ClinicalTrials.gg
Active, not recruitingNCT05613283PREVENTUpdated Dec 21, 2023

Primary Cervical Cancer Screening by Self-sampling HPV Test

An observational study in Human Papillomavirus Infection, Cervical Cancer and Negative For Intraepithelial Lesion Or Malignancy, sponsored by Peking University People's Hospital. Active, not recruiting at 6 sites in China. Open to female participants aged 21 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-12-21.

Sponsored by Peking University People's Hospital · Observational

From the registry’s dates

  • Primary completion was expected by Jul 2026, 3 months ago, but the record still lists the study as active, not recruiting.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
17,875
Ages
21 Years to 65 Years
Sex
Female
01

Study summary

Cervical cancer seriously threatens women's health and HPV infection is the main cause of cervical cancer. Traditionally, Cervical cancer screening is based on cervical exfoliated cell samples collected by health care provider, which is labor consuming and the coverage and compliance are both relatively low in some areas. Non-invasive hrHPV self-sampling test appears to be more acceptable and may improve the HPV screening coverage. This study aims to evaluate the clinical performance of a newly developed urine/vaginal self-sampling hrHPV test in Cervical cancer screening.

Read the detailed description

This study is a prospective multi-center clinical trial in China. Eligible participants are cervical cancer screening population who meet the enrollment criterias. All the participants are required to provide urine and vaginal samples by self-sampling, as well as the cervical exfoliated cell samples (by HCP). Participants may undergo colposcopy examination depending on the test results, and they will be followed up for three years.

The high-risk human papillomavirus nucleic acid detection kit (PCR-fluorescent probe method) developed by New Horizon Co., Ltd . is suitable for in vitro qualitative detection of 14 types of high-risk HPV ( 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66, 68) nucleic acid.

The clinical performance of the self-sampling test will be assessed base on the following outcomes:

  1. The sensitivity for detecting CIN2+
  2. The specificity in non-CIN2+ population
  3. The risk of developing CIN2+ in test positive cohort and test negative cohort
  4. The accuracy of detecting hrHPV
02

Conditions studied

  • Human Papillomavirus Infection
  • Cervical Cancer
  • Negative For Intraepithelial Lesion Or Malignancy
  • Atypical Squamous Cells of Undetermined Significance
  • Atypical Squamous Cells, Cannot Rule Out High-grade Squamous Intraepithelial Lesion
  • Cervical Squamous Intraepithelial Lesion
  • Low-Grade Squamous Intraepithelial Lesions
  • High-Grade Squamous Intraepithelial Lesions
  • Cervical Intraepithelial Neoplasia Grade I
  • Cervical Intraepithelial Neoplasia Grade II
  • Cervical Intraepithelial Neoplasia, Grade III
  • Atypical Glandular Cells
  • Atypical Glandular Cells Not Otherwise Specified
  • Atypical Glandular Cells, Favor Neoplastic
  • Cervical Squamous Cell Carcinoma
  • Adenocarcinoma in Situ
  • Cervical Adenocarcinoma

Keywords

  • Self-sampling HPV testing
  • Human papilloma virus
  • Cervical cancer
03

In context

Papillomavirus Infections

505 studies on the registry are indexed under Papillomavirus Infections; 128 are open to participants now.

This study's planned enrollment of 17,875 is above the median of 400 across 151 observational studies indexed under Papillomavirus Infections.

Browse Papillomavirus Infections studies →

Lead sponsor

Peking University People's Hospital is the lead sponsor of 603 studies on the registry; 241 are open to participants now.

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

04

Who can participate

Ages eligible
21 Years to 65 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

The population of clinical validity verification is all screening population, that is, women who need to undergo routine cervical cancer screening and the results of cervical cytology are unknown; Accuracy verification needs to include part of the screening population and part of the outpatient population, that is, women who intend or need to undergo colposcopy or cervical cancer screening for clinical visits.

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

  • a. Females aged 21-65; b. have a history of sexual life; c. The patients were voluntarily enrolled and signed the informed consent.

Exclusion criteria

Exclusion Criteria:

  • Accuracy Verification:

Subjects meeting any of the following criteria will be excluded:

  1. Known pregnant subjects.
  2. Participants who have undergone total hysterectomy.
  3. Participants who have received cervical resection therapy or ablative therapy within 12 months, such as cryo, laser, microwave, coagulation, cryotherapy, LEEP, large loop electrosurgery (LLETZ), cold knife conization (CKC), laser conization, or ablation.
  4. Participants with poor compliance or researchers who believe that they are not suitable to participate in this study.

