Randomized Controlled Trial of Human Papillomavirus Testing in Primary Cervical Cancer Screening
NCT00479375 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 12527
Last updated 2007-05-28
Summary
Human papillomavirus (HPV)-based cervical screening is known to increase sensitivity for detection of high-grade cervical intraepithelial neoplasia (CIN). Randomized trials of longitudinal efficacy are required to assess whether these gains represent overdiagnosis or a protective effect.
Methods: A total of 12527 women, aged 32-38, attending population-based invitational screening in Sweden were randomized 1:1 to HPV test and cytology (intervention arm) or cytology only (control arm). HPV-positive women were invited for a second HPV test at least one year later and women with type-specific persistent infections were then invited to colposcopy. A similar number of random double-blinded procedures are performed in the control arm. Women are followed with comprehensive registry-based follow-up. Primary outcome is the relative rates of CIN grade 2 or worse (CIN2/CIN3+) found in subsequent screening. Secondary outcomes are the relative rates of CIN2/CIN3+ found in the aseline screening and outcomes stratified by grade of CIN (CIN 2 or CIN3+).
Conditions
- Cervical Cancer
- Cervical Intraepithelial Neoplasia
Interventions
- PROCEDURE
-
Adding Human Papillomavirus testing to organised cervical screening
Sponsors & Collaborators
-
Swedish Cancer Society
collaborator OTHER -
Europe Against Cancer (European Union Directorate General XII- Public Health)
collaborator UNKNOWN -
Skane University Hospital
lead OTHER
Principal Investigators
-
Joakim Dillner, MD · Malmo University Hospital, Lund University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- SCREENING
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 32 Years
- Max Age
- 38 Years
- Sex
- FEMALE
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 1997-05-31
- Completion
- 2007-05-31
Countries
- Sweden
Study Locations
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