Ano-genital Human Papillomavirus (HPV) Infection, Precancerous Lesions and Genital Warts Among Danish Renal Transplant Recipients
NCT ID: NCT03018327
Last Updated: 2018-01-19
Study Results
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Basic Information
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COMPLETED
500 participants
OBSERVATIONAL
2016-01-07
2017-09-06
Brief Summary
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The occurrence of HPV infection and ano-genital precancerous lesions and genital warts among Danish renal transplant recipients (RTRs) is not known. Relatively few controlled studies exist on the prevalence of ano-genital HPV infection, anal precancerous lesions and cervical precancerous lesions among RTRs.
Knowledge about HPV infection and HPV-related ano-genital precancerous lesions in renal transplant recipients, together with identification of factors that play a role for development of anal and cervical precancerous lesions, is important for the possibility of early detection and treatment to prevent progression to ano-genital cancers. Cervical cytology has been used for decades to detect cervical intra-epithelial neoplasia (CIN), whereas high-resolution anoscopy is a newer modality for the detection of anal intra-epithelial neoplasia (AIN). International guidelines recommend annually screening against cervical cancer for female renal transplant recipients, but currently no recommendation exists on screening against anal cancer.
Aim: In a clinical study it is the aim to examine the prevalence of anal, penile, oral and cervical HPV infection as well as ano-genital dysplasia and ano-genital warts among 250 renal transplant recipients and an immunocompetent control group. Furthermore to identify factors associated with the development of AIN or CIN such as HPV type, viral load, duration of immunosuppression, and lifestyle factors such as sexual habits, reproductive history, smoking and alcohol habits, history of genital warts and other infections, and socio-economic variables.
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Detailed Description
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Conditions
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Study Design
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CASE_CONTROL
PROSPECTIVE
Study Groups
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Case group
250 Renal Transplant Recipients; 125 women and 125 men
No interventions assigned to this group
Control group
250 healthy controls; 125 women and 125 men
No interventions assigned to this group
Eligibility Criteria
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Inclusion Criteria
Case group:
1. Renal transplant recipients men and women ≥ 18 years of age
2. ≥ 6 months posttransplantation
3. Stabile immunosuppressive regime
4. No signs of acute rejection og the transplant
Control group:
1\. Health men and women ≥18years of age from the Nevus clinic, Laser clinic and non-melanoma skin cancer clinic, Bispebjerg Hospital, Copenhagen
Exclusion Criteria
1. Other known immunosuppression
Both case- og control group:
2. Previous HPV vaccination
3. Previous total hysterectomy
4. Inflammatory bowel disease
5. HIV infection
18 Years
ALL
Yes
Sponsors
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Danish Cancer Society
OTHER
Bispebjerg Hospital
OTHER
Responsible Party
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Helle Kiellberg Larsen
Staff specialist
Principal Investigators
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Helle Kiellberg Larsen, MD
Role: PRINCIPAL_INVESTIGATOR
Department of Dermato-venereology, Bispebjerg Hospital, 2400 Copenhagen, Denmark
Locations
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Department of Dermato-venereology, Bispebjerg Hospital
Copenhagen, , Denmark
Countries
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References
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Larsen HK, Kjaer SK, Haedersdal M, Kjaer AK, Bonde JH, Sorensen SS, Thomsen LT. Anal Human Papillomavirus Infection in Kidney Transplant Recipients Compared With Immunocompetent Controls. Clin Infect Dis. 2022 Nov 30;75(11):1993-1999. doi: 10.1093/cid/ciac285.
Other Identifiers
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H-15014510
Identifier Type: -
Identifier Source: org_study_id
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