NCT03489707

Brief Summary

The purpose of this research study is to find ways to screen for anal cancer among gay, bisexual, and other men who have sex with men (MSM) and transgender persons. This study will try to find out if persons will do annual anal cancer screening, what factors are associated with repeated screening, and how this affects a person's decision to have high-resolution anoscopy.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
253

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Jan 2020

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

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

March 29, 2018

Completed
7 days until next milestone

First Posted

Study publicly available on registry

April 5, 2018

Completed
1.8 years until next milestone

Study Start

First participant enrolled

January 9, 2020

Completed
3.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 31, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 31, 2023

Completed
1.2 years until next milestone

Results Posted

Study results publicly available

November 12, 2024

Completed
Last Updated

November 12, 2024

Status Verified

October 1, 2024

Enrollment Period

3.6 years

First QC Date

March 29, 2018

Results QC Date

August 15, 2024

Last Update Submit

October 17, 2024

Conditions

Keywords

anal cancerhuman papillomavirus

Outcome Measures

Primary Outcomes (2)

  • Compliance With Annual Anal HPV DNA Screening

    Compliance is assessed by the number of participants who provide specimens for annual anal HPV DNA screening

    Baseline

  • Compliance With Annual Anal HPV DNA Screening

    Compliance is assessed by the number of participants who provide specimens for annual anal HPV DNA screening

    12 months

Secondary Outcomes (5)

  • Compliance With Annual Screening Based on HIV Status

    12 months 12 months

  • Compliance With Annual Screening Based on Race/Ethnicity

    12 months

  • Number of Participants Attending High-resolution Anoscopy Based on Race/Ethnicity

    12 months

  • Number of Participants Attending High-resolution Anoscopy Based on HIV Status

    12 months

  • Attendance at High-resolution Anoscopy

    12 months

Other Outcomes (2)

  • Human Papillomavirus (HPV) DNA Persistence and Its Association With High-grade Squamous Intraepithelial Lesions (HSIL).

    12 months

  • Host/Viral Methylation and Its Association With High-grade Squamous Intraepithelial Lesions.

    12 months

Study Arms (2)

Home-based human papillomavirus (HPV) DNA screening

EXPERIMENTAL

Persons randomized to arm 1 will receive an HPV DNA home-based collection kit in the mail at 0 and 12 months.

Behavioral: Home-based human papillomavirus (HPV) DNA screening

Clinic-based human papillomavirus (HPV) DNA screening

ACTIVE COMPARATOR

Persons randomized to arm 2 will attend a clinic where a clinician will collect the DNA specimen at 0 and 12 months.

Behavioral: Clinic-based human papillomavirus (HPV) DNA screening

Interventions

Persons randomized to arm 1 will receive an HPV DNA home-based collection kit in the mail at 0 and 12 months.

Home-based human papillomavirus (HPV) DNA screening

Persons randomized to arm 2 will attend a clinic where a clinician will collect the DNA specimen at 0 and 12 months.

Clinic-based human papillomavirus (HPV) DNA screening

Eligibility Criteria

Age25 Years+
Sexall(Gender-based eligibility)
Gender Eligibility Detailscis males and transgender persons who have sex with men
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Be \> 25 years of age
  • Sex at birth is male or gender identity is a transgender person
  • Acknowledge sex with men in the last 5 years, or identify as gay or bisexual
  • Understand and be willing to give informed consent
  • Be willing to be randomized and able to comply with the protocol
  • Spanish and/or English speakers/readers, and
  • HIV+ or HIV-

You may not qualify if:

  • Not acknowledge sex with men in the past five years and not identify as gay or bisexual
  • Use of anticoagulants other than Aspirin or NSAIDS
  • Prior diagnosis of anal cancer
  • Plans to move within 12 months
  • Not Milwaukee metro residents
  • Not willing to attend one of the designated study clinics at baseline, or
  • Inability to give informed consent

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Medical College of Wisconsin

Milwaukee, Wisconsin, 53202, United States

Location

Related Publications (2)

  • Nitkowski J, Giuliano AR, Ridolfi T, Chiao E, Fernandez ME, Schick V, Swartz MD, Smith JS, Nyitray AG. Acceptability of Anal Human Papillomavirus Home Self-Sampling and Clinician Sampling Among Sexual and Gender Minority Individuals in Milwaukee, Wisconsin: The Prevent Anal Cancer Self-Swab Study. LGBT Health. 2024 Jan;11(1):47-56. doi: 10.1089/lgbt.2023.0012. Epub 2023 Oct 24.

  • Nyitray AG, Schick V, Swartz MD, Giuliano AR, Fernandez ME, Deshmukh AA, Ridolfi TJ, Ajala C, Brzezinski B, Sandoval M, Nedjai B, Smith JS, Chiao EY. Rationale and design of the Prevent Anal Cancer Self-Swab Study: a protocol for a randomised clinical trial of home-based self-collection of cells for anal cancer screening. BMJ Open. 2021 Jun 29;11(6):e051118. doi: 10.1136/bmjopen-2021-051118.

MeSH Terms

Conditions

Anus Neoplasms

Interventions

Papillomavirus Vaccines

Condition Hierarchy (Ancestors)

Rectal NeoplasmsColorectal NeoplasmsIntestinal NeoplasmsGastrointestinal NeoplasmsDigestive System NeoplasmsNeoplasms by SiteNeoplasmsDigestive System DiseasesGastrointestinal DiseasesIntestinal DiseasesAnus DiseasesRectal Diseases

Intervention Hierarchy (Ancestors)

Viral VaccinesVaccinesBiological ProductsComplex Mixtures

Results Point of Contact

Title
Alan Nyitray, PhD
Organization
Medical College of Wisconsin

Study Officials

  • Alan G Nyitray, PhD

    Medical College of Wisconsin

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
Yes

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
SCREENING
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Associate Professor

Study Record Dates

First Submitted

March 29, 2018

First Posted

April 5, 2018

Study Start

January 9, 2020

Primary Completion

August 31, 2023

Study Completion

August 31, 2023

Last Updated

November 12, 2024

Results First Posted

November 12, 2024

Record last verified: 2024-10

Data Sharing

IPD Sharing
Will share

Fully de-identified datasets will be shared with properly trained investigators after assessment of institutional policies, Medical College of Wisconsin Human Protections Committee rules, as well as local, state, and Federal laws and regulations.

Time Frame
Data will become available three years after study completion and be available for five years.
Access Criteria
Fully de-identified datasets will be shared with properly trained investigators after assessment of institutional policies, Medical College of Wisconsin Human Protections Committee rules, as well as local, state, and Federal laws and regulations.

Locations