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Trial Title: Self-collection for HPV Testing to Improve Cervical Cancer Prevention (SHIP) Trial (LMI-001-A-S01)

NCT ID: NCT06498661

Condition: Cervical Carcinoma
Human Papillomavirus Infection

Conditions: Official terms:
Papillomavirus Infections
Uterine Cervical Neoplasms

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Prevention

Masking: None (Open Label)

Masking description: Samples will be shipped to BD-specified testing laboratories for blinded HPV testing as per BD-specified frequency and stability information.

Intervention:

Intervention type: Procedure
Intervention name: Biospecimen Collection
Description: Undergo collection of cervical samples by clinician
Arm group label: Prevention (self-collected and clinician-collected samples)

Other name: Biological Sample Collection

Other name: Biospecimen Collected

Other name: Specimen Collection

Intervention type: Procedure
Intervention name: Cervical Biopsy
Description: Undergo cervical biopsy conducted by clinician
Arm group label: Prevention (self-collected and clinician-collected samples)

Intervention type: Procedure
Intervention name: Colposcopy
Description: Undergo colposcopy conducted by clinician
Arm group label: Prevention (self-collected and clinician-collected samples)

Other name: CP

Intervention type: Other
Intervention name: Electronic Health Record Review
Description: Ancillary studies
Arm group label: Prevention (self-collected and clinician-collected samples)

Intervention type: Procedure
Intervention name: Endocervical Curettage
Description: Undergo endocervical curettage conducted by clinician
Arm group label: Prevention (self-collected and clinician-collected samples)

Intervention type: Procedure
Intervention name: Excision
Description: Undergo cervical excisional procedure conducted by clinician
Arm group label: Prevention (self-collected and clinician-collected samples)

Other name: Abscission

Other name: Extirpation

Other name: Surgical Removal

Intervention type: Procedure
Intervention name: HPV Self-Collection
Description: Undertake self-collection of vaginal samples
Arm group label: Prevention (self-collected and clinician-collected samples)

Other name: At-home HPV Self Collection

Other name: HPV Self Collection

Other name: Human Papillomavirus Self-Collection

Intervention type: Procedure
Intervention name: Human Papillomavirus Test
Description: Undergo HPV testing of self-collected vaginal samples and cervical samples
Arm group label: Prevention (self-collected and clinician-collected samples)

Other name: HPV Assay

Other name: HPV Test

Other name: Human Papillomavirus

Intervention type: Other
Intervention name: Questionnaire Administration
Description: Ancillary studies
Arm group label: Prevention (self-collected and clinician-collected samples)

Intervention type: Other
Intervention name: Survey Administration
Description: Ancillary studies
Arm group label: Prevention (self-collected and clinician-collected samples)

Summary: 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. It is known to cause a variety of cancers including cancer of the cervix. Even though there are ways to detect cervical cancer early, many individuals do not undergo screening that involves pelvic exams. Over half of all new cervical cancer cases are among those who have either never been screened or who are not screened enough. Without appropriate screening and care, preventable pre-cancers may turn into cancer. A new way to detect cervical cancer is to have individuals collect their own vaginal 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. 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: PRIMARY OBJECTIVE: 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 Becton, Dickinson and Company (BD) Onclarity (trademark) HPV assay: Any high risk (HR) HPV genotype, HPV16, HPV18, HPV31, HPV45, HPV51, HPV52, HPV33/58, HPV35/39/68, HPV56/59/66. EXPLORATORY OBJECTIVE: I. To evaluate human factors affecting usability, acceptability, and preferences for self-collection. OBJECTIVE FOR PILOT PHASE: I. The emphasis in the pilot phase of the study will be on streamlining and refining study procedures and clinical and operational workflows. OUTLINE: Patients undergo self-collection of two vaginal samples and then undergo clinician-collection of a cervical test sample. Patients then undergo standard of care colposcopy with 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 study analysis purposes.

