NCT02149030

Brief Summary

The main objective of the study is to identify whether or not being informed infrequently results about screening is: 1) At least as safe and accurate as frequently obtaining all information from the present combination of opportunistic/organized cervical screening by comparing regimen results of three screening visits at the ages of 22, 25 and 30 years (Arm A1) vs. results of one screening visit at the age of 30 years (Arm A2) in Human papillomavirus (HPV) vaccinated young women.

Trial Health

55
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
6,958

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Mar 2014

Longer than P75 for not_applicable

Geographic Reach
1 country

31 active sites

Status
active not recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

March 1, 2014

Completed
3 months until next milestone

First Submitted

Initial submission to the registry

May 19, 2014

Completed
10 days until next milestone

First Posted

Study publicly available on registry

May 29, 2014

Completed
10.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2025

Completed
Last Updated

January 20, 2025

Status Verified

January 1, 2025

Enrollment Period

10.8 years

First QC Date

May 19, 2014

Last Update Submit

January 15, 2025

Conditions

Outcome Measures

Primary Outcomes (1)

  • Occurrence of intraepithelial neoplasia grade 2/3 (CIN2/3).

    1a) No marked difference in the incidence of CIN2/3 between arms A1 (participants frequently informed of the cytological results) and A3 (participants not informed of the cytological findings at the age of 22) (interim analysis). 1b) No difference in the incidence of CIN2/3 between arms A1 (participants frequently informed of the cytological results) and A2 (participants infrequently informed of the cytological results). The participants will be followed for 9 years starting from the year they turn 22. For 1992 born the follow-up will start in 2014 and end in 2023. For 1995 born the follow-up will start in 2017 and end in 2026. The interim analysis will include only 1992 cohort. The final analysis will include all cohorts (1992, 1993, 1994, 1995).

    2017-2020, i.e. four years (interim), 2021-2025, i.e. five years (final analysis). Participants will be followed for the duration of the study until 2026, an expected average of 9 years.

Secondary Outcomes (1)

  • Type-replacement

    2021-2025, i.e. four years

Study Arms (3)

A1

ACTIVE COMPARATOR

A1) Cytological screening in A1 and A3. Frequent information of screening results for cytology and/or HPV DNA at the ages of 22 (cytology only), 25 and 30.

Other: Cytological screening in A1 and A3

A2

NO INTERVENTION

A2) infrequent information of screening results, only at the age 30 years.

A3

OTHER

A3) Cytological screening in A1 and A3. With at least 1000 participants is enrolled for interim safety analysis when the 1992 birth cohort is 25 years of age and cytology results are being revealed.

Other: Cytological screening in A1 and A3

Interventions

Cytological screening.

A1A3

Eligibility Criteria

Age22 Years - 22 Years
Sexfemale
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • HPV 16/18 vaccinated. Born 1992-1995.

You may not qualify if:

  • Immunocompromising disease. HPV 6/11/16/18 vaccination.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (31)

