Impacting the Oral HPV Continuum: MOUTH Study (Men and Women Offering Understanding of Throat HPV)
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 1,500
- 试验地点
- 2
- 主要终点
- Oncogenic oral HPV infection present or absent in oral rinse sample
研究概览
简要总结
This study will screen people for oncogenic oral Human Papillomavirus (HPV) infection and antibodies to form a cohort of people who may be at increased risk of HPV-oropharyngeal cancer (HPV-OPC). The investigators will follow these individuals prospectively to evaluate oncogenic oral HPV persistence, risk factors, and biomarkers for persistence.
详细描述
This study will provide one of the first estimates of long-term oral HPV natural history, and the effect of biologic and behavioral risk factors, including HIV, on this natural history. Phase 1 of the study will screen approximately 1500 people for oncogenic oral HPV biomarkers. Phase 2 of the study will follow only those subjects with oncogenic oral HPV infection and/or HPV serum oncogene antibodies from Phase 1 (and those previously identified as having oncogenic oral HPV infection in a previous study) with annual follow-up for oncogenic oral HPV persistence.
Understanding persistent oncogenic oral HPV infection is the focus of this study. Understanding which factors drive oral HPV infection to become persistent or progress to malignancy is critical to determine who is at high risk for oropharyngeal cancer and may benefit from screening and prevention. It is presumed that persistent oncogenic oral HPV infections are necessary for progression to HPV-OPC.
The study is led by Dr. Amber D'Souza and Dr Carole Fakhry (Johns Hopkins) and participants are being enrolled in Baltimore MD (Johns Hopkins) and in New York (Mt. Sinai).
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Participants in the Phase 1 Screening
- •Inclusion criteria:
- •In order to be eligible to participate in this study, an individual must meet all of the following criteria:
- •18 and older (enrollment at most sites will be restricted to 30 and older since this demographic has the highest prevalence of infection; however, individuals and/or partners of someone with an HPV-related cancer, for example, are at increased risk so will be enrolled in the larger age range).
- •Willing to be contacted to arrange follow-up visits, if determined to be eligible for phase 2
- •Ability to understand and the willingness to sign a written informed consent document
- •In addition, individuals must meet at least one of the following criteria:
- •Male, aged 30 and older, with 2 or more lifetime oral sex
- •History of anal or genital dysplasia or cancer
- •Partners of someone with an HPV-related cancer (HPV-positive OPC, anal cancer or genital cancer)
- •Known oncogenic HPV-positive biomarker from prior studies or testing, regardless of number of partners.
排除标准
- •An individual who meets any of the following criteria will be excluded from participation in this study:
- •Presence of medical or psychiatric condition affecting ability to give voluntary, informed consent.
- •Participants who do not speak English cannot enroll because the consent and study survey are only available in English. However, if there is a hearing, literacy or minor fluency issue and the participant requests assistance from a family member or the study coordinator, this individual may still enroll and receive this assistance to ensure they fully hear and understand everything being asked.
- •History of head and neck cancer
- •Participants in the Phase 2 Follow-Up
- •Inclusion criteria:
- •Oncogenic oral HPV infection and/or HPV serum oncogenic antibodies detected in phase 1
- •Willingness to complete annual follow up visits
- •Exclusion criteria:
- •Unable to complete annual follow up visits
研究组 & 干预措施
Follow-up
Those subjects with oncogenic oral HPV infection and/or HPV oncogene serum antibodies from screening.
结局指标
主要结局
Oncogenic oral HPV infection present or absent in oral rinse sample
时间窗: Baseline to end of four year follow-up and data abstraction/linkage.
To explore the effects of biologic (microbiome, oral immune response, biologic sex) risk factors for oncogenic oral HPV persistence
次要结局
- HPV16 E6 antibodies present or absent in serum sample(Baseline to end of four year follow-up and data abstraction/linkage.)