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NCT03489707

The Prevent Anal Cancer Self-Swab Study

Completed NA Results posted Last updated 12 November 2024
What this trial tests

NA trial testing Home-based human papillomavirus (HPV) DNA screening in Anal Cancer in 253 participants. Completed in 31 August 2023.

Timeline
9 January 2020
Primary endpoint
31 August 2023
31 August 2023

Quick facts

Lead sponsorMedical College of Wisconsin
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposescreening
Enrollment253
Start date9 January 2020
Primary completion31 August 2023
Estimated completion31 August 2023
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Medical College of Wisconsin

Who can join

25 and older, any sex, with Anal Cancer. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Compliance With Annual Anal HPV DNA Screening Primary · Baseline

Compliance is assessed by the number of participants who provide specimens for annual anal HPV DNA screening

GroupValue95% CI
Home-based Human Papillomavirus (HPV) DNA Screening107
Clinic-based Human Papillomavirus (HPV) DNA Screening89
Home-based Human Papillomavirus (HPV) DNA Screening13
Clinic-based Human Papillomavirus (HPV) DNA Screening31
Compliance With Annual Anal HPV DNA Screening Primary · 12 months

Compliance is assessed by the number of participants who provide specimens for annual anal HPV DNA screening

GroupValue95% CI
Home-based Human Papillomavirus (HPV) DNA Screening78
Clinic-based Human Papillomavirus (HPV) DNA Screening63
Home-based Human Papillomavirus (HPV) DNA Screening42
Clinic-based Human Papillomavirus (HPV) DNA Screening57
Compliance With Annual Screening Based on HIV Status Secondary · 12 months 12 months

The number of participants complying with annual screening with positive or negative HIV status. Compliance is defined as screening at baseline and one year.

HIV-positive
GroupValue95% CI
Home-based Human Papillomavirus (HPV) DNA Screening27
Clinic-based Human Papillomavirus (HPV) DNA Screening6
Home-based Human Papillomavirus (HPV) DNA Screening11
Clinic-based Human Papillomavirus (HPV) DNA Screening21
HIV-negative
GroupValue95% CI
Home-based Human Papillomavirus (HPV) DNA Screening51
Clinic-based Human Papillomavirus (HPV) DNA Screening57
Home-based Human Papillomavirus (HPV) DNA Screening31
Clinic-based Human Papillomavirus (HPV) DNA Screening36
Compliance With Annual Screening Based on Race/Ethnicity Secondary · 12 months

The number of participants complying with annual screening based on race/ethnicity. Racial and ethnic categories are defined by the NIH as follows: American Indian or Alaska Native, Asian, Black or African American, Hispanic or Latino, Native Hawaiian or Other Pacific Islander, and White. Compliance is defined as screening at baseline and one year.

White/Non Hispanic
GroupValue95% CI
Home-based Human Papillomavirus (HPV) DNA Screening49
Clinic-based Human Papillomavirus (HPV) DNA Screening50
Home-based Human Papillomavirus (HPV) DNA Screening27
Clinic-based Human Papillomavirus (HPV) DNA Screening32
Black/Non-Hispanic
GroupValue95% CI
Home-based Human Papillomavirus (HPV) DNA Screening19
Clinic-based Human Papillomavirus (HPV) DNA Screening6
Home-based Human Papillomavirus (HPV) DNA Screening7
Clinic-based Human Papillomavirus (HPV) DNA Screening13
Hispanic
GroupValue95% CI
Home-based Human Papillomavirus (HPV) DNA Screening9
Clinic-based Human Papillomavirus (HPV) DNA Screening6
Home-based Human Papillomavirus (HPV) DNA Screening6
Clinic-based Human Papillomavirus (HPV) DNA Screening10
Asian (Not Hispanic or Latino)
GroupValue95% CI
Home-based Human Papillomavirus (HPV) DNA Screening0
Clinic-based Human Papillomavirus (HPV) DNA Screening0
Home-based Human Papillomavirus (HPV) DNA Screening1
Clinic-based Human Papillomavirus (HPV) DNA Screening0
American Indian/Alaskan Native (Not Hispanic or Latino)
GroupValue95% CI
Home-based Human Papillomavirus (HPV) DNA Screening0
Clinic-based Human Papillomavirus (HPV) DNA Screening0
Home-based Human Papillomavirus (HPV) DNA Screening0
Clinic-based Human Papillomavirus (HPV) DNA Screening1
I don't know/Not Reported
GroupValue95% CI
Home-based Human Papillomavirus (HPV) DNA Screening1
Clinic-based Human Papillomavirus (HPV) DNA Screening0
Home-based Human Papillomavirus (HPV) DNA Screening1
Clinic-based Human Papillomavirus (HPV) DNA Screening0
Other
GroupValue95% CI
Home-based Human Papillomavirus (HPV) DNA Screening0
Clinic-based Human Papillomavirus (HPV) DNA Screening1
Home-based Human Papillomavirus (HPV) DNA Screening0
Clinic-based Human Papillomavirus (HPV) DNA Screening1
Number of Participants Attending High-resolution Anoscopy Based on Race/Ethnicity Secondary · 12 months

