Lab-on-a-chip Detection of Cervical Cancer Tumour Markers
MODULAR
Molecular Diagnostics Using a Novel Lab-on-a-chip and MRI for Detecting Cervical Cancer
1 other identifier
observational
50
0 countries
N/A
Brief Summary
This study aims to establish whether tumour markers measured from cytological samples can improve cervical cancer detection both prior to treatment and after treatment during follow up. All patients with presumed early cervical cancer referred to the Gynaecological Oncology Unit at The Royal Marsden Hospital and patients previously surgically treated for early cervical cancer with a suspected recurrence will be invited to participate. Women attending the Colposcopy Unit at St George's Hospital, with a normal cervix will be invited to participate. An endovaginal receiver coil has been designed and developed at the Institute of Cancer Research and Royal Marsden NHS Foundation Trust for use at high field strengths (3T). A cytology swab, similar to a smear test, will be used to collect a sample of cells to evaluate the presence of tumour markers. The presence of tumour markers will be measured by a lab-on-a-chip and polymerase chain reaction (PCR) testing system.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for all trials
Started Apr 2018
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
December 15, 2017
CompletedFirst Posted
Study publicly available on registry
December 21, 2017
CompletedStudy Start
First participant enrolled
April 1, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2019
CompletedDecember 21, 2017
December 1, 2017
1.4 years
December 15, 2017
December 15, 2017
Conditions
Outcome Measures
Primary Outcomes (1)
Lab-on-a-chip agreement with PCR system
To compare the agreement (sensitivity/specificity) between lab-on-a-chip system and PCR system in detecting tumour markers (HPV and cancer-specific gene overexpression) derived from patients with biopsy/cytology proven i) primary and ii) recurrent squamous or adeno cervical cancer and those from cytologically normal cervix.
20 months
Secondary Outcomes (3)
Primary disease
20 months
Recurrent disease
20 months
Exploratory radiomic outcome
20 months
Study Arms (5)
Group1
Tumour present on histology and MRI following biopsy/LLETZ
Group 2
Tumour absent on MRI following biopsy/LLETZ
Group 3
Tumour recurrence present at the vaginal vault on MRI
Group 4
Tumour recurrence absent at the vaginal vault on MRI
Group 5
Normal cervix at colposcopy
Interventions
Lab on a chip detection of tumour markers measured from vaginal/cervical cytology swab
Eligibility Criteria
All patients with presumed early cervical cancer referred to the Gynaecological Oncology Units at The Royal Marsden Hospital and patients previously surgically treated for early cervical cancer currently undergoing follow up with suspected cancer recurrence will be invited to participate. Women attending St George's Hospital colposcopy clinic, who are judged to have a normal cervix on colposcopy examination will be invited to participate.
You may qualify if:
- Patients with presumed early stage cervical cancer (squamous or adenocarcinoma on histology) being considered for curative surgery.
- Patients treated surgically for cervical cancer (squamous or adenocarcinoma on histology) being followed-up for suspected recurrent disease.
- Patients with normal cervix at colposcopy examination.
You may not qualify if:
- Ferromagnetic metal implants, claustrophobia (MRI incompatibility). Neuroendocrine or unusual histological subtypes. Abnormal cervix seen at colposcopy examination (for Normal cervix cohort).
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Royal Marsden NHS Foundation Trustlead
- Imperial College Londoncollaborator
- St. George's NHS Foundation Trustcollaborator
Biospecimen
Cervical/vaginal cytology swab
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- OTHER
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 15, 2017
First Posted
December 21, 2017
Study Start
April 1, 2018
Primary Completion
September 1, 2019
Study Completion
September 1, 2019
Last Updated
December 21, 2017
Record last verified: 2017-12
Data Sharing
- IPD Sharing
- Will not share