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NCT04998318

1:1 Comparison of the Pocket Colposcope in Kenya

Completed NA Results posted Last updated 24 June 2025
What this trial tests

NA trial testing Pocket Colposcope in Cervical Cancer in 434 participants. Completed in 16 June 2024.

Timeline
28 November 2022
Primary endpoint
16 May 2024
16 June 2024

Quick facts

Lead sponsorDuke University
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposeprevention
Enrollment434
Start date28 November 2022
Primary completion16 May 2024
Estimated completion16 June 2024
Sites1 location across Kenya

Drugs / interventions tested

Conditions studied

Sponsor

Duke University

Who can join

Adults 25 to 65, female only, with Cervical Cancer or HPV Infection. 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.

Percent of Exams With Lesions Identified Primary · Baseline

The primary endpoint was the diagnostic accuracy of VIA versus the Pocket Colposcope for detecting CIN2+ lesions.

GroupValue95% CI
Pocket Colposcope14.39.7 – 20.0
Standard of Care (VIA)17.312.4 – 23.1
Mis-weighted Randomization to Pocket Colposcope00 – 0
Mis-weighted Randomization to Standard of Care (VIA)21.12.3 – 39.8
Sensitivity Primary · Baseline

Sensitivity of Pocket vs VIA

GroupValue95% CI
Pocket Colposcope26.3
Standard of Care (VIA)25.0
Specificity Primary · Baseline

Specificity of Pocket vs VIA

GroupValue95% CI
Pocket Colposcope88.9
Standard of Care (VIA)84.0
Negative Predictive Value (NPV) Primary · Baseline

Negative predictive value (NPV) of Pocket vs VIA

GroupValue95% CI
Pocket Colposcope82.9
Standard of Care (VIA)87.1
Positive Predictive Value (PPV) Primary · Baseline

Positive predictive value (PPV) of Pocket vs VIA

GroupValue95% CI
Pocket Colposcope37.5
Standard of Care (VIA)20.6
Percent of Participants Who Reported Having No Awareness About Cervical Cancer and Cervical Cancer Prevention, Assessed by Questionnaire Secondary · baseline

Participants were asked how much they knew about cervical cancer and cervical cancer prevention prior to the exam and after the visit.

Pre-exam
GroupValue95% CI
Pocket Colposcope21.6
Standard of Care (VIA)21.8
Post-exam
GroupValue95% CI
Pocket Colposcope0.5
Standard of Care (VIA)0.5
Percent of Providers Who Reported Experiencing no Challenges During the Exam Secondary · baseline

Providers perspective was assessed using the question: 'Did you run into any of the following challenges during today's exam?'.

GroupValue95% CI
Pocket Colposcope96.3
Standard of Care (VIA)97.0
Percent of Participants Who Reported Experiencing Pain During Their Exam Secondary · Baseline

Participant perspective of the exam was assessed by asking "Did you experience any pain throughout your exam?"

None
GroupValue95% CI
Pocket Colposcope21.6
Standard of Care (VIA)21.8
A little
GroupValue95% CI
Pocket Colposcope73.2
Standard of Care (VIA)74.1
Somewhat
GroupValue95% CI
Pocket Colposcope5.3
Standard of Care (VIA)3.0
Very much
GroupValue95% CI
Pocket Colposcope0
Standard of Care (VIA)1.0
Percent of Participants Who Expressed Confidence in Their Provider's Assessment Secondary · Baseline

Participant perspective of the exam was assessed by asking "How confident are you in the provider's assessment from today's visit?"

None
GroupValue95% CI
Pocket Colposcope0.0
Standard of Care (VIA)0.0
A little
GroupValue95% CI
Pocket Colposcope3.2
Standard of Care (VIA)2.5
Somewhat
GroupValue95% CI
Pocket Colposcope28.4
Standard of Care (VIA)28.4
Very much
GroupValue95% CI
Pocket Colposcope68.4
Standard of Care (VIA)69.0
Percent of Participants Who Would Recommend the Exam to a Friend Secondary · Baseline

Participant perspective of the exam was assessed by asking "How likely would you recommend this medical exam to a friend?"

Not likely at all
GroupValue95% CI
Pocket Colposcope0.0
Standard of Care (VIA)0.5
Not likely
GroupValue95% CI
Pocket Colposcope1.1
Standard of Care (VIA)0.0
Likely
GroupValue95% CI
Pocket Colposcope22.6
Standard of Care (VIA)18.8
Very likely
GroupValue95% CI
Pocket Colposcope76.3
Standard of Care (VIA)80.7

Sponsor's own description

The Pocket colposcope has 510k FDA clearance and has been successfully used in almost 1500 unique patients globally in Duke and non-Duke protocols to date. 400 women who are HPV-positive and planned to undergo treatment at 6 Ministry of Health-supported outpatient clinics in Kisumu County will be recruited to the study. After providing informed consent, participants will be randomized 1:1 to either standard-of-care visual inspection or colposcopy with the Pocket Colposcope

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. A Randomized Clinical Trial Comparing Visual Inspection with Acetic Acid (VIA) to Pocket Colposcopy for the Triage of HPV+ women living with HIV in Kisumu, Kenya
    Dotson ME, Steinberg E, Santos MO, Ambaka J, et al · · 2024 · DOI 10.1101/2024.11.05.24316753

Verify or expand the search:

Other trials of Pocket Colposcope

Trials testing the same drug.

Other recruiting trials for Cervical Cancer

Currently open trials in the same condition.

Other Duke University 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/NCT04998318.

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