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Cervical CancerHIPPOPROJECTNCT04111835

HPV Testing In Polish POpulation-based Cervical Cancer Screening Program.

A study testing Offering an alternative cervical cancer screening method - hrHPV molecular testing. in people with Cervical Cancer, run by Maria Sklodowska-Curie National Research Institute of Oncology at 1 site in Poland.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The HIPPO PROJECT is a randomized healthcare study nested in the OCCSP in Poland. This project will assess the performance of the new screening test (HR HPV test) before its implementation in Poland. Read more about this study

Who is it for?
Ages 30 to 59 years, women only
Conditions the study is for
Cervical Cancer
What is being tested?
Offering an alternative cervical cancer screening method - hrHPV molecular testing.
Could I receive a placebo?
No, everyone receives an active treatment
How many people
33,000 participants
Where
1 sitePoland
Study dates
28 Oct 2019to 31 Dec 2023
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 30 to 59 years
  • Women only
  • No healthy volunteers
  • Adult

Who may be able to join

  • -women aged 30-59 with no screening Pap test within the preceding three years in the OCCSP and women with risk factors entitled to annual screening based on information from the SIMP and not tested within preceding 12 months (based on information from the screening database SIMP)

Who cannot join

  • -women with screening Pap test within the preceding three years in the OCCSP

Trial locations and contacts

1 site in 1 country.

Poland1 site
  • Maria Sklodowska-Curie National Research Institute of Oncology in Warsaw

    Warsaw

Other trials in Poland

About this study

Official title: HPV Testing In Polish POpulation-based Cervical Cancer Screening Program - a Randomized Healthcare Policy Trial

The HIPPO PROJECT is a randomized healthcare study nested in the OCCSP in Poland. This project will assess the performance of the new screening test (HR HPV test) before its implementation in Poland.

Read the detailed description

The study assumes randomized assumption of 33,000 women aged 30-59 to cytology or HR HPV test in a 1:1 ratio with age stratification (three strata: 30-39, 40-49 and 50-59 years).

Patients are recruited by the Cervical Cancer Prevention Clinic at the Department of Cancer Prevention at the Maria Sklodowska-Curie National Research Institute of Oncology in Warsaw (main centre) and 8 more sites from distant regions of Poland (Lublin, Masovian, Silesian, Swietokrzyskie and West Pomeranian Voivodeship). All sites are selected through a tendering process and have to fulfil several criteria for inclusion into the project (active participation in the OCCSP, being certified for HPV testing with the chosen clinically validated hrHPV DNA assays)to obtain results representative for the entire country.

Gynaecological clinics:

Lublin Voivodeship:

  • Non-Public Health Care Department MED -SPEC in Zamosc
  • Plus Clinic in Zamosc
  • Medical Center - Diagnostic in Lukow

Masovian Voivodeship:

  • Medical Center - Diagnostic Siedlce, Kleeberg Street 2 Minsk Mazowiecki, Dąbrówki Street 2 Lukow, Krynka Street 1C Nur, Drohiczyńska Street 8, Sterdyn, Lipowa Street 1A, 08-320 Sterdyn Zelechow, Piłsudskiego Street 34 Strachowka, Norwida Street 6A Wierzbno, Wierzbno Street 88 Latowicz, Nowowiejska Street 34, Wielgolas
  • Maria Sklodowska-Curie National Research Institute of Oncology in Warsaw
  • St. John Paul II Mazovian Provincial Hospital in Siedlce

Silesian Voivodeship:

  • Maria Sklodowska-Curie National Research Institute of Oncology in Warsaw on Gliwice
  • SUPRA-MED in Bielsko-Biała
  • SUPRA-MED in Wilkowice
  • Gynecology and Obstetrics Clinic "K na Żeromskiego" in Wodzisław Slaski
  • Medical Center in Rybnik
  • Non-public Health Care JARO in Wodzisław Slaski
  • Non-public Health Care EVA in Lubliniec
  • SIKORNIK Clinic in Gliwice

Swietokrzyskie Voivodeship:

  • Holy Cross Cancer Centre in Kielce

West Pomeranian Voivodeship:

