Peripheral Blood CyTOF Immune Model for Cervical Lesion Detection in HPV16/18+ Women

May 18, 2026 updated by: Wang Hui, Women's Hospital School Of Medicine Zhejiang University

Mass Cytometry-based Peripheral Blood Immune Model for Accurate Detection of Cervical Lesions in HPV16/18-positive Women: a Multicenter Study

This prospective, multicenter cohort study will recruit eligible HPV16/18-positive women from three tertiary hospitals in China. Peripheral blood samples and clinical data (cytology, HPV genotyping, colposcopy-directed biopsy) will be collected, followed by standardized mass cytometry (CyTOF) to develop and evaluate an immune model across cervical lesion grades.

Study Overview

Status

Not yet recruiting

Conditions

Detailed Description

This study aimed to validate the diagnostic efficacy of our previously established CyTOF-based immune model for identifying CIN3+ lesions (including CIN3 and cervical cancer) in a multicenter prospective cohort of HPV16/18-positive women. In addition, this study seeks to promote the standardized implementation of mass cytometry in cervical lesion triage, construct a non-invasive, high-throughput and high-accuracy immune diagnostic workflow, improve the diagnostic efficiency and precision management of HPV16/18-positive populations, and minimize unnecessary invasive examinations as well as patients' psychological burden. Ultimately, it is expected to advance the precision-oriented optimization of national cervical cancer prevention strategies. Meanwhile, the feasibility and clinical superiority of this model will be evaluated by comparing it with current mainstream screening modalities, such as cervical cytology, HPV genotyping and colposcopy-guided cervical biopsy, which lays a solid foundation for the subsequent development of related auxiliary diagnostic reagents and products.(1)Primary objective: To validate the diagnostic efficacy (sensitivity, specificity, area under the curve [AUC]) of the CyTOF-based immune model for detecting CIN3+ lesions in HPV16/18-positive women.(2)Secondary objective: To validate the diagnostic efficacy (sensitivity, specificity, AUC) of the CyTOF-based immune model for detecting CIN2+ lesions in HPV16/18-positive women, and to compare its accuracy, positive and negative predictive values with those of conventional screening methods (including cytology, HPV genotyping, and colposcopy-directed cervical biopsy). (3)Exploratory objective: To investigate the adaptability and stability of the model across different populations (e.g., by age group and vaccination status).

Study Type

Observational

Enrollment (Estimated)

1465

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

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

  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Sampling Method

Non-Probability Sample

Study Population

HPV16/18-positive patients

Description

Inclusion Criteria:

  • Availability of cervical cytology results
  • Consent to colposcopy and cervical biopsy
  • Signed informed consent

Exclusion Criteria:

  • Confirmed diagnosis of CIN2 or worse
  • Prior cervical ablation, cervical conization, chemoradiotherapy, or immunotherapy
  • Other malignancy within the past 2 years not in complete remission
  • Presence of other systemic immune disease or active infection
  • Pregnancy or lactation
  • Inability to comply with follow-up and examinations
  • Inability to comply with study procedures, restrictions, and requirements, as determined by the investigator

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

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
The diagnostic sensitivity of the CyTOF-based immune model for detecting CIN3+ lesions in HPV16/18-positive women
Time Frame: through study completion, an average of 1 year
through study completion, an average of 1 year
AUC of the CyTOF-based immune model for detecting CIN3+ lesions in HPV16/18-positive women
Time Frame: through study completion, an average of 1 year
through study completion, an average of 1 year
The diagnostic specificity of the CyTOF-based immune model for detecting CIN3+ lesions in HPV16/18-positive women
Time Frame: through study completion, an average of 1 year
through study completion, an average of 1 year

Secondary Outcome Measures

Outcome Measure
Time Frame
The diagnostic sensitivity of the CyTOF-based immune model for detecting CIN2+ lesions in HPV16/18-positive women，
Time Frame: through study completion, an average of 1 year
through study completion, an average of 1 year
AUC of the CyTOF-based immune model for detecting CIN2+ lesions in HPV16/18-positive women
Time Frame: through study completion, an average of 1 year
through study completion, an average of 1 year
The diagnostic specificity of the CyTOF-based immune model for detecting CIN2+ lesions in HPV16/18-positive women
Time Frame: through study completion, an average of 1 year
through study completion, an average of 1 year
Compare the CyTOF-based immune model's accuracy with those of conventional screening methods (including cytology, HPV genotyping, and colposcopy-directed cervical biopsy)
Time Frame: through study completion, an average of 1 year
through study completion, an average of 1 year
Compare the CyTOF-based immune model's positive predictive values with those of conventional screening methods (including cytology, HPV genotyping, and colposcopy-directed cervical biopsy)
Time Frame: through study completion, an average of 1 year
through study completion, an average of 1 year
Compare the CyTOF-based immune model's negative predictive values with those of conventional screening methods (including cytology, HPV genotyping, and colposcopy-directed cervical biopsy)
Time Frame: through study completion, an average of 1 year
through study completion, an average of 1 year
AUC of the CyTOF-based immune model for detecting CIN3+ lesions across subgroups(e.g., by age group and vaccination status)
Time Frame: through study completion, an average of 1 year
through study completion, an average of 1 year
Calibration Slope of the CyTOF-based immune model for detecting CIN3+ lesions across subgroups (e.g., by age group and vaccination status)
Time Frame: through study completion, an average of 1 year
through study completion, an average of 1 year

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Women's Hospital School Of Medicine Zhejiang University

Collaborators

Jiaxing Maternity and Child Health Care Hospital
Ningbo Women & Children's Hospital
Zhejiang PuLuoTing Health Technology Co., Ltd.

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 (Estimated)

May 15, 2026

Primary Completion (Estimated)

March 31, 2027

Study Completion (Estimated)

March 31, 2028

Study Registration Dates

First Submitted

May 6, 2026

First Submitted That Met QC Criteria

May 18, 2026

First Posted (Actual)

May 26, 2026

Study Record Updates

Last Update Posted (Actual)

May 26, 2026

Last Update Submitted That Met QC Criteria

May 18, 2026

Last Verified

May 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • IRB-20260080-R

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

IPD Plan Description

All data relevant to the study will be generated in the article or uploaded as supplementary information. Deidentified participant data will be available from Dr. Hui Wang (wang71hui@zju.edu.cn) on a reasonable request. Protocols and statistical analysis plans will be included as supplementary information.

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

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.

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