SElf-SAMpling in Cervical Cancer Screening; SESAM Study
SESAM
2 other identifiers
interventional
310
1 country
4
Brief Summary
Study aims to support development of evidence based health care in Norway through evaluating recently proposed technological improvements in cervical cancer control before their routine use. SESAM II study evaluates the accuracy of vaginal self-sampling for high risk human papillomavirus (hrHPV) testing compared with a physician-taken sample.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Apr 2014
Longer than P75 for not_applicable
4 active sites
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
April 1, 2014
CompletedFirst Submitted
Initial submission to the registry
October 21, 2016
CompletedFirst Posted
Study publicly available on registry
October 26, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2018
CompletedApril 6, 2017
April 1, 2017
3.7 years
October 21, 2016
April 5, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
High-risk HPV (hrHPV) testing on self-sampled specimens has non-inferior sensitivity for CIN 2+ compared to clinician-sampled specimens.
Relative sensitivity will be measured through histologically confirmed detection rates using clinician-sampled specimen as a reference.
Sensitivity will be assessed through study completion, up to 36 months
Secondary Outcomes (3)
Overall and hrHPV specific concordance between self- and clinician-sampled specimens
Through study completion, an average of 6 months
Acceptability of feasibility of self-sampling
Through study completion, an average of 6 months
Participants screening history and reasons for possible non-participation
Through study completion, an average of 6 months
Study Arms (1)
Study group
EXPERIMENTALEach women recruited for the study belong to the study group. Intervention is performance of HPV testing on Evalyn®Brush and FloqSwab specimens compared to clinician-sampled specimen. Providing an urinary sample (Colli-PeeTM), blood, and a questionnaire data is optional.
Interventions
Each woman use the self-sampling devices in an advised order the day before they go to the hospital. There will be change of sampling order with every patient so that 50% of women will use Evalyn®Brush (Rovers Medical Devices, Oss, The Netherlands) first and 50% a FloqSwab (Coban Flock Technologies, Italy) first. In addition women are asked to provide a first void urine sample using a Colli-PeeTM (Novosanis, Belgium) on the same morning as the hospital visit. At the hospital clinician will take an additional specimen for which the performance of different self-sampling devices will be compared to.
Eligibility Criteria
You may qualify if:
- Women with histological verified CIN 2 or CIN 3
- Women with histological verified cervical cancer
You may not qualify if:
- Women with mild cervical lesions
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Oslo University Hospitallead
- Ostfold Hospital Trustcollaborator
Study Sites (4)
Ostfold Hospital Trust
Fredrikstad, Norway
Oslo University Hospital, Molecular Pathology
Oslo, Norway
Oslo University Hospital, Ullevål
Oslo, Norway
Radiumhospital
Oslo, Norway
Related Publications (1)
Leinonen MK, Schee K, Jonassen CM, Lie AK, Nystrand CF, Rangberg A, Furre IE, Johansson MJ, Trope A, Sjoborg KD, Castle PE, Nygard M. Safety and acceptability of human papillomavirus testing of self-collected specimens: A methodologic study of the impact of collection devices and HPV assays on sensitivity for cervical cancer and high-grade lesions. J Clin Virol. 2018 Feb-Mar;99-100:22-30. doi: 10.1016/j.jcv.2017.12.008. Epub 2017 Dec 21.
PMID: 29289814DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Giske Ursin, MD, Prof
Oslo University Hospital, Cancer Registry of Norway
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- DIAGNOSTIC
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Senior Medical Officer, Head of HPV-related Epiemiological Research Unit
Study Record Dates
First Submitted
October 21, 2016
First Posted
October 26, 2016
Study Start
April 1, 2014
Primary Completion
December 1, 2017
Study Completion
December 1, 2018
Last Updated
April 6, 2017
Record last verified: 2017-04
Data Sharing
- IPD Sharing
- Will not share
We can't make individual participant data available due to restrictions set by the ethical approval and the informed consent. Our data contains several variables with personal health information, including age, dates, test results and diagnoses. Even without direct identifiers, it would be possible for a person to recognize herself from the dataset and that is strictly forbidden.