Auto-prélèvement d'échantillons cervicaux pour le test HPV afin d'améliorer l'essai de prévention du cancer du col de l'utérus (SHIP) (SHIP-A-S01)
Initiative « Last Mile » du NCI sur le cancer du col de l'utérus « Auto-collecte pour les tests HPV afin d'améliorer la prévention du cancer du col de l'utérus » (SHIP) Essai LMI-001-A-S01
This clinical trial evaluates the use of self-collected vaginal samples for human papillomavirus (HPV) testing in patients referred for a colposcopy and/or cervical excisional procedures to improve cervical cancer prevention. HPV is a common virus which usually causes infections that last only a few months, but sometimes can last longer. It is known to cause a variety of cancers including cancer of the cervix. Even though there are ways to detect cervical cancer early, many individuals do not undergo screening that involves pelvic exams. Over half of all new cervical cancer cases are among those who have either never been screened or who are not screened enough. Without appropriate screening and care, preventable pre-cancers may turn into cancer. A new way to detect cervical cancer is to have individuals collect their own vaginal sample for HPV testing to know their risk for cervical cancer. This may give individuals more flexibility and comfort having the ability to collect samples themselves, compared to a doctor performing a speculum examination and collecting the samples in a clinic. This study compares clinical accuracy of HPV testing on self-collected vaginal samples versus cervical samples collected by clinician.
The Self-collection for HPV Testing to Improve Cervical Cancer Prevention (SHIP) Trial is part of the National Cancer Institute (NCI)'s Cervical Cancer 'Last Mile' Initiative, a public private partnership that seeks to increase access to cervical cancer screening. The SHIP Trial focuses on developing clinical evidence to inform the US Food and Drug Administration (FDA)'s regulatory reviews of self-collection approaches as alternative sample collection approaches for cervical cancer screening. Several industry partner-specific self-collection device and assay combinations will be non-competitively and independently evaluated with a similar study design framework to inform pre-approval and/or post-approval regulatory requirements.
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
- Autre: Questionnaire Administration
- Autre: Survey Administration
- Autre: Electronic Health Record Review
- Procédure: Biospecimen Collection
- Procédure: Cervical Biopsy
- Procédure: Colposcopy
- Procédure: Endocervical Curettage
- Procédure: Excision
- Procédure: HPV Self-Collection
- Procédure: Human Papillomavirus Test
Description détaillée
PRIMARY OBJECTIVES:
I. To evaluate clinical accuracy (including clinical sensitivity, clinical specificity, false positive rate, and false negative rate) for the detection of cervical precancer/cancer and agreement/concordance (including positive percent agreement and negative percent agreement) on self-collected (SC) versus clinician collected (CC) samples for the following HPV genotype detections and groupings by Becton, Dickinson and Company (BD) Onclarity (trademark) HPV assay: Any high risk (HR) HPV genotype, HPV16, HPV18, HPV31, HPV45, HPV51, HPV52, HPV33/58, HPV35/39/68, HPV56/59/66, HPV16 and/or HPV18, other 12 HR-HPV types (grouped). (Group A) II. To conduct an observational study among women attending regular cervical cancer screening ("intended use population" for the at-home collection indication). (Group B)
EXPLORATORY OBJECTIVES:
I. To evaluate human factors affecting usability, acceptability, and preferences for self-collection. (Group A) II. To evaluate agreement/concordance (including positive percent agreement and negative percent agreement) on SC versus CC samples for the following HPV genotype detections and groupings by BD Onclarity™ HPV assay: Any HR HPV genotype, HPV16, HPV18, HPV31, HPV45, HPV51, HPV52, HPV33/58, HPV35/39/68, HPV56/59/66, HPV16 and/or HPV18, other 12 HR-HPV types (grouped). (Group B) III. To evaluate human factors affecting usability, acceptability, and preferences for self-collection. (Group B)
OUTLINE: Patients are assigned to 1 of 2 groups.
GROUP A: Patients undergo self-collection of two vaginal samples and then undergo clinician-collection of a cervical test sample. Patients then undergo standard of care colposcopy with biopsy/endocervical curettage and/or cervical excisional procedures as clinically indicated.
GROUP B: Patients undergo self-collection of two vaginal samples and then undergo clinician-collection of 1 or 2 cervical test samples. Patients may undergo standard of care colposcopy with biopsy/endocervical curettage and/or cervical excisional procedures as clinically indicated.
After completion of study intervention (one time), laboratory results available within 30 days are collected for study analysis purposes.
