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RecruitingNCT04857528Updated Mar 4, 2026

Detecting HPV DNA in Anal and Cervical Cancers

An observational study in Cervical Cancer, Anal Cancer and HPV-Related Anal Squamous Cell Carcinoma, sponsored by University of Chicago. Recruiting at 2 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-03-04.

Sponsored by University of Chicago · Observational

From the registry’s dates

  • Started Oct 2020; still recruiting 6 years 1 month later.
Study type
Observational
Model
Case-only
Time perspective
Prospective
Enrollment
20
Ages
18 Years and older
Sex
All
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Study summary

This is a research study for individuals who have cancer associated with human papillomavirus (HPV) and are being treated with radiation as part of standard care for their cancer. Doctors leading this study will use blood tests to find out if they can detect the HPV virus in the blood of study participants before, during, and after radiation treatment. They will also collect blood and archival tumor tissue (from a previous biopsy) to perform other tests in the future that could provide more information about HPV-associated cancers and how they respond to treatment. Participation in this study will last approximately 2 years.

02

Conditions studied

  • Cervical Cancer
  • Anal Cancer
  • HPV-Related Anal Squamous Cell Carcinoma
  • HPV-Related Cervical Carcinoma
  • HPV-Related Carcinoma
  • Uterine Cervical Cancer

Keywords

  • HPV
  • radiation treatment
  • cervical cancer
  • anal cancer
  • uterine cervix
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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 planned enrollment of 20 is below the median of 225 across 529 observational studies indexed under Uterine Cervical Neoplasms.

Browse Uterine Cervical Neoplasms studies →

Lead sponsor

University of Chicago is the lead sponsor of 924 studies on the registry; 185 are open to participants now.

Of its 103 completed or terminated interventional studies of FDA-regulated products, 72 (70%) have results posted.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Participants will be identified and selected from patients receiving treatment in the Departments of Radiation Oncology at University of Chicago and all participating sites where this study is being conducted including. Individuals from the public who have an HPV-associated cancer and fit the listed inclusion criteria can also be considered for participation in this study.

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

  • Stage I-III anal cancer or stage I-IVA cervical cancer that is p16+ based on immunohistochemistry.
  • Age ≥ 18 years
  • Planned to undergo radiation therapy as definitive treatment, with or without concurrent systemic therapy

Exclusion criteria

Exclusion Criteria:

  • Anal carcinoma not associated with HPV-16, 18, 31, 33, or 35 will be removed from the
  • Planned to undergo radiation therapy as an or post-operative therapy
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.

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

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Study design

Observational model
Case-only
Time perspective
Prospective
Enrollment
20 participants (estimated)
Patient registry
No

Groups and cohorts

  • Retrospective (Participants Who Have Already Been Treated for HPV-Related Cancer Before Study)

    This group will use medical records from participants who have already received chemoradiation for their HPV-related anal or cervical cancer at a time before this study started. Because they have already received treatment, these participants will provide previous blood/tumor tissue samples that contain detectable HPV DNA as well as at least one post-treatment sample that their doctor collected before the study. Data from these previously collected samples will be compared to current samples from participants who are actively enrolled in this study in present day (chart review).

  • Prospective (Participants Who Will Receive Radiation Treatment for HPV-Related Cancer During Study)

    This group is for participants who plan to receive radiation treatment (with or without chemotherapy) for their HPV-related anal or cervical cancer during the time this study will be conducted. Participants in this group will sign a consent form allowing researchers to collect their blood samples and analyze/compare them to the samples from the retrospective group of participants.

    Radiation: Radiation Treatment With or Without Chemotherapy · Other: Blood Sample Collection · Diagnostic Test: HPV Genotyping (HPV DNA Test) · Diagnostic Test: Testing Archival Tumor Tissue · Other: Physical Exam · Diagnostic Test: Positron Emission Tomography Scan (PET Scan)/ Computed Tomography Scan (CT Scan)

Interventions

  • RadiationRadiation Treatment With or Without Chemotherapy

    Standard care radiation treatment.

  • OtherBlood Sample Collection

    Researchers will collect blood samples from participants before, during and after radiation treatment. Approximately 6 teaspoons of blood will be collected each time blood is drawn.

  • Diagnostic testHPV Genotyping (HPV DNA Test)

    A test used to detect the type of HPV DNA found in the participant's blood and tumor tissue samples.

  • Diagnostic testTesting Archival Tumor Tissue

    Tumor tissue will be tested in a lab for all cervical cancer participants and some participants with anal cancer as assessed by the lead study doctor. This tumor tissue sample will be from a previous biopsy that the participant received before the study per standard care; no new biopsy will be required for this study.

  • OtherPhysical Exam

    A physical exam will be given 12 months after radiation treatment. This physical exam may also include an anoscopy (a procedure to examine the anus using a device inserted into the anus) or sigmoidoscopy (a procedure that looks at the rectum and lower part of the colon using a device inserted into the anus).

  • Diagnostic testPositron Emission Tomography Scan (PET Scan)/ Computed Tomography Scan (CT Scan)

    Tests that use computers and/or rotating x-rays to scan/create images of the body.

06

What researchers measure

Primary outcomes

  1. Rate of Participants With Detectable Circulating HPV DNA in Blood/Tumor Samples

    The rate of participants who have detectable HPV DNA in their blood and tumor samples as assessed by analyzing blood/ tumor tissue samples using Polymerase chain reaction (PCR) tests.

    Time frame: 25 months

Secondary outcomes

  1. Accuracy of HPV DNA Levels in Predicting Cancer Recurrence at 24 Months

    The accuracy of post-treatment HPV DNA levels in predicting cancer recurrence at 24 months after treatment. This accuracy will be assessed using statistical calculations incorporating data from the participant's HPV DNA detection test results and clinical records.

    Time frame: 24 months

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Study locations

2 of 2 sites recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 4, 2026, 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
NCT04857528
Responsible party
Sponsor
First posted
Apr 23, 2021
Start date
Oct 6, 2020
Primary completion
Nov 15, 2027 (estimated)
Completion
Nov 15, 2027 (estimated)
Last update
Mar 4, 2026

Study contacts

Christina Son, MD
Contact
cson@radonc.uchicago.edu
773-702-6870
Christina Son, MD
principal investigator · University of Chicago

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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