NCT03380741

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

35
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
50

participants targeted

Target at P25-P50 for all trials

Timeline
Completed

Started Apr 2018

Status
unknown

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

First Submitted

Initial submission to the registry

December 15, 2017

Completed
6 days until next milestone

First Posted

Study publicly available on registry

December 21, 2017

Completed
3 months until next milestone

Study Start

First participant enrolled

April 1, 2018

Completed
1.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2019

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2019

Completed
Last Updated

December 21, 2017

Status Verified

December 1, 2017

Enrollment Period

1.4 years

First QC Date

December 15, 2017

Last Update Submit

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

Diagnostic Test: Tumour markers detection

Group 2

Tumour absent on MRI following biopsy/LLETZ

Diagnostic Test: Tumour markers detection

Group 3

Tumour recurrence present at the vaginal vault on MRI

Diagnostic Test: Tumour markers detection

Group 4

Tumour recurrence absent at the vaginal vault on MRI

Diagnostic Test: Tumour markers detection

Group 5

Normal cervix at colposcopy

Diagnostic Test: Tumour markers detection

Interventions

Lab on a chip detection of tumour markers measured from vaginal/cervical cytology swab

Group 2Group 3Group 4Group 5Group1

Eligibility Criteria

Age18 Years+
Sexfemale
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

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

Biospecimen

Retention: SAMPLES WITH DNA

Cervical/vaginal cytology swab

MeSH Terms

Conditions

Uterine Cervical Neoplasms

Condition Hierarchy (Ancestors)

Uterine NeoplasmsGenital Neoplasms, FemaleUrogenital NeoplasmsNeoplasms by SiteNeoplasmsUterine Cervical DiseasesUterine DiseasesGenital Diseases, FemaleFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesGenital Diseases

Central Study Contacts

Ben W Wormald, MBBS BSc

CONTACT

Nandita DeSouza, MD

CONTACT

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