Type d'étude
Inscription (Estimé)
Phase
- N'est pas applicable
Contacts et emplacements
Lieux d'étude
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San Juan, Porto Rico, 00936
- University of Puerto Rico
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Alabama
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Birmingham, Alabama, États-Unis, 35233
- University of Alabama at Birmingham Cancer Center
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Florida
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Miami, Florida, États-Unis, 33136
- University of Miami Miller School of Medicine-Sylvester Cancer Center
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Georgia
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Atlanta, Georgia, États-Unis, 30322
- Emory University Hospital/Winship Cancer Institute
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Louisiana
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New Orleans, Louisiana, États-Unis, 70112
- Louisiana State University Health Science Center
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Maryland
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Baltimore, Maryland, États-Unis, 21287
- Johns Hopkins University/Sidney Kimmel Cancer Center
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New Mexico
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Albuquerque, New Mexico, États-Unis, 87106
- University of New Mexico Cancer Center
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New York
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The Bronx, New York, États-Unis, 10461
- Montefiore Medical Center-Einstein Campus
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North Carolina
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Chapel Hill, North Carolina, États-Unis, 27599
- UNC Lineberger Comprehensive Cancer Center
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Ohio
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Cincinnati, Ohio, États-Unis, 45219
- University of Cincinnati Cancer Center-UC Medical Center
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Oklahoma
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Oklahoma City, Oklahoma, États-Unis, 73104
- University of Oklahoma Health Sciences Center
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Pennsylvania
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Philadelphia, Pennsylvania, États-Unis, 19104
- University of Pennsylvania/Abramson Cancer Center
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Pittsburgh, Pennsylvania, États-Unis, 15213
- UPMC-Magee Womens Hospital
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Texas
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Houston, Texas, États-Unis, 77030
- UT MD Anderson Cancer Center
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Virginia
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Richmond, Virginia, États-Unis, 23298
- VCU Massey Comprehensive Cancer Center
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Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
Accepte les volontaires sains
Sexes éligibles pour l'étude
La description
Inclusion Criteria:
- GROUP A: Willingness and ability to provide a documented informed consent
- GROUP A: Is 25 years or older
- GROUP A: Has an intact cervix
- GROUP A: Has had a referral for colposcopy or cervical excisional procedure in which routine cervical cancer screening has included positive HPV testing (HPV primary screening, co-testing, or atypical squamous cells of undetermined significance [ASC-US] cytology triage) or abnormal cytology performed within the past 12 months preceding the referral visit
- GROUP A: Willing and able to undergo colposcopy, and if clinically indicated for SOC purposes, a biopsy, endocervical curettage, and/or a cervical excisional procedure, as applicable
- GROUP B: Willingness and ability to provide a documented informed consent
- GROUP B: Is 25 years or older
- GROUP B: Has an intact cervix
- GROUP B: Eligible for regular cervical cancer screening by current national guidelines
Exclusion Criteria:
- GROUP A: Is pregnant when presenting for the referral visit or gave birth within the past 3 months
- GROUP A: Has a known history of excisional or ablative therapy to the cervix (e.g., loop electrosurgical excision procedure [LEEP], cone biopsy, cervical laser surgery, cryotherapy, thermal ablation) in the last 12 months prior to the referral visit
- GROUP A: Has had a complete or partial hysterectomy, either supracervical or involving removal of the cervix, via self-report or confirmation via medical records
- GROUP A: Known medical conditions that, in the opinion of the investigator, preclude study participation
- GROUP A: Previous participation in the SHIP trial (participation is defined as completing the self-collection sampling) or another cervical cancer screening study that involved vaginal sampling within the past 12 months
- GROUP A: Is experiencing unusual bleeding or pelvic pain
- GROUP B: Is known to be pregnant when presenting for the screening visit or gave birth within the past 3 months
- GROUP B: Has a known history of excisional or ablative therapy to the cervix (e.g., LEEP, cone biopsy, cervical laser surgery, cryotherapy, thermal ablation) in the last 12 months prior to the screening visit
- GROUP B: Has had a complete or partial hysterectomy, either supracervical or involving removal of the cervix, via self-report or confirmation via medical records
