Infections

All Conditions

Neoplasms

Urinary Tract, Sexual Organs, and Pregnancy Conditions

Symptoms and General Pathology

Diseases and Abnormalities at or Before Birth

Immune System Diseases

Uterine Cervical Neoplasms

Communicable Diseases

Congenital Abnormalities

Acquired Immunodeficiency Syndrome

HIV Infections

Papillomavirus Infections

Disease Attributes

Sexually Transmitted Diseases

Sexually Transmitted Diseases, Viral

Virus Diseases

Genital Diseases

Urogenital Diseases

Uterine Neoplasms

Genital Neoplasms, Female

Urogenital Neoplasms

Uterine Cervical Diseases

Uterine Diseases

Genital Diseases, Female

Female Urogenital Diseases

Pregnancy Complications

Female Urogenital Diseases and Pregnancy Complications

DNA Virus Infections

Tumor Virus Infections

Visualization of cervix and if abnormalities are present treat with SOC thermocoagulation.

If HPV+, visualization with pocket colposcope and treatment with thermocoagulator

Colposcopy using pocket colpscope and thermocoagulator

Nimmi Ramanujam, Ph.D.

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. The objective is to provide colposcopy capability to rural communities in Peru potentially using Telehealth. Approximately 10,000 women will receive self HPV test kit for community health workers. Of these participants, approximately 1,000 HPV+ participants will be invited to participate in this pocket colposcopy study. Approximately 500 of these participants may require treatment using thermocoagulation.

The goal is to demonstrate that the combination of self-sampling, the Pocket colposcope and the thermocoagulator will yield a high proportion of HPV positive women who complete treatment and follow-up care. The bulk of this trial will occur over a two-year period in Peru. Duke will provide the Pocket colposcope and the Calla application to run the device only. Dr. Garcia will recruit and train community women for the distribution of self-collection HPV test kits, identify and partner with 10 to 12 health centers in the Andean region of Peru, conduct baseline data collection in each health center, procure necessary equipment and technology, and conduct training for HPV testing, Pocket colposcopy, and thermocoagulation. Within 18 months trained community women will distribute 10,000 HPV tests to women within the region. The investigators anticipate that 10% of the women screened will be HPV positive and they will be recruited for our trial. As part of the study the participants will be followed to determine if the participants attend a health center, receive Pocket colposcopy, and if needed whether the participants are treated with the thermocoagulator device. All women will be appointed to return to the health center for a follow-up evaluation six months post-treatment.

Identification and Treatment of Cervical Abnormalities in Perú Through Integration of Pocket Colposcopy and Telemedicine

Closing the Gap Between Identification and Treatment of Cervical Abnormalities in Lima, Perú Through Integraton of Pocket Colposcopy, Telemedicine and Visual Counseling

Total number of HPV positive women that went to a Peruvian health center for treatment and were examined using the Pocket Colposcope

Proportion of participants of HPV+ women who completed the 6 month follow-up visit after evaluation and treatment.

United States Agency for International Development (USAID)

Universidad Peruana Cayetano Heredia

Duke University

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization	Link
Identification and Treatment of Cervical Abnormalities in Perú Through Integration of Pocket Colposcopy and Telemedicine	NCT05340322	Cervical Cancer HPV Infection HIV Infections	Colposcopy usin...	30 Years - 49 Years	Duke University
Identification and Treatment of Cervical Abnormalities in Perú Through Integration of Pocket Colposcopy and Telemedicine	NCT05340322	Cervical Cancer HPV Infection HIV Infections	Colposcopy usin...	30 Years - 49 Years	Duke University

Spots Global Cancer Trial Database for colposcopy using pocket colpscope and thermocoagulator