The number of participants attending high-resolution anoscopy based on race/ethnicity. Racial and ethnic categories are defined by the NIH as follows: American Indian or Alaska Native, Asian, Black or African American, Hispanic or Latino, Native Hawaiian or Other Pacific Islander, and White.

White/Non-Hispanic
GroupValue95% CI
Home-based Human Papillomavirus (HPV) DNA Screening41
Clinic-based Human Papillomavirus (HPV) DNA Screening54
Home-based Human Papillomavirus (HPV) DNA Screening35
Clinic-based Human Papillomavirus (HPV) DNA Screening28
Black/Non-Hispanic
GroupValue95% CI
Home-based Human Papillomavirus (HPV) DNA Screening11
Clinic-based Human Papillomavirus (HPV) DNA Screening8
Home-based Human Papillomavirus (HPV) DNA Screening15
Clinic-based Human Papillomavirus (HPV) DNA Screening11
Hispanic
GroupValue95% CI
Home-based Human Papillomavirus (HPV) DNA Screening9
Clinic-based Human Papillomavirus (HPV) DNA Screening7
Home-based Human Papillomavirus (HPV) DNA Screening6
Clinic-based Human Papillomavirus (HPV) DNA Screening9
Asian (Not Hispanic or Latino)
GroupValue95% CI
Home-based Human Papillomavirus (HPV) DNA Screening0
Clinic-based Human Papillomavirus (HPV) DNA Screening0
Home-based Human Papillomavirus (HPV) DNA Screening1
Clinic-based Human Papillomavirus (HPV) DNA Screening0
American Indian/Alaskan Native (Not Hispanic or Latino)
GroupValue95% CI
Home-based Human Papillomavirus (HPV) DNA Screening0
Clinic-based Human Papillomavirus (HPV) DNA Screening0
Home-based Human Papillomavirus (HPV) DNA Screening0
Clinic-based Human Papillomavirus (HPV) DNA Screening1
Other (Not Hispanic or Latino)
GroupValue95% CI
Home-based Human Papillomavirus (HPV) DNA Screening0
Clinic-based Human Papillomavirus (HPV) DNA Screening2
Home-based Human Papillomavirus (HPV) DNA Screening1
Clinic-based Human Papillomavirus (HPV) DNA Screening0
I don't know/Not reported
GroupValue95% CI
Home-based Human Papillomavirus (HPV) DNA Screening1
Clinic-based Human Papillomavirus (HPV) DNA Screening0
Home-based Human Papillomavirus (HPV) DNA Screening0
Clinic-based Human Papillomavirus (HPV) DNA Screening0
Number of Participants Attending High-resolution Anoscopy Based on HIV Status Secondary · 12 months

The number of participants attending high-resolution anoscopy based on positive or negative HIV status.

HIV-positive
GroupValue95% CI
Home-based Human Papillomavirus (HPV) DNA Screening20
Clinic-based Human Papillomavirus (HPV) DNA Screening12
Home-based Human Papillomavirus (HPV) DNA Screening18
Clinic-based Human Papillomavirus (HPV) DNA Screening15
HIV-negative
GroupValue95% CI
Home-based Human Papillomavirus (HPV) DNA Screening42
Clinic-based Human Papillomavirus (HPV) DNA Screening59
Home-based Human Papillomavirus (HPV) DNA Screening40
Clinic-based Human Papillomavirus (HPV) DNA Screening34
Attendance at High-resolution Anoscopy Secondary · 12 months

Number of participants who attend high-resolution anoscopy (HRA)

GroupValue95% CI
Home-based Human Papillomavirus (HPV) DNA Screening62
Clinic-based Human Papillomavirus (HPV) DNA Screening71
Home-based Human Papillomavirus (HPV) DNA Screening58
Clinic-based Human Papillomavirus (HPV) DNA Screening49
Human Papillomavirus (HPV) DNA Persistence and Its Association With High-grade Squamous Intraepithelial Lesions (HSIL). Secondary · 12 months

The number of participants that have DNA persistence at 12 months with and without high-grade squamous intraepithelial lesions (HSIL).

