Ignite Creation Date:
2025-12-24 @ 10:17 PM
Ignite Modification Date:
2025-12-25 @ 7:50 PM
Study NCT ID:
NCT04111835
Status:
COMPLETED
Last Update Posted:
2024-02-02
First Post:
2019-09-19
Is NOT Gene Therapy:
False
Has Adverse Events:
False
Brief Title:
HPV Testing In Polish POpulation-based Cervical Cancer Screening Program.
Sponsor:
Organization:
Raw JSON
{'hasResults': False, 'derivedSection': {'miscInfoModule': {'versionHolder': '2025-12-24'}, 'conditionBrowseModule': {'meshes': [{'id': 'D002583', 'term': 'Uterine Cervical Neoplasms'}], 'ancestors': [{'id': 'D014594', 'term': 'Uterine Neoplasms'}, {'id': 'D005833', 'term': 'Genital Neoplasms, Female'}, {'id': 'D014565', 'term': 'Urogenital Neoplasms'}, {'id': 'D009371', 'term': 'Neoplasms by Site'}, {'id': 'D009369', 'term': 'Neoplasms'}, {'id': 'D002577', 'term': 'Uterine Cervical Diseases'}, {'id': 'D014591', 'term': 'Uterine Diseases'}, {'id': 'D005831', 'term': 'Genital Diseases, Female'}, {'id': 'D052776', 'term': 'Female Urogenital Diseases'}, {'id': 'D005261', 'term': 'Female Urogenital Diseases and Pregnancy Complications'}, {'id': 'D000091642', 'term': 'Urogenital Diseases'}, {'id': 'D000091662', 'term': 'Genital Diseases'}]}}, 'protocolSection': {'designModule': {'phases': ['NA'], 'studyType': 'INTERVENTIONAL', 'designInfo': {'allocation': 'RANDOMIZED', 'maskingInfo': {'masking': 'NONE'}, 'primaryPurpose': 'HEALTH_SERVICES_RESEARCH', 'interventionModel': 'PARALLEL'}, 'enrollmentInfo': {'type': 'ACTUAL', 'count': 33000}}, 'statusModule': {'overallStatus': 'COMPLETED', 'startDateStruct': {'date': '2019-10-28', 'type': 'ACTUAL'}, 'expandedAccessInfo': {'hasExpandedAccess': False}, 'statusVerifiedDate': '2024-01', 'completionDateStruct': {'date': '2023-12-31', 'type': 'ACTUAL'}, 'lastUpdateSubmitDate': '2024-02-01', 'studyFirstSubmitDate': '2019-09-19', 'studyFirstSubmitQcDate': '2019-09-30', 'lastUpdatePostDateStruct': {'date': '2024-02-02', 'type': 'ACTUAL'}, 'studyFirstPostDateStruct': {'date': '2019-10-01', 'type': 'ACTUAL'}, 'primaryCompletionDateStruct': {'date': '2022-11-03', 'type': 'ACTUAL'}}, 'outcomesModule': {'otherOutcomes': [{'measure': 'Distribution of women by the screening test results', 'timeFrame': '12 months after the date of the positive screening test', 'description': 'This is for conventional cytology and LBC - according the modified Bethesda 2014 system used in the program. We will analyze the number of women due to the result of screening test in each arm.'}, {'measure': 'Referral rate for colposcopy for each screening test', 'timeFrame': '12 months after the date of the positive screening test', 'description': 'Analyses will be performed on data collected in SIMP. We will check the compliance on referral for colposcopy for each screening.'}, {'measure': 'Positive predictive value of referral for colposcopy calculated for each screening test and separately', 'timeFrame': '12 months after the date of the positive screening test', 'description': 'Histology: No CIN, CIN1, CIN2, CIN3, AIS, CIN2+, CIN3+, invasive cancer (squamous/adenocarcinoma).'}, {'measure': 'Detection rates of histologically confirmed CIN2+ in patients with second negative LBC result', 'timeFrame': '12 months after the date of the positive screening test', 'description': 'Detection rates of histologically confirmed CIN2+ in patients with second negative LBC result: after CINtec PLUS Cytology test and after QIASURE methylation test; detection rate ratio of histologically confirmed CIN2+ after CINTEC test vs after QIASURE methylation test'}, {'measure': 'Yield of use of additional diagnostic tests in terms of detection rate of histologically confirmed CIN2+', 'timeFrame': '12 months after the date of the positive screening test', 'description': 'Number of women with