Criteria for eligibility:
Criteria:
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

Gender: Female

Minimum age: 25 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: University of Alabama at Birmingham Cancer Center

Address:
City: Birmingham
Zip: 35233
Country: United States

Status: Not yet recruiting

Contact:
Last name: Warner K. Huh
Email: whuh@uabmc.edu

Investigator:
Last name: Warner K. Huh
Email: Principal Investigator

Facility:
Name: UCSF Medical Center-Parnassus

Address:
City: San Francisco
Zip: 94143
Country: United States

Status: Not yet recruiting

Contact:
Last name: George Sawaya
Email: george.sawaya@ucsf.edu

Investigator:
Last name: George Sawaya
Email: Principal Investigator

Facility:
Name: Yale University

Address:
City: New Haven
Zip: 06520
Country: United States

Status: Not yet recruiting

Contact:
Last name: Sangini Sheth
Email: sangini.sheth@yale.edu

Investigator:
Last name: Sangini Sheth
Email: Principal Investigator

Facility:
Name: University of Miami Miller School of Medicine-Sylvester Cancer Center

Address:
City: Miami
Zip: 33136
Country: United States

Status: Not yet recruiting

Contact:
Last name: Erin Kobetz-Kerman
Email: ekobetz@med.miami.edu

Investigator:
Last name: Erin Kobetz-Kerman
Email: Principal Investigator

Facility:
Name: Emory University Hospital/Winship Cancer Institute

Address:
City: Atlanta
Zip: 30322
Country: United States

Status: Recruiting

Contact:
Last name: Lisa C. Flowers
Email: lflowe2@emory.edu

Investigator:
Last name: Lisa C. Flowers
Email: Principal Investigator

Facility:
Name: UofL Health Medical Center Northeast

Address:
City: Louisville
Zip: 40245
Country: United States

Status: Not yet recruiting

Contact:
Last name: Tanya E. Franklin

Phone: 502-561-7463
Email: tanya.franklin@louisville.edu

Investigator:
Last name: Tanya E. Franklin
Email: Principal Investigator

Facility:
Name: Louisiana State University Health Science Center

Address:
City: New Orleans
Zip: 70112
Country: United States

Status: Not yet recruiting

Contact:
Last name: Michael E. Hagensee
Email: mhagen@lsuhsc.edu

Investigator:
Last name: Michael E. Hagensee
Email: Principal Investigator

Facility:
Name: Johns Hopkins University/Sidney Kimmel Cancer Center

Address:
City: Baltimore
Zip: 21287
Country: United States

Status: Not yet recruiting

Contact:
Last name: Jenell S. Coleman
Email: colemanj@jhmi.edu

Investigator:
Last name: Jenell S. Coleman
Email: Principal Investigator

Facility:
Name: University of Michigan Comprehensive Cancer Center

Address:
City: Ann Arbor
Zip: 48109
Country: United States

Status: Not yet recruiting

Contact:
Last name: Diane M. Harper
Email: harperdi@med.umich.edu

Investigator:
Last name: Diane M. Harper
Email: Principal Investigator

Facility:
Name: Minneapolis VA Medical Center

Address:
City: Minneapolis
Zip: 55417
Country: United States

Status: Not yet recruiting

Contact:
Last name: Elisheva Danan

Phone: 612-629-7517
Email: elizabeth.danan@va.gov

Investigator:
Last name: Elisheva Danan
Email: Principal Investigator

Facility:
Name: University of Mississippi Medical Center

Address:
City: Jackson
Zip: 39216
Country: United States

Status: Not yet recruiting

Contact:
Last name: Carolann Risley

Phone: 228-217-2017
Email: crisley@umc.edu

Investigator:
Last name: Carolann Risley
Email: Principal Investigator

Facility:
Name: University of New Mexico Cancer Center

Address:
City: Albuquerque
Zip: 87106
Country: United States

Status: Not yet recruiting

Contact:
Last name: Cosette M. Wheeler

Phone: 505-269-5817
Email: cwheeler@salud.unm.edu

Investigator:
Last name: Cosette M. Wheeler
Email: Principal Investigator

Facility:
Name: Montefiore Medical Center-Einstein Campus

Address:
City: Bronx
Zip: 10461
Country: United States

Status: Not yet recruiting

Contact:
Last name: Mark H. Einstein
Email: mark.einstein@einsteinmed.edu