    • Primary screening use:

Subjects meeting any of the following criteria will be excluded:

  1. Known pregnant subjects.
  2. Participants who have undergone total hysterectomy.
  3. Participants who have received cervical resection therapy or ablative therapy within 12 months, such as cryo, laser, microwave, coagulation, cryotherapy, LEEP, large loop electrosurgery (LLETZ), cold knife conization (CKC), laser conization, or ablation.
  4. Those with known history of cervical cancer.
  5. Participants who participated in cervical cancer screening programs or underwent cervical cytology within 12 months.
  6. Participants with poor compliance or researchers who believe that they are not suitable to participate in this study.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
17,875 participants (estimated)
Patient registry
No

Groups and cohorts

  • Accuracy verification group

    Assessment reagent urine sample HPV-PCR test result Assessment reagent vaginal secretion sample HPV-PCR test result Comparative Methods NGS Nucleic Acid Sequencing Results

  • Consistency verification group

    Assessment reagent urine sample HPV-PCR test result Assessment reagent vaginal secretion sample HPV-PCR test result ApprovedListed Reagent Cervical Sample HPV-PCR Test Result

  • Efficacy and safety verification group

    Thin-layer liquid-based cytology (TCT) results panel Colposcopy results Tissue biopsy pathological diagnosis result

06

What researchers measure

Primary outcomes

  1. Accuracy verification

    Calculate the positive coincidence rate, negative coincidence rate, total coincidence rate, and Kappa value of the comparison reagents and calculate the 95% confidence interval to verify the accuracy of detecting HPV infection.

    Time frame: 2023/12

  2. Clinical validity verification

    The consistency of HPV detection of different sample types was analyzed, and the absolute risk value, relative risk value and 95% confidence interval of the development of ≥CIN2 in different primary screening types were calculated and used to verify the safety and effectiveness of the intended use of cervical cancer primary screening.

    Time frame: 2027/06

07

Study locations

6 sites
  • Peking University People's Hospital
    Beijing, Beijing Municipality, China
  • Henan Cancer Hospital
    Zhengzhou, Henan, China
  • The Third Affiliated Hospital of Zhengzhou University
    Zhengzhou, Henan, China
  • Hunan Provincial Maternal and Child Health Care Hospital
    Changsha, Hunan, China
  • Chengdu Women's and Children's Central Hospital
    Chengdu, Sichuan, China
  • Women's Hospital School Of Medicine Zhejiang University
    Hangzhou, Zhejiang, China
08

