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Comparing the value of HPV transcript analysis and analysis of DNA methylation status for stratification of high-risk HPV positive women for risk of developing high grade cervical intraepithelial neoplasia (CIN) lesions and cervical carcinoma, to that of conventional cytology.

Completed
Conditions
cervical cancer
cervical intraepithelial neoplasma
10038594
Registration Number
NL-OMON37087
Lead Sponsor
Vrije Universiteit Medisch Centrum
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
300
Inclusion Criteria

Women between 20-70 years of age
Cervical smear is high-risk HPV DNA positive
cervix intact (no history of surgical treatment involving damage to transformation zone of cervix)

Exclusion Criteria

Women unable to take a vaginal self-sample
Cervical smear is hr-HPV DNA negative
(previous) abnormal cervical smear of at least BMD (pap3a2) or cervical cancer within preceding 2 years
presents of any cancer but cervical cancer
history of surgery on cervix
Pregnancy or having been pregnant (equally for breast-feeding) in the last 3 months
heavy vaginal bleeding

Study & Design

Study Type
Observational invasive
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
<p>Endpoint is histology outcome; i.e. presence or absence of *CIN2 lesions. The<br /><br>short-term risk of *CIN2 will be assessed as a function of E7 transcript and<br /><br>DNA methylation status. The sensitivity, specificity, positive and negative<br /><br>predictive values of mRNA testing and analysis of DNA promoter methylation for<br /><br>detection of *CIN2 lesions in hr-HPV positive women will be determined and<br /><br>compared to that of cytology.</p><br>
Secondary Outcome Measures
NameTimeMethod
<p>not applicable</p><br>
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