Ignite Creation Date:
2024-05-06 @ 8:24 PM
Last Modification Date:
2024-10-26 @ 3:27 PM
Study NCT ID:
NCT06371118
Status:
RECRUITING
Last Update Posted:
2024-05-14
First Post:
2024-04-09
Brief Title:
HPV Self-sampling for Women Who do Not Attend Cervical Cancer Screening Programme
Sponsor:
Universidade do Porto
Organization:
Universidade do Porto
Study Overview
Official Title:
HPV Self-sampling for Women Who do Not Attend the Organized Cervical Cancer Screening Programme HERSELF
Status:
RECRUITING
Status Verified Date:
2024-05
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
HERSELF
Brief Summary:
This study aims to test the effectiveness and cost-effectiveness of two different strategies of home-delivered HPV self-sampling in comparison to the standard of care strategy to increase adherence to cervical cancer screening
An experimental and population-based study will be implemented at three primary healthcare centers located in the Western Porto region Cedofeita Garcia de Orta and Prelada Eligible women will be randomized into a control group or an intervention group The control group will correspond to the standard of care invitation to screening in a clinical setting The intervention group will be randomized into two subgroups 1 a directly mailed group that will receive a self-sampling kit at their home addresses by post 2 an opt-in group that will receive an invitation at home asking if they want to receive a self-sampling kit with a pre-paid envelope to return the answer to this question Women who answer yes will receive the self-sampling kit at their home addresses by post
Self-sampling samples will be subjected to HPV genotyping In parallel high-risk HPV positive women will be called in by their family doctors to undergo screening in a clinical setting so that they can continue their clinical follow-up in the conventional pathway
An experimental and population-based study will be implemented at three primary healthcare centers located in the Western Porto region Cedofeita Garcia de Orta and Prelada Eligible women will be randomized into a control group or an intervention group The control group will correspond to the standard of care invitation to screening in a clinical setting The intervention group will be randomized into two subgroups 1 a directly mailed group that will receive a self-sampling kit at their home addresses by post 2 an opt-in group that will receive an invitation at home asking if they want to receive a self-sampling kit with a pre-paid envelope to return the answer to this question Women who answer yes will receive the self-sampling kit at their home addresses by post
Self-sampling samples will be subjected to HPV genotyping In parallel high-risk HPV positive women will be called in by their family doctors to undergo screening in a clinical setting so that they can continue their clinical follow-up in the conventional pathway
Detailed Description:
The goal of this randomized clinical trial is to test the effectiveness and cost-effectiveness of two different strategies of home-delivered HPV self-sampling to increase the adherence to cervical cancer screening in women who are overdue for cervical cancer screening in comparison to the standard of care strategy
The main questions this study aims to answer are
To test the effectiveness of an invitation strategy to improve the adherence to cervical cancer screening based on directly home-delivered HPV self-sampling tests automated reminders in comparison to the standard of care invitation
To test the effectiveness of an invitation strategy to improve the adherence to cervical cancer screening based on home-delivered HPV self-sampling tests using opt-in procedures for ordering the kit automated reminders in comparison to the standard of care invitation
To compare the cost-effectiveness between a standard of care b directly home-delivered HPV self-sampling tests automated reminders and c home-delivered HPV self-sampling tests using opt-in procedures for ordering the kit automated reminders
Eligible women will be randomized 11 into a control group and an intervention group
Control group corresponds to the standard of care which is an invitation to cervical cancer screening in a clinical setting through a written letter printed and sent by the primary healthcare unit where the women are registered
Intervention group Women allocated to this group will be randomized 11 into two subgroups described briefly as follows
Intervention 1 half of the intervention group HPV self-sampling test mailed directly to the womens home address directly mailed group complemented with a SMS reminder If a woman returns the sample HPV-type genotyping will be performed If High-Risk HPV HR-HPV is detected women will be informed of the result and invited to take cervical cancer screening in a clinical setting by their family doctors Subsequent follow-up will take place according to Portuguese guidelines
Intervention 2 half of the intervention group An invitation is mailed to the womens home address offering a self-sampling kit to be ordered by returning a prepaid envelope with the answer yes opt-in group In the event of a positive response an HPV self-sampling test is mailed to the womens home complemented with a SMS reminder If a woman returns the sample HPV genotyping will be performed If HR-HPV is detected women will be informed of the result and invited to take cervical cancer screening in a clinical setting performed by their family doctors Subsequent follow-up will take place according to Portuguese guidelines
In Interventions 1 and 2 when HR-HPV is detected in the self-sampling test this sample will be subjected to HPV-DNA methylation testing If increased HPV DNA methylation is detected and the woman has yet not attended the conventional screening invitation by her family doctor she will be informed by her family doctor that a new test has indicated an increased risk for cervical cancer and the need to attend a medical appointment will be reinforced
The main questions this study aims to answer are
To test the effectiveness of an invitation strategy to improve the adherence to cervical cancer screening based on directly home-delivered HPV self-sampling tests automated reminders in comparison to the standard of care invitation
To test the effectiveness of an invitation strategy to improve the adherence to cervical cancer screening based on home-delivered HPV self-sampling tests using opt-in procedures for ordering the kit automated reminders in comparison to the standard of care invitation
To compare the cost-effectiveness between a standard of care b directly home-delivered HPV self-sampling tests automated reminders and c home-delivered HPV self-sampling tests using opt-in procedures for ordering the kit automated reminders
Eligible women will be randomized 11 into a control group and an intervention group
Control group corresponds to the standard of care which is an invitation to cervical cancer screening in a clinical setting through a written letter printed and sent by the primary healthcare unit where the women are registered
Intervention group Women allocated to this group will be randomized 11 into two subgroups described briefly as follows
Intervention 1 half of the intervention group HPV self-sampling test mailed directly to the womens home address directly mailed group complemented with a SMS reminder If a woman returns the sample HPV-type genotyping will be performed If High-Risk HPV HR-HPV is detected women will be informed of the result and invited to take cervical cancer screening in a clinical setting by their family doctors Subsequent follow-up will take place according to Portuguese guidelines
Intervention 2 half of the intervention group An invitation is mailed to the womens home address offering a self-sampling kit to be ordered by returning a prepaid envelope with the answer yes opt-in group In the event of a positive response an HPV self-sampling test is mailed to the womens home complemented with a SMS reminder If a woman returns the sample HPV genotyping will be performed If HR-HPV is detected women will be informed of the result and invited to take cervical cancer screening in a clinical setting performed by their family doctors Subsequent follow-up will take place according to Portuguese guidelines
In Interventions 1 and 2 when HR-HPV is detected in the self-sampling test this sample will be subjected to HPV-DNA methylation testing If increased HPV DNA methylation is detected and the woman has yet not attended the conventional screening invitation by her family doctor she will be informed by her family doctor that a new test has indicated an increased risk for cervical cancer and the need to attend a medical appointment will be reinforced
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
False
Is an FDA AA801 Violation?:
None