Clinical Validation of Cervical Cancer Screening Methods

NCT ID: NCT04783649

Last Updated: 2021-03-05

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

UNKNOWN

Total Enrollment

2500 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-07-13

Study Completion Date

2023-07-01

Brief Summary

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This single-institution cross-sectional non-inferiority validation study evaluates alternative techniques and tests for primary cervical cancer screening programs in Russia, particularly: local cytology staining techniques, local HPV tests.

Detailed Description

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Cervical cytology practices are different across the world. While the Pap test became the cornerstone of the highly-effective cervical cancer screening in the countries that initially implemented population-based programs in the 60s and the 70s, alternative staining techniques were implemented in the Soviet Union. The tradition to apply other staining techniques than conventional Pap test remained unchanged in the national screening program implemented in the 2010s in Russia. As a new alternative option HPV testing showed effectiveness in screening women older than 30. The acceptable sensitivity and specificity of a screening test are crucial in population-based screening, that is why validation against "the gold standard" should be the first step in the process of program implementation. The objective of this study is to evaluate alternative techniques and tests for primary cervical cancer screening programs in Russia, particularly: local cytology staining techniques, local HPV tests in the population of 25-65 yo women without prior history of malignancy referred to colposcopy enriched with a population sample of women from several primary healthcare facilities referred to a primary screening test.

Conditions

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Cervical Cancer Cervical Dysplasia Human Papilloma Virus

Study Design

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Observational Model Type

COHORT

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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High risk group

Women in the age group between 25 and 65 years old without prior history of malignancy referred to colposcopy

Papanicolaou cytological test

Intervention Type DIAGNOSTIC_TEST

Cervical smear stained using conventional Papanicolaou technique.

Local cytological test (H&E stain)

Intervention Type DIAGNOSTIC_TEST

Cervical smear stained using conventional hematoxylin and eosin staining techniques

Validated HPV DNA Test

Intervention Type DIAGNOSTIC_TEST

Digene HC2 HPV DNA Test

Local HPV test

Intervention Type DIAGNOSTIC_TEST

RealBest DNA HPV HR genotype (differential detection of human papillomavirus types 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59 DNA)

Colposcopy

Intervention Type DIAGNOSTIC_TEST

Women with positive cytology results are referred to colposcopy and biopsy

Population sample

A population sample of women in the age group between 25 and 65 years old from several primary healthcare facilities to primary cervical screening

Papanicolaou cytological test

Intervention Type DIAGNOSTIC_TEST

Cervical smear stained using conventional Papanicolaou technique.

Local cytological test (H&E stain)

Intervention Type DIAGNOSTIC_TEST

Cervical smear stained using conventional hematoxylin and eosin staining techniques

Validated HPV DNA Test

Intervention Type DIAGNOSTIC_TEST

Digene HC2 HPV DNA Test

Local HPV test

Intervention Type DIAGNOSTIC_TEST

RealBest DNA HPV HR genotype (differential detection of human papillomavirus types 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59 DNA)

Interventions

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Papanicolaou cytological test

Cervical smear stained using conventional Papanicolaou technique.

Intervention Type DIAGNOSTIC_TEST

Local cytological test (H&E stain)

Cervical smear stained using conventional hematoxylin and eosin staining techniques

Intervention Type DIAGNOSTIC_TEST

Validated HPV DNA Test

Digene HC2 HPV DNA Test

Intervention Type DIAGNOSTIC_TEST

Local HPV test

RealBest DNA HPV HR genotype (differential detection of human papillomavirus types 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59 DNA)

Intervention Type DIAGNOSTIC_TEST

Colposcopy

Women with positive cytology results are referred to colposcopy and biopsy

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

Age between 25 and 65 years old Referral to colposcopy or to a primary screening test Signed informed consent

Exclusion Criteria

Prior history of malignancy or cervical dysplasia Prior history of cervical dysplasia
Minimum Eligible Age

25 Years

Maximum Eligible Age

65 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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N.N. Petrov National Medical Research Center of Oncology

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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N.N. Petrov National Medical Research Center of Oncology

Saint Petersburg, , Russia

Site Status RECRUITING

Countries

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Russia

Facility Contacts

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Olga Smirnova, MD, PhD

Role: primary

+7 812 439 9555

Other Identifiers

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CC-001

Identifier Type: -

Identifier Source: org_study_id

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