Trial Outcomes & Findings for mHealth-supported Telecolposcopy for Cervical Cancer Programs in Low-resource Settings: Evaluation (mIVAA) (NCT NCT04421131)

NCT ID: NCT04421131

Last Updated: 2022-10-17

Results Overview

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

112 participants

Primary outcome timeframe

up to 142 days

Results posted on

2022-10-17

Participant Flow

Informed consent was obtained prior to establishing eligibility. One consented participant was deemed ineligible and one was ineligible due to not completing screening.

Participant milestones

Participant milestones
Measure
mIVAA (Mobile Inspección Visual Con Ácido Acético - Spanish for Visual Inspection With Acetic Acid)
Screened for cervical cancer with mIVAA in mobile units Pocket colposcope/Mobile phone camera: The Pocket colposcope or mobile phone camera will be used to capture magnified digital images of the cervix mIVAA: A mobile-phone-based telemedicine platform that enables remote consultation with an expert colposcopist
Overall Study
STARTED
110
Overall Study
Referred to a Follow up Screening
17
Overall Study
COMPLETED
102
Overall Study
NOT COMPLETED
8

Reasons for withdrawal

Reasons for withdrawal
Measure
mIVAA (Mobile Inspección Visual Con Ácido Acético - Spanish for Visual Inspection With Acetic Acid)
Screened for cervical cancer with mIVAA in mobile units Pocket colposcope/Mobile phone camera: The Pocket colposcope or mobile phone camera will be used to capture magnified digital images of the cervix mIVAA: A mobile-phone-based telemedicine platform that enables remote consultation with an expert colposcopist
Overall Study
Lost to Follow-up
1
Overall Study
Protocol Violation
2
Overall Study
App crashed
5

Baseline Characteristics

mHealth-supported Telecolposcopy for Cervical Cancer Programs in Low-resource Settings: Evaluation (mIVAA)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
mIVAA (Mobile Inspección Visual Con Ácido Acético - Spanish for Visual Inspection With Acetic Acid)
n=102 Participants
Screened for cervical cancer with mIVAA in mobile units Pocket colposcope/Mobile phone camera: The Pocket colposcope or mobile phone camera will be used to capture magnified digital images of the cervix mIVAA: A mobile-phone-based telemedicine platform that enables remote consultation with an expert colposcopist
Age, Continuous
39.5 years
STANDARD_DEVIATION 9.9 • n=5 Participants
Sex: Female, Male
Female
102 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
102 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
5 Participants
n=5 Participants
Race (NIH/OMB)
White
3 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
78 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
16 Participants
n=5 Participants
Region of Enrollment
Peru
102 Participants
n=5 Participants

PRIMARY outcome

Timeframe: up to 142 days

Population: Participants who were referred.

Outcome measures

Outcome measures
Measure
mIVAA (Mobile Inspección Visual Con Ácido Acético - Spanish for Visual Inspection With Acetic Acid)
n=17 Participants
Screened for cervical cancer with mIVAA in mobile units Pocket colposcope/Mobile phone camera: The Pocket colposcope or mobile phone camera will be used to capture magnified digital images of the cervix mIVAA: A mobile-phone-based telemedicine platform that enables remote consultation with an expert colposcopist
Percentage of Women Referred to a Follow up Screening Appointment With a Colposcopist Who Did Not Attend the Appointment
82.4 percentage of women

SECONDARY outcome

Timeframe: up to 142 days

Population: Women who were approached to participate in the study.

Outcome measures

Outcome measures
Measure
mIVAA (Mobile Inspección Visual Con Ácido Acético - Spanish for Visual Inspection With Acetic Acid)
n=112 Participants
Screened for cervical cancer with mIVAA in mobile units Pocket colposcope/Mobile phone camera: The Pocket colposcope or mobile phone camera will be used to capture magnified digital images of the cervix mIVAA: A mobile-phone-based telemedicine platform that enables remote consultation with an expert colposcopist
Percentage of Women Approached Who Consented to Participate in Study
100 percentage of women

SECONDARY outcome

Timeframe: up to 142 days

Population: Women who were approached to participate in the study.

