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Mail-in HPV Screening Program in NJ

3. august 2026 oppdatert av: 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.

Studieoversikt

Status

Påmelding etter invitasjon

Forhold

Intervensjon / Behandling

Studietype

Intervensjonell

Registrering (Antatt)

200

Fase

  • Ikke aktuelt

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

  • Forente stater
    • New Jersey
      • Newark, New Jersey, Forente stater, 07103
        • Rutgers New Jersey Medical School

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

  • Voksen
  • Eldre voksen

Tar imot friske frivillige

Ja

Beskrivelse

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.

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Screening
  • Tildeling: Ikke-randomisert
  • Intervensjonsmodell: Parallell tildeling
  • Masking: Ingen (Open Label)

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Aktiv komparator: Standard Pap Smear
Participants will have the option to choose a standard pap smear for cervical cancer screening
Diagnostisk test: Standard Pap Smear
Healthcare provider collected (in a hospital or clinical setting) cervicovaginal sample
Eksperimentell: HPV Self-Sampling Test
Participants are able to opt-in for an at-home self-sampling HPV test for cervical cancer screening
Diagnostisk test: BD Onclarity HPV test
Self-collected cervicovaginal sample

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Completion of CC screening within 6 months of initial outreach.
Tidsramme: 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.

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Screening Pathway Choices and Performance
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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

Andre resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Reach and Adoption
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

Rutgers, The State University of New Jersey

Etterforskere

  • Hovedetterforsker: Ana Tergas, MD, MPH, Rutgers, the State University of New Jersey

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

20. juli 2026

Primær fullføring (Antatt)

1. februar 2027

Studiet fullført (Antatt)

16. april 2027

Datoer for studieregistrering

Først innsendt

8. februar 2026

Først innsendt som oppfylte QC-kriteriene

4. mai 2026

Først lagt ut (Faktiske)

8. mai 2026

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

4. august 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

3. august 2026

Sist bekreftet

1. juli 2026

Mer informasjon

Begreper knyttet til denne studien

Andre studie-ID-numre

  • Pro2025001687

Plan for individuelle deltakerdata (IPD)

Planlegger du å dele individuelle deltakerdata (IPD)?

NEI

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Nei

Studerer et amerikansk FDA-regulert enhetsprodukt

Ja

produkt produsert i og eksportert fra USA

Ja

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