Nuorisotutkimusasema: Tampereen yliopisto

Äänekoski, Finland

Location

Nuorisotutkimusasema: Tampereen yliopisto

Hämeenlinna, Finland

Location

HUS

Helsinki, Finland

Location

Nuorisotutkimusasema: Tampereen yliopisto

Hyvinkää, Finland

Location

Nuorisotutkimusasema: Tampereen yliopisto

Iisalmi, Finland

Location

Nuorisotutkimusasema: Tampereen yliopisto

Jämsä, Finland

Location

Nuorisotutkimusasema: Tampereen yliopisto

Joensuu, Finland

Location

Nuorisotutkimusasema: Tampereen yliopisto

Jyväskylä, Finland

Location

Nuorisotutkimusasema: Tampereen yliopisto

Kajaani, Finland

Location

Nuorisotutkimusasema: Tampereen yliopisto

Kemi, Finland

Location

Nuorisotutkimusasema: Tampereen yliopisto

Kokkola, Finland

Location

Nuorisotutkimusasema: Tampereen yliopisto

Kotka, Finland

Location

Nuorisotutkimusasema: Tampereen yliopisto

Kouvola, Finland

Location

Nuorisotutkimusasema: Tampereen yliopisto

Kuopio, Finland

Location

Nuorisotutkimusasema: Tampereen yliopisto

Lahti, Finland

Location

Nuorisotutkimusasema: Tampereen yliopisto

Lappeenranta, Finland

Location

Nuorisotutkimusasema: Tampereen yliopisto

Lohja, Finland

Location

Nuorisotutkimusasema: Tampereen yliopisto

Mikkeli, Finland

Location

THL

Oulu, Finland

Location

Nuorisotutkimusasema: Tampereen yliopisto

Pori, Finland

Location

Nuorisotutkimusasema: Tampereen yliopisto

Porvoo, Finland

Location

Nuorisotutkimusasema: Tampereen yliopisto

Rauma, Finland

Location

Nuorisotutkimusasema: Tampereen yliopisto

Rovaniemi, Finland

Location

Nuorisotutkimusasema: Tampereen yliopisto

Salo, Finland

Location

Nuorisotutkimusasema: Tampereen yliopisto

Savonlinna, Finland

Location

Nuorisotutkimusasema: Tampereen yliopisto

Seinäjoki, Finland

Location

Nuorisotutkimusasema: Tampereen yliopisto

Tampere, Finland

Location

Nuorisotutkimusasema: Tampereen yliopisto

Turku, Finland

Location

Nuorisotutkimusasema: Tampereen yliopisto

Vaasa, Finland

Location

Nuorisotutkimusasema: Tampereen yliopisto

Vammala, Finland

Location

Nuorisotutkimusasema: Tampereen yliopisto

Varkaus, Finland

Location

Related Publications (12)

  • Vanska S, Luostarinen T, Baussano I, Apter D, Eriksson T, Natunen K, Nieminen P, Paavonen J, Pimenoff VN, Pukkala E, Soderlund-Strand A, Dubin G, Garnett G, Dillner J, Lehtinen M. Vaccination With Moderate Coverage Eradicates Oncogenic Human Papillomaviruses If a Gender-Neutral Strategy Is Applied. J Infect Dis. 2020 Aug 17;222(6):948-956. doi: 10.1093/infdis/jiaa099.

    PMID: 32161969BACKGROUND
  • Louvanto K, Eriksson T, Gray P, Apter D, Baussano I, Bly A, Harjula K, Heikkila K, Hokkanen M, Huhtinen L, Ikonen M, Karttunen H, Nummela M, Soderlund-Strand A, Veivo U, Dillner J, Elfstom M, Nieminen P, Lehtinen M. Baseline findings and safety of infrequent vs. frequent screening of human papillomavirus vaccinated women. Int J Cancer. 2020 Jul 15;147(2):440-447. doi: 10.1002/ijc.32802. Epub 2019 Dec 16.

    PMID: 31749143BACKGROUND
  • Gray P, Kann H, Pimenoff VN, Eriksson T, Luostarinen T, Vanska S, Surcel HM, Faust H, Dillner J, Lehtinen M. Human papillomavirus seroprevalence in pregnant women following gender-neutral and girls-only vaccination programs in Finland: A cross-sectional cohort analysis following a cluster randomized trial. PLoS Med. 2021 Jun 7;18(6):e1003588. doi: 10.1371/journal.pmed.1003588. eCollection 2021 Jun.

    PMID: 34097688BACKGROUND
  • Kalliala I, Eriksson T, Aro K, Hokkanen M, Lehtinen M, Gissler M, Nieminen P. Preterm birth rate after bivalent HPV vaccination: Registry-based follow-up of a randomized clinical trial. Prev Med. 2021 May;146:106473. doi: 10.1016/j.ypmed.2021.106473. Epub 2021 Feb 24.

