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Cervical CarcinomaNCT07281430

Self-collection for HPV Testing to Improve Cervical Cancer Prevention (SHIP) Trial (LMI-001-A-S04)

A study testing Biospecimen Collection, Cervical Biopsy and Colposcopy in people with Cervical Carcinoma and Human Papillomavirus Infection, run by National Cancer Institute (NCI) at 18 sites in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

This clinical trial evaluates the use of self-collected vaginal samples for human papillomavirus (HPV) testing in patients referred for a colposcopy and/or cervical excisional procedures to improve cervical cancer prevention. Read more about this study

Who is it for?
Ages 25 years and older, women onlyHealthy volunteers can take part
What is being tested?
Biospecimen Collection, Cervical Biopsy and Colposcopy
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
500 participants
Where
18 sitesUnited States
Study dates
24 Nov 2025to 30 Jun 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

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 25 years and older
  • Women only
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Willingness and ability to provide a documented informed consent
  • Is 25 years or older
  • Has an intact cervix
  • Has had a referral for colposcopy in which routine cervical cancer screening has included positive HPV testing (HPV primary screening, co-testing, or atypical squamous cells of undetermined significance [ASC-US] cytology triage) or abnormal cytology performed within the past 12 months preceding the referral visit, and/or for cervical excisional procedure
  • Willing and able to undergo colposcopy, and if clinically indicated for SOC purposes, a biopsy, endocervical curettage, and/or a cervical excisional procedure, as applicable

Who cannot join

  • Is pregnant when presenting for the referral visit or gave birth within the past 3 months
  • Has a known history of excisional or ablative therapy to the cervix (e.g., loop electrosurgical excision procedure [LEEP], cone biopsy, cervical laser surgery, cryotherapy, thermal ablation) in the last 12 months prior to the referral visit
  • Has had a complete or partial hysterectomy, either supracervical or involving removal of the cervix, via self-report or confirmation via medical records
  • Known medical conditions that, in the opinion of the investigator, preclude study participation
  • Previous participation in the SHIP Trial or another cervical cancer screening study within the past 12 months. Participation is defined as completing the self-collection
  • Is experiencing unusual bleeding or pelvic pain

Trial locations and contacts

18 sites in 1 country. Contact the study team or a site near you to ask about taking part.

