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Using Plasma HPV Related DNA and RNA to Follow Response of Cervical Cancer to Surgery, Radiation, and Chemotherapy

Not yet recruiting
Conditions
Cervical Cancer
Human Papilloma Virus (HPV)
Registration Number
NCT07214584
Lead Sponsor
University of Florida
Brief Summary

The goal of this study is to test two commercially available technologies for their ability to detect treatment response in patients with cervical cancer following surgery, radiation, and chemotherapy: one based on PCR (NavDx) and the other on branched DNA (Quantivirus HPV \[DNA\]). We will perform a 9-month feasibility study to examine the side-by-side utility of both NavDx and Quantivirus HPV DNA assays in predicting cervical cancer treatment response.

We believe these tests could prove to be highly sensitive methods for evaluating minimal residual disease and for quantitation of response to surgery, radiation, and chemotherapy in patients with cervical cancer.

Primary Goal:

Feasibility for NavDx HPV DNA assay (Naveris, Inc) to be used for personalized prediction of tumor response before and after treatment.

Secondary Goals:

1. Comparability of the Quantivirus HPV DNA/mRNA assay (DiaCarta, Inc) with the NavDx HPV DNA assay and,

2. Feasibility of the Quantivirus technology for measuring treatment response within the first day to 2 weeks of radiation, surgery, or a new chemotherapy.

Detailed Description

Not available

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
Female
Target Recruitment
55
Inclusion Criteria
  • 18 years and older
  • HPV-associated squamous cell, adenocarcinoma, or adenosquamous cancers of the uterine cervix with evaluable disease
  • Diagnosed with AJCC stage I or higher, or any patient being treated for metastatic disease.
  • Presence of evaluable disease on pre-treatment standard of care imaging with plans to obtain serial post-treatment standard of care imaging
  • Agree to perform the required research-related blood tests and cervical mucous testing.
Exclusion Criteria
  • Unable to consent or refusal to sign a consent form
  • Not meet any inclusion criteria
  • Unable to comply with follow up scheduling.
  • Diagnosed with a synchronous malignancy requiring cancer-directed therapy

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Feasibility of Circulating HPV DNA/mRNA Liquid Biopsy for Evaluating Treatment Response in Cervical CancerFrom enrollment to the end of the first surveillance visit, which occurs at 3-4 months post op or post-chemo, or at the patient's 3-4 month follow-up radiation therapy visit.

This is a feasibility study to determine the sensitivity of circulating HPV DNA/mRNA, measured by either or both NavDx or Quantivirus as a liquid biopsy, to evaluate treatment response in cervical cancer.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

University of Florida

🇺🇸

Gainesville, Florida, United States

University of Florida
🇺🇸Gainesville, Florida, United States
David Iglesias, MD
Principal Investigator

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