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Trial registered on ANZCTR
Registration number
ACTRN12618001414202
Ethics application status
Approved
Date submitted
16/08/2018
Date registered
24/08/2018
Date last updated
11/02/2021
Date data sharing statement initially provided
12/08/2019
Type of registration
Prospectively registered
Titles & IDs
Public title
HPV types in young New Zealand women with high grade cervical cell abnormalities
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Scientific title
High Risk HPV genotyping in young women under 25 in New Zealand with high grade histology in the post-HPV vaccination era
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Secondary ID [1]
295824
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None
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Universal Trial Number (UTN)
U1111-1219-0464
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
cervical cell abnormality
309264
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Condition category
Condition code
Cancer
308136
308136
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0
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Cervical (cervix)
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
All women aged 20-24 years attending colposcopy following abnormal screening cytology in participating centres will be invited to participate in the study. Consenting women will have a cytology sample taken from the cervix as part of their colposcopy. High risk HPV testing and extended genotyping will be performed by the BD viper assay performed by Canterbury Health Laboratory or partial genotyping (HPV 16, HPV 18, other high risk HPV, or high risk HPV not detected) using the HPV assay routinely used by that laboratory. This will be a one-off test and there will be no further follow-up specific to the study.
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Intervention code [1]
312156
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Not applicable
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Comparator / control treatment
The HPV type prevalence in women with high grade cervical abnormalities (CIN2 or 3) will be compared with historical data (August 2009 to February 2011) (Simonella LM, Lewis H, Smith M, Neal H, Bromhead C, Canfell K. Type-specific oncogenic human papillomavirus infection in high grade cervical disease in New Zealand. BMC Infect Dis 2013;13:114).
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Control group
Historical
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Outcomes
Primary outcome [1]
307115
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The prevalence of high risk vaccine-type human papillomavirus genotypes (either HPV 16 or 18 or both) in young women (aged 20-24 years) with high grade histology (e.g., CIN2 or CIN3).
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Assessment method [1]
307115
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Timepoint [1]
307115
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HPV genotype analysis for each participant will be undertaken on the cytology taken at the initial colposcopic assessment. HPV genotype prevalence will be assessed once all participants have been recruited - approximately 12 months after first enrolment.
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Secondary outcome [1]
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HPV vaccination status as assessed by data-linkage to the National Immunisation Register.
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Assessment method [1]
350734
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Timepoint [1]
350734
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HPV vaccination status for each participant will be requested following their initial colposcopic assessment. Analysis of the overall group will be assessed once all participants have been recruited - approximately 12 months after first enrolment.
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Secondary outcome [2]
350735
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The prevalence of high risk vaccine-type human papillomavirus genotypes (either HPV 16 or 18 or both) compared with (1) other high risk non-vaccine genotypes and (2) co-infection with vaccine-type HPV genotypes and high risk non-vaccine genotypes, in young women (aged 20-24 years) with LOW grade histology (e.g., CIN1)..
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Assessment method [2]
350735
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Timepoint [2]
350735
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HPV genotype analysis for each participant will be undertaken on the cytology taken at the initial colposcopic assessment. HPV genotype prevalence will be assessed once all participants have been recruited - approximately 12 months after first enrolment.
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Eligibility
Key inclusion criteria
Women aged 20-24 years.
Referred to colposcopy (at a participating centre) with an abnormal smear.
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Minimum age
20
Years
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Maximum age
24
Years
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
None
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Study design
Purpose
Natural history
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
The analysis of data will be largely descriptive. A two-proportion z-test will be used to determine whether there is a difference in the proportion of women with HPV 16 or 18 positive cytology in this sample compared with historical data.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
3/09/2018
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Actual
26/09/2018
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Date of last participant enrolment
Anticipated
30/09/2020
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Actual
27/08/2020
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Date of last data collection
Anticipated
30/09/2020
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Actual
10/09/2020
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Sample size
Target
350
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Accrual to date
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Final
154
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Recruitment outside Australia
Country [1]
20782
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New Zealand
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State/province [1]
20782
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Funding & Sponsors
Funding source category [1]
300419
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Charities/Societies/Foundations
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Name [1]
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Australian Society for Colposcopy and Cervical Pathology
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Address [1]
300419
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ASCCP Secretariat
PO Box 717
Indooroopilly
QLD 4068
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Country [1]
300419
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Australia
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Funding source category [2]
300421
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Commercial sector/Industry
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Name [2]
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BD
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Address [2]
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BD New Zealand Headquarters
14b George Bourke Drive
Mt Wellington, AUCKLAND, 1060
NEW ZEALAND
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Country [2]
300421
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New Zealand
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Primary sponsor type
University
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Name
University of Otago, Christchurch
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Address
Private Bag 4711
Christchurch 8140
New Zealand
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Country
New Zealand
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Secondary sponsor category [1]
299881
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None
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Name [1]
299881
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Address [1]
299881
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Country [1]
299881
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
301223
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Northern A Health and Disability Ethics Committee
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Ethics committee address [1]
301223
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Health and Disability Ethics Committees Ministry of Health 133 Molesworth Street PO Box 5013 Wellington 6011
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Ethics committee country [1]
301223
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New Zealand
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Date submitted for ethics approval [1]
301223
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01/02/2018
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Approval date [1]
301223
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12/03/2018
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Ethics approval number [1]
301223
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18/NTA/13
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Summary
Brief summary
Most cervical cell abnormalities are caused by infection with high risk types of human papillomavirus (HPV). In 2008, a national HPV vaccination programme was commenced in New Zealand. The vaccine protects women from infection with HPV 16 and 18, the HPV types associated with the majority of cervical cell abnormalities (precancers) and cervical cancer. A previous study found that at that time (2009-2011), approximately 70% of women aged under 29 with high grade cervical cell abnormalities were infected with HPV 16 or 18. Our study aims to determine the HPV types carried by young women (aged 20-24 years) with abnormal cervical cells in New Zealand currently and to compare this with previous data. We hypothesize that young women with high grade disease will have HPV 16 or 18 in the minority of cases and that in both vaccinated and non-vaccinated women this will be less than that seen in the historical study.
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Trial website
None
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Trial related presentations / publications
None
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Peter Sykes
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Address
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Dept Obstetrics & Gynaecology
University of Otago, Christchurch
Level 3, Christchurch Women’s Hospital
2 Riccarton Ave
Christchurch 8011
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Country
86286
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New Zealand
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Phone
86286
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+61 3 364 4647
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Fax
86286
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+61 3 364 4634
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Email
86286
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[email protected]
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Contact person for public queries
Name
86287
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Peter Sykes
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Address
86287
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Dept Obstetrics & Gynaecology
University of Otago, Christchurch
Level 3, Christchurch Women’s Hospital
2 Riccarton Ave
Christchurch 8011
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Country
86287
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New Zealand
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Phone
86287
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+61 3 364 4647
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Fax
86287
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+61 3 364 4634
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Email
86287
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[email protected]
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Contact person for scientific queries
Name
86288
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Peter Sykes
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Address
86288
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Dept Obstetrics & Gynaecology
University of Otago, Christchurch
Level 3, Christchurch Women’s Hospital
2 Riccarton Ave
Christchurch 8011
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Country
86288
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New Zealand
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Phone
86288
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+61 3 364 4647
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Fax
86288
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+61 3 364 4634
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Email
86288
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
3936
Study protocol
[email protected]
3937
Informed consent form
[email protected]
3938
Ethical approval
[email protected]
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF