Self-collection for HPV Testing to Improve Cervical Cancer Prevention (SHIP) Trial (LMI-001-A-S03)

Last updated: February 6, 2025
Sponsor: National Cancer Institute (NCI)
Overall Status: Active - Recruiting

Phase

N/A

Condition

Uterine Disorders

Cervical Cancer

Human Papilloma Virus (Hpv)

Treatment

Electronic Health Record Review

Biospecimen Collection

Excision

Clinical Study ID

NCT06611540
NCI-2024-07724
LMI-001-A-S03
NCI-2024-07724
  • Ages > 25
  • Female
  • Accepts Healthy Volunteers

Study Summary

This clinical trial evaluates the use of self-collected vaginal samples for human papillomavirus (HPV) testing in patients referred for a colposcopy and/or cervical excisional procedures to improve cervical cancer prevention. HPV is a common virus which usually causes infections that last only a few months, but sometimes can last longer. HPV is known to cause a variety of cancers including cervical cancer. Even though there are ways to detect cervical cancer, many individuals are not diagnosed. Over half of all new cervical cancer cases are among those who have either never been screened or who are not screened enough. The low screening numbers show more testing needs to be done. Without appropriate screening and care, preventable precancer may turn into cancer. A new way to detect cervical cancer is to have individuals collect their own sample for HPV testing to know their risk for cervical cancer. This may give individuals more flexibility and comfort having the ability to collect samples themselves, compared to a doctor performing a speculum examination and collecting the samples in a clinic. Information gathered from this study compares clinical accuracy of HPV testing on self-collected vaginal samples versus cervical samples collected by clinician.

The Self-collection for HPV Testing to Improve Cervical Cancer Prevention (SHIP) Trial is part of the National Cancer Institute (NCI)'s Cervical Cancer 'Last Mile' Initiative, a public private partnership that seeks to increase access to cervical cancer screening. The SHIP Trial focuses on developing clinical evidence to inform the US Food and Drug Administration (FDA)'s regulatory reviews of self-collection approaches as alternative sample collection approaches for cervical cancer screening. Several industry partner-specific self-collection device and assay combinations will be non-competitively and independently evaluated with a similar study design framework to inform pre-approval and/or post-approval regulatory requirements.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Willingness and ability to provide a documented informed consent.

  • Is 25 years or older.

  • Has an intact cervix.

  • Has had a referral for colposcopy and/or cervical excisional procedure in whichroutine cervical cancer screening has included HPV testing (HPV primary screening,co-testing, or atypical squamous cells of undetermined significance [ASC-US]cytology triage) or abnormal cytology performed within the past 12 months precedingthe referral visit.

  • Willing and able to undergo colposcopy, and if clinically indicated for SOCpurposes, a biopsy, endocervical curettage, and/or a cervical excisional procedure,as applicable.

Exclusion

Exclusion Criteria:

  • Is pregnant when presenting for the referral visit or gave birth within the past 3months.

  • Has a known history of excisional or ablative therapy to the cervix (e.g., loopelectrosurgical excision procedure [LEEP], cone biopsy, cervical laser surgery,cryotherapy, thermal ablation) in the last 12 months prior to the referral visit.

  • Has had a complete or partial hysterectomy, either supracervical or involvingremoval of the cervix, via self-report or confirmation via medical records.

  • Known medical conditions that, in the opinion of the investigator, preclude studyparticipation.

  • Previous participation in the SHIP Trial. Participation is defined as completing theself-collection.

  • Is experiencing unusual bleeding or pelvic pain.

Study Design

Total Participants: 500
Treatment Group(s): 9
Primary Treatment: Electronic Health Record Review
Phase:
Study Start date:
September 11, 2024
Estimated Completion Date:
October 14, 2025

Study Description

PRIMARY OBJECTIVES:

I. To evaluate clinical accuracy (including clinical sensitivity, clinical specificity, false positive rate, and false negative rate) for the detection of cervical precancer/cancer and agreement/concordance (including positive percent agreement and negative percent agreement) on self-collected (SC) versus clinician-collected (CC) samples for the following HPV genotype detections and groupings: by the Roche cobas HPV tests:

Ia. Any high-risk (HR) HPV genotype; Ib. HPV16; Ic. HPV 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66 and 68 (combined).

EXPLORATORY OBJECTIVE:

I. To evaluate human factors affecting usability, acceptability, and preferences for self-collection.

OUTLINE:

Patients undergo self-collection of a vaginal sample and then undergo clinician-collection of a cervical test sample. Patients then undergo standard of care (SOC) colposcopy with cervical biopsy/endocervical curettage and/or cervical excisional procedures as clinically indicated.

After completion of study intervention (one-time), laboratory results available within 90 days are collected for purposes of study outcomes.

Connect with a study center

  • University of Puerto Rico

    San Juan, 00936
    Puerto Rico

    Site Not Available

  • University of Alabama at Birmingham Cancer Center

    Birmingham, Alabama 35233
    United States

    Site Not Available

  • UCSF Medical Center-Parnassus

    San Francisco, California 94143
    United States

    Site Not Available

  • Yale University

    New Haven, Connecticut 06520
    United States

    Site Not Available

  • University of Miami Miller School of Medicine-Sylvester Cancer Center

    Miami, Florida 33136
    United States

    Site Not Available

  • Emory University Hospital/Winship Cancer Institute

    Atlanta, Georgia 30322
    United States

    Site Not Available

  • UofL Health Medical Center Northeast

    Louisville, Kentucky 40245
    United States

    Site Not Available

  • Louisiana State University Health Science Center

    New Orleans, Louisiana 70112
    United States

    Site Not Available

  • Johns Hopkins University/Sidney Kimmel Cancer Center

    Baltimore, Maryland 21287
    United States

    Site Not Available

  • University of Michigan Comprehensive Cancer Center

    Ann Arbor, Michigan 48109
    United States

    Active - Recruiting

  • Minneapolis VA Medical Center

    Minneapolis, Minnesota 55417
    United States

    Site Not Available

  • University of Mississippi Medical Center

    Jackson, Mississippi 39216
    United States

    Site Not Available

  • University of New Mexico Cancer Center

    Albuquerque, New Mexico 87106
    United States

    Active - Recruiting

  • Montefiore Medical Center-Einstein Campus

    Bronx, New York 10461
    United States

    Site Not Available

  • NYP/Weill Cornell Medical Center

    New York, New York 10065
    United States

    Site Not Available

  • UNC Lineberger Comprehensive Cancer Center

    Chapel Hill, North Carolina 27599
    United States

    Active - Recruiting

  • University of Cincinnati Cancer Center-UC Medical Center

    Cincinnati, Ohio 45219
    United States

    Site Not Available

  • Cleveland Clinic Foundation

    Cleveland, Ohio 44195
    United States

    Site Not Available

  • University of Oklahoma Health Sciences Center

    Oklahoma City, Oklahoma 73104
    United States

    Site Not Available

  • University of Pennsylvania/Abramson Cancer Center

    Philadelphia, Pennsylvania 19104
    United States

    Active - Recruiting

  • UPMC-Magee Womens Hospital

    Pittsburgh, Pennsylvania 15213
    United States

    Site Not Available

  • M D Anderson Cancer Center

    Houston, Texas 77030
    United States

    Site Not Available

  • Huntsman Cancer Institute/University of Utah

    Salt Lake City, Utah 84112
    United States

    Site Not Available

  • Virginia Commonwealth University/Massey Cancer Center

    Richmond, Virginia 23298
    United States

    Site Not Available

  • University of Washington Medical Center - Northwest

    Seattle, Washington 98133
    United States

    Site Not Available

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