Blood test may flag cervical cancer return after surgery
NCT ID NCT07782697
First seen Aug 24, 2026 · Last updated Aug 25, 2026 · Updated 1 time
Summary
This study is testing whether a simple blood test that detects HPV DNA from tumor cells can help predict if cervical cancer will come back after surgery. Researchers will collect blood samples before surgery and at two time points afterward from about 580 patients with early-stage cervical cancer. They will track patients over time to see if changes in this DNA marker are linked to cancer recurrence and survival. The goal is to see if this test could one day help doctors decide who needs extra treatment and who might safely skip it.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Blood test measuring circulating tumor HPV DNA (ctHPV-DNA)
- What this could lead to
- If successful, this blood test could help doctors predict who is at higher risk of cervical cancer returning after surgery, potentially guiding more personalized treatment decisions.
- What could go wrong
- This is an observational study, so it won't prove the test changes outcomes. The test may not reliably predict recurrence, and results may not apply to all patients.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 580 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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Dec 2031
An estimate. End dates often move.
- Lead sponsor
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A government agency
The lead sponsor is a government body.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Patients with HPV-associated cervical cancer undergoing radical surgical treatment at Anhui Provincial Hospital will be prospectively recruited. Eligible participants will have a trackable tumor-associated HPV genotype identified in tumor tissue or plasma and will undergo serial ctHPV-DNA assessment before surgery and at predefined postoperative time points. Participants will receive postoperative adjuvant treatment or observation according to standard clinical guidelines, pathological risk factors, and multidisciplinary clinical assessment. Treatment allocation will not be determined by this observational study.
- Ages
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18 years and older
- Sex
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Female participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age ≥18 years. * Histologically confirmed cervical cancer, including squamous cell carcinoma, HPV-associated adenocarcinoma, or adenosquamous carcinoma. * FIGO 2018 stage IB1-II cervical cancer undergoing radical surgical treatment; selected patients with postoperative pelvic lymph node metastasis may also be included. * Undergoing radical hysterectomy with pelvic lymph node dissection, with or without para-aortic lymph node dissection, including sentinel lymph node assessment when applicable. * A high-risk or intermediate-risk HPV genotype detectable in baseline tumor tissue or plasma, allowing establishment of a trackable ctHPV-DNA target. * Ability and willingness to undergo serial blood collection and clinical follow-up according to the study protocol. * Written informed consent. * For patients who received neoadjuvant chemotherapy, pretreatment ctHPV-DNA information must be available and a trackable HPV target must remain identifiable before surgery or during the early postoperative period. Exclusion Criteria: * HPV-independent cervical cancer, including gastric-type adenocarcinoma or confirmed HPV-negative squamous cell carcinoma. * Pelvic radiotherapy administered before radical surgery. * No residual cervical tumor after conization and inability to establish a reliable baseline HPV target for ctHPV-DNA monitoring. * Concurrent active HPV-associated malignancy other than cervical cancer. * Inability to comply with the scheduled blood collection or follow-up procedures.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Anhui province hospital
Hefei, China
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