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Mail-in HPV Screening Program in NJ

3 augustus 2026 bijgewerkt door: 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.

Studie Overzicht

Toestand

Aanmelden op uitnodiging

Conditie

Interventie / Behandeling

Studietype

Ingrijpend

Inschrijving (Geschat)

200

Fase

  • Niet toepasbaar

Contacten en locaties

In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.

Studie Locaties

  • Verenigde Staten
    • New Jersey
      • Newark, New Jersey, Verenigde Staten, 07103
        • Rutgers New Jersey Medical School

Deelname Criteria

Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.

Geschiktheidscriteria

Leeftijden die in aanmerking komen voor studie

  • Volwassen
  • Oudere volwassene

Accepteert gezonde vrijwilligers

Ja

Beschrijving

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.

Studie plan

Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.

Hoe is de studie opgezet?

Ontwerpdetails

  • Primair doel: Screening
  • Toewijzing: Niet-gerandomiseerd
  • Interventioneel model: Parallelle opdracht
  • Masker: Geen (open label)

Wapens en interventies

Deelnemersgroep / Arm
Interventie / Behandeling
Actieve vergelijker: Standard Pap Smear
Participants will have the option to choose a standard pap smear for cervical cancer screening
Diagnostische toets: Standard Pap Smear
Healthcare provider collected (in a hospital or clinical setting) cervicovaginal sample
Experimenteel: HPV Self-Sampling Test
Participants are able to opt-in for an at-home self-sampling HPV test for cervical cancer screening
Diagnostische toets: BD Onclarity HPV test
Self-collected cervicovaginal sample

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Completion of CC screening within 6 months of initial outreach.
Tijdsspanne: 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.

Secundaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Screening Pathway Choices and Performance
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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

Andere uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Reach and Adoption
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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

Medewerkers en onderzoekers

Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.

Sponsor

Rutgers, The State University of New Jersey

Onderzoekers

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

Studie record data

Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.

Bestudeer belangrijke data

Studie start (Werkelijk)

20 juli 2026

Primaire voltooiing (Geschat)

1 februari 2027

Studie voltooiing (Geschat)

16 april 2027

Studieregistratiedata

Eerst ingediend

8 februari 2026

Eerst ingediend dat voldeed aan de QC-criteria

4 mei 2026

Eerst geplaatst (Werkelijk)

8 mei 2026

Updates van studierecords

Laatste update geplaatst (Werkelijk)

4 augustus 2026

Laatste update ingediend die voldeed aan QC-criteria

3 augustus 2026

Laatst geverifieerd

1 juli 2026

Meer informatie

Termen gerelateerd aan deze studie

Andere studie-ID-nummers

  • Pro2025001687

Plan Individuele Deelnemersgegevens (IPD)

Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?

NEE

Informatie over medicijnen en apparaten, studiedocumenten

Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel

Nee

Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct

Ja

product vervaardigd in en geëxporteerd uit de V.S.

Ja

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