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Intended Use Study of the BD SurePath Plus™ Pap

Primary Purpose

Uterine Cervical Neoplasms, Uterine Cervical Cancer, Neoplasms, Squamous Cell

Status
Terminated
Phase
Locations
United States
Study Type
Interventional
Intervention
BD SurePath Plus Pap test
BD SurePath Pap test
colposcopy with biopsy/ECC
HPV DNA test
Sponsored by
Becton, Dickinson and Company
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Uterine Cervical Neoplasms focused on measuring Liquid based cytology, Surepath

Eligibility Criteria

18 Years - 35 Years (Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

Study subjects must give voluntary written informed consent to participate in this study.

- Females ages 18 - 35 years, inclusive; or women at high- risk for cervical cancer or its precursor lesions.

High-risk is defined as:

  • Have had a previous high-risk HPV positive test in the last 5 years; or
  • Have had an abnormal Pap test (ASC-US or higher) in the last 5 years; or
  • Have not been screened for cervical cancer by either a Pap test or HPV test in the last 5 years.

Exclusion Criteria:

  • Subjects who are 36 years of age or greater who are not high risk, and/or:

    1. Have not had an abnormal Pap in the last 5 years; or
    2. Have not had a positive HPV test in the last 5 years; or
    3. Have been screened in the last 5 years without an abnormal Pap or HPV result
  • Subjects known to be pregnant or planning to become pregnant prior to the potential six months follow-up visit (self-reported). Subjects who decide to become pregnant prior to the six-month follow up visit or found to be pregnant after the first visit, but prior to the six-month follow-up visit will be terminated from further study participation at that time
  • Subjects who have had a prior complete or partial hysterectomy involving removal of the cervix.
  • Subjects who have had an application of chemical compounds to the cervical area within the 24 hours prior to study entry, e.g., acetic acid, iodine, spermicide, douche, anti-fungal medications, etc.
  • Subjects on whom conization, LEEP, laser surgery, or cryosurgery has been performed within the past five months.
  • Subjects currently undergoing radiation and/or chemotherapy.
  • Subjects under the age of 18.
  • Subjects who have previously received a HPV vaccine with any number of doses.

Sites / Locations

  • Seattle Women's: Health, Research, Gynecology

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Participants with Cervical Disease

Participants without Cervical Disease

Arm Description

Participants positive for Cervical Disease (CIN2 or higher) as determined by adjudicated histology from biopsy/ECC.

Participants negative for Cervical Disease (CIN2 or higher) as determined by adjudicated histology from biopsy/ECC.

Outcomes

Primary Outcome Measures

Sensitivity, Specificity, PPV, and NPV of BD SurePath Plus Pap Test for the Determination of Cervical Disease as Defined by CIN2 or Higher
Estimate the sensitivity, specificity, positive predictive value and negative predictive value of the BD SurePath Plus Pap test in detecting cervical disease as defined as CIN2 or higher

Secondary Outcome Measures

Compare the Sensitivity and Specificity of the BD SurePath Plus Pap Test to the SurePath Pap With HPV Reflex Testing for CIN2+ Disease Detection.

Full Information

First Posted
October 14, 2010
Last Updated
May 15, 2023
Sponsor
Becton, Dickinson and Company
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1. Study Identification

Unique Protocol Identification Number
NCT01234480
Brief Title
Intended Use Study of the BD SurePath Plus™ Pap
Official Title
Intended Use Study of the BD SurePath Plus™ Pap
Study Type
Interventional

2. Study Status

Record Verification Date
May 2023
Overall Recruitment Status
Terminated
Why Stopped
Decided not to pursue commercialization of the product
Study Start Date
September 2010 (undefined)
Primary Completion Date
March 2012 (Actual)
Study Completion Date
August 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Becton, Dickinson and Company

4. Oversight

Device Product Not Approved or Cleared by U.S. FDA
Yes
Data Monitoring Committee
No

