ClinicalTrials.gg
RecruitingNCT07455942FRACASUpdated Sep 1, 2026

Towards an Understanding of Barriers and Delays in the Diagnosis of Anal Cancer

An observational study in Squamous Cell Carcinoma of the Anal Canal and HPV-induced Cancer, sponsored by Centre Hospitalier Intercommunal Creteil. Recruiting at 32 sites in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-01.

Sponsored by Centre Hospitalier Intercommunal Creteil · Observational

From the registry’s dates

  • Started Jun 2026; still recruiting 4 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
300
Ages
18 Years and older
Sex
All
01

Study summary

This study examines care pathways in 300 patients with anal squamous cell carcinoma to identify barriers and delays in diagnosis, assess the impact of screening and access to care, and improve awareness, screening practices, and early diagnosis.

Read the detailed description

This situational analysis will make it possible to identify barriers and delays in diagnosis, to assess waiting times for access to consultations, and to evaluate the existence of potential fast-track diagnostic pathways.

It will analyze the proportion of cancers diagnosed through screening as well as the proportion of eligible patients who did not benefit from screening.

Assessing patient reluctance, the impact of socio-economic conditions, and patients' knowledge of the link between HPV and anal cancer will help better target public information efforts.

Ultimately, the aim of the study is to improve care pathways in order to enhance public and healthcare professional awareness and promote earlier diagnosis.

02

Conditions studied

  • Squamous Cell Carcinoma of the Anal Canal
  • HPV-induced Cancer
03

In context

Lead sponsor

Centre Hospitalier Intercommunal Creteil is the lead sponsor of 131 studies on the registry; 36 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
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients diagnosed with squamous cell carcinoma of the anal canal

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

  1. Male or female ≥ 18 years
  2. proven invasive or microinvasive squamous cell carcinoma of the anus
  3. Having read and understood the information letter provided, either:

    i. After disclosure of the diagnosis, or ii. At the latest 6 months after initiation of treatment (surgical excision, radiotherapy, or chemoradiotherapy)

  4. Affiliated with a social security system

Exclusion criteria

Exclusion Criteria:

  1. Refusal to participate in the protocol
  2. Other histological types: lymphoma, adenocarcinoma, neuroendocrine tumor, etc.
  3. Time since treatment initiation greater than 6 months
  4. Protected persons (pregnant women, breastfeeding women, individuals under guardianship or curators, minors, persons deprived of liberty, or persons unable to express ).
Terms in these criteria, in plain language(2)

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.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

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

Observational model
Cohort
Time perspective
Prospective
Enrollment
300 participants (estimated)
Patient registry
No

Groups and cohorts

  • Patients diagnosed with squamous cell carcinoma of the anal canal

    Adult patients diagnosed with histologically confirmed anal squamous cell carcinoma.

    Other: self-administered questionnaire

Interventions

  • Otherself-administered questionnaire

    Completion of a self-administered questionnaire by the patient to collect information about their care journey, any difficulties or hesitations, as well as their knowledge of the link between papillomavirus and cancer.

06

What researchers measure

Primary outcomes

  1. First symptom(s) and the histological diagnosis

    Time between the first symptom(s) and the histological diagnosis of anal squamous cell carcinoma.

    Time frame: At the inclusion

Secondary outcomes

  1. Primary tumor, regional nodes, metastasis (TNM) ) stage comparison

    Comparison of diagnostic stages and patient pathways according to whether or not they underwent scr

    Time frame: At the inclusion

  2. Assessment of Deprivation and Health Inequalities for Health Examination Centers, French

    French public-health index used to assess an individual's level of social and material deprivation based on living conditions, financial situation, social support, and access to healthcare. It helps identify social health inequalities and adapt medical care accordingly. \[0 to 100\], The higher the score → the greater the level of deprivation.

    Time frame: At the inclusion

  3. Link between HPV and anal cancer

    Proportion of patients aware of the link between HPV and anal cancer

    Time frame: At the inclusion

  4. Performing a rectal examination at the first consultation

    Assess the proportion of patients who underwent a clinical examination with rectal examination at the first consultation

    Time frame: At the inclusion

07

Study locations

31 of 32 sites recruiting
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jun 2026 (actual). Primary completion is estimated for Sep 2028, 27 months after the start.

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

Registered
Mar 3, 2026
First posted
Mar 6, 2026
StartActual
Jun 23, 2026
Primary completionEst.
Sep 30, 2028
CompletionEst.
Dec 31, 2028
Last update
Sep 1, 2026
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 Sep 1, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07455942
Responsible party
Sponsor
First posted
Mar 6, 2026
Start date
Jun 23, 2026
Primary completion
Sep 30, 2028 (estimated)
Completion
Dec 31, 2028 (estimated)
Last update
Sep 1, 2026

Study contacts

Camille JUNG, PhD
Contact
camille.jung@chicreteil.fr
(0)1 57 02 50 00 ext. +33
Isabelle ETIENNEY, MD
Contact
ietienney@hopital-dcss.org
(0)1 44 64 20 16 51 ext. +33

Oversight

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

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