Screening for High-Risk Human Papillomavirus Using Passive, Self-Collected Menstrual Blood.
Sara Naseri, Stephen Young, Giovanna Cruz...
https://pubmed.ncbi.nlm.nih.gov/35926207/Actively Recruiting
Led by Qurasense · Updated on 2026-07-24
450
Participants Needed
3
Research Sites
8 weeks
Total Duration
Researchers are evaluating the Q-Pad hrHPV Test System to detect high-risk human papillomavirus hrHPV, the virus responsible for most cervical cancers, using menstrual blood collected at home. This multicenter prospective study involves adults referred for colposcopy after abnormal cervical screening results. The goal is to compare hrHPV detection from menstrual samples with standard cervical samples and biopsy findings to assess the test systems diagnostic accuracy and participant acceptability. Participants receive a mailed Q-Pad Kit containing special menstrual pads with removable collection strips and instructions, including an optional smartphone app. They collect menstrual blood at home during their period and mail the samples to a central laboratory for hrHPV testing using PCR. At the colposcopy visit, a clinician collects a cervical specimen for routine hrHPV testing and performs colposcopy with biopsy as needed. During the study, participants provide both at-home menstrual and clinician-collected cervical samples within the same care episode. Researchers assess hrHPV test results, safety, specimen adequacy, and participant usability and acceptability of the Q-Pad system. Outcome measures include clinical performance compared to histology, device-related adverse events, agreement between tests, and validity rates. The study lasts about one year, with follow-up through study completion.
CONDITIONS
Evaluation of the Q-Pad hrHPV Test System for Identifying Precancer
B
Brian Weinberg, MS
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Qurasense
Lead 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 | Self-Collected Q-Pad HPV Test | Clinician-Collected Cervical Sample (Current Pathway) |
|---|---|---|
| What it is | A device-based test system enabling at-home self-collection of menstrual blood using Q-Pads and removable strips, which are mailed for laboratory high-risk HPV testing. | The clinician collects a cervical sample in liquid-based cytology medium during colposcopy, used for laboratory hrHPV testing following standard clinical procedures. |
| Role in trial | Evaluated as an investigational self-sampling method for HPV screening. Participants use Q-Pad to collect menstrual blood after their colposcopy visit. | Serves as comparator specimen collected by clinician to benchmark the performance of self-collected Q-Pad samples for hrHPV testing. |
| Primary use | Designed to enable at-home self-sampling for hrHPV screening, potentially improving accessibility and privacy in cervical cancer prevention. | Used as the established method for clinician-collected hrHPV screening in cervical cancer prevention programs. |
| How it is given or performed | Participants follow detailed instructions to use Q-Pads during their menstrual cycle, then remove the Q-Strips and mail them in a provided container for laboratory testing. | Sample is collected by a clinician in the clinic using a cervical brush or spatula, placed in ThinPrep liquid medium, then sent to the laboratory for hrHPV testing. |
| Evidence status | Early clinical studies suggest that self-collected menstrual blood tested with Q-Pad may detect hrHPV with promising agreement rates, but large-scale validation is ongoing and published accuracy data are limited. | Clinician-collected cervical hrHPV testing is widely validated, with high sensitivity and specificity for detecting high-risk HPV and cervical precancer in screening populations. |
| Important limitations | Self-collection may be affected by adherence to instructions and timing in menstrual cycle; device usability and acceptance require validation in larger populations. Diagnostic accuracy in routine practice remains to be confirmed. | Clinician collection relies on access to clinic visits and trained personnel. May be less accessible for populations with barriers to in-person screening. Sampling errors or specimen handling variability can affect results. |
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.
Duration - Within one menstrual cycle after clinic visit
Participants receive a mailed Q-Pad Kit to collect menstrual blood at home during their period. They mail the samples to a central laboratory for hrHPV testing. At the colposcopy visit, a clinician collects a cervical sample and performs colposcopy with biopsy as part of usual care.
1 colposcopy visit
Duration - Up to 1 year
Researchers compare hrHPV test results from menstrual and cervical samples, assess specimen adequacy, device safety, and participant usability and acceptability through about one year of study completion.
Periodic assessments
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
DIAGNOSTIC
Number of Arms
1
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Sara Naseri, Stephen Young, Giovanna Cruz...
https://pubmed.ncbi.nlm.nih.gov/35926207/M Arbyn, E Peeters, I Benoy...
https://pubmed.ncbi.nlm.nih.gov/30195193/Qurasense
Lead Sponsor