Circulating Cell-free DNA for Metastatic Cervical Cancer Detection, Genotyping, and Monitoring.
Zhigang Kang, Sanja Stevanović, Christian S Hinrichs...
https://pubmed.ncbi.nlm.nih.gov/28899967/Actively Recruiting
Led by Northwell Health · Updated on 2025-09-23
100
Participants Needed
1
Research Sites
N/A
Total Duration
Human papilloma virus HPV-related gynecologic cancers impact over 20,000 women annually in the United States and more than half a million women worldwide. High-grade cervical dysplasia, a pre-cancerous condition, affects about 200,000 women each year. Currently, there is no serum biomarker available for these tumors, and diagnosis often requires invasive testing. This research aims to evaluate a new blood test that detects circulating tumor-specific HPV DNA to help distinguish pre-invasive from invasive cervical cancers. The study will use a blood test called NavDx4, developed by the molecular diagnostics company Naveris. This test uses digital droplet polymerase chain reaction PCR to measure fragments of tumor-specific DNA shed by HPV-related cancer cells in the blood. The study involves measuring circulating HPV DNA before treatment, during treatment up to 8 weeks, and after treatment at 8 to 12 weeks. Participants will have blood drawn at these time points to measure plasma cell-free HPV DNA. The researchers will monitor how well the levels of circulating HPV DNA correlate with the presence and progression of cervical dysplasia or invasive cervical cancer. The study is sponsored by Northwell Health and aims to assess if this blood test could provide a less invasive method for cancer screening and surveillance.
CONDITIONS
Circulating Human Papilloma Virus (HPV) DNA for the Screening and Surveillance of Gynecologic Cancers
E
Elena Pereira, MD
J
Jeannine Villella, MD
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Northwell Health
Lead Sponsor
Naveris
Collaborating Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | NavDx® Circulating HPV DNA Test | Serum SCC-Ag (Routine Surveillance) |
|---|---|---|
| What it is | A blood-based test (NavDx®) that detects fragments of HPV DNA shed by cervical dysplasia or cancer cells using digital droplet PCR technology. | A routine blood test for squamous cell carcinoma antigen (SCC-Ag), often used to monitor for recurrence or progression in patients with cervical cancer. |
| Role in trial | Investigational diagnostic; assessed for accuracy in screening, surveillance, and early detection of HPV-associated cervical dysplasia or cancer. | Used as a clinical surveillance tool for detecting possible recurrence or progression during routine post-treatment monitoring. |
| Primary use | Screening, surveillance, and early detection of HPV-associated cervical dysplasia or invasive cervical cancer. | Regular monitoring for recurrence or progression after cervical cancer diagnosis and treatment. |
| How it is given or performed | Blood draws are performed at baseline, during treatment, and after treatment completion for analysis of circulating tumor HPV DNA. | Serum SCC-Ag measured through routine blood tests during follow-up visits in standard care. |
| Evidence status | Early clinical studies (including in related head and neck cancers) support the ability of circulating HPV DNA tests to detect disease, but evidence is still investigational for cervical cancer. | SCC-Ag is an established marker used for monitoring cervical cancer, though sensitivity and specificity are moderate and it is not recommended for initial diagnosis. |
| Important limitations | Clinical validation for routine use in cervical dysplasia and cancer is still in progress; assay availability and cost outside trial settings may limit adoption. | SCC-Ag levels can be elevated from non-malignant causes and are not specific; false positives/negatives can occur, and it is not suitable for initial diagnosis. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
You may qualify if you...
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Up to 12 weeks
Participants undergo blood testing using NavDx® to detect circulating HPV DNA associated with gynecologic cancers before, during, and after treatment.
Multiple blood test visits up to 12 weeks
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
DIAGNOSTIC
Number of Arms
1
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https://pubmed.ncbi.nlm.nih.gov/26717006/Northwell Health
Lead Sponsor
Naveris
Collaborating Sponsor