  • Non-public Health Care MULTIMED Gynecology and Obstetrics in Koszalin Koszalin, Monte Casino Street 13 Koszalin, Sw. Wojciecha Street 1 Koszalin, Kolejowa Street 71 Koszalin, Lelewela Street7 Bedzino Street 18
  • "Hospital in Szczecinek"

Cytological\&molecular laboratories

  • Maria Sklodowska-Curie National Research Institute of Oncology; Roentgen Street 5, Warsaw, Armii Krajowej Street 15, 44-102 Gliwice (branch in Gliwice),
  • Holy Cross Cancer Centre; Prezydent Stefan Artwinski Street 3, 25-734 Kielce,
  • Medical Center - Diagnostic; Niklowa Street 9, 08-110 Siedlce,
  • ALAB Laboratories; Stępinska Street 22/30, 00-739 Warsaw,
  • Non-public Health Care Center MEDITEST Medical Diagnostics; Bronislawy Street 14D, 70-533 Szczecin,
  • Non-public Health Care MULTIMED Gynecology and Obstetrics; Monte Casino Street 13, 75-414 Koszalin,
  • Non-Public Health Care Department of Pathomorphology ALFAMED. Edward Cwierz, Maciej Cwierz; Jana Kilinskiego Street 78, 22a-400 Zamosc,
  • Femina. Medical Centre; Klodnicka Street 23, 40-703 Katowice.

Colposcopy clinics

  • Maria Sklodowska-Curie National Research Institute of Oncology in Warsaw
  • Non-public Health Care Center MEDITEST Medical Diagnostics in Szczecin
  • Maria Sklodowska-Curie National Research Institute of Oncology in Gliwice
  • Non-public Health Care MULTIMED Gynecology and Obstetrics
  • St. John Paul II Mazovian Provincial Hospital in Siedlce
  • Femina. Medical Centre in Katowice
  • Holy Cross Cancer Centre in Kielce
  • Medical Center - Diagnostic in Siedlce
  • Non-Public Health Care Department of Pathomorphology ALFAMED. Edward Cwierz, Maciej Cwierz in Zamosc

The primary endpoint is the detection rate (DR) of histologically confirmed CIN2 or higher in each screening arm and detection rate ratio (DRR) of CIN2+ in HPV test vs cytology arm in intention-to-treat (ITT) analysis. Secondary endpoints include detection rate ratio of CIN1+, CIN3+ (including adenocarcinoma in situ) and invasive CC in both ITT and per-protocol (PP) analysis, restricted to women who adhered to the foreseen follow-up.

Other outcome measures are: (1) distribution of women by the screening test results; (2) referral rate for colposcopy; (3) compliance with referral for colposcopy; (4) positive predictive value of referral for colposcopy calculated for each screening test and separately by histology results (no CIN, CIN1, CIN2, CIN3, AIS, CIN2+, CIN3+, invasive cancer (squamous/adenocarcinoma)); (5) DR of histologically confirmed CIN2+ in patients with hrHPV positive test, two NILM LBCs six months apart and a positive CINtePlus Cytology and/or Qiasure test; (6) DRR of histologically confirmed CIN2+ after CINtec® PLUS Cytology test vs. QIASURE methylation test; (7) yield of use of CINtec® PLUS Cytology test vs. QIASURE methylation test in terms of detection rate of histologically confirmed CIN2+.

Additionally, biobanking of cytological samples taken from patients participating in the HIPPO Project is planned in Maria Sklodowska-Curie National Research Institute of Oncology for the purpose of potential future restrospective analyses if new cervical cancer screening technologies emerge.

The study was approved by the Bioethics Committee of National Research Institute of Oncology (ID: 28/2019/1/2020).

