Trial Outcomes & Findings for Preventive Sexual Health Screening Among Female-to-Male (FTM) Transgender Adult Patients (NCT NCT02401867)

NCT ID: NCT02401867

Last Updated: 2017-06-28

Results Overview

Quantitatively assessed the non-inferiority of vaginal self-swab for HPV DNA compared to provider-collected cervical swab for HPV via laboratory confirmed testing in sexually active FTM adults. Compared the concordance of the positive self-swab HPV DNA test results to the positive cervical provider swab HPV DNA test results (reference) using the McNemar's test, a two-sample test for binomial proportions for matched-pair data.

Recruitment status

COMPLETED

Target enrollment

150 participants

Primary outcome timeframe

1 day

Results posted on

2017-06-28

Participant Flow

Participant milestones

Participant milestones
Measure
Overall Sample
Overall sample reported as all participants received both the self and the provider swab.
Enrolled
STARTED
150
Enrolled
COMPLETED
150
Enrolled
NOT COMPLETED
0
Specimen Collection
STARTED
150
Specimen Collection
COMPLETED
140
Specimen Collection
NOT COMPLETED
10
Analysis
STARTED
140
Analysis
COMPLETED
131
Analysis
NOT COMPLETED
9

Reasons for withdrawal

Reasons for withdrawal
Measure
Overall Sample
Overall sample reported as all participants received both the self and the provider swab.
Specimen Collection
Didn't receive 1 or more tests
10
Analysis
Cervical assay could not be conducted
9

Baseline Characteristics

Preventive Sexual Health Screening Among Female-to-Male (FTM) Transgender Adult Patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Full Sample
n=150 Participants
Descriptive characteristics for the full sample (n=150).
Age, Categorical
<=18 years
0 Participants
n=99 Participants
Age, Categorical
Between 18 and 65 years
150 Participants
n=99 Participants
Age, Categorical
>=65 years
0 Participants
n=99 Participants
Age, Continuous
27.49 years
STANDARD_DEVIATION 5.74 • n=99 Participants
Sex/Gender, Customized
Trans Masculine/ Male to Female
150 Participants
n=99 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
Race (NIH/OMB)
Asian
9 Participants
n=99 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=99 Participants
Race (NIH/OMB)
Black or African American
4 Participants
n=99 Participants
Race (NIH/OMB)
White
112 Participants
n=99 Participants
Race (NIH/OMB)
More than one race
23 Participants
n=99 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=99 Participants
Race/Ethnicity, Customized
Yes, Hispanic/Latino
14 Participants
n=99 Participants
Race/Ethnicity, Customized
Not Hispanic/Latino
133 Participants
n=99 Participants
Race/Ethnicity, Customized
Unknown
3 Participants
n=99 Participants
Region of Enrollment
United States
150 participants
n=99 Participants
Diagnosed with Chlamydia - Lifetime
Yes
8 Participants
n=99 Participants
Diagnosed with Chlamydia - Lifetime
No
142 Participants
n=99 Participants
Diagnosed with Gonorrhea - Lifetime
Yes
5 Participants
n=99 Participants
Diagnosed with Gonorrhea - Lifetime
No
145 Participants
n=99 Participants
Diagnosed with Syphilis - Lifetime
Yes
1 Participants
n=99 Participants
Diagnosed with Syphilis - Lifetime
No
149 Participants
n=99 Participants
Diagnosed with Trichomoniasis - Lifetime
Yes
6 Participants
n=99 Participants
Diagnosed with Trichomoniasis - Lifetime
No
144 Participants
n=99 Participants
Diagnosed with Hepatitis C - Lifetime
Yes
1 Participants
n=99 Participants
Diagnosed with Hepatitis C - Lifetime
No
149 Participants
n=99 Participants
Diagnosed with Genital Herpes - Lifetime
Yes
5 Participants
n=99 Participants
Diagnosed with Genital Herpes - Lifetime
No
145 Participants
n=99 Participants
Diagnosed with Genital Warts - Lifetime
Yes
4 Participants
n=99 Participants
Diagnosed with Genital Warts - Lifetime
No
146 Participants
n=99 Participants
Diagnosed with HPV - Lifetime
Yes
11 Participants
n=99 Participants
Diagnosed with HPV - Lifetime
No
135 Participants
n=99 Participants
Diagnosed with HPV - Lifetime
Don't Know
3 Participants
n=99 Participants
Diagnosed with HPV - Lifetime
Prefer Not to Answer
1 Participants
n=99 Participants
HIV Status - Lifetime
Positive
1 Participants
n=99 Participants
HIV Status - Lifetime
Negative
120 Participants
n=99 Participants
HIV Status - Lifetime
Don't Know
28 Participants
n=99 Participants
HIV Status - Lifetime
Prefer Not to Answer
1 Participants
n=99 Participants
Provider-Collected Cervical Cytology (Current)
Abnormal
9 Participants
n=99 Participants
Provider-Collected Cervical Cytology (Current)
Normal
111 Participants
n=99 Participants
Provider-Collected Cervical Cytology (Current)
Assay could not be tested
27 Participants
n=99 Participants
Provider-Collected Cervical Cytology (Current)
Assay not collected
3 Participants
n=99 Participants
Provider-Collected Cervical HPV DNA (Current)
Positive
21 Participants
n=99 Participants
Provider-Collected Cervical HPV DNA (Current)
Negative
111 Participants
n=99 Participants
Provider-Collected Cervical HPV DNA (Current)
Assay could not be tested
9 Participants
n=99 Participants
Provider-Collected Cervical HPV DNA (Current)
Assay not collected
9 Participants
n=99 Participants
Self-Collected Vaginal HPV DNA (Current)
Positive
21 Participants
n=99 Participants
Self-Collected Vaginal HPV DNA (Current)
Negative
126 Participants
n=99 Participants
Self-Collected Vaginal HPV DNA (Current)
Assay not collected
3 Participants
n=99 Participants

PRIMARY outcome

Timeframe: 1 day

Population: Analytic sample =131: 10 participants did not receive both the vaginal self-swab HPV DNA test and the provider cervical test (reference); 7 received the self, but not the provider; 1 received the provider, but not the self; 2 did not receive either test. Additionally, 9 of the provider samples could not be assayed due to low cellular content.

Quantitatively assessed the non-inferiority of vaginal self-swab for HPV DNA compared to provider-collected cervical swab for HPV via laboratory confirmed testing in sexually active FTM adults. Compared the concordance of the positive self-swab HPV DNA test results to the positive cervical provider swab HPV DNA test results (reference) using the McNemar's test, a two-sample test for binomial proportions for matched-pair data.

Outcome measures

Outcome measures
Measure
Participants With Positive Cervical HPV DNA Test Result
n=21 Participants
Positive result determined by reference test: provider cervical HPV DNA Hybridization assay
Participants With a Negative Cervical HPV DNA Test Result
n=110 Participants
Negative result determined by reference test: provider cervical HPV DNA Hybridization assay
Concordance Between Vaginal Self-swab Results and Provider-collected Cervical Swab Results for HPV DNA Among Sexually Active FTM Adults
Positive vaginal self-swab HPV DNA test
15 Participants
2 Participants
Concordance Between Vaginal Self-swab Results and Provider-collected Cervical Swab Results for HPV DNA Among Sexually Active FTM Adults
Negative vaginal self-swab HPV DNA test
6 Participants
108 Participants

Adverse Events

Full Sample

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Sari Reisner, ScD

Fenway Community Health

Phone: 617-927-6017

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: GT60