Outcome measures

Outcome measures
Measure
mIVAA (Mobile Inspección Visual Con Ácido Acético - Spanish for Visual Inspection With Acetic Acid)
n=112 Participants
Screened for cervical cancer with mIVAA in mobile units Pocket colposcope/Mobile phone camera: The Pocket colposcope or mobile phone camera will be used to capture magnified digital images of the cervix mIVAA: A mobile-phone-based telemedicine platform that enables remote consultation with an expert colposcopist
Percentage of Women Approached Who Refused to Participate in Study
0 percentage of women

SECONDARY outcome

Timeframe: up to 142 days

Population: Participants who completed the study.

Women who screened positive (i.e., suspicious) for cervical cancer/pre-cancer.

Outcome measures

Outcome measures
Measure
mIVAA (Mobile Inspección Visual Con Ácido Acético - Spanish for Visual Inspection With Acetic Acid)
n=102 Participants
Screened for cervical cancer with mIVAA in mobile units Pocket colposcope/Mobile phone camera: The Pocket colposcope or mobile phone camera will be used to capture magnified digital images of the cervix mIVAA: A mobile-phone-based telemedicine platform that enables remote consultation with an expert colposcopist
Number of Visual Inspection With Acetic Acid (VIA) Screened Women Who Are VIA+
6 Participants

SECONDARY outcome

Timeframe: up to 142 days

Population: Participants who completed the study.

Outcome measures

Outcome measures
Measure
mIVAA (Mobile Inspección Visual Con Ácido Acético - Spanish for Visual Inspection With Acetic Acid)
n=102 Participants
Screened for cervical cancer with mIVAA in mobile units Pocket colposcope/Mobile phone camera: The Pocket colposcope or mobile phone camera will be used to capture magnified digital images of the cervix mIVAA: A mobile-phone-based telemedicine platform that enables remote consultation with an expert colposcopist
Average Number of Days From Screening to When a Follow up Appointment is Scheduled
26.6 days
Standard Deviation 41.1

SECONDARY outcome

Timeframe: up to 142 days

Population: Participants who completed the study.

Outcome measures

Outcome measures
Measure
mIVAA (Mobile Inspección Visual Con Ácido Acético - Spanish for Visual Inspection With Acetic Acid)
n=102 Participants
Screened for cervical cancer with mIVAA in mobile units Pocket colposcope/Mobile phone camera: The Pocket colposcope or mobile phone camera will be used to capture magnified digital images of the cervix mIVAA: A mobile-phone-based telemedicine platform that enables remote consultation with an expert colposcopist
Median Number of Days From Screening to When a Follow up Appointment is Scheduled
6 days
Interval 3.0 to 116.0

SECONDARY outcome

Timeframe: up to 142 days

Outcome measures

Outcome measures
Measure
mIVAA (Mobile Inspección Visual Con Ácido Acético - Spanish for Visual Inspection With Acetic Acid)
n=102 Participants
Screened for cervical cancer with mIVAA in mobile units Pocket colposcope/Mobile phone camera: The Pocket colposcope or mobile phone camera will be used to capture magnified digital images of the cervix mIVAA: A mobile-phone-based telemedicine platform that enables remote consultation with an expert colposcopist
Percentage of Women Who Were Screened Using mIVAA
100 percentage of women

SECONDARY outcome

Timeframe: up to 142 days

Population: Participants who completed the study.

Outcome measures

Outcome measures
Measure
mIVAA (Mobile Inspección Visual Con Ácido Acético - Spanish for Visual Inspection With Acetic Acid)
n=102 Participants
Screened for cervical cancer with mIVAA in mobile units Pocket colposcope/Mobile phone camera: The Pocket colposcope or mobile phone camera will be used to capture magnified digital images of the cervix mIVAA: A mobile-phone-based telemedicine platform that enables remote consultation with an expert colposcopist
Average Number of Hours From Screening to When Expert Enters Feedback Using mIVAA
2.0 hours
Standard Deviation 5.89

SECONDARY outcome

Timeframe: up to 7 days

Population: Participants who completed the study.

