Focal Treatment of Cervical Precancer
This will be a pilot cohort study of women undergoing focal treatment for high-grade cervical intraepithelial neoplasia (HGCIN). The cohort will be recruited from the UCSF Dysplasia Clinics. The standard treatment involves treatment of the entire cervix. Women with HGCIN meeting inclusion criteria will be recruited for enrollment into the pilot study of focal treatment. Upon enrollment, they will undergo focal treatment rather than standard treatment of the cervix. Follow-up visits will be conducted at 2 weeks and 6 months to assess safety, feasibility, and acceptability. The 6-month recurrence rate of HGCIN will be calculated.
|Study Design:||Endpoint Classification: Safety/Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
|Official Title:||Focal Treatment of High-grade Cervical Intraepithelial Neoplasia|
- Six-month recurrence rate of high-grade cervical intraepithelial neoplasia [ Time Frame: six months ] [ Designated as safety issue: Yes ]
- Safety of focal treatment [ Time Frame: six months ] [ Designated as safety issue: Yes ]Participants will be asked to report any adverse events following focal treatment. These events will be graded according to standard criteria (DAIDS).
- Acceptability of focal treatment [ Time Frame: six months ] [ Designated as safety issue: No ]Participants will be asked to respond to a survey at enrollment and follow-up asking whether they are satisfied with focal treatment as an alternative method of treatment.
- Feasibility of focal treatment [ Time Frame: enrollment ] [ Designated as safety issue: No ]Providers will be asked to provide information after each treatment regarding whether the treatment was technically feasible to perform.
|Study Start Date:||January 2013|
|Estimated Study Completion Date:||March 2015|
|Estimated Primary Completion Date:||December 2014 (Final data collection date for primary outcome measure)|
|Experimental: Focal treatment arm||
Procedure: Focal treatment
Focal treatment of high-grade cervical intraepithelial neoplasia using laser ablation, cryotherapy, or loop electrosurgical excision procedure
|Contact: Michelle Khan, MD, MPH||415-443-6662||KhanM@globalhealth.ucsf.edu|
|United States, California|
|University of California, San Francisco||Not yet recruiting|
|San Francisco, California, United States, 94109|