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Evaluating the use of DNA methylation as a tool for cervical cancer screening in sub-Saharan Africa

Diagnostic performance of a DNA methylation-based test for cervical cancer screening in Nigerian women

Status
Recruiting
Phases
Unknown
Study type
Observational
Source
ISRCTN
Registry ID
ISRCTN17152893
Enrollment
100
Registered
2025-11-01
Start date
2023-02-01
Completion date
Unknown
Last updated
2025-11-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Screening for cervical cancer Cancer

Interventions

All participants provided a cervical sample for HPV and WID-qCIN DNA methylation testing, underwent cytology, colposcopy, and biopsy for histological confirmation. No therapeutic intervention was admi

Sponsors

University College London
Lead Sponsor

Eligibility

Sex/Gender
Female

Inclusion criteria

Inclusion criteria: 1. Women aged 25–65 years 2. Able and willing to provide written informed consent

Exclusion criteria

Exclusion criteria: 1. Current pregnancy. 2. History of hysterectomy, cervical or endometrial cancer, or pelvic radiotherapy. 3. Treatment for cervical intraepithelial neoplasia (CIN) within the preceeding six months. 4. Participants receiving ablative treatment at the time of colposcopy (precluding histological sampling).

Design outcomes

Primary

MeasureTime frame
Diagnostic accuracy of the WID-qCIN DNA methylation test for the detection of CIN3+, using histologically confirmed CIN3 or invasive cervical cancer as the reference standard. Measured via cytology analysis and colposcopic assessment conducted at baseline. Diagnostic performance will be assessed using sensitivity and specificity following completion of laboratory analysis for all participant samples.

Secondary

MeasureTime frame
1. Diagnostic accuracy (sensitivity and specificity) of cytology and colposcopy for the detection of CIN3+, compared with histology as the reference standard. Measured via cytology analysis and colposcopic assessment conducted at baseline. Diagnostic performance will be assessed using sensitivity and specificity following completion of laboratory analysis for all participant samples. 2. Diagnostic accuracy (sensitivity and specificity) of HPV 16/18 and the composite WID-qCIN/HPV 16/18 test for the detection of CIN3+, compared with histology as the reference standard. Measured via HPV genotyping and WID-qCIN DNA methylation testing on participant samples collected at baseline. Diagnostic performance will be assessed using sensitivity and specificity following completion of laboratory analysis for all participant samples. 3. Comparative performance of WID-qCIN vs cytology and colposcopy as triage tools in hrHPV- positive women. Measured as sensitivity and specificity with 95% confidence intervals following completion of laboratory analysis on all participant samples. 4. Distribution of hrHPV subtypes in the study population. Measured via HPV genotype testing on participant samples collected at baseline.

Countries

Nigeria

Contacts

Public ContactOjone Illah
o.illah@ucl.ac.uk+44 2076792000

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026