References and documents

Publications

  • Nelson EJ, Maynard BR, Loux T, Fatla J, Gordon R, Arnold LD. The acceptability of self-sampled screening for HPV DNA: a systematic review and meta-analysis. Sex Transm Infect. 2017 Feb;93(1):56-61. doi: 10.1136/sextrans-2016-052609. Epub 2016 Oct 19. PubMed 28100761 ↗
  • Bruni L, Albero G, Serrano B, et al.ICO/IARC Information Centre on HPV and Cancer (HPV Information Centre). Human Papillomavirus and Related Diseases in China. Summary Report 22 October 2021. [EB/OL].www.hpvcentre.net
  • Wu RF, Du H. [Development of model based on self-sampling HPV testing for cervical cancer screening]. Zhonghua Fu Chan Ke Za Zhi. 2017 Sep 25;52(9):582-585. doi: 10.3760/cma.j.issn.0529-567X.2017.09.002. No abstract available. Chinese. PubMed 28954445 ↗
  • Bernal S, Palomares JC, Artura A, Parra M, Cabezas JL, Robles A, Martin Mazuelos E. Comparison of urine and cervical samples for detecting human papillomavirus (HPV) with the Cobas 4800 HPV test. J Clin Virol. 2014 Dec;61(4):548-52. doi: 10.1016/j.jcv.2014.10.001. Epub 2014 Oct 12. PubMed 25453566 ↗
  • Hagihara M, Yamagishi Y, Izumi K, Miyazaki N, Suzuki T, Kato H, Nishiyama N, Koizumi Y, Suematsu H, Mikamo H. Comparison of initial stream urine samples and cervical samples for detection of human papillomavirus. J Infect Chemother. 2016 Aug;22(8):559-62. doi: 10.1016/j.jiac.2016.05.009. Epub 2016 Jun 21. PubMed 27342077 ↗
  • Pathak N, Dodds J, Zamora J, Khan K. Accuracy of urinary human papillomavirus testing for presence of cervical HPV: systematic review and meta-analysis. BMJ. 2014 Sep 16;349:g5264. doi: 10.1136/bmj.g5264. PubMed 25232064 ↗
  • Combita AL, Gheit T, Gonzalez P, Puerto D, Murillo RH, Montoya L, Vorsters A, Van Keer S, Van Damme P, Tommasino M, Hernandez-Suarez G, Sanchez L, Herrero R, Wiesner C. Comparison between Urine and Cervical Samples for HPV DNA Detection and Typing in Young Women in Colombia. Cancer Prev Res (Phila). 2016 Sep;9(9):766-71. doi: 10.1158/1940-6207.CAPR-16-0038. Epub 2016 Jul 14. PubMed 27417431 ↗
  • Cho HW, Shim SR, Lee JK, Hong JH. Accuracy of human papillomavirus tests on self-collected urine versus clinician-collected samples for the detection of cervical precancer: a systematic review and meta-analysis. J Gynecol Oncol. 2022 Jan;33(1):e4. doi: 10.3802/jgo.2022.33.e4. Epub 2021 Oct 7. PubMed 34783207 ↗
  • Arbyn M, Verdoodt F, Snijders PJ, Verhoef VM, Suonio E, Dillner L, Minozzi S, Bellisario C, Banzi R, Zhao FH, Hillemanns P, Anttila A. Accuracy of human papillomavirus testing on self-collected versus clinician-collected samples: a meta-analysis. Lancet Oncol. 2014 Feb;15(2):172-83. doi: 10.1016/S1470-2045(13)70570-9. Epub 2014 Jan 14. PubMed 24433684 ↗
  • Camara H, Zhang Y, Lafferty L, Vallely AJ, Guy R, Kelly-Hanku A. Self-collection for HPV-based cervical screening: a qualitative evidence meta-synthesis. BMC Public Health. 2021 Aug 4;21(1):1503. doi: 10.1186/s12889-021-11554-6. PubMed 34348689 ↗
  • Belinson JL, Wang G, Qu X, Du H, Shen J, Xu J, Zhong L, Yi J, Yi X, Wu R. The development and evaluation of a community based model for cervical cancer screening based on self-sampling. Gynecol Oncol. 2014 Mar;132(3):636-42. doi: 10.1016/j.ygyno.2014.01.006. Epub 2014 Jan 14. PubMed 24440471 ↗
  • Xu H, Yu Y, George W, Smith JS, Hu S, Dang L, Zhang X, Pan Q, Qiao Y, Zhao F. Comparison of the performance of paired urine and cervical samples for cervical cancer screening in screening population. J Med Virol. 2020 Feb;92(2):234-240. doi: 10.1002/jmv.25597. Epub 2019 Sep 30. PubMed 31535725 ↗
  • Belinson JL, Hu S, Niyazi M, Pretorius RG, Wang H, Wen C, Smith JS, Li J, Taddeo FJ, Burchette RJ, Qiao YL. Prevalence of type-specific human papillomavirus in endocervical, upper and lower vaginal, perineal and vaginal self-collected specimens: Implications for vaginal self-collection. Int J Cancer. 2010 Sep 1;127(5):1151-7. doi: 10.1002/ijc.25144. PubMed 20039323 ↗
  • 毛康娜, 刘艳欣, 陶惠芬.14398名妇女宫颈癌筛查结果分析[J]. 河南医学研究,2021,30(16):2921-2923.
09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Nov 2022 (actual). Primary completion is estimated for Jul 2026, 44 months after the start.

Of 57 non-industry observational studies under Papillomavirus Infections, half reached primary completion within 49 months of starting (the median), counting those still running; a quarter within 21 and three quarters within 90. This study's planned 44 months is below that.

Counting every sponsor, half of 69 studies reached it within 46 months; a quarter within 21 and three quarters within 90.

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

Registered
Nov 4, 2022
First posted
Nov 14, 2022
StartActual
Nov 19, 2022
Primary completionEst.
Jul 2026
CompletionEst.
Aug 31, 2027
Last update
Dec 21, 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 Dec 21, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05613283
Collaborators
BeijingNewBiorayTechnologyCo.,Ltd., Hangzhou Newhorizon Health Technology Co., Ltd.
Responsible party
Wang Jianliu (Chief physician, Peking University People's Hospital) — Principal investigator
First posted
Nov 14, 2022
Start date
Nov 19, 2022
Primary completion
Jul 2026 (estimated)
Completion
Aug 31, 2027 (estimated)
Last update
Dec 21, 2023

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Dec 2023. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion