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Trial Title: Cervical Cytology DNA Methylation for Cervical Cancer Screening

NCT ID: NCT06557954

Condition: Cervical Cancer
DNA Methylation
Cytology
Human Papillomavirus Infection
Cervical Intraepithelial Neoplasia
Cancer Screening

Conditions: Official terms:
Papillomavirus Infections
Uterine Cervical Neoplasms
Uterine Cervical Dysplasia

Study type: Observational

Overall status: Not yet recruiting

Study design:

Time perspective: Retrospective

Intervention:

Intervention type: Diagnostic Test
Intervention name: human PAX1 and JAM3 gene methylation assays (PAX1m/JAM3m)
Description: PAX1m/JAM3m, with or without HPV testing and cytological pathology for cervical cancer screening

Other name: HPV testing

Other name: cytological pathology

Summary: Cervical cancer represents one of the foremost causes of cancer-related morbidity and mortality among women worldwide. Given the current limitations, such as the low specificity of human papillomavirus (HPV) testing and the relatively low sensitivity of cytological examinations, there is a pressing need for a novel, non-invasive, safe, and precise screening method. This study aims to undertake a multicentre, real-world investigation, incorporating at least 10 sub-centres and enrolling 30,000 participants. Histopathological examination results will serve as the 'gold standard' for evaluating the screening efficacy of human PAX1 and JAM3 gene methylation assays (PAX1m/JAM3m), HPV testing, and cytological examinations. Furthermore, the study seeks to elucidate the relationship between DNA methylation levels and persistent HPV infection, while also assessing the applicability of PAX1m/JAM3m across diverse clinical settings. By focusing on alterations in DNA methylation levels within cervical exfoliated cells as the primary research trajectory, this study aspires to furnish novel insights and theoretical foundations for the prevention and management of cervical cancer, targeting PAX1m/JAM3m. The ultimate objective is to facilitate the clinical implementation of an enhanced cervical cancer screening protocol, thereby addressing the deficiencies of current screening methodologies, achieving greater precision in cervical cancer screening, and effectively reducing the incidence of cervical cancer while mitigating the risks of overdiagnosis and overtreatment.

Criteria for eligibility:

Study pop:
All women asking for cervical cancer screening in hospital situation or in community situationg

Sampling method: Non-Probability Sample
Criteria:
Inclusion Criteria: - Aged 18 years or older - With uterine cervix intact - Given consents to participate the study - With detailed follow-up outcomes Exclusion Criteria: - Not meeting all of the inclusion criteria

Gender: Female

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Peking Union Medical College Hospital

Address:
City: Beijing
Country: China

Start date: September 1, 2024

Completion date: October 1, 2026

Lead sponsor:
Agency: Lei Li
Agency class: Other

Source: Peking Union Medical College Hospital

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06557954

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