IMproved PRactice Outcomes and Value Excellence in Colposcopy

NCT ID: NCT02185599

Last Updated: 2020-03-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

7555 participants

Study Classification

OBSERVATIONAL

Study Start Date

2014-09-30

Study Completion Date

2017-10-09

Brief Summary

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The study will observe and quantify shifts in colposcopy practice and outcome improvements in U.S. community-based cervical screening colposcopy examinations after the introduction of the DySIS colposcope with Advanced Cervical Scan.

The study will collect colposcopy data across multiple sites in two arms; a prospective arm, with DySIS being used for the examination and a retrospective arm, with data retrieved from patient charts.

Detailed Description

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Each site will contribute data to both arms; the study will collect data on demographics, disease yield, number of biopsies and treatment decisions. Study subjects will receive standard of care procedures and management.

Prospective data will be collected at colposcopy examinations performed using the DySIS digital colposcope on consecutive patients that have been referred for colposcopy after a positive screening test. Retrospective data on colposcopy examinations performed using a standard colposcope will be collected from patient medical records, to capture standard practice to-date as a control for comparisons. The retrospective data will be collected from consecutive examinations performed by the providers participating in the prospective arm and for the preceding year.

Conditions

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High Grade Cervical Intraepithelial Neoplasia

Study Design

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Observational Model Type

OTHER

Study Time Perspective

OTHER

Study Groups

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Colposcopy with DySIS

The prospective arm will recruit patients referred for colposcopy and will be examined using DySIS.

DySIS

Intervention Type DEVICE

Colposcopy performed with the DySIS digital colposcope

Standard colposcopy

The retrospective arm will collect historical data from colposcopy examinations performed using a standard colposcope.

No interventions assigned to this group

Interventions

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DySIS

Colposcopy performed with the DySIS digital colposcope

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Females 21 years or older
2. Able to give informed consent
3. Referred for colposcopy with a screening test result that indicates the need for a colposcopy, based on guidelines and practice:

* HSIL, ASC-H, LSIL cytology
* 2x ASC-US cytology (25 or above)
* 2x/3x LSIL/ASC-US cytology (21-24)
* ASC-US pap and hrHPV cotest/reflex
* HPV 16/18 primary screening (≥25)
* ASC-US pap after hrHPV
* hrHPV x2 (≥30)
* HPV16 or 16 after negative cytology/hrHPV (≥30)
* Follow-up of CIN2/3 biopsy (younger women)
* hrHPV and/or ≥ASC-US pap post-excision

Exclusion Criteria

1. Previous hysterectomy, previous/current chemotherapy, radiation treatment for cervical neoplasia or other concurrent cancer
2. Pregnancy
3. Known human immunodeficiency virus (HIV) infection or acquired immune deficiency syndrome (AIDS)
4. Referred for vulva/vaginal disease
Minimum Eligible Age

21 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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DySIS Medical Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Arizona Oncology

Scottsdale, Arizona, United States

Site Status

Unified Women's Clinical Research-Gainesville

Gainesville, Florida, United States

Site Status

North Florida OB GYN Associates, PA

Jacksonville, Florida, United States

Site Status

Osceola Ob-Gyn, PA

Kissimmee, Florida, United States

Site Status

Unified Women's Clinical research-Alpharetta

Alpharetta, Georgia, United States

Site Status

Unified Women's Clinical Research-Atlanta

Atlanta, Georgia, United States

Site Status

Northeast Georgia Physicians Group- Heritage

Gainesville, Georgia, United States

Site Status

Lakeside Ob/Gyn-Northeast Georgia Physician Group

Hoschton, Georgia, United States

Site Status

Nye Partners in Women's Health

Chicago, Illinois, United States

Site Status

Advocate Illinois Masonic Medical Center - Creticos Cancer Center

Chicago, Illinois, United States

Site Status

Midwest Center for Women's Healthcare

Elgin, Illinois, United States

Site Status

Advanced Women's Healthcare Specialists, SC

Elk Grove Village, Illinois, United States

Site Status

Providea Health Partners, LLC

Evergreen Park, Illinois, United States

Site Status

Women's Wellness World

Hazel Crest, Illinois, United States

Site Status

Women's Healthcare of Illinois

Mokena, Illinois, United States

Site Status

The Advanced Gynecologic Surgery Institute

Naperville, Illinois, United States

Site Status

Women's Center for Health

Naperville, Illinois, United States

Site Status

Southwest Women's Healthcare Associates

Olympia Fields, Illinois, United States

Site Status

Hinsdale & Oak Brook Women's Clinic

Willowbrook, Illinois, United States

Site Status

OB-GYN Associates

Cedar Rapids, Iowa, United States

Site Status

Margaret A. Smollen, MD, PC

Iowa City, Iowa, United States

Site Status

Brodsky & Taylor, PLC

Ferndale, Michigan, United States

Site Status

Downriver Obstetrics & Gynecology

Trenton, Michigan, United States

Site Status

NJ Gynecological Institute

Hackensack, New Jersey, United States

Site Status

Women's Healthcare of Princeton, LLC

Princeton, New Jersey, United States

Site Status

New Beginnings, OB/GYN

Springfield, New Jersey, United States

Site Status

Dr Gregory Shifrin, OB/GYN, PC

Brooklyn, New York, United States

Site Status

Unified Women's Clinical Research-Cary

Cary, North Carolina, United States

Site Status

Unified Women's Clinical Research-Greensboro

Greensboro, North Carolina, United States

Site Status

Unified Women's Clinical Research- Central Carolina

Greensboro, North Carolina, United States

Site Status

Lyndhurst Clinical Research- Mt Airy

Mount Airy, North Carolina, United States

Site Status

Lyndhurst Clinical Research

Winston-Salem, North Carolina, United States

Site Status

The Women's Center at Southview

Dayton, Ohio, United States

Site Status

Physicians & Surgeons for Women, Inc

Springfield, Ohio, United States

Site Status

The University of Toledo

Toledo, Ohio, United States

Site Status

Austin Area OB-Gyn

Austin, Texas, United States

Site Status

Coastal Bend Women's center

Corpus Christi, Texas, United States

Site Status

Laura Bradford, MD

Fort Worth, Texas, United States

Site Status

Las Colinas OBGyn

Irving, Texas, United States

Site Status

MacArthur OB/GYN

Irving, Texas, United States

Site Status

Advanced Women's Wellness

Katy, Texas, United States

Site Status

Zeid Women's Health Center

Longview, Texas, United States

Site Status

Craig Ranch Ob/Gyn

McKinney, Texas, United States

Site Status

Advanced Ob-Gyn Associates

Richardson, Texas, United States

Site Status

Dr DeLeon's Women's Healthcare

Rowlett, Texas, United States

Site Status

Piedmont Preferred Women's Healthcare Associates

Ridgeway, Virginia, United States

Site Status

Countries

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United States

Other Identifiers

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IMPROVE-100

Identifier Type: -

Identifier Source: org_study_id

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