NCT06611553

Self-collection for HPV Testing to Improve Cervical Cancer Prevention (SHIP) Trial (LMI-001-A-S02)

NCI Cervical Cancer 'Last Mile' Initiative 'Self-Collection for HPV Testing to Improve Cervical Cancer Prevention' (SHIP) Trial LMI-001-A-S02

• Status: Active Not Recruiting
• Phase: N/A
• Study type: Interventional
• Enrollment: 500 (estimated)
• Sponsor: National Cancer Institute (NCI) · NIH
• Sex: Female
• Age: 25 Years
• Healthy volunteers: Not accepted

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. It is known to cause a variety of cancers including cancer of the cervix. Even though there are ways to detect cervical cancer early, many individuals do not undergo screening that involves pelvic exams. Over half of all new cervical cancer cases are among those who have either never been screened or who are not screened enough. Without appropriate screening and care, preventable pre-cancers may turn into cancer. A new way to detect cervical cancer is to have individuals collect their own vaginal 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. 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.

Detailed description

PRIMARY OBJECTIVE: 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: Any high risk (HR) HPV genotype, HPV16, 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 colposcopy with or without 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 study analysis purposes.

Conditions

• Cervical Carcinoma
• Human Papillomavirus Infection

Interventions

Type	Name	Description
PROCEDURE	Biospecimen Collection	Undergo collection of cervical sample by clinician
PROCEDURE	Cervical Biopsy	Undergo cervical biopsy conducted by clinician
PROCEDURE	Colposcopy	Undergo colposcopy conducted by clinician
OTHER	Electronic Health Record Review	Ancillary studies
PROCEDURE	Endocervical Curettage	Undergo endocervical curettage conducted by clinician
PROCEDURE	Excision	Undergo cervical excisional procedure conducted by clinician
PROCEDURE	HPV Self-Collection	Undertake self-collection of vaginal sample
PROCEDURE	Human Papillomavirus Test	Undergo HPV testing of self-collected vaginal sample and cervical sample
OTHER	Questionnaire Administration	Ancillary studies
OTHER	Survey Administration	Ancillary studies

Timeline

• Start date: 2024-09-13
• Primary completion: 2026-06-30
• Completion: 2026-12-31
• First posted: 2024-09-25
• Last updated: 2025-12-15

Locations

14 sites across 2 countries: United States, Puerto Rico