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NCT Number: NCT06403618

Evaluation of the PreCursor-M+® in CIN2

The goal of this observational study is to to evaluate the accuracy and sensitivity of PreCursor-M+ on a post-aliquot of liquid-based cytology (LBC) cervical samples (biopsy) obtained by physicians in a group of women with histologically-proven diagnoses of CIN2.

The PreCursor-M+® assay is a multiplex real-time methylation specific PCR test that identifies the level of promotor methylation of the host cell genes FAM19A4 and miR124-2, known biomarkers associated with cervical carcinoma and transforming CIN in cervical cells.

To evaluate the clinical course of CIN2 at 2 years after the first diagnosis, with an interval evaluation at 6 months.

After enrolment, women will be divided into two groups: "active surveillance" and "immediate treatment". In the first group, clinical outcomes to be assessed, in relation to the PreCursor-M+ result at baseline, will include regression to <CIN2, persistence of CIN2, and progression to CIN3+. In the second group, we will evaluate the histological diagnosis at cone specimen (downgrading or upgrading) and the 2-year cumulative incidence of CIN2+ recurrence based on the PreCursor-M+ result at baseline.

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Key information

Age range

18 year and older

Sex eligibility

Female

Study type

Observational

Primary location

European Institute of Oncology, Milan, Italy

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Who can participate

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • age at diagnosis of 18 years or older;
  • histological confirmation of CIN2 after colposcopic-guided cervical biopsy or conservative surgical treatment, including loop electrosurgical excision procedure (LEEP) and laser conization;
  • known HPV test result at baseline;
  • ability to understand and sign the informed consent;
  • written informed consent given.

Exclusion criteria

  • unknown HPV test result at diagnosis;
  • vulnerable patients.

Treatment and study plan

Primary outcomes

  1. Evaluation of methylation of the host cell genes FAM19A4 and miR124-2

    Time frame: 6 months

    The PreCursor-M+® assay is a multiplex real-time methylation specific PCR test that identifies the level of promotor methylation of the host cell genes FAM19A4 and miR124-2, known biomarkers associated with cervical carcinoma and transforming CIN in cervical cells. This test can identify patients with spontaneous regressing precancer lesions (negative result) from patients with a progressing precancer lesion (positive result).

Secondary outcomes

  1. Evaluation of clinical course of CIN2 at 2 years after diagnosis

    Time frame: 2 years

    To evaluate the clinical course of CIN2 at 2 years after the first diagnosis, with an interval evaluation at 6 months. After enrolment, women will be divided into two groups: "active surveillance" and "immediate treatment". In the first group, clinical outcomes to be assessed, in relation to the PreCursor-M+ result at baseline, will include regression to <CIN2, persistence of CIN2, and progression to CIN3+. In the second group, we will evaluate the histological diagnosis at cone specimen (downgrading or upgrading) and the 2-year cumulative incidence of CIN2+ recurrence based on the PreCursor-M+ result at baseline.

  2. Evaluation of overall accuracy of PreCursor-M+

    Time frame: 6 months - 2 years

    Overall accuracy, positive predictive value and negative predictive value of PreCursor-M+

Study contacts

Contact information is provided by the study sponsor or research team.

Anna Daniela Iacobone

CONTACT

[email protected]

+39 0294371088

Sponsors and collaborators

Lead sponsor

European Institute of Oncology

Other

Registry information

Official study title

Evaluation of the PreCursor-M+® Assay Performance in the Management of Women Diagnosed With CIN2

Important dates

Study start
2024
Primary completion
2025
Study completion
2027
First posted
May 8, 2024
Registry last updated
May 23, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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