18 sites in 1 country

United States18 sites, 18 recruiting
  • University of New Mexico Cancer Center

    Albuquerque, New Mexico, 87106

    Cosette M. Wheeler, cwheeler@salud.unm.edu

    Cosette M. Wheeler

    Recruiting
  • Emory University Hospital/Winship Cancer Institute

    Atlanta, Georgia, 30322

    Lisa C. Flowers, lflowe2@emory.edu

    Lisa C. Flowers

    Recruiting
  • University of Alabama at Birmingham Cancer Center

    Birmingham, Alabama, 35233

    Warner K. Huh, whuh@uabmc.edu

    Warner K. Huh

    Recruiting
  • UNC Lineberger Comprehensive Cancer Center

    Chapel Hill, North Carolina, 27599

    Lisa Rahangdale, lisa_rahangdale@med.unc.edu

    Lisa Rahangdale

    Recruiting
  • University of Cincinnati Cancer Center-UC Medical Center

    Cincinnati, Ohio, 45219

    Leeya F. Pinder, pinderl@ucmail.uc.edu

    Leeya F. Pinder

    Recruiting
  • UT MD Anderson Cancer Center

    Houston, Texas, 77030

    Elizabeth Y. Chiao, eychiao@mdanderson.org

    Elizabeth Y. Chiao

    Recruiting
  • Louisiana State University

    Lafayette, Louisiana, 70503

    Michael E. Hagensee, mhagen@lsuhsc.edu

    Michael E. Hagensee

    Recruiting
  • Minneapolis VA Medical Center

    Minneapolis, Minnesota, 55417

    Elisheva Danan, elizabeth.danan@va.gov

    Elisheva Danan

    Recruiting
  • West Virginia University Healthcare

    Morgantown, West Virginia, 26506

    Krista S. Pfaendler, krista.pfaendler@hsc.wvu.edu

    Krista S. Pfaendler

    Recruiting
  • Louisiana State University Health Science Center

    New Orleans, Louisiana, 70112

    Michael E. Hagensee, mhagen@lsuhsc.edu

    Michael E. Hagensee

    Recruiting
  • University of Oklahoma Health Sciences Center

    Oklahoma City, Oklahoma, 73104

    Jacqueline A. Bohn, jacqueline-bohn@ouhsc.edu

    Jacqueline A. Bohn

    Recruiting
  • University of Oklahoma

    Oklahoma City, Oklahoma, 73190

    Jacqueline A. Bohn, jacqueline-bohn@ou.edu

    Jacqueline A. Bohn

    Recruiting
  • University of Pennsylvania/Abramson Cancer Center

    Philadelphia, Pennsylvania, 19104

    Carmen Guerra, cguerra@pennmedicine.upenn.edu

    Carmen Guerra

    Recruiting
  • UPMC-Magee Womens Hospital

    Pittsburgh, Pennsylvania, 15213

    Harold C. Wiesenfeld, wieshc@upmc.edu

    Harold C. Wiesenfeld

    Recruiting
  • UPMC Hillman Cancer Center

    Pittsburgh, Pennsylvania, 15232

    Harold C. Wiesenfeld, wieshc@upmc.edu

    Harold C. Wiesenfeld

    Recruiting
  • Huntsman Cancer Institute/University of Utah

    Salt Lake City, Utah, 84112

    Deanna L. Kepka, deanna.kepka@hci.utah.edu

    Deanna L. Kepka

    Recruiting
  • Montefiore Medical Center-Einstein Campus

    The Bronx, New York, 10461

    Mark H. Einstein, meinstei@montefiore.org

    Mark H. Einstein

    Recruiting
  • Montefiore Medical Center-Weiler Hospital

    The Bronx, New York, 10461

    Mark H. Einstein, meinstei@montefiore.org

    Mark H. Einstein

    Recruiting

Other trials in United States

About this study

Official title: NCI Cervical Cancer 'Last Mile' Initiative 'Self-Collection for HPV Testing to Improve Cervical Cancer Prevention' (SHIP) Trial LMI-001-A-S04

This clinical trial evaluates the use of self-collected vaginal samples for human papillomavirus (HPV) testing in patients referred for a colposcopy and/or cervical excisional procedures to improve cervical cancer prevention. HPV is a common virus which usually causes infections that last only a few months, but sometimes can last longer. HPV is known to cause a variety of cancers including cervical cancer. Even though there are ways to detect cervical cancer, many individuals are not diagnosed. Over half of all new cervical cancer cases are among those who have either never been screened or who are not screened enough. The low screening numbers show more testing needs to be done. Without appropriate screening and care, preventable precancer may turn into cancer. A new way to detect cervical cancer is to have individuals collect their own sample for HPV testing to know their risk for cervical cancer. This may give individuals more flexibility and comfort having the ability to collect samples themselves, compared to a doctor performing a speculum examination and collecting the samples in a clinic. Information gathered from this study compares clinical accuracy of HPV testing on self-collected vaginal samples versus cervical samples collected by clinician.

The Self-collection for HPV Testing to Improve Cervical Cancer Prevention (SHIP) Trial is part of the National Cancer Institute (NCI)'s Cervical Cancer 'Last Mile' Initiative, a public private partnership that seeks to increase access to cervical cancer screening. The SHIP Trial focuses on developing clinical evidence to inform the US Food and Drug Administration (FDA)'s regulatory reviews of self-collection approaches as alternative sample collection approaches for cervical cancer screening. Several industry partner-specific self-collection device and assay combinations will be non-competitively and independently evaluated with a similar study design framework to inform pre-approval and/or post-approval regulatory requirements.

Read the detailed description

PRIMARY OBJECTIVES:

  1. To evaluate clinical accuracy (including clinical sensitivity, clinical specificity, false positive rate, and false negative rate) for the detection of cervical precancer/cancer and agreement/concordance (including positive percent agreement and negative percent agreement) on self-collected (SC) versus clinician-collected (CC) samples for the following HPV genotype detections and groupings by Abbott Alinity m high risk (HR) HPV assay:

Ia. Any HR HPV genotype; Ib. HPV16; Ic. HPV16 and/or HPV18; Id. Non-HPV16 high-risk HPV types (HPV 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66 and 68); Ie. Non-HPV16/HPV18 high-risk types (HPV 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66 and 68).

EXPLORATORY OBJECTIVE:

  1. To evaluate human factors affecting usability, acceptability, and preferences for self-collection.

OUTLINE:

Patients undergo self-collection of a vaginal sample and then undergo clinician-collection of a cervical test sample. Patients then undergo standard of care (SOC) colposcopy with or without cervical biopsy/endocervical curettage and/or cervical excisional procedures as clinically indicated.

After completion of study intervention (one-time), laboratory results available within 60 days are collected for purposes of study outcomes.

Being tested
Biospecimen Collection, Cervical Biopsy, Colposcopy, Electronic Health Record Review, Endocervical Curettage
Medical subject headings
Uterine Cervical Neoplasms, Papillomavirus Infections

What participants receive

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

  • Biospecimen CollectionProcedure or surgery

    Also called Biological Sample Collection, Biospecimen Collected, Sample Collection, Specimen Collection

    Undergo collection of a cervical sample by clinician

  • Cervical BiopsyProcedure or surgery

    Undergo cervical biopsy

  • ColposcopyProcedure or surgery

    Also called CP

    Undergo colposcopy

  • Electronic Health Record ReviewOther

    Ancillary studies

  • Endocervical CurettageProcedure or surgery

    Undergo endocervical curettage

  • ExcisionProcedure or surgery

    Also called Abscission, Extirpation, Surgical Removal

    Undergo cervical excisional procedure

  • HPV Self-CollectionProcedure or surgery

    Also called At-home HPV Self Collection, HPV Self Collection, Human Papillomavirus Self-Collection

