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Comparison of 2 Types of Cervical Specimens in Patients With a Pathological Screening Smear
ENDOCOL
Endocervical Curettage Performed With a Kevorkian Curette Versus Cytobrush in Patients With ASC-H, LSIL, ASCUS HPV Positive and Non-contributory Colposcopy (ZT3) Smear or Atypical Pap Smear With Positive HPV Test
2 other identifiers
interventional
3
1 country
1
Brief Summary
The recommendations on the method and the realization of the cervico-uterine smears are clear. With regard to performing endocervical curettage, several methods are possible without precise consensus. In general, the Kevorkian curette is widely used. However, it is often reported by doctors and patients that curettage is painful. Some articles show that the cytobrush would be less painful. While keeping a percentage of correct curettage failures, it is sought to show that the cytobrush would improve the comfort of the patient during curettage.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Nov 2019
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
First Submitted
Initial submission to the registry
June 26, 2019
CompletedFirst Posted
Study publicly available on registry
June 27, 2019
CompletedStudy Start
First participant enrolled
November 5, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 25, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
November 25, 2019
CompletedDecember 23, 2025
December 1, 2025
20 days
June 26, 2019
December 16, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Percentage of sampling failures
Unsatisfactory sampling will be defined by a specimen containing \<20 endocervical cells, \<3 epithelial flaps, and one specimen without stroma.
once time, Baseline
Secondary Outcomes (1)
Pain Assessment Using a Visual Analogue Scale (VAS)
once time, Baseline
Study Arms (2)
Kevorkian curette
EXPERIMENTALCytobrush
EXPERIMENTALInterventions
the brush would be inserted in full until the display of the brush in the endocervical canal disappears. A neck quadrant scan (= quarter turn) will be performed from front to back while simultaneously rotating the brush clockwise, for a total of 3 laps. This would represent 4 sweeps per turn, ie 12 sweeps in total
the colposcopist holds the curette horizontally and scrapes the endocervical canal all the way around. He realizes 1 small firm and linear movement by quarter turn or 4 movements to realize a complete turn. During this act, the curette must remain inside the canal, and during its extraction, care should be taken not to rotate it so as not to spill the collected tissue contained in the basket of the curette. The tissue material thus obtained must be rapidly immersed in formalin
Eligibility Criteria
You may qualify if:
- Women followed for a cervical pathology requiring endocervical curettage:
- AGC type (glandular cell atypia) with positive HPV test
- Frottis ASC-H, LSIL, ASCUS HPV + with non-contributive colposcopy (ZT3)
You may not qualify if:
- Pregnant woman
- Women under the age of 25 or over 65
- Stenosis of the neck complete or tight not allowing the possible insertion of a curette (inadequate size cervical orifice and material)
- Presence of a vaginal lesion on colposcopic examination
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Service de gynécologie endocrinienne et médecine de la reproduction
Lille, France
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Sophie Jonard, MD,PhD
University Hospital, Lille
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- DIAGNOSTIC
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 26, 2019
First Posted
June 27, 2019
Study Start
November 5, 2019
Primary Completion
November 25, 2019
Study Completion
November 25, 2019
Last Updated
December 23, 2025
Record last verified: 2025-12