5. Study Description

Brief Summary
This study will provide data on the performance of the BD SurePath Plus™ Pap test for identifying high grade cervical disease. This study will be conducted with approximately 12,500 women undergoing routine cervical cancer screening, of whom women with abnormal cytology and/or positive HPV test will be selected to undergo colposcopy and biopsy/ECC. Subjects with abnormal cytology results with biopsy results of less than or equal to CIN1 or CIN2 untreated will be asked to return in 6-8 months for follow-up testing. Subjects may be asked to proceed to a longer-term follow-up study and undergo cytological evaluation annually for 3 years (separate study).
Detailed Description
This is a pivotal, multi-center in vitro diagnostic study comparing the BD SurePath Plus Pap test to current practice (cytologic examination utilizing the BD SurePath liquid-based Pap test with conjunctive HPV testing) for the detection of cervical cancer and high-grade cervical disease (collectively referred to as CIN2+) in women. The new BD SurePath Plus Pap Test combines a traditional Papanicolaou staining for cellular morphology, with brown nuclear immunostaining resulting from the over-expression of specific protein biomarkers, on one slide, to improve the detection of high-grade cervical disease and cervical cancer (collectively referred to as CIN2+).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Uterine Cervical Neoplasms, Uterine Cervical Cancer, Neoplasms, Squamous Cell, Neoplasms, Glandular and Epithelial, Neoplasms by Histologic Type, Neoplasms, Papilloma
Keywords
Liquid based cytology, Surepath

7. Study Design

Primary Purpose
Diagnostic
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
5859 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Participants with Cervical Disease
Arm Type
Experimental
Arm Description
Participants positive for Cervical Disease (CIN2 or higher) as determined by adjudicated histology from biopsy/ECC.
Arm Title
Participants without Cervical Disease
Arm Type
Experimental
Arm Description
Participants negative for Cervical Disease (CIN2 or higher) as determined by adjudicated histology from biopsy/ECC.
Intervention Type
Device
Intervention Name(s)
BD SurePath Plus Pap test
Intervention Description
BD SurePath Plus Pap test
Intervention Type
Device
Intervention Name(s)
BD SurePath Pap test
Intervention Description
BD SurePath Plus Pap test
Intervention Type
Procedure
Intervention Name(s)
colposcopy with biopsy/ECC
Intervention Description
Colposcopy with biopsy/ECC for subjects with 1)BD SurePath Pap NILM, but HPV positive, or 2) BD SurePath Plus Pap test result of ASC-US or higher 3)BD SurePath Pap ASC-US or higher
Intervention Type
Device
Intervention Name(s)
HPV DNA test
Other Intervention Name(s)
digene HC2 HPV DNA test
Intervention Description
digene HC2 HPV DNA test
Primary Outcome Measure Information:
Title
Sensitivity, Specificity, PPV, and NPV of BD SurePath Plus Pap Test for the Determination of Cervical Disease as Defined by CIN2 or Higher
Description
Estimate the sensitivity, specificity, positive predictive value and negative predictive value of the BD SurePath Plus Pap test in detecting cervical disease as defined as CIN2 or higher
Time Frame
10 months
Secondary Outcome Measure Information:
Title
Compare the Sensitivity and Specificity of the BD SurePath Plus Pap Test to the SurePath Pap With HPV Reflex Testing for CIN2+ Disease Detection.
Time Frame
10 months

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
35 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Study subjects must give voluntary written informed consent to participate in this study. - Females ages 18 - 35 years, inclusive; or women at high- risk for cervical cancer or its precursor lesions. High-risk is defined as: Have had a previous high-risk HPV positive test in the last 5 years; or Have had an abnormal Pap test (ASC-US or higher) in the last 5 years; or Have not been screened for cervical cancer by either a Pap test or HPV test in the last 5 years. Exclusion Criteria: Subjects who are 36 years of age or greater who are not high risk, and/or: Have not had an abnormal Pap in the last 5 years; or Have not had a positive HPV test in the last 5 years; or Have been screened in the last 5 years without an abnormal Pap or HPV result Subjects known to be pregnant or planning to become pregnant prior to the potential six months follow-up visit (self-reported). Subjects who decide to become pregnant prior to the six-month follow up visit or found to be pregnant after the first visit, but prior to the six-month follow-up visit will be terminated from further study participation at that time Subjects who have had a prior complete or partial hysterectomy involving removal of the cervix. Subjects who have had an application of chemical compounds to the cervical area within the 24 hours prior to study entry, e.g., acetic acid, iodine, spermicide, douche, anti-fungal medications, etc. Subjects on whom conization, LEEP, laser surgery, or cryosurgery has been performed within the past five months. Subjects currently undergoing radiation and/or chemotherapy. Subjects under the age of 18. Subjects who have previously received a HPV vaccine with any number of doses.
Facility Information:
Facility Name
Seattle Women's: Health, Research, Gynecology
City
Seattle
State/Province
Washington
ZIP/Postal Code
98105
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Intended Use Study of the BD SurePath Plus™ Pap

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