HPV Screening With Triage by HPV Genotyping Versus Visual Inspection With Acetic Acid
NCT05385406 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 5500
Last updated 2024-05-09
Summary
Cervical cancer is the leading cause of cancer death among women in sub-Saharan Africa, despite the existence of effective prevention and screening methods. Because vaccination rates against human papillomavirus (causing nearly all cervical cancers) are still insufficient in some low-resource countries, early detection and treatment of cervical lesions at risk of progressing to cancer are crucial components of cervical cancer control. Therefore, it is essential to find the most reliable and appropriate screening strategy in the context of low-resource countries in order to identify women in need of treatment and thus prevent the development of cervical cancer. The objective of our study is to compare two different methods of cervical cancer screening adapted to low-resource settings, in two study centers in Cameroon.
Conditions
Interventions
- DIAGNOSTIC_TEST
-
HPV genotyping
Genotyping will be obtained by the Xpert system which uses 5 color channels containing primers and probes for the detection of specific genotypes or pooled results as follows: i) HPV 16, ii) HPV 18/45 in pooled result, iii) HPV types 31, 33, 35 52, or 58, in pooled result, iv) HPV types 51 or 59, in pooled result, and v) HPV types 39, 56, 66 or 68 in pooled result.
- DIAGNOSTIC_TEST
-
Visual inspection after application of acetic acid
After application of acetic acid and Lugol's iodine, the cervix will be assessed using simplified "ABCD criteria" (A= acetowhite lesion within the transformation zone, B = spontaneous bleeding or upon slight touch, C (optional) = Lugol-positive coloring of acetowhite lesions, D = diameter \> 5mm of acetowhite lesion).
Sponsors & Collaborators
-
University Hospital, Geneva
collaborator OTHER -
Bafoussam Regional Hospital, Cameroon
collaborator UNKNOWN -
Dschang District Hospital, Cameroon
collaborator UNKNOWN -
University of Dschang
collaborator OTHER -
Prof. Patrick Petignat
lead OTHER
Principal Investigators
-
Patrick Petignat, PD · University Hospital, Geneva
Study Design
- Allocation
- RANDOMIZED
- Purpose
- DIAGNOSTIC
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 25 Years
- Max Age
- 49 Years
- Sex
- FEMALE
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2022-12-06
- Primary Completion
- 2025-06-30
- Completion
- 2026-06-30
Countries
- Cameroon
Study Locations
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