The Canadian Cervical Cancer Screening Trial of human papillomavirus (HPV) testing versus Pap cytology

ISRCTN ISRCTN57612064
DOI https://doi.org/10.1186/ISRCTN57612064
Secondary identifying numbers MCT-54063
Submission date
09/09/2005
Registration date
09/09/2005
Last edited
05/01/2010
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

Not provided at time of registration

Study website

Contact information

Prof Eduardo L.F. Franco
Scientific

Division of Cancer Epidemiology
McGill University
546 Pine Avenue West
Montreal
H2W 1S6
Canada

Phone +1 514 398 6032
Email eduardo.franco@mcgill.ca

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeScreening
Participant information sheet More information can be found at http://www.mcgill.ca/cccast/
Scientific titleEfficacy trial of human papillomavirus (HPV) versus Pap testing for screening cervical cancer precursors: a randomised controlled trial
Study acronymCCCaST
Study hypothesisObjectives:
1. To compare human papillomavirus (HPV) testing with Pap cytology to detect prevalent and early incident asymptomatic cervical cancers and their high-grade precancerous lesions among women aged 30 - 69 years who present for their routine cervical cancer screening in Montreal and Newfoundland
2. To identify individual, social, and health care delivery variables that influence the performance of the Pap smear and of HPV testing and determine the costs of delivery of those two screening strategies in the two populations chosen for the study

As of 05/01/2010 this record was updated; all details can be found under the relevant section with the above update date. At this point, the target number of participants field was also updated; the initial target number of participants at time of registration was 12,000. However, 14,953 women were assessed for eligibility and invited to participate and 10,154 were randomised into the trial.
Ethics approval(s)Ethics approval received from the Institutional Review Board of McGill University on the 26th April 2005. Ethics approval has been extended to several additional clinics and institutions involved in the study.
ConditionHigh-grade cervical intra-epithelial neoplasia
InterventionPap testing compared to HPV testing.
Intervention typeOther
Primary outcome measureBiopsy-proven cervical intraepithelial neoplasia (CIN 2, 3) (high grade intraepithelial lesion [HSIL]) or cancer, ascertained at 6, 12, and 18 months
Secondary outcome measuresBiopsy-proven CIN 1 (low grade intraepithelial lesion [LSIL]) at 18 months.
Overall study start date26/09/2002
Overall study end date31/07/2007

Eligibility

Participant type(s)Patient
Age groupAdult
SexFemale
Target number of participants10,154 randomised into trial
Participant inclusion criteriaCurrent inclusion criteria as of 05/01/2010:
1. Women aged 30 to 69 years
2. Sought screening tests for cervical cancer in any of 30 family practice or gynaecology clinics in Montreal and St. John's, Canada

Initial inclusion criteria at time of registration:
1. Women aged between 30 and 69 years
2. Currently attending a colposcopy clinic for evaluation, treatment or follow up of a cervical lesion
Participant exclusion criteriaCurrent exclusion criteria as of 05/01/2010:
1. Currently being followed up for a cervical lesion
2. Lacked a cervix
3. Pregnant
4. Had a history of cervical cancer
5. Had undergone Pap testing in the previous year
6. Unable to provide consent were excluded (note that this is related also to the ability to understand French or English)

Initial exclusion criteria at time of registration:
1. Without a cervix
2. Pregnant
3. History of cervical cancer
4. Known human immunodeficiency virus (HIV) infection
5. Mentally incompetent
6. Unable to understand French or English
7. Refuse to provide an informed consent
Recruitment start date26/09/2002
Recruitment end date31/07/2007

Locations

Countries of recruitment

  • Canada

Study participating centre

Division of Cancer Epidemiology
Montreal
H2W 1S6
Canada

Sponsor information

McGill University (Canada) - Research Grants Office
University/education

845 Sherbrooke Street West
James Administration Bldg., Suite 429
Montreal
H3A 2T5
Canada

Phone +1 514 398 3996
Email janine.vasseur@mcgill.ca
Website http://www.mcgill.ca/
ROR logo "ROR" https://ror.org/01pxwe438

Funders

Funder type

Research organisation

Canadian Institutes of Health Research (CIHR) (Canada) - http://www.cihr-irsc.gc.ca (ref: MCT-54063)

No information available

Merck-Frosst (Canada) - unrestricted educational grant

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?
Protocol article protocol 01/08/2006 Yes No
Results article results 18/10/2007 Yes No