    PMID: 33639181BACKGROUND
  • Lehtinen M, Gray P, Louvanto K, Vanska S. In 30 years, gender-neutral vaccination eradicates oncogenic human papillomavirus (HPV) types while screening eliminates HPV-associated cancers. Expert Rev Vaccines. 2022 Jun;21(6):735-738. doi: 10.1080/14760584.2022.2064279. Epub 2022 Apr 15. No abstract available.

    PMID: 35404177BACKGROUND
  • Lehtinen M, Pimenoff VN, Nedjai B, Louvanto K, Verhoef L, Heideman DAM, El-Zein M, Widschwendter M, Dillner J. Assessing the risk of cervical neoplasia in the post-HPV vaccination era. Int J Cancer. 2023 Mar 15;152(6):1060-1068. doi: 10.1002/ijc.34286. Epub 2022 Oct 10.

    PMID: 36093582BACKGROUND
  • Pimenoff VN, Gray P, Louvanto K, Eriksson T, Lagheden C, Soderlund-Strand A, Dillner J, Lehtinen M. Ecological diversity profiles of non-vaccine-targeted HPVs after gender-based community vaccination efforts. Cell Host Microbe. 2023 Nov 8;31(11):1921-1929.e3. doi: 10.1016/j.chom.2023.10.001.

    PMID: 37944494BACKGROUND
  • Lehtinen M, Bruni L, Elfstrom M, Gray P, Logel M, Mariz FC, Baussano I, Vanska S, Franco EL, Dillner J. Scientific approaches toward improving cervical cancer elimination strategies. Int J Cancer. 2024 May 1;154(9):1537-1548. doi: 10.1002/ijc.34839. Epub 2024 Jan 9.

    PMID: 38196123BACKGROUND
  • Lehtinen M, Elfstrom M, Vanska S, Dillner J. Elimination of cervical cancer by refined vaccination and screening. Int J Cancer. 2025 Feb 15;156(4):886-888. doi: 10.1002/ijc.35228. Epub 2024 Oct 25. No abstract available.

    PMID: 39450703BACKGROUND
  • Louvanto K, Verhoef L, Pimenoff V, Eriksson T, Leppala S, Lagheden C, Gray P, Scibior-Bentkowska D, Sumiec E, Nieminen P, Dillner J, Berkhof J, Meijer CJLM, Lehtinen M, Nedjai B, Heideman DAM. Low methylation marker levels among human papillomavirus-vaccinated women with cervical high-grade squamous intraepithelial lesions. Int J Cancer. 2024 Nov 1;155(9):1549-1557. doi: 10.1002/ijc.35044. Epub 2024 May 27.

    PMID: 38801336BACKGROUND
  • Taavela K, Eriksson T, Huhtala H, Bly A, Harjula K, Heikkila K, Hokkanen M, Nummela M, Kotaniemi-Talonen L, Lehtinen M, Louvanto K. The quality of life of frequently vs. infrequently screened HPV vaccinated women. Qual Life Res. 2024 Apr;33(4):941-949. doi: 10.1007/s11136-023-03575-y. Epub 2024 Jan 18.

    PMID: 38238599BACKGROUND
  • Lehtinen M, Apter D, Baussano I, Eriksson T, Natunen K, Paavonen J, Vanska S, Bi D, David MP, Datta S, Struyf F, Jenkins D, Pukkala E, Garnett G, Dubin G. Characteristics of a cluster-randomized phase IV human papillomavirus vaccination effectiveness trial. Vaccine. 2015 Mar 3;33(10):1284-90. doi: 10.1016/j.vaccine.2014.12.019. Epub 2015 Jan 12.

    PMID: 25593103BACKGROUND

Study Officials

  • Matti Lehtinen, MD, PhD

    Tampere University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
SCREENING
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

May 19, 2014

First Posted

May 29, 2014

Study Start

March 1, 2014

Primary Completion

January 1, 2025

Study Completion

January 1, 2025

Last Updated

January 20, 2025

Record last verified: 2025-01

Locations