About this trial
A randomized controlled trial comparing three strategies for cervical cancer screening: direct mailing of HPV self-sampling kit ("Outreach" arm), choice between self-sampling or healthcare provider sampling ("Choice" arm), and standard care (control arm) in two French departments.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Women aged 30 to 65 years old
Living in the study area (Departments of Marne and Aube, France)
At moderate risk of cervical cancer, i.e. eligible to the organised programme and receiving the first invitation of the screening round (not a reminder letter)
Disqualifiers
Outside the target age (less than 30 years old, or 66 years old and more)
Already participating in the current screening round
Total hysterectomy
History of cervical cancer
Trial design
Parallel
Treatments tested in this trial
Women receive invitation letter with HPV self-sampling kit
Other interventionDirect mailing of HPV self-sampling kit. Women receive HPV self-sampling kit with instructions. SMS reminder at 3 months if no participation. Assistance provided for triage cytology if HPV positive.
Women receive invitation letter with choice of ordering a free self-sampling kit or visit healthcare provider
Other interventionOption between self-sampling and healthcare provider: women can choose testing method. If self-sampling chosen, kit sent to home. SMS reminder at 3 months if no participation.
Treatment groups
Trial outcomes
Primary outcomes
Participation rate in cervical cancer screening
Secondary outcomes
Triage cytology completion rate after positive HPV test
HPV positivity rate
Invalid result rate
Time from HPV-positive result to completion of cytological triage
Sponsors and contacts
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International Agency for Research on Cancer
Lead sponsor
National Cancer Institute, France
Collaborator
Central Hospital, Nancy, France
Collaborator
CHU de Reims
Collaborator