Self-collection for HPV Testing to Improve Cervical Cancer Prevention (SHIP) Trial (LMI-001-A-S03)

NCT ID: NCT06611540

Last Updated: 2025-12-30

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

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

500 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-09-11

Study Completion Date

2026-12-31

Brief Summary

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This clinical trial evaluates the use of self-collected vaginal samples for human papillomavirus (HPV) testing in patients referred for a colposcopy and/or cervical excisional procedures to improve cervical cancer prevention. HPV is a common virus which usually causes infections that last only a few months, but sometimes can last longer. HPV is known to cause a variety of cancers including cervical cancer. Even though there are ways to detect cervical cancer, many individuals are not diagnosed. Over half of all new cervical cancer cases are among those who have either never been screened or who are not screened enough. The low screening numbers show more testing needs to be done. Without appropriate screening and care, preventable precancer may turn into cancer. A new way to detect cervical cancer is to have individuals collect their own sample for HPV testing to know their risk for cervical cancer. This may give individuals more flexibility and comfort having the ability to collect samples themselves, compared to a doctor performing a speculum examination and collecting the samples in a clinic. Information gathered from this study compares clinical accuracy of HPV testing on self-collected vaginal samples versus cervical samples collected by clinician.

The Self-collection for HPV Testing to Improve Cervical Cancer Prevention (SHIP) Trial is part of the National Cancer Institute (NCI)'s Cervical Cancer 'Last Mile' Initiative, a public private partnership that seeks to increase access to cervical cancer screening. The SHIP Trial focuses on developing clinical evidence to inform the US Food and Drug Administration (FDA)'s regulatory reviews of self-collection approaches as alternative sample collection approaches for cervical cancer screening. Several industry partner-specific self-collection device and assay combinations will be non-competitively and independently evaluated with a similar study design framework to inform pre-approval and/or post-approval regulatory requirements.

Detailed Description

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PRIMARY OBJECTIVES:

I. To evaluate clinical accuracy (including clinical sensitivity, clinical specificity, false positive rate, and false negative rate) for the detection of cervical precancer/cancer and agreement/concordance (including positive percent agreement and negative percent agreement) on self-collected (SC) versus clinician-collected (CC) samples for the following HPV genotype detections and groupings: by the Roche cobas HPV tests:

Ia. Any high-risk (HR) HPV genotype; Ib. HPV16; Ic. HPV 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66 and 68 (combined).

EXPLORATORY OBJECTIVE:

I. To evaluate human factors affecting usability, acceptability, and preferences for self-collection.

OUTLINE:

Patients undergo self-collection of a vaginal sample and then undergo clinician-collection of a cervical test sample. Patients then undergo standard of care (SOC) colposcopy with cervical biopsy/endocervical curettage and/or cervical excisional procedures as clinically indicated.

After completion of study intervention (one-time), laboratory results available within 90 days are collected for purposes of study outcomes.

Conditions

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Cervical Carcinoma Human Papillomavirus Infection

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

SC and CC samples will be handled similarly for post-collection processing and will be shipped to designated testing laboratories for HPV testing as per Roche-specified frequency and stability information. The sample tubes/containers will be pre-labeled to ensure that the testing laboratories cannot make linkages between an individual's sample pairs (SC, CC) thereby permitting unbiased and blinded testing and reporting.

Study Groups

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Prevention (self-collected and clinician-collected samples)

Patients undergo self-collection of a vaginal sample and then undergo clinician-collection of a cervical test sample. Patients then undergo SOC colposcopy with cervical biopsy/endocervical curettage and/or cervical excisional procedures as clinically indicated.