Attended HRA
GroupValue95% CI
Home-based Human Papillomavirus (HPV) DNA Screening62
Clinic-based Human Papillomavirus (HPV) DNA Screening71
Assessed for persistence
GroupValue95% CI
Home-based Human Papillomavirus (HPV) DNA Screening60
Clinic-based Human Papillomavirus (HPV) DNA Screening55
Persistent
GroupValue95% CI
Home-based Human Papillomavirus (HPV) DNA Screening36
Clinic-based Human Papillomavirus (HPV) DNA Screening17
persistent ≥HSIL
GroupValue95% CI
Home-based Human Papillomavirus (HPV) DNA Screening14
Clinic-based Human Papillomavirus (HPV) DNA Screening9
persistent <HSIL
GroupValue95% CI
Home-based Human Papillomavirus (HPV) DNA Screening22
Clinic-based Human Papillomavirus (HPV) DNA Screening8
Not persistent
GroupValue95% CI
Home-based Human Papillomavirus (HPV) DNA Screening24
Clinic-based Human Papillomavirus (HPV) DNA Screening38
not persistent ≥HSIL
GroupValue95% CI
Home-based Human Papillomavirus (HPV) DNA Screening3
Clinic-based Human Papillomavirus (HPV) DNA Screening4
not persistent < HSIL
GroupValue95% CI
Home-based Human Papillomavirus (HPV) DNA Screening21
Clinic-based Human Papillomavirus (HPV) DNA Screening34
Host/Viral Methylation and Its Association With High-grade Squamous Intraepithelial Lesions. Secondary · 12 months

Mean of host/viral methylation score among participants stratified by high-grade squamous intraepithelial lesions. The Score 5 (S5) methylation score is an arithmetic continuous risk score with a minimum value of 0 and no maximum value. Higher methylation scores indicate higher risk for disease. While a theoretical maximum for a methylation score does not exist, one published maximum value for anal cancer is approximately 100. In this publication (Lorincz et al., Methylation of HPV and a tumor suppressor gene reveals anal cancer and precursor lesions, DOI: 10.18632/oncotarget.17984), a cut-off

≥HSIL
GroupValue95% CI
Total Participants6.98± 5.89
Home-based Human Papillomavirus (HPV) DNA Screening Who Have Both Histology & Methylation Score6.99± 6.70
Clinic-based Human Papillomavirus (HPV) DNA Screening Who Have Both Histology & Methylation Score6.96± 4.99
<HSIL
GroupValue95% CI
Total Participants3.31± 2.92
Home-based Human Papillomavirus (HPV) DNA Screening Who Have Both Histology & Methylation Score3.58± 2.97
Clinic-based Human Papillomavirus (HPV) DNA Screening Who Have Both Histology & Methylation Score3.10± 2.90

Sponsor's own description

The purpose of this research study is to find ways to screen for anal cancer among gay, bisexual, and other men who have sex with men (MSM) and transgender persons. This study will try to find out if persons will do annual anal cancer screening, what factors are associated with repeated screening, and how this affects a person's decision to have high-resolution anoscopy.

Publications & conference data

4 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Rationale and design of the Prevent Anal Cancer Self-Swab Study: a protocol for a randomised clinical trial of home-based self-collection of cells for anal cancer screening.
    Nyitray AG, Schick V, Swartz MD, Giuliano AR, et al · · 2021 · cited 12× · PMID 34187833 · DOI 10.1136/bmjopen-2021-051118
  2. Acceptability of Anal Human Papillomavirus Home Self-Sampling and Clinician Sampling Among Sexual and Gender Minority Individuals in Milwaukee, Wisconsin: The Prevent Anal Cancer Self-Swab Study.
    Nitkowski J, Giuliano AR, Ridolfi T, Chiao E, et al · · 2024 · cited 6× · PMID 37870947 · DOI 10.1089/lgbt.2023.0012
  3. Engagement and Factors Associated With Annual Anal Human Papillomavirus Screening Among Sexual and Gender Minority Individuals.
    Nitkowski J, Ridolfi TJ, Lundeen SJ, Giuliano AR, et al · · 2025 · cited 1× · PMID 39316041 · DOI 10.1097/olq.0000000000002084
  4. Anal Cancer Screening Prevalence in U.S. Cities and Factors Associated With Screening.
    Nyitray AG, Walsh JL, Deshmukh AA, Chiao EY, et al · · 2026 · PMID 41966460 · DOI 10.1016/j.amepre.2026.108373

Verify or expand the search:

Other recruiting trials for Anal Cancer

Currently open trials in the same condition.

Other Medical College of Wisconsin trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03489707.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing