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CompletedNCT00479375SWEDESCREENUpdated May 28, 2007

Randomized Controlled Trial of Human Papillomavirus Testing in Primary Cervical Cancer Screening

An interventional study of Adding Human Papillomavirus testing to organised cervical screening in Cervical Cancer and Cervical Intraepithelial Neoplasia, sponsored by Skane University Hospital. Completed at 1 site in Sweden. Open to female participants aged 32 Years to 38 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2007-05-28.

Sponsored by Skane University Hospital · Not applicable, Interventional, and Screening

Phase
Not applicable
Study type
Interventional
Enrollment
12,527
Allocation
Randomized
Ages
32 Years to 38 Years
Sex
Female
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Study summary

Human papillomavirus (HPV)-based cervical screening is known to increase sensitivity for detection of high-grade cervical intraepithelial neoplasia (CIN). Randomized trials of longitudinal efficacy are required to assess whether these gains represent overdiagnosis or a protective effect.

Methods: A total of 12527 women, aged 32-38, attending population-based invitational screening in Sweden were randomized 1:1 to HPV test and cytology (intervention arm) or cytology only (control arm). HPV-positive women were invited for a second HPV test at least one year later and women with type-specific persistent infections were then invited to colposcopy. A similar number of random double-blinded procedures are performed in the control arm. Women are followed with comprehensive registry-based follow-up. Primary outcome is the relative rates of CIN grade 2 or worse (CIN2/CIN3+) found in subsequent screening. Secondary outcomes are the relative rates of CIN2/CIN3+ found in the aseline screening and outcomes stratified by grade of CIN (CIN 2 or CIN3+).

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Conditions studied

  • Cervical Cancer
  • Cervical Intraepithelial Neoplasia

Keywords

  • screening
  • human papillomavirus
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In context

Uterine Cervical Neoplasms

1,881 studies on the registry are indexed under Uterine Cervical Neoplasms; 567 are open to participants now.

This study's enrollment of 12,527 is above the median of 100 across 1,377 interventional studies indexed under Uterine Cervical Neoplasms.

Browse Uterine Cervical Neoplasms studies →

Lead sponsor

Skane University Hospital is the lead sponsor of 71 studies on the registry; 17 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
32 Years to 38 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

Inclusion criteria

  • Women aged 32-38 years old
  • Attending the Swedish population-based organised cervical screening program

Exclusion criteria

Exclusion Criteria:

  • Not providing informed consent
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Study design

Phase
Not applicable
Primary purpose
Screening
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double
Enrollment
12,527 participants (actual)

Interventions

  • ProcedureAdding Human Papillomavirus testing to organised cervical screening
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What researchers measure

Primary outcomes

  1. Incidence of CIN2/CIN3+ lesions (which includes invasive cancers and in situ adenocarcinomas) found by subsequent screening (i.e. after the enrollment screening round and its associated follow-up).

    Time frame: On average 4 years post baseline

Secondary outcomes

  1. Secondary outcomes were the incidence of CIN2/CIN3+ lesions at enrollment screening (including associated follow-up) and outcomes stratified by CIN2 and CIN3+ lesions as endpoints.

    Time frame: On average 4 years post baseline

  2. Re-analysis of primary and secondary outcomes also after subsequent 3-yearly screening rounds

    Time frame: On average 7, 10, 13 (et cetera) years post base-line

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Study locations

1 site
  • Malmo University Hospital
    Malmo, SE-20502, Sweden
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References and documents

Publications

  • Forslund O, Antonsson A, Edlund K, van den Brule AJ, Hansson BG, Meijer CJ, Ryd W, Rylander E, Strand A, Wadell G, Dillner J, Johansson B. Population-based type-specific prevalence of high-risk human papillomavirus infection in middle-aged Swedish women. J Med Virol. 2002 Apr;66(4):535-41. doi: 10.1002/jmv.2178. Erratum In: J Med Virol 2002 Jul;67(3):467. PubMed 11857534 ↗
  • Elfgren K, Rylander E, Radberg T, Strander B, Strand A, Paajanen K, Sjoberg I, Ryd W, Silins I, Dillner J; Swedescreen Study Group. Colposcopic and histopathologic evaluation of women participating in population-based screening for human papillomavirus deoxyribonucleic acid persistence. Am J Obstet Gynecol. 2005 Sep;193(3 Pt 1):650-7. doi: 10.1016/j.ajog.2005.01.056. PubMed 16150255 ↗
  • Elfstrom KM, Smelov V, Johansson AL, Eklund C, Naucler P, Arnheim-Dahlstrom L, Dillner J. Long term duration of protective effect for HPV negative women: follow-up of primary HPV screening randomised controlled trial. BMJ. 2014 Jan 16;348:g130. doi: 10.1136/bmj.g130. PubMed 24435414 ↗
  • Naucler P, Ryd W, Tornberg S, Strand A, Wadell G, Elfgren K, Radberg T, Strander B, Johansson B, Forslund O, Hansson BG, Rylander E, Dillner J. Human papillomavirus and Papanicolaou tests to screen for cervical cancer. N Engl J Med. 2007 Oct 18;357(16):1589-97. doi: 10.1056/NEJMoa073204. Erratum In: N Engl J Med. 2008 Oct 9;359(15):1637. Johansson, Bo [added]. PubMed 17942872 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 28, 2007, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00479375
Lead sponsor
Skane University Hospital
Collaborators
Swedish Cancer Society, Europe Against Cancer (European Union Directorate General XII- Public Health)
First posted
May 28, 2007
Start date
May 1997
Completion
May 2007
Last update
May 28, 2007

Study contacts

Joakim Dillner, MD
principal investigator · Malmo University Hospital, Lund University

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2007. You cannot join it, but the record below documents what was studied.

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