histologically confirmed CIN2+ after CINtec test/number of women screened with HPV test'}, {'measure': 'Yield of use of additional diagnostic tests in terms of detection rate of histologically', 'timeFrame': '12 months after the date of the positive screening test', 'description': 'Number of women with histologically confirmed CIN2+ after QIASURE methylation test/number of women screened with HPV test'}], 'primaryOutcomes': [{'measure': 'Detection rate of histologically confirmed CIN2 or worse in each screening arm', 'timeFrame': '12 months after the date of the positive screening test'}, {'measure': 'Detection rate ratio of CIN2+ in HPV test vs cytology arm (and detection rate ratios between the hrHPV test and cytology)', 'timeFrame': '12 months after the date of the positive screening test', 'description': 'This is defined as:\n\nnumber of women with CIN2+ detected in the HPV arm/women screened by HPV\n\n...........................................................................................................................\n\nnumber of women with CIN2+ detected in the cytology arm/women screened in with cytology'}], 'secondaryOutcomes': [{'measure': 'Detection rate ratio of CIN1+, CIN3+ (including adeno-carcinoma-in-situ) and cervical cancer (ITT).', 'timeFrame': '12 months after the date of the positive screening test'}, {'measure': 'Detection rate ratios of CIN2+ (and CIN1+, CIN3+, cancer) in the per-protocol analysis, restricted to women who adhered to the foreseen follow-up.', 'timeFrame': '12 months after the date of the positive screening test'}]}, 'oversightModule': {'oversightHasDmc': False, 'isFdaRegulatedDrug': False, 'isFdaRegulatedDevice': False}, 'conditionsModule': {'keywords': ['cervical cancer', 'cervical screening', 'HPV testing'], 'conditions': ['Cervical Cancer']}, 'referencesModule': {'references': [{'pmid': '37978452', 'type': 'DERIVED', 'citation': 'Glinska P, Komerska K, Janik B, Olkowicz J, Jedrzejewska I, Macios A, Wieszczy P, Kaminski MF, Arbyn M, Nowakowski A. HPV testing in Polish population-based cervical cancer screening programme (HIPPO project)-study protocol of a randomised healthcare policy trial. BMC Cancer. 2023 Nov 17;23(1):1118. doi: 10.1186/s12885-023-11597-5.'}]}, 'descriptionModule': {'briefSummary': 'The HIPPO PROJECT is a randomized healthcare study nested in the OCCSP in Poland. This project will assess the performance of the new screening test (HR HPV test) before its implementation in Poland.', 'detailedDescription': 'The study assumes randomized assumption of 33,000 women aged 30-59 to cytology or HR HPV test in a 1:1 ratio with age stratification (three strata: 30-39, 40-49 and 50-59 years).\n\nPatients are recruited by the Cervical Cancer Prevention Clinic at the Department of Cancer Prevention at the Maria Sklodowska-Curie National Research Institute of Oncology in Warsaw (main centre) and 8 more sites from distant regions of Poland (Lublin, Masovian, Silesian, Swietokrzyskie and West Pomeranian Voivodeship). All sites are selected through a tendering process and have to fulfil several criteria for inclusion into the project (active participation in the OCCSP, being certified for HPV testing with the chosen clinically validated hrHPV DNA assays)to obtain results representative for the entire country.