Conditions
Cervical Cancer
Being tested
Offering an alternative cervical cancer screening method - hrHPV molecular testing.
Keywords
cervical cancer, cervical screening, HPV testing
Medical subject headings
Uterine Cervical Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Offering an alternative cervical cancer screening method - hrHPV molecular testing.Diagnostic test

    Women randomized to this screening strategy group will take a hrHPV molecular test.

    hrHPV-positive - reflex LBC:

    Abnormal reflex LBC (ASC-US or worse) -> colposcopy

    Normal reflex LBC -> repeat LBC in 6 months

    Positive - colposcopy

    Negative - rescreen in 3 years

    HPV-negative - rescreen in 5 years

Study groups in NCT04111835
Study groupRoleWhat they receive
Conventional exfoliative cytology/LBCNo interventionAccording to current Polish guidelines: ASC-US: repeat Pap testing in 6 months - current standard protocol LSIL - repeat Pap testing in 6 months or refer for colposcopy (by the decision of cytologist) - current standard protocol ASC-H and higher and all glandular lesions - refer for colposcopy - current standard protocol Colposcopy-targeted biopsies will be taken in agreement with national guidelines. If screening cytology is negative -> rescreening after 3 years.
hrHPV molecular testingExperimentalhrHPV-positive - reflex LBC: Abnormal reflex LBC (ASC-US or worse) -> colposcopy Normal reflex LBC -> repeat LBC in 6 months Positive - colposcopy Negative -> The CINtec PLUS Cytology and The QIASURE methylation test The CINtec PLUS Cytology Positive -> colposcopy Negative -> rescreen in 3 years The QIASURE methylation test Positive -> colposcopy Negative -> rescreen in 3 years Colposcopy-targeted biopsies will be taken in agreement with national guidelines. HPV-negative - rescreen in 5 years
Receives: Diagnostic Test: Offering an alternative cervical cancer screening method - hrHPV molecular testing.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Detection rate of histologically confirmed CIN2 or worse in each screening arm

    Measured: 12 months after the date of the positive screening test

  2. Detection rate ratio of CIN2+ in HPV test vs cytology arm (and detection rate ratios between the hrHPV test and cytology)

    This is defined as:

    number of women with CIN2+ detected in the HPV arm/women screened by HPV

    ...........................................................................................................................

    number of women with CIN2+ detected in the cytology arm/women screened in with cytology

    Measured: 12 months after the date of the positive screening test

Secondary outcomes (2)
  1. Detection rate ratio of CIN1+, CIN3+ (including adeno-carcinoma-in-situ) and cervical cancer (ITT).

    Measured: 12 months after the date of the positive screening test

  2. Detection rate ratios of CIN2+ (and CIN1+, CIN3+, cancer) in the per-protocol analysis, restricted to women who adhered to the foreseen follow-up.

    Measured: 12 months after the date of the positive screening test

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 Oct 2019
  2. Study start28 Oct 2019
  3. Primary completion3 Nov 2022
  4. Study completion31 Dec 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Health services research
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
33,000 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04111835
Sponsor's protocol ID
28/2019
Other IDs
28/2019/1/2020
Acronym
HIPPOPROJECT
Status last verified
Jan 2024
First submitted
19 Sep 2019
Last updated
2 Feb 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Nowakowski A, Macios A, Glinska P, Chmielewska A, Janik B, Jedrzejewska I, Klimiuk A, Chmielik E, Bobkiewicz P, Kapusniak E, Podolski J, Prokurat E, Arbyn M, Kaminski MF. Primary Human Papillomavirus Screening Versus Cytology for Detection of Cervical Intraepithelial Neoplasia Grade 2 or Higher in Poland: a Parallel-Group, Randomized Controlled Trial. Lancet Reg Health Eur. 2026 May 8;66:101697. doi: 10.1016/j.lanepe.2026.101697. eCollection 2026 Jul.

    PubMed 42403920
  • Glinska P, Komerska K, Janik B, Olkowicz J, Jedrzejewska I, Macios A, Wieszczy P, Kaminski MF, Arbyn M, Nowakowski A. HPV testing in Polish population-based cervical cancer screening programme (HIPPO project)-study protocol of a randomised healthcare policy trial. BMC Cancer. 2023 Nov 17;23(1):1118. doi: 10.1186/s12885-023-11597-5.

    PubMed 37978452

Questions about this trial

What is this clinical trial studying?

A study testing Offering an alternative cervical cancer screening method - hrHPV molecular testing. in people with Cervical Cancer, run by Maria Sklodowska-Curie National Research Institute of Oncology at 1 site in Poland.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 2 Feb 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Poland. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Detection rate of histologically confirmed CIN2 or worse in each screening arm (time frame: 12 months after the date of the positive screening test). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04111835, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Feb 2024.

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