Assessment of the Effectiveness of TA Versus LEEP for Cervical Cancer Risk Reduction in WLHIV in Mozambique
NCT06326294 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 4844
Last updated 2024-05-22
Summary
Given that WLWH are more likely to develop persistent HPV infection and CC, effective screening and the management and treatment of pre-cancerous cervical abnormalities is critical to decrease the global burden of cervical cancer. The vast majority of WLWH live in SSA, where resources are more constrained. Therefore, simple, affordable, and effective tools are needed for the prevention of cervical cancer in SSA. In this setting, the best method for treatment of screen-positive WLWH has not been determined. The proposed study will compare the effectiveness of TA vs. LEEP, for treating precursor lesions (CIN 2/3) and HPV infection in WLWH, identify the determinants of treatment failure, and develop a strategy to predict patients in whom treatment is likely to fail so that alternative treatments can be provided. Moreover, local evidence of the optimal method of treatments is necessary to inform health policy and promote adherence.
Conditions
- HIV Infections
- HPV Infection
- CIN 2/3
Interventions
- DEVICE
-
Thermal ablation
Thermal ablative uses heat (100°C to 120°C) to cause localized tissue damage at the cervical transformation zone and destroy the abnormal epithelium.
- PROCEDURE
-
LOOP ELECTROSURGICAL EXCISION PROCEDURE
Cervical tissue excision
Sponsors & Collaborators
-
M.D. Anderson Cancer Center
collaborator OTHER -
Instituto Nacional de Saúde, Mozambique
lead OTHER_GOV
Principal Investigators
-
Edna Viegas, MD, PhD · Instituto Nacional de Saúde, Mozambique
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 25 Years
- Max Age
- 49 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-04-17
- Primary Completion
- 2027-09-30
- Completion
- 2027-12-31
Countries
- Mozambique
Study Locations
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