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Mail-in HPV Screening Program in NJ

4 maggio 2026 aggiornato da: Ana Isabel Tergas, MD, MPH, Rutgers, The State University of New Jersey

A Mail-based HPV Sampling Program to Increase Cervical Cancer Screening in New Jersey

The purpose of this study is to help people who have missed their regular cervical cancer screening. The investigators are evaluating whether mailing an HPV self-sampling kit to participant home makes it easier and more convenient for people to get screened for cervical cancer. This study will also help to understand if people find this process acceptable and whether it is an effective way to improve screening rates.

Panoramica dello studio

Tipo di studio

Interventistico

Iscrizione (Stimato)

200

Fase

  • Non applicabile

Contatti e Sedi

Questa sezione fornisce i recapiti di coloro che conducono lo studio e informazioni su dove viene condotto lo studio.

Contatto studio

Backup dei contatti dello studio

Criteri di partecipazione

I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.

Criteri di ammissibilità

Età idonea allo studio

  • Adulto
  • Adulto più anziano

Accetta volontari sani

Descrizione

Inclusion Criteria:

  • Women, transgender men, and nonbinary individuals aged 30 to 75 who have a cervix.
  • No history of hysterectomy or cervical cancer.
  • No documented cervical cancer screening within guideline-recommended intervals: specifically, no Pap test in the past 3.5 years, no Pap/HPV co-test in the past 5.5 years, and no standalone HPV test results in the past 5.5 years. (A 6-month grace period is included to allow time for response to usual care outreach.)
  • At least two visits to University Hospital ambulatory care over the past five years, ensuring opportunity for follow-up and continuity of care.

Exclusion Criteria:

  • History of cervical dysplasia within the past 3.5 years, reflecting those likely under active surveillance or treatment protocols.
  • Currently pregnant, due to differing screening recommendations and clinical considerations.
  • Prior or current diagnosis of cervical cancer or ongoing treatment for cervical neoplasia.
  • Physical, cognitive, or functional limitations that would preclude use of the mailed self-sampling kit without assistance. Examples include severe arthritis or significant impairment affecting self-collection capability.
  • Lack of a telephone number or reliable mailing address on file.
  • Inability to communicate in English or Spanish, given study materials and staffing capabilities. Use of additional language services is not available.
  • Current enrollment in other cervical cancer screening or intervention studies that may interfere with participation or outcomes.
  • Inability to provide informed consent or comprehend study procedures based on cognitive capacity, as assessed by the Research Coordinator during initial contact.

Piano di studio

Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.

Come è strutturato lo studio?

Dettagli di progettazione

  • Scopo principale: Selezione
  • Assegnazione: Non randomizzato
  • Modello interventistico: Assegnazione parallela
  • Mascheramento: Nessuno (etichetta aperta)

Armi e interventi

Gruppo di partecipanti / Arm
Intervento / Trattamento
Comparatore attivo: Standard Pap Smear
Participants will have the option to choose a standard pap smear for cervical cancer screening
Healthcare provider collected (in a hospital or clinical setting) cervicovaginal sample
Sperimentale: HPV Self-Sampling Test
Participants are able to opt-in for an at-home self-sampling HPV test for cervical cancer screening
Self-collected cervicovaginal sample

Cosa sta misurando lo studio?

Misure di risultato primarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Completion of CC screening within 6 months of initial outreach.
Lasso di tempo: Outcome will be measured at 6 months post-initial outreach call.
Defined as either (a) return of a valid HPV self-sample kit to the processing laboratory, or (b) attendance for a clinic-based Pap test documented in the medical record.
Outcome will be measured at 6 months post-initial outreach call.

