Clinical trial Recruiting at 6 sites Interventional Ages 35 and up Men only

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 typeInterventional
Ages35 Years and up
SexMen only
Enrollment296 (estimated)
SponsorUniversitair Ziekenhuis Brussel
Academic / other
Locations8 sites (Bruges and 7 other locations)
StatusRecruiting
StartedSeptember 23, 2025
Main results expectedDecember 2026
Study endsDecember 2026
Registry record updatedMay 1, 2026
Trial IDNCT07029152 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

  • 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
  • AZ Sint Jan
    Bruges, Belgium
    Active not recruiting
  • UZ Leuven
    Leuven, Belgium
    Active not recruiting

Study contacts

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.