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Evaluation of the acceptability, safety and effectiveness of thermal ablation in the prevention of cervical neoplasia in Zimbabwe

Not Applicable
Conditions
Cancer
Registration Number
PACTR202103552074172
Lead Sponsor
International Agency for Research on Cancer
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Pending
Sex
Female
Target Recruitment
184
Inclusion Criteria

Clinically healthy women aged 25-59 years, not pregnant, with an intact uterus and with no history of debilitating physical and mental illness
- Screen positive women with colposcopically suspected high-grade lesions (CIN 2/CIN 3) fulfilling the eligibility criteria for ablative treatment. Biopsies will be obtained from the cervical lesion(s) prior to treatment and the results will be reviewed post-treatment.
- Women with histopathologically confirmed CIN 2/3 fulfilling the eligibility criteria for ablative treatment.
- Women providing informed consent voluntarily
The eligibility criteria for ablative treatment are as follows:
- The entire squamocolumnar junction is visible and the transformation zone is of type 1
- The lesion does not occupy more than 75% of the cervix and does not extend to the endocervix or vagina
- There is no evidence of invasive cervical cancer or glandular abnormality

Exclusion Criteria

-Pregnant woman
-No histological confirmation of CIN2/CIN3
-Informed consent not provided
-Suspicion of cervical cancer
-Lesion not eligible for ablative treatment (large lesion, endocervical lesion, squamocolumnar junction not visible)

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
- Feasibility, acceptability, safety, clinical utility and effectiveness of thermal ablation in the prevention of cervical lesions <br>- Comparison of the intensity of pain during thermal ablation between women receiving an application of local anaesthesia (lignocaine spray) and women not receiving local anaesthesia<br>- Comparison of the cure rates of lesions treated by thermal ablation at two different durations of treatment: 20 seconds and 30 seconds.
Secondary Outcome Measures
NameTimeMethod
Satisfaction level of treatment by thermal ablation.
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