An open, prospective, comparative clinical trial to evaluate the improvement of the colposcopist with the use of DySIS™ compared to conventional colposcopy

ISRCTN ISRCTN66112760
DOI https://doi.org/10.1186/ISRCTN66112760
Secondary identifying numbers N/A
Submission date
11/04/2007
Registration date
11/04/2007
Last edited
05/01/2021
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Study website

Contact information

Dr Jacqueline Louwers
Scientific

Vrije Universiteit Medical Centre (VUMC)
P.O. Box 7057
Amsterdam
1007 MB
Netherlands

Phone +31 (0)20 444 4833
Email ja.louwers@vumc.nl

Study information

Study designNon-randomised, controlled, parallel group, multicentre trial
Primary study designInterventional
Secondary study designNon randomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Scientific titleAn open, prospective, comparative clinical trial to evaluate the improvement of the colposcopist with the use of DySIS™ compared to conventional colposcopy
Study acronymThe DySIS™ study
Study objectivesPrimary:
DySIS™ has a higher sensitivity in discriminating High Grade (HG) from Low Grade (LG) lesions and non-neoplastic tissue as well as in selecting the most atypical site for biopsy sampling, through digital documentation and interpretation of colposcopic images and the correlation with visual interpretation and histology (‘golden standard’) than conventional colposcopy.
Ethics approval(s)The protocol of the DySIS study was approved on 6th July 2007 by the local medical ethics committee (Medisch Ethische Toetsingscommissie VU medisch centrum) in Amsterdam, The Netherlands (ref:2007/098).
Health condition(s) or problem(s) studiedCervical Intraepithelial Neoplasia (CIN)
Intervention1. Besides conventional colposcopy, colposcopy with DySIS™.
2. hrHPV, viral load, E6/E7 antibodies and p16INK4a testing
3. At random biopsy
4. Measurement of the lesion size

For all the subjects, all the measurements are done during one visit to the outpatient clinic. Therefore, the primary and secondary outcomes are also measured during this visit.
Intervention typeOther
Primary outcome measurePrimary endpoint:
Consensus in DySIS™ colposcopic and conventional colposcopic impression of a lesion and histology (‘golden standard’).
Secondary outcome measuresSecondary endpoints:
1. Consensus in DySIS™ colposcopic and conventional colposcopic localisation of the optimal biopsy point and histology (‘golden standard’)
2. Consensus of DySIS colposcopic and conventional colposcopic impression of a lesion and HPV GP5+/6+ Polymerase Chain Reaction (PCR) testing and hybrid capture
3. Higher HPV viral load by a larger, hrHPV positive, lesion (through [semi]-quantitative, real-time PCR-based viral load assessment)
4. A relation between p16INK4a and the size of the lesion
5. A relation between viral load and hrHPV antibody titres
Overall study start date10/04/2007
Completion date10/10/2007

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexFemale
Target number of participants400
Key inclusion criteria1. Female
2. 18 years of age or older
3. Intact cervix (no history of Loop Electrosurgical Excision Procedure [LEEP] or surgical treatment involving damage to the transformation zone of the cervix)
4. Study group only: an abnormal cytological test result and/or positive high-risk Human Papillomavirus (hrHPV) test
5. Control group only: to be able to undergo a colposcopy (according to the gynaecologist)
6. Sufficient knowledge of the Dutch or English language
7. Able to understand the content of the study (according to the gynaecologist)
8. Signed informed consent form
Key exclusion criteria1. History of surgery on the cervix
2. Previous pelvic radiotherapy
3. Pregnancy or pregnant in the last three months
4. Breast-feeding, or breast-feeding in the last three months
5. Heavy bleeding (menstruation or other) or excessive vaginal discharge in which a colposcopy cannot be performed. Enrolment in the study protocol will be postponed until the condition is resolved according to the gynaecologist’s medical judgment
6. Self-referring women without an abnormal smear
Date of first enrolment10/04/2007
Date of final enrolment10/10/2007

Locations

Countries of recruitment

  • Netherlands

Study participating centre

Vrije Universiteit Medical Centre (VUMC)
Amsterdam
1007 MB
Netherlands

Sponsor information

VU University Medical Centre (The Netherlands)
Hospital/treatment centre

Van der Boechorststraat 7
Amsterdam
1081 BT
Netherlands

Website http://www.vumc.nl/english/#http://www.vumc.nl/english/
ROR logo "ROR" https://ror.org/00q6h8f30

Funders

Funder type

Industry

VU University Medical Centre (The Netherlands)

No information available

Forth-Photonics (Greece)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/12/2015 04/01/2021 Yes No

Editorial Notes

04/01/2021: Publication reference added.