Emergency Department-based Cervical Cancer Screening Through Self-sampling

NCT07345897 — Not applicable, Recruiting, 200 participants, University of Rochester

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Advancing Cervical Cancer Screening Through Emergency Department-based Self-Sampling

RegistryNCT07345897
StatusRecruiting
PhaseNot applicable
Study typeInterventional; na, single group, masking: none, screening
Enrollment200 (Estimated)
SponsorUniversity of Rochester (Other)
ConditionsHPV, HPV Associated Cancers, HPV Cancers, Cervical Cancer Screening, Cervical Cancer (Early Detection)
InterventionsCervical Cancer Screening (Diagnostic test)
Datesstart 2026-02-13, primary completion 2027-08-01 (estimated), completion 2028-01-01 (estimated), first posted 2026-01-16, last updated 2026-05-04
Locations1 site in United States

Related Papers Related Patents Related Grants Related Experts
All trials for HPV All trials for HPV Associated Cancers All trials of Cervical Cancer Screening

-Summary

This project will compare the uptake of cervical cancer screening through ED HPV sampling among patients presenting to the ED.

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+Detailed description

This is a single-arm pilot trial with a prospectively enrolled sample. The participants who complete the screening survey and are determined to be adherent (n \~ 600) will be notified that they appear to be adherent with current screening guidelines, and their participation ends at this point. These participants will be considered screen failures for study purposes. Women and transgender/non-binary individuals with a cervix, aged 30-65, will be recruited from a high-volume urban ED. Follow-up will occur at 150 days to determine CC screening activity, perceived and concrete barriers to care, and participant experiences with the intervention. Electronic Health Record (EHR) review will be conducted to corroborate participants' reports of screening activities and assess completion of clinic-based testing and clinical endpoints.

+Arms and interventions

ArmTypeInterventionsDescription
Intervention ArmExperimentalDiagnostic Test: Cervical Cancer ScreeningParticipants will be provided the opportunity to self- sample for HPV during their ED visit. Participants will be (1) briefly instructed by study staff on how to self-sample using a defined instructional script written at an elementary reading level, (2) provided with a packaged swab, and (3) invited to self- sample privately in their ED room or in one of the private ED restrooms. Once self sampling has been completed, the study staff will then transfer the swab to a vial of transport media and forward the specimens to the laboratory for analysis. Participants recruited to the intervention arm that subsequently decline to or are unable to self-sample in the ED will remain in the study and will receive referral for clinic-based screening.
  • Cervical Cancer Screening (Diagnostic test): Subjects will perform self sampling for cervical cancer.

+Outcome measures

Primary outcomes

  • Uptake of cervical cancer screening from self-sampling in the ED [In about 150 days of enrollment]: Number of subjects referred for additional screening who follow through with next steps in the screening process.

+Eligibility

Sex: Female, ages: 30 Years to 65 Years, accepts healthy volunteers

Inclusion Criteria:

* Cisgender women and transgender/non-binary individuals with a cervix,
* Age 30 - 65 years, and demonstrating decisional capacity to consent to participate with no known exclusion criteria present.

Exclusion Criteria:

* Past hysterectomy with cervical removal
* Known infection with HIV (as screening recommendations for people with HIV differ from the general population)
* Inability to consent (e.g., lacking decisional capacity, intoxicated, or in distress)
* Current pregnancy or in the three months after giving birth
* Use of vaginal ovules, creams or washes, vaginal contraceptives or condoms within past 3 days
* Sexual intercourse or transvaginal ultrasound scans or gynecological examinations within past 2 days

+Locations (1)

FacilityCityCountryStatus
University of Rochester Strong Memorial HospitalRochester, New YorkUnited StatesRecruiting