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CompletedNCT01338051PERCAPSUpdated Apr 21, 2014

The Development of a "Mother/Child, Screen, Treat and Vaccinate Program" in Manchay and Iquitos, Peru

A Phase 1 interventional study of Gardasil in Cervical Intraepithelial Neoplasia, Cervical Cancer and Cervical Neoplasm, sponsored by Preventive Oncology International, Inc.. Completed at 2 sites in Peru. Open to female participants aged 30 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2014-04-21.

Sponsored by Preventive Oncology International, Inc. · Phase 1, Interventional, and Prevention

Phase
Phase 1
Study type
Interventional
Enrollment
642
Allocation
Not applicable
Ages
30 Years to 45 Years
Sex
Female
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Study summary

This project will use a community based participatory research orientation to develop a model for large scale "campaign" preventive healthcare interventions. The investigators have considerable expertise with cervical cancer screening and HPV vaccination. The investigators also have well tested methodologies for cervical cancer screening that are highly effective, including self-sampling for HPV and improved specimen transport systems. Therefore, the investigators will use these medical interventions as the model preventive health interventions for this project.

Read the detailed description

Our research group has recently demonstrated that a self-collected cervico-vaginal sample tested with a very high throughput HR-HPV assay is as sensitive has a direct endocervical physician collected sample. Teamed with a non-liquid transport media the investigators believe the technology is solved to reach large populations in a short period of time. With the majority of the world's medically underserved now living in middle income countries it is not necessary to think simple and small to reach the Earth's needy. The investigators can think high tech and high throughput. The massive volumes possible, with proper organization, will control the per/patient cost. The investigators will think "events", not continuous care. Clearly continuous care is the only way to adequately provide the needed care for many problems. However, many interventions can be confined to events which organize large screening or vaccination days and only when positives are identified from the detection algorithm does the healthcare staff become involved for management. The investigators spend an enormous amount of resources identifying the majority of people who will ultimately test negative. The more local the paradigms and the more involved the community in designing the program, the greater will be the participation and the lost to follow-up segment will shrink. This mother, child, screen, treat and vaccinate program will use cervical cancer prevention as the target preventive healthcare intervention. Using community based research orientation the project will begin with a 3 day education program and collaborative meeting with the women leaders of the communities (promotoras). Collectively the investigators will develop the model for the community to advertise, educate, recruit, register, self-collect the specimens, deliver the samples, and report the results. In addition the logistics of the 3 vaccination schedule for the female children will be organized. The medical staff will be involved only with the management of the positives and the vaccine administration. The observational measures will focus on assessing how effectively each of the steps was accomplished.

02

Conditions studied

  • Cervical Intraepithelial Neoplasia
  • Cervical Cancer
  • Cervical Neoplasm
  • Cervical Dysplasia
  • Human Papillomavirus

Keywords

  • Community based participatory research
03

In context

Uterine Cervical Dysplasia

367 studies on the registry are indexed under Uterine Cervical Dysplasia; 70 are open to participants now.

This study's enrollment of 642 is above the median of 166 across 253 interventional studies indexed under Uterine Cervical Dysplasia.

Browse Uterine Cervical Dysplasia studies →

Lead sponsor

Preventive Oncology International, Inc. is the lead sponsor of 3 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
30 Years to 45 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

Eligibility criteria

Inclusion Criteria:

Inclusion criteria (adult)

  1. Non pregnant women 30-45 years of age in Manchay, and in Iquitos, with female children or grandchildren ages 10-13 who they are willing to enroll in the study to receive Gardasil vaccination.
  2. No screening or knowledge of the results of a Pap Test in the last 5 years
  3. No hysterectomy
  4. No prior pelvic radiation.
  5. Willing to sign consent form

Inclusion criteria (children)

  1. Female children and grandchildren of a participating women ages 10-13 years
  2. No acute illnesses (clinically evident according to vaccinating staff) - such as fever, nausea, vomiting, diarrhea
  3. No previous vaccination with Gardasil
  4. No reactions to previous dose in their vaccination series
  5. No known yeast allergy
  6. Willing to participate

Exclusion Criteria:

Exclusion criteria (adults)

Patients will be excluded in the study based on the following criteria:

  1. Males
  2. Women younger than 30 years old and older than 45 years old.
  3. Women without female children or grandchildren age 10-13 or who are unwilling to enroll their 10-13 year old female children or grandchildren to receive Gardasil.
  4. Pregnant women.
  5. Patients with known history of hysterectomy or radiation for a pelvic cancer.
  6. Refusal to participate

Exclusion criteria (Children)

  1. Males
  2. Girls younger than 10 years old, and older than 13 years.
  3. acute illnesses (clinically evident according to vaccinating staff) - such as fever, nausea, vomiting, diarrhea
  4. previous vaccination with Gardasil
  5. reactions to a previous dose in their vaccination series
  6. known yeast allergy
  7. Refusal to participate
05

Study design

Phase
Phase 1
Primary purpose
Prevention
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
642 participants (actual)

Interventions

  • BiologicalGardasil

    Gardasil will be administered to 10-13 year old daughters and granddaughters of study participants according to manufacturers recommended schedule of administration. Gardasil is supplied as 0.5-mL suspension for intramuscular injection at the following schedule: 0, 2 months, 6 months. DOSAGE FORMS AND STRENGTHS • 0.5-mL suspension for injection as a single-dose vial and prefilled syringe.

06

What researchers measure

Primary outcomes

  1. Evaluation of key study processes used in the process of implementing a mother/child screen, treat and vaccinate program in Iquitos, Peru.

    The investigators will evaluate community participation, lost to follow up and potential sustainability. One on one interviews with participants will be conducted by trained medical staff. Additional measures to success will be gathered from interviews with promotoras, participating health services staff and recoeded observation. These analyses are descriptive in nature.

    Time frame: Interview with participants will occur at approximately one month after 2nd vaccination

07

Study locations

2 sites
  • Centro de Salud Portada de Manchay
    Manchay, Lima region, Peru
  • Centro de Salud Bellavista Nanay
    Iquitos, Loreto 065, Peru
08

References and documents

Publications

  • Levinson KL, Abuelo C, Salmeron J, Chyung E, Zou J, Belinson SE, Wang G, Ortiz CS, Vallejos CS, Belinson JL. The Peru Cervical Cancer Prevention Study (PERCAPS): the technology to make screening accessible. Gynecol Oncol. 2013 May;129(2):318-23. doi: 10.1016/j.ygyno.2013.01.026. Epub 2013 Feb 4. PubMed 23385153 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 21, 2014, 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
NCT01338051
Lead sponsor
Preventive Oncology International, Inc.
Collaborators
Peru Instituto Nacional de Enfermadades Neoplasticas (INEN), Merck Sharp & Dohme LLC
Responsible party
Jerome Belinson (Jerome Belinson MD, president, Preventive Oncology International, Inc.) — Principal investigator
First posted
Apr 19, 2011
Start date
May 2011
Primary completion
Apr 2012
Completion
Apr 2012
Last update
Apr 21, 2014

Study contacts

Jerome L Belinson, MD
principal investigator · Preventive Oncology International
Carlos Vallejos Sologuren, MD
principal investigator · Instituto Nacional de Enfermadades Neoplasticas (INEN)

Oversight

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

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This study is completed, as verified in Apr 2014. You cannot join it, but the record below documents what was studied.

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