Self-collection for HPV Testing to Improve Cervical Cancer Prevention (SHIP) Trial (LMI-001-A-S04)

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age25+
SponsorNational Cancer Institute (NCI)

About this trial

This clinical trial evaluates the use of self-collected vaginal samples for human papillomavirus (HPV) testing in patients referred for a colposcopy and/or cervical excisional procedures to improve cervical cancer prevention. HPV is a common virus which usually causes infections that last only a few months, but sometimes can last longer. HPV is known to cause a variety of cancers including cervical cancer. Even though there are ways to detect cervical cancer, many individuals are not diagnosed. Over half of all new cervical cancer cases are among those who have either never been screened or who are not screened enough. The low screening numbers show more testing needs to be done. Without appropriate screening and care, preventable precancer may turn into cancer. A new way to detect cervical cancer is to have individuals collect their own sample for HPV testing to know their risk for cervical cancer. This may give individuals more flexibility and comfort having the ability to collect samples themselves, compared to a doctor performing a speculum examination and collecting the samples in a clinic. Information gathered from this study compares clinical accuracy of HPV testing on self-collected vaginal samples versus cervical samples collected by clinician.

The Self-collection for HPV Testing to Improve Cervical Cancer Prevention (SHIP) Trial is part of the National Cancer Institute (NCI)'s Cervical Cancer 'Last Mile' Initiative, a public private partnership that seeks to increase access to cervical cancer screening. The SHIP Trial focuses on developing clinical evidence to inform the US Food and Drug Administration (FDA)'s regulatory reviews of self-collection approaches as alternative sample collection approaches for cervical cancer screening. Several industry partner-specific self-collection device and assay combinations will be non-competitively and independently evaluated with a similar study design framework to inform pre-approval and/or post-approval regulatory requirements.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Willingness and ability to provide a documented informed consent

Is 25 years or older

Has an intact cervix

Has had a referral for colposcopy in which routine cervical cancer screening has included positive HPV testing (HPV primary screening, co-testing, or atypical squamous cells of undetermined significance [ASC-US] cytology triage) or abnormal cytology performed within the past 12 months preceding the referral visit, and/or for cervical excisional procedure

Disqualifiers

Is pregnant when presenting for the referral visit or gave birth within the past 3 months

Has a known history of excisional or ablative therapy to the cervix (e.g., loop electrosurgical excision procedure [LEEP], cone biopsy, cervical laser surgery, cryotherapy, thermal ablation) in the last 12 months prior to the referral visit

Has had a complete or partial hysterectomy, either supracervical or involving removal of the cervix, via self-report or confirmation via medical records

Known medical conditions that, in the opinion of the investigator, preclude study participation

Trial design

Design model

Single group

Treatments tested in this trial

  • Biospecimen Collection

    Procedure/Surgery

    Undergo collection of a cervical sample by clinician

  • Cervical Biopsy

    Procedure/Surgery

    Undergo cervical biopsy

  • Colposcopy

    Procedure/Surgery

    Undergo colposcopy

  • Electronic Health Record Review

    Other intervention

    Ancillary studies

  • Endocervical Curettage

    Procedure/Surgery

    Undergo endocervical curettage

  • Excision

    Procedure/Surgery

    Undergo cervical excisional procedure

  • HPV Self-Collection

    Procedure/Surgery

    Undertake self-collection of vaginal sample

  • Human Papillomavirus Test

    Procedure/Surgery

    Undergo HPV testing of self-collected vaginal samples and cervical samples

  • Questionnaire Administration

    Other intervention

    Ancillary studies

Treatment groups

500 Participants
are divided into 1 treatment group
Group A: Prevention (self-collected and clinician-collected samples)Experimental treatment 9 interventions

Trial outcomes

Primary outcomes

1

Clinical sensitivity for self-collected (SC) samples

Will be defined as the probability of a positive SC sample given cervical intraepithelial neoplasia (CIN)2+. Will report point estimate and 95% confidence intervals (CIs).

Time frame
One-time, up to 60 days
2

Clinical sensitivity for clinician-collected (CC) samples

Will be defined as the probability of a positive CC sample given CIN2+. Will report point estimate and 95% CIs.

Time frame
One-time, up to 60 days
3

Clinical specificity for SC samples

Will be defined as the probability of a negative SC sample given \< CIN2. Will report point estimate and 95% CIs.

Time frame
One-time, up to 60 days
4

Clinical specificity for CC samples

Will be defined as the probability of a negative CC sample given \< CIN2. Will report point estimate and 95% CIs.

Time frame
One-time, up to 60 days

Secondary outcomes

Other outcomes

1

Human factors affecting usability

Will be assessed by questionnaire data.

Time frame
One-time, up to 60 days
2

Human factors affecting acceptability

Will be assessed by questionnaire data.

Time frame
One-time, up to 60 days
3

Human factors affecting preferences for self-collection

Will be assessed by questionnaire data.

Time frame
One-time, up to 60 days

Sponsors and contacts

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