- GROUP B: Known medical conditions that, in the opinion of the investigator, preclude study participation
- GROUP B: Previous participation in the SHIP Trial (participation is defined as completing the self-collection sampling) or another cervical cancer screening study that involved vaginal sampling within the past 12 months
- GROUP B: Is experiencing any bleeding (including menstruation) or pelvic pain
- GROUP B: Is experiencing any active vaginal infection or has used any vaginal products in 48 hours previous to study sample collection
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: La prévention
- Répartition: Non randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Aucun (étiquette ouverte)
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
|
Expérimental: Group A (self-collected and clinician-collected samples)
Patients undergo self-collection of two vaginal samples and then undergo clinician-collection of a cervical test sample. Patients then undergo standard of care colposcopy with biopsy/endocervical curettage and/or cervical excisional procedures as clinically indicated. |
Ancillary studies Ancillary studies Ancillary studies Undergo collection of cervical samples by clinician
Autres noms:
Undergo cervical biopsy conducted by clinician Undergo colposcopy conducted by clinician
Autres noms:
Undergo endocervical curettage conducted by clinician Undergo cervical excisional procedure conducted by clinician
Autres noms:
Undertake self-collection of vaginal samples
Autres noms:
Undergo HPV testing of self-collected vaginal samples and cervical samples
Autres noms:
|
|
Expérimental: Group B (self-collected and clinician-collected samples)
Patients undergo self-collection of two vaginal samples and then undergo clinician-collection of 1 or 2 cervical test samples. Patients may undergo standard of care colposcopy with biopsy/endocervical curettage and/or cervical excisional procedures as clinically indicated. |
Ancillary studies Ancillary studies Ancillary studies Undergo collection of cervical samples by clinician
Autres noms:
Undergo cervical biopsy conducted by clinician Undergo colposcopy conducted by clinician
Autres noms:
Undergo endocervical curettage conducted by clinician Undergo cervical excisional procedure conducted by clinician
Autres noms:
Undertake self-collection of vaginal samples
Autres noms:
Undergo HPV testing of self-collected vaginal samples and cervical samples
Autres noms:
|
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Clinical sensitivity for self-collected (SC) samples (Group A)
Délai: One-time, up to 30 days
|
Will be defined as the probability of testing human papillomavirus (HPV) positive on SC sample given disease positive (e.g., cervical intraepithelial neoplasia [CIN]2+). Will report point estimate and 95% confidence intervals (CIs). |
One-time, up to 30 days
|
|
Clinical sensitivity for clinician-collected (CC) samples (Group A)
Délai: One-time, up to 30 days
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Will be defined as the probability of testing HPV positive on CC sample given disease positive (e.g., CIN2+). Will report point estimate and 95% CIs. |
One-time, up to 30 days
|
|
Sensitivity ratio for SC versus CC samples (Group A)
Délai: One-time, up to 30 days
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Will be defined as the sensitivity of SC divided by the sensitivity of CC. Will report point estimate and 95% CIs. |
One-time, up to 30 days
|
|
Difference in clinical sensitivity between SC and CC samples (Group A)
Délai: One-time, up to 30 days
|
Will report point estimate and 95% CIs. |
One-time, up to 30 days
|
|
Clinical specificity for SC samples (Group A)
Délai: One-time, up to 30 days
|
Will be defined as the probability of testing HPV negative on SC sample given disease negative (e.g., < CIN2). Will report point estimate and 95% CIs. |
One-time, up to 30 days
|
|
Clinical specificity for CC samples (Group A)
Délai: One-time, up to 30 days
|
Will be defined as the probability of testing HPV negative on CC sample given disease negative (e.g., < CIN2). Will report point estimate and 95% CIs. |
One-time, up to 30 days
|
|
Specificity ratio for SC versus CC samples (Group A)
Délai: One-time, up to 30 days
|
Will be defined as the specificity of SC divided by the specificity of CC. Will report point estimate and 95% CIs. |
One-time, up to 30 days
|
|
Difference in clinical specificity between SC and CC samples (Group A)
Délai: One-time, up to 30 days
|
Will report point estimate and 95% CIs. |
One-time, up to 30 days
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False positive rate (FPR) for SC samples (Group A)
Délai: One-time, up to 30 days
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Will be defined as the probability of testing HPV positive on SC sample given < CIN2. Will report point estimate and 95% CIs. |
One-time, up to 30 days
|
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FPR for CC samples (Group A)
Délai: One-time, up to 30 days
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Will be defined as the probability of testing HPV positive on CC sample given < CIN2. Will report point estimate and 95% CIs. |
One-time, up to 30 days
|
|
FPR ratio for SC versus CC samples (Group A)
Délai: One-time, up to 30 days
|
The FPR ratio is the FPR of SC divided by the FP of CC. Will report point estimate and 95% CIs. |
One-time, up to 30 days
|
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Difference in FPR ratio between SC and CC samples (Group A)
