ClinicalTrials.gg
TerminatedNCT01234480Updated May 16, 2023Results posted

Intended Use Study of the BD SurePath Plus™ Pap

An interventional study of BD SurePath Plus Pap test and BD SurePath Pap test in Uterine Cervical Neoplasms, Uterine Cervical Cancer and Neoplasms, Squamous Cell, sponsored by Becton, Dickinson and Company. Terminated at 1 site in United States. Open to female participants aged 18 Years to 35 Years. Per ClinicalTrials.gov, last updated 2023-05-16.

Sponsored by Becton, Dickinson and Company · Interventional and Diagnostic

Why this study was terminated
Decided not to pursue commercialization of the product
Study type
Interventional
Enrollment
5,859
Allocation
Non-randomized
Ages
18 Years to 35 Years
Sex
Female
01

Study summary

This study will provide data on the performance of the BD SurePath Plus™ Pap test for identifying high grade cervical disease. This study will be conducted with approximately 12,500 women undergoing routine cervical cancer screening, of whom women with abnormal cytology and/or positive HPV test will be selected to undergo colposcopy and biopsy/ECC. Subjects with abnormal cytology results with biopsy results of less than or equal to CIN1 or CIN2 untreated will be asked to return in 6-8 months for follow-up testing. Subjects may be asked to proceed to a longer-term follow-up study and undergo cytological evaluation annually for 3 years (separate study).

Read the detailed description

This is a pivotal, multi-center in vitro diagnostic study comparing the BD SurePath Plus Pap test to current practice (cytologic examination utilizing the BD SurePath liquid-based Pap test with conjunctive HPV testing) for the detection of cervical cancer and high-grade cervical disease (collectively referred to as CIN2+) in women.

The new BD SurePath Plus Pap Test combines a traditional Papanicolaou staining for cellular morphology, with brown nuclear immunostaining resulting from the over-expression of specific protein biomarkers, on one slide, to improve the detection of high-grade cervical disease and cervical cancer (collectively referred to as CIN2+).

02

Conditions studied

  • Uterine Cervical Neoplasms
  • Uterine Cervical Cancer
  • Neoplasms, Squamous Cell
  • Neoplasms, Glandular and Epithelial
  • Neoplasms by Histologic Type
  • Neoplasms
  • Papilloma

Keywords

  • Liquid based cytology
  • Surepath
03

In context

Uterine Cervical Neoplasms

2,366 studies on the registry are indexed under Uterine Cervical Neoplasms; 677 are open to participants now.

This study's enrollment of 5,859 is above the median of 100 across 1,738 interventional studies indexed under Uterine Cervical Neoplasms.

Browse Uterine Cervical Neoplasms studies →

Lead sponsor

Becton, Dickinson and Company is the lead sponsor of 61 studies on the registry; 5 are open to participants now.

Of its 10 completed or terminated interventional studies of FDA-regulated products, 8 (80%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 35 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

Study subjects must give voluntary written to participate in this study.

  • Females ages 18 - 35 years, inclusive; or women at high- risk for cervical cancer or its precursor lesions.

High-risk is defined as:

  • Have had a previous high-risk HPV positive test in the last 5 years; or
  • Have had an abnormal Pap test (ASC-US or higher) in the last 5 years; or
  • Have not been screened for cervical cancer by either a Pap test or HPV test in the last 5 years.

