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RecruitingNCT06403618Updated May 23, 2025

Evaluation of the PreCursor-M+® in CIN2

An observational study in Cervical Intraepithelial Neoplasia Grade 2, sponsored by European Institute of Oncology. Recruiting at 2 sites in Italy. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-05-23.

Sponsored by European Institute of Oncology · Observational

From the registry’s dates

  • Primary completion was expected by Jun 2025, 1 year 3 months ago, but the record still lists the study as recruiting.
  • Started Jun 2024; still recruiting 2 years 3 months later.
Study type
Observational
Model
Case-only
Time perspective
Prospective
Enrollment
100
Ages
18 Years and older
Sex
Female
01

Study summary

The goal of this observational study is to to evaluate the accuracy and sensitivity of PreCursor-M+ on a post-aliquot of liquid-based cytology (LBC) cervical samples (biopsy) obtained by physicians in a group of women with histologically-proven diagnoses of CIN2.

The PreCursor-M+® assay is a multiplex real-time methylation specific PCR test that identifies the level of promotor methylation of the host cell genes FAM19A4 and miR124-2, known biomarkers associated with cervical carcinoma and transforming CIN in cervical cells.

To evaluate the clinical course of CIN2 at 2 years after the first diagnosis, with an interval evaluation at 6 months.

After enrolment, women will be divided into two groups: "active surveillance" and "immediate treatment". In the first group, clinical outcomes to be assessed, in relation to the PreCursor-M+ result at baseline, will include regression to \<CIN2, persistence of CIN2, and progression to CIN3+. In the second group, we will evaluate the histological diagnosis at cone specimen (downgrading or upgrading) and the 2-year cumulative incidence of CIN2+ recurrence based on the PreCursor-M+ result at baseline.

02

Conditions studied

  • Cervical Intraepithelial Neoplasia Grade 2
03

In context

Uterine Cervical Dysplasia

356 studies on the registry are indexed under Uterine Cervical Dysplasia; 68 are open to participants now.

This study's planned enrollment of 100 is below the median of 470 across 96 observational studies indexed under Uterine Cervical Dysplasia.

Browse Uterine Cervical Dysplasia studies →

Lead sponsor

European Institute of Oncology is the lead sponsor of 178 studies on the registry; 113 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Sampling method
Non-probability sample

Study population

women with histological diagnosis of CIN2

Inclusion criteria

  1. age at diagnosis of 18 years or older;
  2. histological confirmation of CIN2 after colposcopic-guided cervical biopsy or conservative surgical treatment, including loop electrosurgical excision procedure (LEEP) and laser conization;
  3. known HPV test result at baseline;
  4. ability to understand and sign the informed consent;
  5. written informed consent given.

Exclusion criteria

Exclusion criteria:

  1. unknown HPV test result at diagnosis;
  2. vulnerable patients.
05

Study design

Observational model
Case-only
Time perspective
Prospective
Enrollment
100 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • active surveillance

    wait-and-see strategy

  • immediate treatment

    surgical treatment per clinical practice

06

What researchers measure

Primary outcomes

  1. Evaluation of methylation of the host cell genes FAM19A4 and miR124-2

    The PreCursor-M+® assay is a multiplex real-time methylation specific PCR test that identifies the level of promotor methylation of the host cell genes FAM19A4 and miR124-2, known biomarkers associated with cervical carcinoma and transforming CIN in cervical cells. This test can identify patients with spontaneous regressing precancer lesions (negative result) from patients with a progressing precancer lesion (positive result).

    Time frame: 6 months

Secondary outcomes

  1. Evaluation of clinical course of CIN2 at 2 years after diagnosis

    To evaluate the clinical course of CIN2 at 2 years after the first diagnosis, with an interval evaluation at 6 months. After enrolment, women will be divided into two groups: "active surveillance" and "immediate treatment". In the first group, clinical outcomes to be assessed, in relation to the PreCursor-M+ result at baseline, will include regression to \<CIN2, persistence of CIN2, and progression to CIN3+. In the second group, we will evaluate the histological diagnosis at cone specimen (downgrading or upgrading) and the 2-year cumulative incidence of CIN2+ recurrence based on the PreCursor-M+ result at baseline.

    Time frame: 2 years

  2. Evaluation of overall accuracy of PreCursor-M+

    Overall accuracy, positive predictive value and negative predictive value of PreCursor-M+

    Time frame: 6 months - 2 years

07

Study locations

1 of 2 sites recruiting
  • European Institute of Oncology, Milan,
    Milan, 20141, Italy
    Recruiting
  • European Institute of Oncology
    Milan, Italy
    • Anna Daniela Iacobone · Contact
    Not yet recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 23, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06403618
Lead sponsor
European Institute of Oncology
Responsible party
Sponsor
First posted
May 8, 2024
Start date
Jun 17, 2024
Primary completion
Jun 17, 2025 (estimated)
Completion
Jun 17, 2027 (estimated)
Last update
May 23, 2025

Study contacts

Anna Daniela Iacobone
Contact
annadaniela.iacobone@ieo.it
+39 0294371088
Anna Daniela Iacobone
principal investigator · European Institute of Oncology

Oversight

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

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