Anal cancer screening for men on PrEP
Official title: Screening for Anal Cancer in MSM Using PrEP
Run by Universitair Ziekenhuis Brussel · NCT07029152 · Data updated 2026-11-12
This study will test how well anal swabs and DNA methylation testing find high-grade anal lesions (HSIL) and how common those lesions are in men who have sex with men using PrEP, and whether HSIL affects quality of life.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 35 Years and up |
| Sex | Men only |
| Enrollment | 296 (estimated) |
| Sponsor | Universitair Ziekenhuis Brussel Academic / other |
| Locations | 8 sites (Bruges and 7 other locations) |
| Status | Recruiting |
| Started | September 23, 2025 |
| Main results expected | December 2026 |
| Study ends | December 2026 |
| Registry record updated | May 1, 2026 |
| Trial ID | NCT07029152 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are HIV-uninfected men who have sex with men aged 35 or older who have been taking PrEP for at least three months and can speak Dutch, English, or French.
✕Probably not a fit
People who are HIV-positive, younger than 35, not using PrEP, or unable/unwilling to attend in-person HRA visits are unlikely to benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This multicenter study enrolls HIV-uninfected men who have sex with men aged 35 or older who have used PrEP for at least three months. Participants complete health and quality-of-life questionnaires, provide an anal smear, and undergo high-resolution anoscopy (HRA) with biopsy when indicated. Anal cytology results will be compared to HRA/biopsy findings to measure screening accuracy, and DNA methylation testing will be run on samples to explore molecular markers for HSIL. The study will estimate HSIL prevalence in this PrEP-using population and describe any associated quality-of-life impacts.
Why it matters
Potential benefit: If successful, the study could improve early detection of precancerous anal lesions in PrEP-using men and help tailor screening strategies to reduce future anal cancer risk.
How similar studies have gone: Anal cytology and HRA are established screening approaches for detecting HSIL, while DNA methylation testing is a newer, promising technique with encouraging results in related HPV-driven lesions but is still emerging for anal disease.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * HIV-uninfected MSM (men who have sex with men) aged 35 years or older. * participants must have been using PrEP for at least 3 months. * Dutch, English or French speaking and writing Exclusion Criteria: * Any intervention in the (peri-)anal region within the past 3 months * Enema usage within 2 h before sampling * Currently undergoing peri-anal topical HPV-treatment * HRA in the last year (anal swab or HRA prior to the last year is no exclusion)
Where it's running
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CHU Saint-Pierre
Brussels, Belgium Recruiting -
Cliniques universitaires Saint-Luc - UCLouvain
Brussels, Belgium Recruiting -
UZ Brussel
Brussels, Belgium Recruiting -
UZ Gent
Ghent, Belgium Recruiting -
Jessaziekenhuis
Hasselt, Belgium Recruiting -
CHU Charleroi - Chimay
Lodelinsart, Belgium Recruiting
Show 2 more locations
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AZ Sint Jan
Bruges, Belgium Active not recruiting -
UZ Leuven
Leuven, Belgium Active not recruiting
Study contacts
- Study coordinator: Magali Surmont
- Email: magali.surmont@uzbrussel.be
- Phone: 024776001
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.