Délai: One-time, up to 30 days
|
Will report point estimate and 95% CIs. |
One-time, up to 30 days
|
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False negative rate (FNR) for SC samples (Group A)
Délai: One-time, up to 30 days
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Will be defined as the probability of testing HPV negative on SC given CIN2+. Will report point estimate and 95% CIs. |
One-time, up to 30 days
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FNR for CC samples (Group A)
Délai: One-time, up to 30 days
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Will be defined as the probability of testing HPV negative on CC given CIN2+. Will report point estimate and 95% CIs. |
One-time, up to 30 days
|
|
FNR ratio for SC versus CC samples (Group A)
Délai: One-time, up to 30 days
|
The FNR ratio is the FNR of SC divided by the FNR of CC. Will report point estimate and 95% CIs. |
One-time, up to 30 days
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Difference in FNR ratio between SC and CC samples (Group A)
Délai: One-time, up to 30 days
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Will report point estimate and 95% CIs. |
One-time, up to 30 days
|
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Positive percent agreement (Group A)
Délai: One-time, up to 30 days
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Will be defined as the probability of positive on SC given positive on CC, expressed as a percent. Will report point estimate and 95% CIs. |
One-time, up to 30 days
|
|
Negative percent agreement (Group A)
Délai: One-time, up to 30 days
|
Will be defined as the probability of negative on SC given negative on CC, expressed as a percent. Will report point estimate and 95% CIs. |
One-time, up to 30 days
|
|
Positive percent agreement (Group A and Group B)
Délai: One-time, up to 30 days
|
Will report point estimate and 95% CIs. |
One-time, up to 30 days
|
|
Negative percent agreement (Group A and Group B)
Délai: One-time, up to 30 days
|
Will report point estimate and 95% CIs. |
One-time, up to 30 days
|
|
Cohen's Kappa (Group A and Group B)
Délai: One-time, up to 30 days
|
Will be described as a measure of agreement beyond chance between SC and CC samples, and values will be interpreted as follows: 0.00-0.19 as poor, 0.20-0.39 as fair, 0.40-0.59 as moderate, 0.60-0.79 as good, and 0.80-1.00 as excellent agreement beyond chance. Will report point estimate and 95% CIs. |
One-time, up to 30 days
|
|
Test positivity rates (Group A and Group B)
Délai: One-time, up to 30 days
|
Will report point estimate and 95% CIs. |
One-time, up to 30 days
|
|
Rate of invalid test results (Group A and Group B)
Délai: One-time, up to 30 days
|
Will report point estimate and 95% CIs. |
One-time, up to 30 days
|
Autres mesures de résultats
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
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Human factors affecting usability
Délai: One-time, up to 30 days
|
Will be assessed by questionnaire data. |
One-time, up to 30 days
|
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Human factors affecting acceptability
Délai: One-time, up to 30 days
|
Will be assessed by questionnaire data. |
One-time, up to 30 days
|
|
Human factors affecting references for self-collection
Délai: One-time, up to 30 days
|
Will be assessed by questionnaire data. |
One-time, up to 30 days
|
Collaborateurs et enquêteurs
Parrainer
Les enquêteurs
- Chercheur principal: Vikrant V Sahasrabuddhe, National Cancer Institute Division of Cancer Prevention
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Réel)
Achèvement primaire (Estimé)
Achèvement de l'étude (Estimé)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
- Maladies urogénitales
- Maladies génitales
- Processus pathologiques
- Tumeurs urogénitales
- Tumeurs par site
- Tumeurs
- Maladies urogénitales féminines
- Maladies urogénitales féminines et complications de la grossesse
- Attributs de la maladie
- Infections
- Maladies virales
- Maladies utérines
- Maladies génitales, femme
- Maladies transmissibles
- Maladies sexuellement transmissibles, virales
- Maladies sexuellement transmissibles
- Infections par le virus de l'ADN
- Tumeurs génitales, femme
- Maladies du col de l'utérus
- Tumeurs utérines
- Infections virales tumorales
- Conditions pathologiques, signes et symptômes
- Tumeurs du col de l'utérus
- Infections à papillomavirus
- Techniques d'investigation
- Techniques de laboratoire clinique
- Techniques et procédures de diagnostic
- Diagnostic
- Procédures chirurgicales, opératoires
- Procédures chirurgicales mini-invasives
- Techniques de diagnostic, chirurgicale
- Endoscopie
- Procédures chirurgicales urogénitales
- Techniques génétiques
- Procédures chirurgicales gynécologiques
- Procédures chirurgicales obstétricales
- Techniques de diagnostic, obstétricaux et gynécologiques
- Techniques de diagnostic moléculaire
- Manipulation des échantillons
- Colposcopie
- Tests d'ADN en papillomavirus humain
Autres numéros d'identification d'étude
- NCI-2024-05879
- NCI-2024-05879 (Identificateur de registre: CTRP (Clinical Trial Reporting Program))
- LMI-001-A-S01 (Autre identifiant: DCP)
- LMI-001-A-S01 (Autre identifiant: National Cancer Institute Division of Cancer Prevention)
Plan pour les données individuelles des participants (IPD)
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Description du régime IPD
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