    Undertake self-collection of vaginal sample

  • Human Papillomavirus TestProcedure or surgery

    Also called HPV Assay, HPV Test, Human Papillomavirus

    Undergo HPV testing of self-collected vaginal samples and cervical samples

  • Questionnaire AdministrationOther

    Ancillary studies

Study groups in NCT07281430
Study groupRoleWhat they receive
Prevention (self-collected and clinician-collected samples)ExperimentalPatients undergo self-collection of a vaginal sample and then undergo clinician-collection of a cervical test sample. Patients then undergo SOC colposcopy with or without cervical biopsy/endocervical curettage and/or cervical excisional procedures as clinically indicated.
Receives: Procedure: Biospecimen Collection; Procedure: Cervical Biopsy; Procedure: Colposcopy; Other: Electronic Health Record Review; Procedure: Endocervical Curettage; Procedure: Excision; Procedure: HPV Self-Collection; Procedure: Human Papillomavirus Test; Other: Questionnaire Administration

What is being measured

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

  1. Clinical sensitivity for self-collected (SC) samples

    Will be defined as the probability of a positive SC sample given cervical intraepithelial neoplasia (CIN)2+. Will report point estimate and 95% confidence intervals (CIs).

    Measured: One-time, up to 60 days

  2. Clinical sensitivity for clinician-collected (CC) samples

    Will be defined as the probability of a positive CC sample given CIN2+. Will report point estimate and 95% CIs.

    Measured: One-time, up to 60 days

  3. Clinical specificity for SC samples

    Will be defined as the probability of a negative SC sample given < CIN2. Will report point estimate and 95% CIs.

    Measured: One-time, up to 60 days

  4. Clinical specificity for CC samples

    Will be defined as the probability of a negative CC sample given < CIN2. Will report point estimate and 95% CIs.

    Measured: One-time, up to 60 days

  5. False positive rate (FPR) for SC samples

    Will be defined as the probability of a positive SC sample given < CIN2. Will report point estimate and 95% CIs.

    Measured: One-time, up to 60 days

  6. FPR for CC samples

    Will be defined as the probability of a positive CC sample given < CIN2. Will report point estimate and 95% CIs.

    Measured: One-time, up to 60 days

  7. False negative rate (FNR) for SC samples

    Will be defined as the probability of a negative SC sample given CIN2+. Will report point estimate and 95% CIs.

    Measured: One-time, up to 60 days

  8. FNR for CC samples

    Will be defined as the probability of a negative CC sample given CIN2+. Will report point estimate and 95% CIs.

    Measured: One-time, up to 60 days

  9. Sensitivity ratio for SC versus CC samples

    Will be defined as the sensitivity of SC divided by the sensitivity of CC. Will report point estimate and 95% CIs.

    Measured: One-time, up to 60 days

  10. Specificity ratio for SC versus CC samples

    Will be defined as the specificity of SC divided by the specificity of CC. Will report point estimate and 95% CIs.

    Measured: One-time, up to 60 days

  11. False positive (FP) ratio for SC versus CC samples

    Will be defined as the FPR of SC divided by the FPR of CC. Will report point estimate and 95% CIs.

    Measured: One-time, up to 60 days

  12. False negative (FN) ratio for SC versus CC samples

    Will be defined as the FNR of SC divided by the FBR of CC. Will report point estimate and 95% CIs.

    Measured: One-time, up to 60 days

  13. Positive percent agreement

    Will be defined as the probability of positive on SC given positive on CC, expressed as a percent. Will report point estimate and 95% CIs.

    Measured: One-time, up to 60 days

  14. Negative percent agreement

    Will be defined as the probability of negative on SC given negative on CC, expressed as a percent. Will report point estimate and 95% CIs.

    Measured: One-time, up to 60 days

Timeline

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

  1. First posted15 Dec 2025
  2. Study start24 Nov 2025
  3. Primary completion30 Dec 2026 (estimated)
  4. Study completion30 Jun 2027 (estimated)

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
Prevention
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
500 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07281430
Sponsor's protocol ID
NCI-2025-09192
Other IDs
NCI-2025-09192, LMI-001-A-S04, LMI-001-A-S04
Status last verified
Jun 2026
First submitted
12 Dec 2025
Last updated
31 Jul 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: NCI is committed to sharing data in accordance with NIH policy. For more details on how clinical trial data is shared, access the link to the NIH data sharing policy page.

Questions about this trial

What is this clinical trial studying?

A study testing Biospecimen Collection, Cervical Biopsy and Colposcopy in people with Cervical Carcinoma and Human Papillomavirus Infection, run by National Cancer Institute (NCI) at 18 sites in United States.

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 5 inclusion and 6 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: looking for participants now, as of the sponsor's last update on 31 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 18 sites in United States. 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?

This study is still under way. Results are not available in the source record yet.

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

Each site lists its own contact: choose the nearest one under Trial locations. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Clinical sensitivity for self-collected (SC) samples (time frame: One-time, up to 60 days). The study lists 14 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 31 Jul 2026.

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