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
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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RECRUITING
NA
650 participants
INTERVENTIONAL
2024-08-05
2026-12-31
Brief Summary
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The hypothesis is that offering additional self-sampling will increase the detection of high-risk HPV DNA by at least 7.7%.
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Detailed Description
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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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Study Design
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RANDOMIZED
PARALLEL
PREVENTION
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.
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 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.
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)
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)
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)
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)
Eligibility Criteria
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Inclusion Criteria
* 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
* Pregnancy
* History of cervical cancer, precancerous cervical lesions and total hysterectomy
30 Years
69 Years
FEMALE
Yes
Sponsors
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National Healthcare Group, Singapore
OTHER_GOV
KK Women's and Children's Hospital
OTHER_GOV
National Healthcare Group Polyclinics
OTHER_GOV
Responsible Party
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Ng Xin Rong
Family Physician
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
Countries
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Central Contacts
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Facility Contacts
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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.
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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