Group Type EXPERIMENTAL

Biospecimen Collection

Intervention Type PROCEDURE

Undergo collection of a cervical sample by clinician

Cervical Biopsy

Intervention Type PROCEDURE

Undergo cervical biopsy

Colposcopy

Intervention Type PROCEDURE

Undergo colposcopy

Electronic Health Record Review

Intervention Type OTHER

Ancillary studies

Endocervical Curettage

Intervention Type PROCEDURE

Undergo endocervical curettage

Excision

Intervention Type PROCEDURE

Undergo cervical excisional procedure

HPV Self-Collection

Intervention Type PROCEDURE

Undertake self-collection of vaginal sample

Human Papillomavirus Test

Intervention Type PROCEDURE

Undergo HPV testing of self-collected vaginal samples and cervical samples

Questionnaire Administration

Intervention Type OTHER

Ancillary studies

Interventions

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Biospecimen Collection

Undergo collection of a cervical sample by clinician

Intervention Type PROCEDURE

Cervical Biopsy

Undergo cervical biopsy

Intervention Type PROCEDURE

Colposcopy

Undergo colposcopy

Intervention Type PROCEDURE

Electronic Health Record Review

Ancillary studies

Intervention Type OTHER

Endocervical Curettage

Undergo endocervical curettage

Intervention Type PROCEDURE

Excision

Undergo cervical excisional procedure

Intervention Type PROCEDURE

HPV Self-Collection

Undertake self-collection of vaginal sample

Intervention Type PROCEDURE

Human Papillomavirus Test

Undergo HPV testing of self-collected vaginal samples and cervical samples

Intervention Type PROCEDURE

Questionnaire Administration

Ancillary studies

Intervention Type OTHER

Other Intervention Names

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Biological Sample Collection Biospecimen Collected Specimen Collection CP Abscission Extirpation Surgical Removal At-home HPV Self Collection HPV Self Collection Human Papillomavirus Self-Collection HPV Assay HPV Test Human Papillomavirus

Eligibility Criteria

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Inclusion Criteria

* Willingness and ability to provide a documented informed consent.
* Is 25 years or older.
* Has an intact cervix.
* Has had a referral for colposcopy and/or cervical excisional procedure in which routine cervical cancer screening has included HPV testing (HPV primary screening, co-testing, or atypical squamous cells of undetermined significance \[ASC-US\] cytology triage) or abnormal cytology performed within the past 12 months preceding the referral visit.
* Willing and able to undergo colposcopy, and if clinically indicated for SOC purposes, a biopsy, endocervical curettage, and/or a cervical excisional procedure, as applicable.

Exclusion Criteria

* Is pregnant when presenting for the referral visit or gave birth within the past 3 months.
* Has a known history of excisional or ablative therapy to the cervix (e.g., loop electrosurgical excision procedure \[LEEP\], cone biopsy, cervical laser surgery, cryotherapy, thermal ablation) in the last 12 months prior to the referral visit.
* Has had a complete or partial hysterectomy, either supracervical or involving removal of the cervix, via self-report or confirmation via medical records.
* Known medical conditions that, in the opinion of the investigator, preclude study participation.
* Previous participation in the SHIP Trial. Participation is defined as completing the self-collection.
* Is experiencing unusual bleeding or pelvic pain.
Minimum Eligible Age

25 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Vikrant V Sahasrabuddhe

Role: PRINCIPAL_INVESTIGATOR

National Cancer Institute Division of Cancer Prevention

Locations

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Emory University Hospital/Winship Cancer Institute

Atlanta, Georgia, United States

Site Status

UofL Health Medical Center Northeast

Louisville, Kentucky, United States

Site Status

University of Michigan Rogel Cancer Center

Ann Arbor, Michigan, United States

Site Status

Minneapolis VA Medical Center

Minneapolis, Minnesota, United States

Site Status

University of New Mexico Cancer Center

Albuquerque, New Mexico, United States

Site Status

Montefiore Medical Center-Einstein Campus

The Bronx, New York, United States

Site Status

UNC Lineberger Comprehensive Cancer Center

Chapel Hill, North Carolina, United States

Site Status

University of Cincinnati Cancer Center-UC Medical Center

Cincinnati, Ohio, United States

Site Status

University of Pennsylvania/Abramson Cancer Center

Philadelphia, Pennsylvania, United States

Site Status

M D Anderson Cancer Center

Houston, Texas, United States

Site Status

Huntsman Cancer Institute/University of Utah

Salt Lake City, Utah, United States

Site Status

Countries

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Puerto Rico United States

Other Identifiers

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NCI-2024-07724

Identifier Type: REGISTRY

Identifier Source: secondary_id

LMI-001-A-S03

Identifier Type: OTHER

Identifier Source: secondary_id

LMI-001-A-S03

Identifier Type: OTHER

Identifier Source: secondary_id

NCI-2024-07724

Identifier Type: -

Identifier Source: org_study_id