Exclusion criteria

Exclusion Criteria:

  • Subjects who are 36 years of age or greater who are not high risk, and/or:

    1. Have not had an abnormal Pap in the last 5 years; or
    2. Have not had a positive HPV test in the last 5 years; or
    3. Have been screened in the last 5 years without an abnormal Pap or HPV result
  • Subjects known to be pregnant or planning to become pregnant prior to the potential six months follow-up visit (self-reported). Subjects who decide to become pregnant prior to the six-month follow up visit or found to be pregnant after the first visit, but prior to the six-month follow-up visit will be terminated from further study participation at that time
  • Subjects who have had a prior complete or partial hysterectomy involving removal of the cervix.
  • Subjects who have had an application of chemical compounds to the cervical area within the 24 hours prior to study entry, e.g., acetic acid, iodine, spermicide, douche, anti-fungal medications, etc.
  • Subjects on whom conization, LEEP, laser surgery, or cryosurgery has been performed within the past five months.
  • Subjects currently undergoing radiation and/or chemotherapy.
  • Subjects under the age of 18.
  • Subjects who have previously received a HPV vaccine with any number of doses.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Primary purpose
Diagnostic
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
5,859 participants (actual)

Study arms

  • Experimental
    Participants with Cervical Disease

    Participants positive for Cervical Disease (CIN2 or higher) as determined by adjudicated histology from biopsy/ECC.

    Device: BD SurePath Plus Pap test · Device: BD SurePath Pap test · Procedure: colposcopy with biopsy/ECC · Device: HPV DNA test

  • Experimental
    Participants without Cervical Disease

    Participants negative for Cervical Disease (CIN2 or higher) as determined by adjudicated histology from biopsy/ECC.

    Device: BD SurePath Plus Pap test · Device: BD SurePath Pap test · Device: HPV DNA test

Interventions

  • DeviceBD SurePath Plus Pap test

    BD SurePath Plus Pap test

  • DeviceBD SurePath Pap test

    BD SurePath Plus Pap test

  • Procedurecolposcopy with biopsy/ECC

    Colposcopy with biopsy/ECC for subjects with 1)BD SurePath Pap NILM, but HPV positive, or 2) BD SurePath Plus Pap test result of ASC-US or higher 3)BD SurePath Pap ASC-US or higher

  • DeviceHPV DNA test

    digene HC2 HPV DNA test

    Also known as: digene HC2 HPV DNA test

06

What researchers measure

Primary outcomes

  1. Sensitivity, Specificity, PPV, and NPV of BD SurePath Plus Pap Test for the Determination of Cervical Disease as Defined by CIN2 or Higher

    Estimate the sensitivity, specificity, positive predictive value and negative predictive value of the BD SurePath Plus Pap test in detecting cervical disease as defined as CIN2 or higher

    Time frame: 10 months

Secondary outcomes

  1. Compare the Sensitivity and Specificity of the BD SurePath Plus Pap Test to the SurePath Pap With HPV Reflex Testing for CIN2+ Disease Detection.

    Time frame: 10 months

07

Results

Posted May 5, 2021

Participant flow

Participant flow — Overall Study
MilestoneAll Study Participants
Started5859
Completed5416
Not completed443
Withdrew: Pregnancy88
Withdrew: >36/normal history50
Withdrew: Age3
Withdrew: Hpv vaccine history28
Withdrew: Hpv vaccine after enrollment17
Withdrew: Hysterectomy2
Withdrew: Hysterectomy post enrollment1
Withdrew: Inclusion/exclusion violation3
Withdrew: Informed consent form violation30
Withdrew: Incorrect visit3
Withdrew: No florida lab license20
Withdrew: Out of window42
Withdrew: Sample processing/storage92
Withdrew: Site amendment prohibited colposcopy11
Withdrew: Site/subject non-compliance44
Withdrew: Missing sample9

Outcome measures

PrimarySensitivity, Specificity, PPV, and NPV of BD SurePath Plus Pap Test for the Determination of Cervical Disease as Defined by CIN2 or Higher

Estimate the sensitivity, specificity, positive predictive value and negative predictive value of the BD SurePath Plus Pap test in detecting cervical disease as defined as CIN2 or higher

