NCT06831383

Brief Summary

Human papillomavirus (HPV) causes 35,900 US cancer cases per year, 4,000 deaths, and $4 billion in can In this study, the investigators will conduct a 3-arm clustered randomized controlled trial (RCT) in an estimated 72 practices from up to 8 health systems to evaluate the effectiveness and cost effectiveness of two potentially scalable implementation strategies (based on prior work) to increase the initiation of HPV vaccine against a usual care (control) arm. The intervention arms are 1) online provider communication training only ("STOP-HPV-Online" and 2) online provider communication training plus a Learning Collaborative, with performance feedback, attended by practice leads ("STOP-HPV-LC). cer-related costs. It is recommended at ages 11-12 years routinely but can be given starting at ages 9-10 years. Despite having an effective vaccine, HPV vaccine initiation/completion rates in the U.S. were only at 76.8%/61.4% respectively in 2023 among 13-17 year olds; these rates are lower than the other recommended adolescent vaccines. Two key barriers are 1) suboptimal clinician communication to address parental concerns and 2) ineffective office systems causing missed vaccine opportunities.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
100,000

participants targeted

Target at P75+ for not_applicable

Timeline
9mo left

Started Mar 2026

Geographic Reach
1 country

1 active site

Status
recruiting

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 Progress33%
Mar 2026Apr 2027

First Submitted

Initial submission to the registry

February 14, 2025

Completed
4 days until next milestone

First Posted

Study publicly available on registry

February 18, 2025

Completed
1.1 years until next milestone

Study Start

First participant enrolled

March 30, 2026

Completed
1.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 19, 2027

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 19, 2027

Last Updated

May 19, 2026

Status Verified

February 1, 2026

Enrollment Period

1.1 years

First QC Date

February 14, 2025

Last Update Submit

May 18, 2026

Conditions

Keywords

Human Papillomavirus VaccinationPractice-based improvement

Outcome Measures

Primary Outcomes (1)

  • Initiation (first dose) of HPV vaccination among 9-<13 year olds at or following a well care visit with a participating provider during the intervention period.

    The percent of children ages 9-\<13 years of age who received their first dose of HPV vaccine at or following a well child care visit with a participating provider during the intervention-period (denominator is children ages 9-\<13 with a well child visit during the study period at which they were due for their first dose).

    12 months from start of intervention

Secondary Outcomes (4)

  • Initiation (first dose) of HPV vaccination among 13-17 year olds at or following a well care visit with a participating provider during the intervention period.

    12 months from start of intervention

  • Initiation (first dose) of HPV vaccination among 9-<13 year olds at or following a well care visit with any provider during the intervention period.

    12 months from start of intervention

  • Initiation (first dose) of HPV vaccination among 13-17 year olds at or following a well care visit with any provider during the intervention period.

    12 months from start of intervention

  • Total implementation cost

    12 months from start of intervention

Study Arms (3)

STOP-HPV Online

EXPERIMENTAL

Provider communication training

Behavioral: STOP-HPV-Online

STOP-HPV LC

EXPERIMENTAL

Provider communication training plus Learning Collaborative sessions attended by practice leads and quarterly performance feedback to the practice.

Behavioral: STOP-HPV-LC

Usual Care

NO INTERVENTION

Standard of care control

Interventions

STOP-HPV-OnlineBEHAVIORAL

Approximately one third of practices within a participating health system will be randomized to receiving the STOP-HPV-Online intervention.

STOP-HPV Online
STOP-HPV-LCBEHAVIORAL

Approximately one third of practices within a participating health system will be randomized to receiving the STOP-HPV-LC intervention.

STOP-HPV LC

Eligibility Criteria

Age9 Years - 17 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17)

You may qualify if:

  • Patient of participating practice
  • Well child care visit during the 12-month intervention period
  • No prior dose of HPV vaccine at the time of the well child care visit
  • Age-eligible

You may not qualify if:

  • Prior dose of HPV vaccine

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

AMGA

Alexandria, Virginia, 22314, United States

RECRUITING

Study Officials

  • Peter Szilagyi, MD, MPH

    University of California, Los Angeles

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Peter Szilagyi, MD, MPH

CONTACT

Christina Albertin, PhD, MPH

CONTACT

Study Design

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

Study Record Dates

First Submitted

February 14, 2025

First Posted

February 18, 2025

Study Start

March 30, 2026

Primary Completion (Estimated)

April 19, 2027

Study Completion (Estimated)

April 19, 2027

Last Updated

May 19, 2026

Record last verified: 2026-02

Locations