\n\nGynaecological clinics:\n\nLublin Voivodeship:\n\n* Non-Public Health Care Department MED -SPEC in Zamosc\n* Plus Clinic in Zamosc\n* Medical Center - Diagnostic in Lukow\n\nMasovian Voivodeship:\n\n* Medical Center - Diagnostic Siedlce, Kleeberg Street 2 Minsk Mazowiecki, Dąbrówki Street 2 Lukow, Krynka Street 1C Nur, Drohiczyńska Street 8, Sterdyn, Lipowa Street 1A, 08-320 Sterdyn Zelechow, Piłsudskiego Street 34 Strachowka, Norwida Street 6A Wierzbno, Wierzbno Street 88 Latowicz, Nowowiejska Street 34, Wielgolas\n* Maria Sklodowska-Curie National Research Institute of Oncology in Warsaw\n* St. John Paul II Mazovian Provincial Hospital in Siedlce\n\nSilesian Voivodeship:\n\n* Maria Sklodowska-Curie National Research Institute of Oncology in Warsaw on Gliwice\n* SUPRA-MED in Bielsko-Biała\n* SUPRA-MED in Wilkowice\n* Gynecology and Obstetrics Clinic "K na Żeromskiego" in Wodzisław Slaski\n* Medical Center in Rybnik\n* Non-public Health Care JARO in Wodzisław Slaski\n* Non-public Health Care EVA in Lubliniec\n* SIKORNIK Clinic in Gliwice\n\nSwietokrzyskie Voivodeship:\n\n\\- Holy Cross Cancer Centre in Kielce\n\nWest Pomeranian Voivodeship:\n\n* Non-public Health Care MULTIMED Gynecology and Obstetrics in Koszalin Koszalin, Monte Casino Street 13 Koszalin, Sw. Wojciecha Street 1 Koszalin, Kolejowa Street 71 Koszalin, Lelewela Street7 Bedzino Street 18\n* "Hospital in Szczecinek"\n\nCytological\\&molecular laboratories\n\n* Maria Sklodowska-Curie National Research Institute of Oncology; Roentgen Street 5, Warsaw, Armii Krajowej Street 15, 44-102 Gliwice (branch in Gliwice),\n* Holy Cross Cancer Centre; Prezydent Stefan Artwinski Street 3, 25-734 Kielce,\n* Medical Center - Diagnostic; Niklowa Street 9, 08-110 Siedlce,\n* ALAB Laboratories; Stępinska Street 22/30, 00-739 Warsaw,\n* Non-public Health Care Center MEDITEST Medical Diagnostics; Bronislawy Street 14D, 70-533 Szczecin,\n* Non-public Health Care MULTIMED Gynecology and Obstetrics; Monte Casino Street 13, 75-414 Koszalin,\n* Non-Public Health Care Department of Pathomorphology ALFAMED. Edward Cwierz, Maciej Cwierz; Jana Kilinskiego Street 78, 22a-400 Zamosc,\n* Femina. Medical Centre; Klodnicka Street 23, 40-703 Katowice.\n\nColposcopy clinics\n\n* Maria Sklodowska-Curie National Research Institute of Oncology in Warsaw\n* Non-public Health Care Center MEDITEST Medical Diagnostics in Szczecin\n* Maria Sklodowska-Curie National Research Institute of Oncology in Gliwice\n* Non-public Health Care MULTIMED Gynecology and Obstetrics\n* St. John Paul II Mazovian Provincial Hospital in Siedlce\n* Femina. Medical Centre in Katowice\n* Holy Cross Cancer Centre in Kielce\n* Medical Center - Diagnostic in Siedlce\n* Non-Public Health Care Department of Pathomorphology ALFAMED. Edward Cwierz, Maciej Cwierz in Zamosc\n\nThe primary endpoint is the detection rate (DR) of histologically confirmed CIN2 or higher in each screening arm and detection rate ratio (DRR) of CIN2+ in HPV test vs cytology arm in intention-to-treat (ITT) analysis. Secondary endpoints include detection rate ratio of CIN1+, CIN3+ (including adenocarcinoma in situ) and invasive CC in both ITT and per-protocol (PP) analysis, restricted to women who adhered to the foreseen follow-up.\n\nOther outcome measures are: (1) distribution of women by the screening test results; (2) referral rate for colposcopy; (3) compliance with referral for colposcopy; (4) positive predictive value of referral for colposcopy calculated for each screening test and separately by histology results (no CIN, CIN1, CIN2, CIN3, AIS, CIN2+, CIN3+, invasive cancer (squamous/adenocarcinoma)); (5) DR of histologically confirmed CIN2+ in patients with hrHPV positive test, two NILM LBCs six months apart and a positive CINtePlus Cytology and/or Qiasure test; (6) DRR of histologically confirmed CIN2+ after CINtec® PLUS Cytology test vs. QIASURE methylation test; (7) yield of use of CINtec® PLUS Cytology test vs. QIASURE methylation test in terms of detection rate of histologically confirmed CIN2+.\n\nAdditionally, biobanking of cytological samples taken from patients participating in the HIPPO Project is planned in Maria Sklodowska-Curie National Research Institute of Oncology for the purpose of potential future restrospective analyses if new cervical cancer screening technologies emerge.