About this trial
People living with human immunodeficiency virus (PLWH) have an estimated 1.6-6.0 times increased risk of developing oropharyngeal cancer (OPC) compared with individuals in the general population. 70% of OPCs are caused by human papillomavirus (HPV), and PLWH also have an increased prevalence of oral HPV infection. Disparities by race/ethnicity also include a later stage of diagnosis and less frequent cancer-directed treatment for members of ethnic minority groups. There is little known regarding the racial/ethnic differences in oral HPV infection, persistence of oral HPV infection, or progression of oral HPV infection to OPC among PLWH. This is an observational, prospective cohort study to investigate the feasibility of alternative sample collection methods for HPV testing among PLWH.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Over 35 years of age
Member of a sexual or gender group considered sexual minority men (men who have sex with men, trans-women)
Person living with HIV
Willing and able to receive a package through United States (US) postal service
Disqualifiers
Does not meet the above criteria
Trial population
Adults living with HIV (PLWH)
Trial design
Cohort
Prospective
Treatments tested in this trial
Mail-based Saliva Sample Kit
Diagnostic testSent via United States Postal Service and returned via FedEx
Study-related Surveys
Other interventionOnline surveys will be administered
Treatment groups
Trial outcomes
Primary outcomes
Percentage of participants with positive oral human papillomavirus infection
The prevalence of oral high-risk human papillomavirus (hrHPV) infection will be determined by the percentage of participants with a positive result for human papillomavirus deoxyribonucleic acid (HPV DNA) after testing
Agreement in the detection of oral HPV DNA between the oral rinse and gargle (ORG) and the clinic sample
The agreement in the detection of oral HPV DNA between the oral rinse and gargle (ORG) sample collected at home and the sample collected at the clinic will be measured using kappa. The Kappa Coefficient, often denoted as κ (kappa), is a statistical measure used to assess the level of agreement between two events providing a way to quantify the extent to which the observed agreement exceeds what would be expected by chance alone. The Kappa Coefficient ranges from -1 to 1, where 1 indicates perfect agreement, 0 indicates no agreement beyond chance, and negative values suggest less agreement than would be expected by random chance. Substantial agreement is considered kappa (κ) at least ≥0.61
Agreement in the detection of oral HPV DNA between Flinders Technology Associates (FTA) sample collection card and both the ORG samples (Home and Clinic).
The agreement in the detection of oral HPV DNA between the sample collected and applied to an FTA sample collection card (FTA) and both the ORG samples (Home and Clinic). will be measured using kappa. The Kappa Coefficient, often denoted as κ (kappa), is a statistical measure used to assess the level of agreement between two events providing a way to quantify the extent to which the observed agreement exceeds what would be expected by chance alone. The Kappa Coefficient ranges from -1 to 1, where 1 indicates perfect agreement, 0 indicates no agreement beyond chance, and negative values suggest less agreement than would be expected by random chance. Substantial agreement is considered kappa (κ) at least ≥0.61
Sponsors and contacts
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University of California, San Francisco
Lead sponsor
National Institute of Dental and Craniofacial Research (NIDCR)
Collaborator