Misure di risultato secondarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Screening Pathway Choices and Performance
Lasso di tempo: From enrollment to the end of participation at 9 months
Proportion of participants selecting self-sampling vs clinic-based Pap test (percentage of women choosing each modality after initial outreach)
From enrollment to the end of participation at 9 months
Screening Pathway Choices and Performance
Lasso di tempo: From enrollment to the end of participation at 9 months
Timeliness of screening completion (measured as days from outreach to Pap attendance or kit return).
From enrollment to the end of participation at 9 months
Screening Pathway Choices and Performance
Lasso di tempo: From enrollment to the end of participation at 9 months
Screening test result distribution (categorized as negative, positive, or inadequate, stratified by modality).
From enrollment to the end of participation at 9 months
Screening Pathway Choices and Performance
Lasso di tempo: From enrollment to the end of participation at 9 months
HPV genotype distribution among positive samples (individual and group reporting per lab protocol)
From enrollment to the end of participation at 9 months
Clinical Follow-Up and Downstream Outcomes
Lasso di tempo: From enrollment to the end of participation at 9 months
Clinical follow-up completion after abnormal results (attendance at colposcopy or initiation of treatment).
From enrollment to the end of participation at 9 months
Clinical Follow-Up and Downstream Outcomes
Lasso di tempo: From enrollment to the end of participation at 9 months
Detection of histologically confirmed cervical intraepithelial neoplasia grade 2 or higher (CIN2+) or invasive cervical cancer.
From enrollment to the end of participation at 9 months
Clinical Follow-Up and Downstream Outcomes
Lasso di tempo: From enrollment to the end of participation at 9 months
Treatment initiation and completion rates among those diagnosed with CIN2+ or cancer.
From enrollment to the end of participation at 9 months
Exploratory and Patient-Reported Outcomes
Lasso di tempo: From enrollment to the end of participation at 9 months
Associations between demographic/clinical factors and screening completion (e.g., race/ethnicity, insurance status, education, prior screening history).
From enrollment to the end of participation at 9 months
Exploratory and Patient-Reported Outcomes
Lasso di tempo: From enrollment to the end of participation at 9 months
Patient-reported experiences including satisfaction, ease of kit use, clarity of instructions, stress/anxiety during self-sampling, trust in results, and willingness to undergo self-sampling in future screening.
From enrollment to the end of participation at 9 months

Altre misure di risultato

Misura del risultato
Misura Descrizione
Lasso di tempo
Reach and Adoption
Lasso di tempo: From enrollment to the end of participation at 9 months
Proportion of eligible participants successfully contacted and offered the intervention.
From enrollment to the end of participation at 9 months
Reach and Adoption
Lasso di tempo: From enrollment to the end of participation at 9 months
Participant acceptance vs refusal rates, stratified by screening modality.
From enrollment to the end of participation at 9 months
Reach and Adoption
Lasso di tempo: From enrollment to the end of participation at 9 months
Equity assessment: Differences in screening uptake across demographic and socioeconomic subgroups.
From enrollment to the end of participation at 9 months
Feasibility and Fidelity
Lasso di tempo: From enrollment to the end of participation at 9 months
Return rate of mailed self-sampling kits (valid, invalid, and late returns).
From enrollment to the end of participation at 9 months
Feasibility and Fidelity
Lasso di tempo: From enrollment to the end of participation at 9 months
Proportion requiring replacement kits.
From enrollment to the end of participation at 9 months
Feasibility and Fidelity
Lasso di tempo: From enrollment to the end of participation at 9 months
Staff adherence to outreach protocol (number, spacing, and mode of call attempts and reminders per protocol).
From enrollment to the end of participation at 9 months
Acceptability and Sustainability
Lasso di tempo: From enrollment to the end of participation at 9 months
Barriers and facilitators to participation identified via telephone structured surveys.
From enrollment to the end of participation at 9 months
Acceptability and Sustainability
Lasso di tempo: From enrollment to the end of participation at 9 months
Acceptability of self-sampling as routine care (participant endorsement of future use of mail-based HPV kits).
From enrollment to the end of participation at 9 months
Acceptability and Sustainability
Lasso di tempo: From enrollment to the end of participation at 9 months
Institutional ability to sustain or scale implementation strategies (assessed through staff feedback and system-level considerations).
From enrollment to the end of participation at 9 months

Collaboratori e investigatori

Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.

Investigatori

  • Investigatore principale: Ana Tergas, MD, MPH, Rutgers, The State University of New Jersey

Studiare le date dei record

Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.

Studia le date principali

Inizio studio (Stimato)

1 maggio 2026

Completamento primario (Stimato)

1 febbraio 2027

Completamento dello studio (Stimato)

1 maggio 2027

Date di iscrizione allo studio

Primo inviato

8 febbraio 2026

Primo inviato che soddisfa i criteri di controllo qualità

4 maggio 2026

Primo Inserito (Effettivo)

8 maggio 2026

Aggiornamenti dei record di studio

Ultimo aggiornamento pubblicato (Effettivo)

8 maggio 2026

Ultimo aggiornamento inviato che soddisfa i criteri QC

4 maggio 2026

Ultimo verificato

1 maggio 2026

Maggiori informazioni

Termini relativi a questo studio

Altri numeri di identificazione dello studio

  • Pro2025001687

Piano per i dati dei singoli partecipanti (IPD)

Hai intenzione di condividere i dati dei singoli partecipanti (IPD)?

NO

Informazioni su farmaci e dispositivi, documenti di studio

Studia un prodotto farmaceutico regolamentato dalla FDA degli Stati Uniti

No

Studia un dispositivo regolamentato dalla FDA degli Stati Uniti

No

prodotto fabbricato ed esportato dagli Stati Uniti

Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .

Prove cliniche su Screening del cancro cervicale

Prove cliniche su Standard Pap Smear

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