About this trial
The purpose of this study explores the usefulness of urine samples for cervical cancer screening in human immunodeficiency virus (HIV)-infected women.
Cervical cancer occurs when women are infected with the human papillomavirus (HPV), which can cause changes in the cells that lead to cervical precancer and, eventually, cervical cancer if untreated. However, urine HPV testing has not been well validated low- and middle-income country settings, with no data available to guide its use in HIV-infected women.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Confirmed HIV-1 infection
Age 25 years and older.
Be willing and able to provide written informed consent.
Disqualifiers
Pregnant or intend to become pregnant within 90 days of enrollment
Have been screened for cervical cancer within the preceding year (365 days)
Have an active sexually transmitted infection (STI; women may participate once treated)
Have a surgically absent cervix
Trial design
Single group
Treatments tested in this trial
Urine HPV testing
Other interventionHuman papillomavirus (HPV) testing in urine sample.
Self-collected cervicovaginal specimen
Other interventionHuman papillomavirus (HPV) testing in self-collected cervicovaginal specimen sample.
Provider-collected cervical samples
Other interventionHuman papillomavirus (HPV) testing in healthcare provider collected cervicovaginal specimen sample.
Treatment groups
Trial outcomes
Primary outcomes
Clinical performance of hrHPV testing in the three sample types for the detection of CIN2
The clinical performance (sensitivity, specificity, positive predictive value, and negative predictive value) for CIN2+ detection of sample collection methods namely urine, self-collected samples, and provider-collected samples will be determined.
Secondary outcomes
Clinical performance of hrHPV testing in in the three sample types for the detection of CIN3 or worse
The clinical performance (sensitivity, specificity, positive predictive value, and negative predictive value) for CIN3+ detection or worse of sample collection methods namely urine, self-collected samples, and provider-collected samples will be determined.
The proportion of participants positive for hrHPV
The high-risk human papillomavirus (hrHPV) positivity detection of urine, self-collected cervicovaginal specimen, and provider-collected cervical samples will be compared.
Sponsors and contacts
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UNC Lineberger Comprehensive Cancer Center
Lead sponsor
National Cancer Institute (NCI)
Collaborator