Real-world Effectiveness of HPV Vaccine in Women Living With HIV and Its Impact on Cervical Cancer Screening Accuracies

NCT ID: NCT06144229

Last Updated: 2025-08-29

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

ENROLLING_BY_INVITATION

Total Enrollment

810 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-11-12

Study Completion Date

2028-11-30

Brief Summary

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This study will examine both Human papillomavirus (HPV) vaccine effectiveness and Primary high-risk HPV PHS screening triage strategies in women living with HIV (WLHIV) by partnering with the Pediatric HIV/AIDs Cohort Study (PHACS) led, in part, by our investigative team. Among WWH, the study will examine the effectiveness of the HPV vaccine The study will screen approximately 810 WWH using a self-sampling kit and those who are PHS\[+\] will attend a clinical visit to have colposcopy/biopsy and 4 triage tests. WWH with \<CIN 2+ are asked to return annually for colposcopy and HPV genotyping for up to 3 yrs. WWH PHS\[-\] will be asked to return in Year 2 for rescreening. Those PHS\[+\] will be followed as above and PHS\[-\] will be asked to obtain self-collected vaginal samples for HPV genotyping annually for 3 years.

Detailed Description

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Conditions

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Hiv Hpv

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Interventions

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Self-Collection HPV testing kit from Abbott

Self-swab collection kits, participates will self-collected vaginal swab for hrHPV test (at home or in the clinic)

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* At least 21 years of age and less than or equal to 40 years of age;
* WLHIV regardless of mode of transmission or HPV vaccination status;
* Current enrollment in the Pediatric HIV/AIDS Cohort Study (PHACS),Surveillance Monitoring for ART Toxicities (SMARTT), Adolescent Master Protocol for Participants 18 Years of Age and Older (AMP Up), Adolescent Master Protocol for Participants 18 Years of Age and Older - Lite (AMP Up Lite), or Health Outcomes around Pregnancy and Exposure to HIV/ARVs (HOPE) studies;
* Willing to participate and able to provide informed consent;
* Willing to grant access to other PHACS/HOPE data; and
* Willing to provide access to medical records.

Exclusion Criteria

* Currently known to be pregnant via self-report at hrHPV screening for initial consent;
* Special consideration: Women who test positive on urine pregnancy test at the baseline colposcopy visit will be asked to defer their colposcopy until after 6 weeks following the end of the pregnancy. However, pregnancy during follow-up will be allowed, and guidelines for endocervical curettage (ECC) and treatment will be followed.39
* Women known to have active CIN 2 or greater, undergoing active surveillance with colposcopy (per participant report);
* Women with known bleeding disorders;
* Women unable to consent for themselves; and
* Women with a hysterectomy with removal of the cervix will be excluded from the study and, if such a procedure is conducted during the participant's study enrollment, the individual will be censored from analysis at the last visit prior to the hysterectomy and taken off-study.
Minimum Eligible Age

21 Years

Maximum Eligible Age

40 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Harvard School of Public Health (HSPH)

OTHER

Sponsor Role collaborator

Frontier Science & Technology Research Foundation, Inc.

INDUSTRY

Sponsor Role collaborator

Albert Einstein College of Medicine

OTHER

Sponsor Role collaborator

Boston Children's Hospital

OTHER

Sponsor Role collaborator

St. Jude Children's Research Hospital

OTHER

Sponsor Role collaborator

University of Colorado, Denver

OTHER

Sponsor Role collaborator

Bronx-Lebanon Hospital Center Health Care System

OTHER

Sponsor Role collaborator

University of Miami

OTHER

Sponsor Role collaborator

Baylor College of Medicine

OTHER

Sponsor Role collaborator

Children's Hospital New Orleans, LA

OTHER

Sponsor Role collaborator

Jacobi Medical Center

OTHER

Sponsor Role collaborator

Ann & Robert H Lurie Children's Hospital of Chicago

OTHER

Sponsor Role collaborator

University of California, Los Angeles

OTHER

Sponsor Role lead

Responsible Party

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Anna-Barbara Moscicki, MD

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Anna-Barbara Moscicki, MD

Role: PRINCIPAL_INVESTIGATOR

University of California, Los Angeles

Denise L Jacobson, PhD,MPH

Role: STUDY_CHAIR

Harvard School of Public Health (HSPH)

Howard D Strickler, MD, MPH

Role: STUDY_CHAIR

Albert Einstein College of Medicine

Tzy-Jyun Yao, PhD

Role: STUDY_CHAIR

Harvard School of Public Health (HSPH)

Locations

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University of Colorado

Denver, Colorado, United States

Site Status

Univeristy of Miami

Miami, Florida, United States

Site Status

Ann & Robert H Lurie Children's Hospital of Chicago

Chicago, Illinois, United States

Site Status

Children's Hospital New Orleans

New Orleans, Louisiana, United States

Site Status

Boston Children's Hospital

Boston, Massachusetts, United States

Site Status

Bronx-Lebanon Hospital Center Health Care System

The Bronx, New York, United States

Site Status

Jacobi Medical Center

The Bronx, New York, United States

Site Status

St. Jude Children's research hospital

Memphis, Tennessee, United States

Site Status

Baylor college of Medicine

Houston, Texas, United States

Site Status

Countries

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United States

Other Identifiers

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PH700

Identifier Type: -

Identifier Source: org_study_id

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