Evaluating the Impact of Different Methods of HPV DNA Testing for Cervical Cancer Screening in Primary Care Settings

NCT ID: NCT06528184

Last Updated: 2025-02-10

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

RECRUITING

Clinical Phase

NA

Total Enrollment

650 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-08-05

Study Completion Date

2026-12-31

Brief Summary

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Primary objective of the study is to determine the extent that offering of self-sampling in addition to clinician-sampling Human Papillomavirus (HPV) DNA testing will increase detection of HPV DNA through an increase in uptake rates of cervical cancer screening as compared to offering clinician-sampling HPV DNA testing alone.

The hypothesis is that offering additional self-sampling will increase the detection of high-risk HPV DNA by at least 7.7%.

Detailed Description

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This study is a pragmatic, multi-center, 1:1 randomized controlled trial designed to evaluate the impact of self-sampling HPV DNA testing on clinical outcomes and cost-effectiveness in cervical cancer screening. The trial will compare 2 approaches to HPV DNA testing within public primary care settings.

Participants in the intervention arm will first be offered a clinician-sampling HPV DNA test. If they decline, they will be offered the option of self-sampling HPV DNA test. The control arm will follow the standard protocol of offering only the conventional clinician-sampling HPV DNA test, reflecting the current standard of care in cervical cancer screening.

This study seeks to provide robust evidence on whether self-sampling can improve clinical outcomes, be cost-effective and be feasibility implemented in routine public primary healthcare settings. The findings are expected to inform future guidelines and policies for cervical cancer screening programs.

Conditions

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Uterine Cervical Neoplasms

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Usual care arm

Participants will only be offered clinician-sampling for HPV DNA testing to determine if they are agreeable to undergo screening.

Group Type ACTIVE_COMPARATOR

Clinician-sampled HPV DNA test

Intervention Type DIAGNOSTIC_TEST

Participants will be offered HPV DNA testing through clinician sampling (clinician-sampling (speculum examination by a nurse to obtain a cervical swab)

Intervention arm

Participants will be offered clinician-sampling or self-sampling for HPV DNA testing to determine if they are agreeable to undergo screening using either modality.

Group Type EXPERIMENTAL

Self-sampled HPV DNA testing

Intervention Type DIAGNOSTIC_TEST

Participants will be offered HPV DNA testing done through self-sampling (using self-sampling HPV DNA kits to obtain a mid-vaginal swab)

Clinician-sampled HPV DNA test

Intervention Type DIAGNOSTIC_TEST

Participants will be offered HPV DNA testing through clinician sampling (clinician-sampling (speculum examination by a nurse to obtain a cervical swab)

Interventions

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Self-sampled HPV DNA testing

Participants will be offered HPV DNA testing done through self-sampling (using self-sampling HPV DNA kits to obtain a mid-vaginal swab)

Intervention Type DIAGNOSTIC_TEST

Clinician-sampled HPV DNA test

Participants will be offered HPV DNA testing through clinician sampling (clinician-sampling (speculum examination by a nurse to obtain a cervical swab)

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* 30-69 years old female Singapore citizens
* Due for cervical cancer screening
* Engaged in sexual intercourse before
* Able to give informed consent
* Able to read and communicate in English, Chinese or Malay

Exclusion Criteria

* Virgo intacta
* Pregnancy
* History of cervical cancer, precancerous cervical lesions and total hysterectomy
Minimum Eligible Age

30 Years

Maximum Eligible Age

69 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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National Healthcare Group, Singapore

OTHER_GOV

Sponsor Role collaborator

KK Women's and Children's Hospital

OTHER_GOV

Sponsor Role collaborator

National Healthcare Group Polyclinics

OTHER_GOV

Sponsor Role lead

Responsible Party

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Ng Xin Rong

Family Physician

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ng Xin Rong, MBBS

Role: PRINCIPAL_INVESTIGATOR

National Healthcare Group Polyclinics

Locations

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National Healthcare Group Polyclinics

Singapore, Singapore, Singapore

Site Status RECRUITING

Countries

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Singapore

Central Contacts

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Ng Xin Rong, MBBS

Role: CONTACT

+65 63553000

Facility Contacts

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Ng Xin Rong, MBBS

Role: primary

65-90929973

References

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Ng XR, Quek IP, Pereira MJ, Molina JA, Ngeow J, Wong SKW. Randomised controlled trial evaluating the impact of different methods of HPV DNA testing for cervical cancer screening in Singapore's primary care settings: a study protocol. BMJ Open. 2025 Mar 24;15(3):e095091. doi: 10.1136/bmjopen-2024-095091.

Reference Type DERIVED
PMID: 40132819 (View on PubMed)

Other Identifiers

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SCS-GRA-2023-00253

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

2024/00194

Identifier Type: -

Identifier Source: org_study_id

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