Effectiveness of Cervical Screening in HPV Vaccinated Women
HPV-004
1 other identifier
interventional
6,958
1 country
31
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Mar 2014
Longer than P75 for not_applicable
31 active sites
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
CompletedFirst Submitted
Initial submission to the registry
May 19, 2014
CompletedFirst Posted
Study publicly available on registry
May 29, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2025
CompletedJanuary 20, 2025
January 1, 2025
10.8 years
May 19, 2014
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 COMPARATORA1) 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.
A2
NO INTERVENTIONA2) infrequent information of screening results, only at the age 30 years.
A3
OTHERA3) 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.
Interventions
Eligibility Criteria
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
- Tampere Universitylead
- European Unioncollaborator
- Academy of Finlandcollaborator
- Cancer Society of Finlandcollaborator
Study Sites (31)
Nuorisotutkimusasema: Tampereen yliopisto
Äänekoski, Finland
Nuorisotutkimusasema: Tampereen yliopisto
Hämeenlinna, Finland
HUS
Helsinki, Finland
Nuorisotutkimusasema: Tampereen yliopisto
Hyvinkää, Finland
Nuorisotutkimusasema: Tampereen yliopisto
Iisalmi, Finland
Nuorisotutkimusasema: Tampereen yliopisto
Jämsä, Finland
Nuorisotutkimusasema: Tampereen yliopisto
Joensuu, Finland
Nuorisotutkimusasema: Tampereen yliopisto
Jyväskylä, Finland
Nuorisotutkimusasema: Tampereen yliopisto
Kajaani, Finland
Nuorisotutkimusasema: Tampereen yliopisto
Kemi, Finland
Nuorisotutkimusasema: Tampereen yliopisto
Kokkola, Finland
Nuorisotutkimusasema: Tampereen yliopisto
Kotka, Finland
Nuorisotutkimusasema: Tampereen yliopisto
Kouvola, Finland
Nuorisotutkimusasema: Tampereen yliopisto
Kuopio, Finland
Nuorisotutkimusasema: Tampereen yliopisto
Lahti, Finland
Nuorisotutkimusasema: Tampereen yliopisto
Lappeenranta, Finland
Nuorisotutkimusasema: Tampereen yliopisto
Lohja, Finland
Nuorisotutkimusasema: Tampereen yliopisto
Mikkeli, Finland
THL
Oulu, Finland
Nuorisotutkimusasema: Tampereen yliopisto
Pori, Finland
Nuorisotutkimusasema: Tampereen yliopisto
Porvoo, Finland
Nuorisotutkimusasema: Tampereen yliopisto
Rauma, Finland
Nuorisotutkimusasema: Tampereen yliopisto
Rovaniemi, Finland
Nuorisotutkimusasema: Tampereen yliopisto
Salo, Finland
Nuorisotutkimusasema: Tampereen yliopisto
Savonlinna, Finland
Nuorisotutkimusasema: Tampereen yliopisto
Seinäjoki, Finland
Nuorisotutkimusasema: Tampereen yliopisto
Tampere, Finland
Nuorisotutkimusasema: Tampereen yliopisto
Turku, Finland
Nuorisotutkimusasema: Tampereen yliopisto
Vaasa, Finland
Nuorisotutkimusasema: Tampereen yliopisto
Vammala, Finland
Nuorisotutkimusasema: Tampereen yliopisto
Varkaus, Finland
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: 32161969BACKGROUNDLouvanto 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: 31749143BACKGROUNDGray 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: 34097688BACKGROUNDKalliala 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: 33639181BACKGROUNDLehtinen 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: 35404177BACKGROUNDLehtinen 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: 36093582BACKGROUNDPimenoff 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: 37944494BACKGROUNDLehtinen 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: 38196123BACKGROUNDLehtinen 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: 39450703BACKGROUNDLouvanto 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: 38801336BACKGROUNDTaavela 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: 38238599BACKGROUNDLehtinen 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
- PRINCIPAL INVESTIGATOR
Matti Lehtinen, MD, PhD
Tampere University
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