Identifying Genes That Predict Risk of Developing Cervical Intraepithelial Neoplasia or Invasive Cervical Cancer
Study Details
Study Description
Brief Summary
RATIONALE: Finding certain changes in genes may help doctors predict which patients are at risk of developing cervical intraepithelial neoplasia or invasive cervical cancer and may help the study of cancer in the future.
PURPOSE: This clinical trial is studying genes that may predict which patients are at risk of developing cervical intraepithelial neoplasia or invasive cervical cancer.
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
OBJECTIVES:
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Utilize molecular assays to identify a panel of hypermethylated genes that are predictive of cervical intraepithelial neoplasia (CIN) grade 3 or invasive cervical cancer (ICC) among patients with or without HIV infection.
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Perform a nested case-control study assessing the risk of developing CIN3 in relationship to human papillomavirus (HPV) persistence, HIV, and the presence or acquisition of candidate hypermethylated genes in these patients.
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Identify HIV-related factors (e.g., CD4 counts, viral load, and highly active antiretroviral therapy [HAART]) that might be associated with the presence or acquisition of specific hypermethylated genes in these patients.
OUTLINE: This is a longitudinal, multicenter study.
Patients undergo biopsy for removal of cervical tissue. Patients also undergo blood and urine sample collection. Samples are analyzed for the presence of cancer or changes that indicate that cancer might develop. Patients also undergo colposcopy at baseline and at 3 years.
After completion of study procedures, patients are followed every 4 months for up to 3 years.
PROJECTED ACCRUAL: A total of 1,150 patients will be accrued for this study.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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HIV+, <CIN2 HIV positive women without CIN2-3 or worse |
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HIV-, no >=CIN3 biopsy, HR HPV+ HIV negative women without biopsy-proven CIN3 or worse, and with high risk HPV infection |
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HIV-, <=CIN1, HPV- at screening HIV negative women who are <= CIN1 and HPV negative at screening |
Outcome Measures
Primary Outcome Measures
- Identification of hypermethylated genes that are predictive of cervical intraepithelial neoplasia (CIN) grade 3 or invasive cervical cancer [3 years]
Use molecular assays to identify a panel of hypermethylated genes that are predictive of CIN-3/ICC among women with and without HIV infection. We will rank genes by their ability to discriminate normal cervical tissue from CIN-3/ICC after stratifying by HIV infection.
- Assessment of the risk of developing CIN3 in relationship to human papillomavirus (HPV) persistence, HIV, and the presence or acquisition of candidate hypermethylated genes [3 years]
Perform a nested case control study assessing the risk of developing CIN-3 in relationship to HPV persistence, HIV, and the presence or acquisition of the candidate hypermethylated genes.
- Identification of HIV-related factors associated with the presence or acquisition of specific hypermethylated genes [3 years]
Identify HIV-related factors (CD4 counts, viral load, HAART) which might be associated with the presence or acquisition of specific hypermethylated genes.
Eligibility Criteria
Criteria
INCLUSION CRITERIA:
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Underwent Pap smear, human papillomavirus (HPV) testing, and HIV testing AND meets any of the following criteria:
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Biopsy and colposcopy confirmed cervical intraepithelial neoplasia (CIN) or invasive cervical cancer (ICC), meeting any of the following criteria:
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CIN grade 2-3 or higher
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Repeated CIN1 (times 6)
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Abnormal Pap smear (atypical squamous cells of undetermined significance [ASCUS] or worse)
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HIV seropositive
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Negative cytology but positive for high-risk human papillomavirus (HPV)
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Negative cytology and negative HPV
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HIV negative (without biopsy-proven CIN 3 or worse) and high-risk HPV infection (types 16, 18, 26, 31, 33, 35, 39, 45, 51, 52, 55, 56, 58, 59, 68, 82, 83, 73)
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= 18 years of age
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Intact cervix
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Not pregnant
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Able to provide informed consent
EXCLUSION CRITERIA:
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< 18 years of age
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Pregnant at screening
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Cervix not intact
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not able to provide informed consent
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Centre Hospitalier Universite De Fann | Dakar | Senegal | BP 5035 | |
2 | Hopital Aristide Le Dantec | Dakar | Senegal | BP 5126 |
Sponsors and Collaborators
- University of Washington
- National Cancer Institute (NCI)
Investigators
- Principal Investigator: Nancy B. Kiviat, MD, Harborview Injury Prevention and Research Center
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 6113
- R01CA111187
- P30CA015704
- UWCC-6113
- UWCC-04-4928-B01
- FHCRC-6113
- CDR0000482330