Feasibility of Delphi Screener for Cervical Cytology
The Feasibility and Acceptability of Using the Delphi Screener for Cervical Cytology Testing Among Low Income Women in New York City
1 other identifier
interventional
198
1 country
1
Brief Summary
The aim of this study is to see whether a new self-sampling device, the Delphi Screener (Delphi Devices, Scherpenzeel, Netherlands), can be used for cervical cancer screening. The results using the new device will be compared to results using the current gold standard. The gold standard is clinician-collected endo-cervical and ecto-cervical specimens (often referred to as a 'Pap smear'). Additionally, women will be asked about the acceptability of using the device and how easy it is to understand the user instructions. The Delphi Screener is a sterile, plastic, syringe-like device containing buffered saline which allows a woman to collect her own vaginal lavage (to 'self-squirt'). The hypothesis is that the device may work well for cervical cytology and will be acceptable to the women in the study.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Sep 2008
Shorter than P25 for phase_2
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
May 30, 2008
CompletedFirst Posted
Study publicly available on registry
June 20, 2008
CompletedStudy Start
First participant enrolled
September 1, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2010
CompletedResults Posted
Study results publicly available
January 13, 2014
CompletedJanuary 13, 2014
July 1, 2013
1.3 years
May 30, 2008
July 29, 2013
December 12, 2013
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Sensitivity and Specificity
We calculated sensitivity of self-collected lavage with cytology to detect histologically confirmed high grade lesions (cervical intraepithelial neoplasia, CIN, 2+); specificity for histology-negative (CIN 1 or lower), paired cytology negative, or a third cytology negative; and kappa for paired results. The cytology specimens were collected 1-3 months apart and women with abnormal results for cytology were followed through January 2010 for final histology endpoints.
1-3 months between 2 specimen collections
Kappa Coefficient
Kappa comparing clinician-collected cytology result to self-lavage cytology result
1-3 months between 2 specimen collections
Secondary Outcomes (1)
Outcome: Acceptability of Device
cross-sectional - asked at time of Screener use
Study Arms (1)
Single arm study
OTHERPaired laboratory results for clinician-collected and Screener collected specimens for cytology (and high-risk human papillomavirus testing for sub-sample)
Interventions
Self-sampling device for cervical vaginal lavage
Eligibility Criteria
You may qualify if:
- Valid Pap smear in last 1-3 months obtained at participating clinic
- years or older
- Self-report being able to read in English and/or Spanish
- Willing to sign informed consent
You may not qualify if:
- Used vaginal product (douche, spermicide, antifungal) in last 48 hours
- Last menses started ≤ 4 days prior to enrollment visit
- No uterus / history of hysterectomy
- Self-report currently pregnant
- Self-report currently breastfeeding
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Columbia Universitylead
- Delphi Devices BVcollaborator
Study Sites (1)
Columbia University Presbyterian Hospital
New York, New York, 10032, United States
Related Publications (1)
Jones HE, Mansukhani MM, Tong GX, Westhoff CL. Validity and reliability of using a self-lavaging device for cytology and HPV testing for cervical cancer screening: findings from a pilot study. PLoS One. 2013 Dec 20;8(12):e82115. doi: 10.1371/journal.pone.0082115. eCollection 2013.
PMID: 24376516DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Heidi Jones
- Organization
- CUNY School of Public Health, Hunter College
Study Officials
- PRINCIPAL INVESTIGATOR
Carolyn Westhoff, MD
Columbia University
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- NONE
- Purpose
- SCREENING
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor of Obstetrics and Gynecology, Population and Family Health and Epidemiology at the New York-Presbyterian Hospital at the Columbia University Medical Center
Study Record Dates
First Submitted
May 30, 2008
First Posted
June 20, 2008
Study Start
September 1, 2008
Primary Completion
January 1, 2010
Study Completion
January 1, 2010
Last Updated
January 13, 2014
Results First Posted
January 13, 2014
Record last verified: 2013-07