Investigator:
Last name: Mark H. Einstein
Email: Principal Investigator

Facility:
Name: NYP/Weill Cornell Medical Center

Address:
City: New York
Zip: 10065
Country: United States

Status: Not yet recruiting

Contact:
Last name: Denise A. Howard
Email: deh3002@med.cornell.edu

Investigator:
Last name: Denise A. Howard
Email: Principal Investigator

Facility:
Name: UNC Lineberger Comprehensive Cancer Center

Address:
City: Chapel Hill
Zip: 27599
Country: United States

Status: Recruiting

Contact:
Last name: Lisa Rahangdale
Email: lisa_rahangdale@med.unc.edu

Investigator:
Last name: Lisa Rahangdale
Email: Principal Investigator

Facility:
Name: University of Cincinnati Cancer Center-UC Medical Center

Address:
City: Cincinnati
Zip: 45219
Country: United States

Status: Not yet recruiting

Contact:
Last name: Leeya F. Pinder
Email: pinderl@ucmail.uc.edu

Investigator:
Last name: Leeya F. Pinder
Email: Principal Investigator

Facility:
Name: Cleveland Clinic Foundation

Address:
City: Cleveland
Zip: 44195
Country: United States

Status: Not yet recruiting

Contact:
Last name: Miriam Cremer

Phone: 216-312-0618
Email: cremerm@ccf.org

Investigator:
Last name: Miriam Cremer
Email: Principal Investigator

Facility:
Name: University of Oklahoma Health Sciences Center

Address:
City: Oklahoma City
Zip: 73104
Country: United States

Status: Not yet recruiting

Contact:
Last name: Joan L. Walker
Email: joan-walker@ouhsc.edu

Investigator:
Last name: Joan L. Walker
Email: Principal Investigator

Facility:
Name: University of Pennsylvania/Abramson Cancer Center

Address:
City: Philadelphia
Zip: 19104
Country: United States

Status: Not yet recruiting

Contact:
Last name: Carmen Guerra
Email: carmen.guerra@pennmedicine.upenn.edu

Investigator:
Last name: Carmen Guerra
Email: Principal Investigator

Facility:
Name: UPMC-Magee Womens Hospital

Address:
City: Pittsburgh
Zip: 15213
Country: United States

Status: Not yet recruiting

Contact:
Last name: Harold C. Wiesenfeld

Phone: 412-641-1403
Email: wieshc@upmc.edu

Investigator:
Last name: Harold C. Wiesenfeld
Email: Principal Investigator

Facility:
Name: M D Anderson Cancer Center

Address:
City: Houston
Zip: 77030
Country: United States

Status: Not yet recruiting

Contact:
Last name: Elizabeth Y. Chiao

Phone: 713-792-1860
Email: eychiao@mdanderson.org

Investigator:
Last name: Elizabeth Y. Chiao
Email: Principal Investigator

Facility:
Name: Huntsman Cancer Institute/University of Utah

Address:
City: Salt Lake City
Zip: 84112
Country: United States

Status: Not yet recruiting

Contact:
Last name: Theresa L. Werner
Email: theresa.werner@hci.utah.edu

Investigator:
Last name: Theresa L. Werner
Email: Principal Investigator

Facility:
Name: Virginia Commonwealth University/Massey Cancer Center

Address:
City: Richmond
Zip: 23298
Country: United States

Status: Not yet recruiting

Contact:
Last name: Nicole W. Karjane
Email: nicole.karjane@vcuhealth.org

Investigator:
Last name: Nicole W. Karjane
Email: Principal Investigator

Facility:
Name: University of Washington Medical Center - Northwest

Address:
City: Seattle
Zip: 98133
Country: United States

Status: Not yet recruiting

Contact:
Last name: Rachel L. Winer

Phone: 206-616-5081
Email: rlw@uw.edu

Investigator:
Last name: Rachel L. Winer
Email: Principal Investigator

Facility:
Name: University of Puerto Rico

Address:
City: San Juan
Zip: 00936
Country: Puerto Rico

Status: Not yet recruiting

Contact:
Last name: Ana P. Ortiz
Email: ana.ortiz7@upr.edu

Investigator:
Last name: Ana P. Ortiz
Email: Principal Investigator

Start date: June 26, 2024

Completion date: March 14, 2025

Lead sponsor:
Agency: National Cancer Institute (NCI)
Agency class: NIH

Source: National Cancer Institute (NCI)

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06498661

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