Feasibility of focal LEEP of high-grade cervical intraepithelial neoplasia
Time Frame: Within 1 week following focal LEEP procedure
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A short feasibility questionnaire will be completed by the medical provider performing the focal LEEP procedure.
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Within 1 week following focal LEEP procedure
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Collaborators
Investigators
- Principal Investigator: Michelle J Khan, MD, MPH, University of Alabama of Birmingham
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
December 1, 2014
Primary Completion (Actual)
December 1, 2015
Study Completion (Actual)
March 1, 2016
Study Registration Dates
First Submitted
August 7, 2014
First Submitted That Met QC Criteria
August 18, 2014
First Posted (Estimate)
August 19, 2014
Study Record Updates
Last Update Posted (Estimate)
April 6, 2016
Last Update Submitted That Met QC Criteria
April 5, 2016
Last Verified
April 1, 2016
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- F140613004 (UAB 1425)
- 000344450-SP012 (Other Identifier: Office of Sponsored Programs)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
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.
Clinical Trials on High-grade Cervical Intraepithelial Neoplasia
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Nykode Therapeutics ASATheradex; Vaccibody ASCompletedHigh Grade Cervical Intraepithelial NeoplasiaGermany
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Brookdale University Hospital Medical CenterUnknownCarcinoma in Situ of Uterine Cervix | Cervical Intraepithelial Neoplasias | High Grade Cervical Intraepithelial NeoplasiaUnited States
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Krankenhaus Barmherzige Schwestern LinzMedical University of ViennaCompletedCervical Intraepithelial Neoplasia Grade 1 | Cervical Intraepithelial Neoplasia Grade 2Austria
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University of California, San FranciscoCompleted
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National Cancer Institute (NCI)Active, not recruitingCervical Intraepithelial Neoplasia Grade 2/3 | High Grade Cervical Intraepithelial Neoplasia | Cervical Squamous Cell Carcinoma In Situ | Cervical Squamous Intraepithelial Neoplasia 2United States
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National Cancer Institute (NCI)TerminatedCervical Cancer | Cervical Intraepithelial Neoplasia Grade 2 | Cervical Intraepithelial Neoplasia Grade 3United States
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Antiva BiosciencesCompletedCervical Cancer | Human Papilloma Virus | HSIL, High Grade Squamous Intraepithelial Lesions | Cervical Dysplasia | HSIL of Cervix | High-Grade Cervical Intraepithelial Neoplasia | HIV Negative | CIN - Cervical Intraepithelial Neoplasia | Cervical NeoplasmSouth Africa
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DySIS Medical Inc.CompletedHigh Grade Cervical Intraepithelial NeoplasiaUnited States
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Sidney Kimmel Comprehensive Cancer Center at Johns...Frantz Viral TherapeuticsCompletedCervical Intraepithelial Neoplasia Grade 2/3 | High-risk HPV (Any Strain)United States
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Catharina Ziekenhuis EindhovenZonMw: The Netherlands Organisation for Health Research and Development; Stichting... and other collaboratorsRecruitingCervical Intraepithelial Neoplasia | CIN 2/3 | Cervical Intraepithelial Neoplasia Grade 2/3 | Cervical High Grade Squamous Intraepithelial LesionNetherlands
Clinical Trials on Focal LEEP
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M.D. Anderson Cancer CenterNational Cancer Institute (NCI)CompletedCervical CancerUnited States, Canada
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Singapore General HospitalActive, not recruiting
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Ruhr University of BochumNot yet recruiting
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Barretos Cancer HospitalCompletedStenosis CervixBrazil
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University of WashingtonUniversity of Nairobi; International Agency for Research on CancerCompletedCervical Intraepithelial NeoplasiaKenya
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Iantech, IncUnknown
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Ontario Clinical Oncology Group (OCOG)Canadian Institutes of Health Research (CIHR)CompletedCervical Intraepithelial NeoplasiaCanada, Brazil
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University of ZurichUniversity College, LondonUnknown
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International Agency for Research on CancerUniversity of North Carolina Global Project Zambia; Liger Medical LlcCompleted
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University of California, San FranciscoCompleted