Clinical trial Recruiting at 2 sites Interventional Ages 18 and up

Screening tool for anal cancer detection using host genome methylation

Official title: "Host Genome Methylation: a Screening Tool in Anal Cancer Detection"

Run by Assistance Publique - Hôpitaux de Paris · NCT06792604 · Data updated 2026-11-12

This study is trying to create a new screening tool for anal cancer that uses genetic markers to help high-risk groups, like men with HIV and women with past cancer, get tested more easily.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment770 (estimated)
SponsorAssistance Publique - Hôpitaux de Paris
Academic / other
Locations9 sites (Paris, Île-de-France Region and 8 other locations)
StatusRecruiting
StartedNovember 22, 2024
Main results expectedNovember 22, 2028
Study endsNovember 22, 2028
Registry record updatedJanuary 24, 2025
Trial IDNCT06792604 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates for this study include MSM aged over 30 living with HIV, patients who have received solid organ transplants for more than 10 years, and women with a history of vulvar lesions or vulvar cancer.

Probably not a fit

Patients currently undergoing proctological follow-up for high-grade anal lesions or cancer will not 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 clinical trial aims to develop a screening tool for anal cancer detection by utilizing host genome methylation markers. It focuses on high-risk populations, including men who have sex with men (MSM) living with HIV, patients with a history of solid organ transplants, and women with previous vulvar lesions or cancer. The study will involve anal self-sampling and HPV questionnaires to identify individuals who may require further examination, such as high-resolution anoscopy (HRA). The goal is to improve access to screening and reduce the burden on healthcare resources while ensuring that only those at high risk are referred for invasive procedures.

Why it matters

Potential benefit: If successful, this approach could lead to earlier detection of anal cancer in high-risk populations, potentially improving patient outcomes.

How similar studies have gone: Other studies have shown success in using biological markers for cancer screening, but this specific approach is novel and untested.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Adults (age ≥ 18 years)
2. Eligible for anal cancer screening according to the SNFCP guidelines (with extension to men who have received solid organ transplants for more than 10 years):

   * MSM (men who have sex with men) aged over 30 living with HIV
   * Patients who have received a solid organ transplant for more than 10 years
   * Women with a history of vulvar lesions or vulvar cancer

Non-inclusion Criteria:

1. Proctological follow-up for a current high-grade anal lesion or cancer
2. Pregnant or breastfeeding women
3. Subject deprived of liberty or under legal protection
4. Non-affiliation with social security system
5. Refusal to participate expressed by the patient

Exclusion Criteria :

1\) Refusal of anal self-sampling on inclusion

Where it's running

  • Gynecology and Obstetrics Department Bichat-Claude Bernard Hospital
    Paris, Île-de-France Region, France
    Recruiting
  • Infectious and Tropical Diseases Department Bichat-Claude Bernard Hospital
    Paris, Île-de-France Region, France
    Recruiting
  • Cardiovascular Surgery and Transplantation Department Bichat-Claude Bernard Hospital
    Paris, Île-de-France Region, France
    Active not recruiting
  • Dermatology Department
    Paris, Île-de-France Region, France
    Not yet recruiting
  • Hepato-Gastroenterology, Digestive Oncology, and Proctology Department Bichat-Claude Bernard Hospital
    Paris, Île-de-France Region, France
    Active not recruiting
  • Nephrology Department Bichat-Claude Bernard Hospital
    Paris, Île-de-France Region, France
    Active not recruiting
Show 3 more locations
  • Pathological Anatomy and Cytology Department Bichat-Claude Hospital
    Paris, Île-de-France Region, France
    Active not recruiting
  • Pulmonology B and Lung Transplantation Department Bichat-Claude Bernard Hospital
    Paris, Île-de-France Region, France
    Active not recruiting
  • Virology Department Bichat-Claude Bernard Hospital
    Paris, Île-de-France Region, France
    Active not recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

  • Retifanlimab after chemoradiation for anal cancer

    This study tests whether retifanlimab can help people with anal squamous cell carcinoma who have completed chemoradiation and still have residual disease.

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  • Irreversible Electroporation for Recurrent Pelvic Tumors

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    Recruiting Amsterdam UMC, location VUmc · Amsterdam, North Holland · NCT07782164

  • HPV DNA-guided chemoradiation with Retifanlimab for locally advanced anal cancer

    This study tests whether adjusting chemoradiation doses based on HPV ctDNA results and adding Retifanlimab after CRT can improve outcomes for adults with new, locally advanced anal cancer.

    Recruiting Phase 2 Case Comprehensive Cancer Center · Cleveland, Ohio and 1 other locations · NCT07425054

  • Gynecological and sexual health after radiotherapy for anal cancer.

    See if vaginal problems and changes in sexual health are linked to radiation dose in women treated with chemoradiotherapy for anal cancer 6–36 months after treatment.

    Recruiting at 3 sites Aarhus University Hospital · Aarhus and 2 other locations · NCT07296237

  • Self-sampling to improve anal lesion outcomes

    This study will test whether people at higher risk for anal cancer will use a self-collected anal swab and whether that increases follow-up cytology and high-resolution anoscopy (HRA) appointment attendance.

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    This will test whether trastuzumab deruxtecan (T‑DxD) helps adults in the US with HER2‑positive (IHC 3+) locally advanced, unresectable, or metastatic solid tumors who have had prior systemic treatment and have no satisfactory alternative options.

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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.