Honduras Liger Thermocoagulator Study

NCT ID: NCT03510273

Last Updated: 2020-11-27

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

320 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-05-04

Study Completion Date

2019-10-29

Brief Summary

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This was a prospective study to evaluate the short-term safety and acceptability of the Liger Medical thermal coagulation device for treatment of cervical precancerous lesions. Study results will inform the Honduras Ministry of Health regarding potential use of the Liger device for precancer treatment in Honduras and results may be of interest to other Latin American settings as well.

The research was conducted in the Tegucigalpa Region in Honduras in 4 health facilities in urban and peri-urban settings. Participants were women ages 30-49 who met the study eligibility criteria. Human papilloma virus (HPV) and visual inspection with acetic acid (VIA)-positive women who were eligible for ablative treatment were offered thermal coagulation with the Liger instrument to treat their lesions and asked about acceptability of the treatment. At this visit, biopsies were also be taken. Women were followed-up at 1 month to evaluate short-term safety outcomes with a physical exam and receive their biopsy results. Depending on their biopsy results, they will be asked to return for repeat screening, referred for further treatment or asked to come back for a 12-month study visit. At the 12-month visit after treatment, women were followed up to evaluate cure rates.

A second investigational device, Pocket Colposcope, was used to take cervix photos at the enrollment and 12-month study visit with participant consent. The photos were used to explore factors influencing treatment failure. De-identified photos and women's diagnosis information were also shared with the device developers, Duke University, for the purposes of improving their device. Women had the option to opt out of having cervix photos taken and still participate in the treatment portion of the study.

Detailed Description

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Conditions

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Cervix Cancer Cervix Lesion

Keywords

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Thermocoagulation Treatment Cervical precancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Thermal coagulator ablation treatment
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Thermocoagulation treatment

Acceptability of Liger Medical Thermocoagulator treatment

Group Type OTHER

Liger Medical Thermocoagulator

Intervention Type DEVICE

Thermocoagulation treatment by Liger Medical device (US FDA "510K" clearance received)

Interventions

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Liger Medical Thermocoagulator

Thermocoagulation treatment by Liger Medical device (US FDA "510K" clearance received)

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

Women

* Aged 30 to 49 years.
* HPV and VIA positive.
* Eligible for ablative treatment using World Health Organization Guidelines \[29\].

* The lesion covers \<75% of the cervix, the lesion does not enter the endocervical canal, the entire lesion can be visualized and covered by the Liger Medical Thermocoagulator probe, and there is no suspicion for invasive cancer.

Exclusion Criteria

* Are pregnant or less than 3 months post-partum
* Are not HPV and VIA positive
* Do not have a cervical lesion that qualifies for ablative treatment
* Have a bleeding disorder or taking anti-coagulant medication.
* Do not give informed consent; or unable to provide the consent.
Minimum Eligible Age

30 Years

Maximum Eligible Age

49 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Ashonplafa

OTHER

Sponsor Role collaborator

Ministry of Health, Honduras

OTHER_GOV

Sponsor Role collaborator

PATH

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Silvia de Sanjose, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

PATH

Locations

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PATH

Seattle, Washington, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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1018287

Identifier Type: -

Identifier Source: org_study_id