Could a DIY swab replace the pelvic exam for cervical cancer screening?
NCT ID NCT06498661
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests whether women can collect their own vaginal samples for HPV testing as accurately as a doctor's sample. It involves 750 women referred for colposcopy or cervical procedures. The goal is to see if self-collection is a reliable alternative to traditional pelvic exams, which could make screening easier and more accessible.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Self-collected vaginal sample for HPV testing
- What this could lead to
- If successful, this could make cervical cancer screening more accessible and comfortable, potentially increasing screening rates and catching pre-cancers earlier.
- What could go wrong
- This is an early-phase study focused on accuracy, not on long-term health outcomes. Self-collection may not be as sensitive as clinician collection, and results may vary by device or assay.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 750 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2024
- Expected to finish
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Jun 2027
An estimate. End dates often move.
- Lead sponsor
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A government research agency
The lead sponsor is the US National Institutes of Health.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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25 years and older
- Sex
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Female participants only
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
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: * GROUP A: Willingness and ability to provide a documented informed consent * GROUP A: Is 25 years or older * GROUP A: Has an intact cervix * GROUP A: Has had a referral for colposcopy or cervical excisional procedure in which routine cervical cancer screening has included positive HPV testing (HPV primary screening, co-testing, or atypical squamous cells of undetermined significance \[ASC-US\] cytology triage) or abnormal cytology performed within the past 12 months preceding the referral visit * GROUP A: Willing and able to undergo colposcopy, and if clinically indicated for SOC purposes, a biopsy, endocervical curettage, and/or a cervical excisional procedure, as applicable * GROUP B: Willingness and ability to provide a documented informed consent * GROUP B: Is 25 years or older * GROUP B: Has an intact cervix * GROUP B: Eligible for regular cervical cancer screening by current national guidelines Exclusion Criteria: * GROUP A: Is pregnant when presenting for the referral visit or gave birth within the past 3 months * GROUP A: Has a known history of excisional or ablative therapy to the cervix (e.g., loop electrosurgical excision procedure \[LEEP\], cone biopsy, cervical laser surgery, cryotherapy, thermal ablation) in the last 12 months prior to the referral visit * GROUP A: Has had a complete or partial hysterectomy, either supracervical or involving removal of the cervix, via self-report or confirmation via medical records * GROUP A: Known medical conditions that, in the opinion of the investigator, preclude study participation * GROUP A: Previous participation in the SHIP trial (participation is defined as completing the self-collection sampling) or another cervical cancer screening study that involved vaginal sampling within the past 12 months * GROUP A: Is experiencing unusual bleeding or pelvic pain * GROUP B: Is known to be pregnant when presenting for the screening visit or gave birth within the past 3 months * GROUP B: Has a known history of excisional or ablative therapy to the cervix (e.g., LEEP, cone biopsy, cervical laser surgery, cryotherapy, thermal ablation) in the last 12 months prior to the screening visit * GROUP B: Has had a complete or partial hysterectomy, either supracervical or involving removal of the cervix, via self-report or confirmation via medical records * GROUP B: Known medical conditions that, in the opinion of the investigator, preclude study participation * GROUP B: Previous participation in the SHIP Trial (participation is defined as completing the self-collection sampling) or another cervical cancer screening study that involved vaginal sampling within the past 12 months * GROUP B: Is experiencing any bleeding (including menstruation) or pelvic pain * GROUP B: Is experiencing any active vaginal infection or has used any vaginal products in 48 hours previous to study sample collection
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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.
Contacts and locations
Locations
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Emory University Hospital/Winship Cancer Institute
Atlanta, Georgia, 30322, United States
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Johns Hopkins University/Sidney Kimmel Cancer Center
Baltimore, Maryland, 21287, United States
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Louisiana State University Health Science Center
New Orleans, Louisiana, 70112, United States
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Montefiore Medical Center-Einstein Campus
The Bronx, New York, 10461, United States
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UNC Lineberger Comprehensive Cancer Center
Chapel Hill, North Carolina, 27599, United States
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UPMC-Magee Womens Hospital
Pittsburgh, Pennsylvania, 15213, United States
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UT MD Anderson Cancer Center
Houston, Texas, 77030, United States
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University of Alabama at Birmingham Cancer Center
Birmingham, Alabama, 35233, United States
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University of Cincinnati Cancer Center-UC Medical Center
Cincinnati, Ohio, 45219, United States
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University of Miami Miller School of Medicine-Sylvester Cancer Center
Miami, Florida, 33136, United States
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University of New Mexico Cancer Center
Albuquerque, New Mexico, 87106, United States
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University of Oklahoma Health Sciences Center
Oklahoma City, Oklahoma, 73104, United States
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University of Pennsylvania/Abramson Cancer Center
Philadelphia, Pennsylvania, 19104, United States
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University of Puerto Rico
San Juan, 00936, Puerto Rico
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VCU Massey Comprehensive Cancer Center
Richmond, Virginia, 23298, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- How long do HPV vaccine antibodies last? a 11-Year Follow-Up aims to find out
- Can fewer, stronger radiation doses spare the bowel in gynecologic cancers?
- HPV infections in transgender people: a hidden health gap gets a closer look
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- Could a simple Self-Swab revolutionize cervical cancer screening?