Cervical Cancer Screening in Madagascar Using Smartphone Photos and Mobile Telemedicine
1 other identifier
interventional
1,041
1 country
1
Brief Summary
The purpose of this study is to determine whether smartphone photos may assist health-care worker (on-site) and to evaluate the diagnostic reliability and accuracy of cervical examination with smartphone photos of VIA (D-VIA), on-site and off-site, compared with conventional VIA, for human papillomavirus (HPV) positive 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 Feb 2015
Shorter than P25 for not_applicable
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
Study Start
First participant enrolled
February 1, 2015
CompletedFirst Submitted
Initial submission to the registry
July 8, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2015
CompletedFirst Posted
Study publicly available on registry
February 26, 2016
CompletedFebruary 26, 2016
February 1, 2016
7 months
July 8, 2015
February 22, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Differences in sensitivity and specificity of VIA examination (control) and digital VIA to detect cervical cancer and pre-cancer
Sensitivity and specificity will be calculated using histological results as gold-standard. All lesion Cin2 and worse will be considered as pathological.
up to 12 months
Secondary Outcomes (1)
Overall agreement between diagnoses based on VIA examination (control) and diagnoses for the same patient based on digital VIA.
up to 12 months
Study Arms (1)
D-VIA
EXPERIMENTALHPV high risk-positive (16, 18, 45, 31, 33, 35, 39, 51, 52, 56, 58, 59, 66, 68) women had a cervical examination using acetic acid (VIA) application and visual inspection.
Interventions
D-VIA images were captured during the cervical examination with a smartphone. Biopsies and cytological samples were taken on all patients and analyzed for gold standard results. Images were shown to off site experts. D-VIA and VIA diagnoses were then compared. Women who were diagnosed on-site as pathological underwent appropriate treatment at the same consultation. Women who were diagnosed as pathological later by histopathological analyses were asked to return to the clinic for treatment.
Eligibility Criteria
You may qualify if:
- years
- HPV-positive
- Attending the cervical cancer screening program conducted by the Saint-Damien Health-Care Centre
- Understands study procedures and accepts voluntarily to participate by signing the informed consent form (ICF)
You may not qualify if:
- Previous Hysterectomy
- Conditions that can interfere with visualization of the cervix
- Pregnancy \> 20 weeks
- Not able to comply with protocol study.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Saint-Damien Health-Care Centre
Ambanja, Antsiranana, Madagascar
Related Publications (2)
Ferlay J, Shin HR, Bray F, Forman D, Mathers C, Parkin DM. Estimates of worldwide burden of cancer in 2008: GLOBOCAN 2008. Int J Cancer. 2010 Dec 15;127(12):2893-917. doi: 10.1002/ijc.25516.
PMID: 21351269BACKGROUNDMarquardt K. [Correlation of cervical cytology and histology]. Pathologe. 2011 Nov;32(6):491-6. doi: 10.1007/s00292-011-1479-2. German.
PMID: 21822676BACKGROUND
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Patrick Petignat, Professor
University Hospital, Geneva
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
July 8, 2015
First Posted
February 26, 2016
Study Start
February 1, 2015
Primary Completion
September 1, 2015
Study Completion
November 1, 2015
Last Updated
February 26, 2016
Record last verified: 2016-02
Data Sharing
- IPD Sharing
- Will share
Data will be used for scientific publications and congress presentations.