\n\nThe study was approved by the Bioethics Committee of National Research Institute of Oncology (ID: 28/2019/1/2020).'}, 'eligibilityModule': {'sex': 'FEMALE', 'stdAges': ['ADULT'], 'maximumAge': '59 Years', 'minimumAge': '30 Years', 'healthyVolunteers': False, 'eligibilityCriteria': 'Inclusion Criteria:\n\n-women aged 30-59 with no screening Pap test within the preceding three years in the OCCSP and women with risk factors entitled to annual screening based on information from the SIMP and not tested within preceding 12 months (based on information from the screening database SIMP)\n\nExclusion Criteria:\n\n-women with screening Pap test within the preceding three years in the OCCSP'}, 'identificationModule': {'nctId': 'NCT04111835', 'acronym': 'HIPPOPROJECT', 'briefTitle': 'HPV Testing In Polish POpulation-based Cervical Cancer Screening Program.', 'organization': {'class': 'OTHER', 'fullName': 'Maria Sklodowska-Curie National Research Institute of Oncology'}, 'officialTitle': 'HPV Testing In Polish POpulation-based Cervical Cancer Screening Program - a Randomized Healthcare Policy Trial', 'orgStudyIdInfo': {'id': '28/2019'}, 'secondaryIdInfos': [{'id': '28/2019/1/2020', 'type': 'OTHER', 'domain': 'Bioethics Committee of the Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland,'}]}, 'armsInterventionsModule': {'armGroups': [{'type': 'NO_INTERVENTION', 'label': 'Conventional exfoliative cytology/LBC', 'description': 'According to current Polish guidelines:\n\nASC-US: repeat Pap testing in 6 months - current standard protocol\n\nLSIL - repeat Pap testing in 6 months or refer for colposcopy (by the decision of cytologist) - current standard protocol\n\nASC-H and higher and all glandular lesions - refer for colposcopy - current standard protocol\n\nColposcopy-targeted biopsies will be taken in agreement with national guidelines.\n\nIf screening cytology is negative -\\> rescreening after 3 years.'}, {'type': 'EXPERIMENTAL', 'label': 'hrHPV molecular testing', 'description': 'hrHPV-positive - reflex LBC:\n\nAbnormal reflex LBC (ASC-US or worse) -\\> colposcopy\n\nNormal reflex LBC -\\> repeat LBC in 6 months\n\nPositive - colposcopy\n\nNegative -\\> The CINtec PLUS Cytology and The QIASURE methylation test\n\nThe CINtec PLUS Cytology Positive -\\> colposcopy Negative -\\> rescreen in 3 years\n\nThe QIASURE methylation test Positive -\\> colposcopy Negative -\\> rescreen in 3 years\n\nColposcopy-targeted biopsies will be taken in agreement with national guidelines.\n\nHPV-negative - rescreen in 5 years', 'interventionNames': ['Diagnostic Test: Offering an alternative cervical cancer screening method - hrHPV molecular testing.']}], 'interventions': [{'name': 'Offering an alternative cervical cancer screening method - hrHPV molecular testing.', 'type': 'DIAGNOSTIC_TEST', 'description': 'Women randomized to this screening strategy group will take a hrHPV molecular test.\n\nhrHPV-positive - reflex LBC:\n\nAbnormal reflex LBC (ASC-US or worse) -\\> colposcopy\n\nNormal reflex LBC -\\> repeat LBC in 6 months\n\nPositive - colposcopy\n\nNegative - rescreen in 3 years\n\nHPV-negative - rescreen in 5 years', 'armGroupLabels': ['hrHPV molecular testing']}]}, 'contactsLocationsModule': {'locations': [{'city': 'Warsaw', 'country': 'Poland', 'facility': 'Maria Sklodowska-Curie National Research Institute of Oncology in Warsaw', 'geoPoint': {'lat': 52.22977, 'lon': 21.01178}}]}, 'sponsorCollaboratorsModule': {'leadSponsor': {'name': 'Maria Sklodowska-Curie National Research Institute of Oncology', 'class': 'OTHER'}, 'collaborators': [{'name': 'Ministry of Health, Poland', 'class': 'OTHER_GOV'}], 'responsibleParty': {'type': 'SPONSOR'}}}}