Time frame:
10 months
Reported as:
Number · Percent
Sensitivity, Specificity, PPV, and NPV of BD SurePath Plus Pap Test for the Determination of Cervical Disease as Defined by CIN2 or Higher
PercentSurePath PlusSurePath Pap
Sensitivity (ASC-US+)84.9 (77.4 to 90.2)71.4 (62.7 to 78.8)
Specificity (ASC-US+)84.7 (83.5 to 85.9)88.7 (87.5 to 89.7)
PPV (ASC-US+)16.7 (15.1 to 18.2)18.5 (16.2 to 20.7)
NPV (ASC-US+)99.4 (99.0 to 99.6)98.9 (98.5 to 99.1)
Sensitivity (ASC-H+)65.5 (56.6 to 73.5)43.7 (35.1 to 52.7)
Specificity (ASC-H+)92.2 (91.2 to 93.1)94.4 (93.5 to 95.1)
PPV (ASC-H+)23.2 (20.1 to 26.3)21.8 (17.8 to 26.1)
NPV (ASC-H+)98.7 (98.3 to 99.0)97.9 (97.6 to 98.2)
Sensitivity (LSIL+)58.0 (49.0 to 66.5)40.3 (32.0 to 49.3)
Specificity (LSIL+)93.4 (92.5 to 94.2)94.7 (93.8 to 95.4)
PPV (LSIL+)24.0 (20.4 to 27.6)21.4 (17.2 to 25.9)
NPV (LSIL+)98.4 (98.1 to 98.7)97.8 (97.5 to 98.1)
Sensitivity (HSIL+)37.8 (29.6 to 46.8)16.0 (10.5 to 23.6)
Specificity (HSIL+)98.3 (97.8 to 98.7)99.8 (99.6 to 99.9)
PPV (HSIL+)45.0 (36.5 to 53.3)76.0 (56.9 to 88.3)
NPV (HSIL+)97.8 (97.5 to 98.1)97.1 (96.9 to 97.3)
SecondaryCompare the Sensitivity and Specificity of the BD SurePath Plus Pap Test to the SurePath Pap With HPV Reflex Testing for CIN2+ Disease Detection.
Time frame:
10 months
Reported as:
Number · percent
Compare the Sensitivity and Specificity of the BD SurePath Plus Pap Test to the SurePath Pap With HPV Reflex Testing for CIN2+ Disease Detection.
percentSurePath Plus With ImmunostainSurePath Pap With HPV
Sensitivity (ASC-US)78.8 (62.2 to 89.3)87.9 (72.7 to 92.5)
Specificity (ASC-US)45.7 (38.8 to 52.9)41.5 (34.7 to 48.6)

Adverse events

Collected over 10 months. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
All Evaluable Participants0/3,731 (0%)0/3,731 (0%)0/3,731 (0%)

Baseline characteristics

Participants with evaluable samples.

Age, Categorical
Age, Categorical(Participants)All Evaluable Participants
<=18 years0
Between 18 and 65 years3731
>=65 years0
Sex/Gender, Customized
Sex/Gender, Customized(Participants)All Evaluable Participants
Female3731
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)All Evaluable Participants
Hispanic or Latino889
Not Hispanic or Latino2842
Unknown or Not Reported0
Region of Enrollment
Region of Enrollment(participants)All Evaluable Participants
United States3731
08

Study locations

1 site
  • Seattle Women's: Health, Research, Gynecology
    Seattle, Washington 98105, United States
09

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Sep 2010, a primary completion of Mar 2012 and a completion of Aug 2012. It does not say whether these dates are actual or estimated.

Results were first posted in May 2021, 9 years 2 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 14, 2010
First posted
Nov 4, 2010
Start
Sep 2010
Primary completionActual
Mar 2012
CompletionActual
Aug 2012
Results first posted
May 5, 2021
Last update
May 16, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 16, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01234480
Responsible party
Sponsor
First posted
Nov 4, 2010
Start date
Sep 2010
Primary completion
Mar 2012
Completion
Aug 2012
Results posted
May 5, 2021
Last update
May 16, 2023

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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