Outcome measures

Outcome measures
Measure
mIVAA (Mobile Inspección Visual Con Ácido Acético - Spanish for Visual Inspection With Acetic Acid)
n=102 Participants
Screened for cervical cancer with mIVAA in mobile units Pocket colposcope/Mobile phone camera: The Pocket colposcope or mobile phone camera will be used to capture magnified digital images of the cervix mIVAA: A mobile-phone-based telemedicine platform that enables remote consultation with an expert colposcopist
Percentage of mIVAA Screened Women With Expert Feedback Within 0-7 Days of mIVAA Screening Date
100 percentage of women

SECONDARY outcome

Timeframe: up to 142 days

Outcome measures

Outcome measures
Measure
mIVAA (Mobile Inspección Visual Con Ácido Acético - Spanish for Visual Inspection With Acetic Acid)
n=102 Participants
Screened for cervical cancer with mIVAA in mobile units Pocket colposcope/Mobile phone camera: The Pocket colposcope or mobile phone camera will be used to capture magnified digital images of the cervix mIVAA: A mobile-phone-based telemedicine platform that enables remote consultation with an expert colposcopist
Number of Women Screened Positive (i.e., Suspicious) for Cervical Cancer/Pre-cancer by Midwife
6 Participants

SECONDARY outcome

Timeframe: up to 142 days

Outcome measures

Outcome measures
Measure
mIVAA (Mobile Inspección Visual Con Ácido Acético - Spanish for Visual Inspection With Acetic Acid)
n=102 Participants
Screened for cervical cancer with mIVAA in mobile units Pocket colposcope/Mobile phone camera: The Pocket colposcope or mobile phone camera will be used to capture magnified digital images of the cervix mIVAA: A mobile-phone-based telemedicine platform that enables remote consultation with an expert colposcopist
Number of Women Screened Positive (i.e., Suspicious) for Cervical Cancer/Pre-cancer by Expert Colposcopist
17 Participants

SECONDARY outcome

Timeframe: up to 142 days

Outcome measures

Outcome measures
Measure
mIVAA (Mobile Inspección Visual Con Ácido Acético - Spanish for Visual Inspection With Acetic Acid)
n=102 Participants
Screened for cervical cancer with mIVAA in mobile units Pocket colposcope/Mobile phone camera: The Pocket colposcope or mobile phone camera will be used to capture magnified digital images of the cervix mIVAA: A mobile-phone-based telemedicine platform that enables remote consultation with an expert colposcopist
Average Number of Attempts Per Woman Before a Readable Image is Obtained by Midwife
3.35 attempts
Standard Deviation 0.7

SECONDARY outcome

Timeframe: up to 142 days

Outcome measures

Outcome measures
Measure
mIVAA (Mobile Inspección Visual Con Ácido Acético - Spanish for Visual Inspection With Acetic Acid)
n=102 Participants
Screened for cervical cancer with mIVAA in mobile units Pocket colposcope/Mobile phone camera: The Pocket colposcope or mobile phone camera will be used to capture magnified digital images of the cervix mIVAA: A mobile-phone-based telemedicine platform that enables remote consultation with an expert colposcopist
Percentage of mIVAA Screened Women With at Least 1 Image Rated as Readable by Expert
84.3 percentage of women

SECONDARY outcome

Timeframe: up to 142 days

Outcome measures

Outcome measures
Measure
mIVAA (Mobile Inspección Visual Con Ácido Acético - Spanish for Visual Inspection With Acetic Acid)
n=102 Participants
Screened for cervical cancer with mIVAA in mobile units Pocket colposcope/Mobile phone camera: The Pocket colposcope or mobile phone camera will be used to capture magnified digital images of the cervix mIVAA: A mobile-phone-based telemedicine platform that enables remote consultation with an expert colposcopist
Number of Instances of Network Failure
1 network failures

Adverse Events

mIVAA (Mobile Inspección Visual Con Ácido Acético - Spanish for Visual Inspection With Acetic Acid)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Lavanya Vasudevan, Ph.D.

Duke University

Phone: 919-613-1423

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place