NCT07545746Not yet recruitingPhase 2
Adjuvant 5-Fluorouracil Following Thermal Ablation to Improve HPV Treatment Outcomes in Women With HIV in Kenya
Adjuvant 5-Fluorouracil Following Thermal Ablation to Improve HPV Treatment Outcomes in Women With HIV in Kenya : The ASCEND Trial
Source: ClinicalTrials.gov · Last updated 27 Aug 2026
Brief summary (registry, in English)
This randomized, placebo-controlled trial will evaluate self-administered 5-fluorouracil (5FU) to improve human papillomavirus (HPV) clearance after thermal ablation (TA) in Women With Human Immunodeficiency Virus (HIV) (WWH) in Kenya. The trial will also assess the safety, adherence, and acceptability of 5FU. Starting four weeks after TA, participants will self-administer 5FU cream or matched placebo intravaginally once every other week for 12 applications, with clinic visits at weeks 2, 8, 16, 24, and 48 for evaluation. All participants will be followed up to 48 weeks. It is hypothesized that, compared to placebo, 5FU will increase HPV clearance at 24 weeks and that the proposed dosing schedule will be safe, well-tolerated, and acceptable in this population. Together with data from other studies, this trial will provide evidence on the use of self-administered intravaginal 5FU to improve HPV treatment outcomes in WWH in low- and middle-income countries, where the burden of cervical cancer is highest.
- Status (registry)
- Not yet recruiting
- Phase (registry)
- Phase 2
- Study type
- Interventional
- Enrollment
- 140 (estimated)
- First submitted
- 15 Apr 2026
- Start date
- Sept 2026
- Primary completion date
- Sept 2027
- Lead sponsor
- UNC Lineberger Comprehensive Cancer Center
- Diseases
- HIV, Cervical cancer
- NCT number
- NCT07545746
What you commit to
- Study type: Interventional · Phase 2
- Planned participants: 140
- From Sept 2026 to the primary completion date, Sept 2027
- 2 sites in 1 country
- Visits and tests: ask the trial team, the registry does not list them
Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.
Who cannot take part
Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.
Who the study is looking for
- Women aged 25 years or older
- Known HIV-positive status
- On antiretroviral therapy (ART) for at least 60 days prior to enrollment
- Positive HPV screening test screening result
- Able to provide informed consent in English, Swahili, or Dholuo
- Agree to use dual contraception during dosing phase if of childbearing potential
- Planning to remain in study locale for duration of study (48 weeks) Exclusion Criteria
- Current pregnancy or breastfeeding
- History of anogenital cancer (cervical, vulvar, or anal)
- Current use of immunosuppressive medications
- History of total hysterectomy
- Known allergy to 5FU
- Medical comorbidity that would interfere with study participation
- Unwilling or unable to use contraception during study participation
Age in the registry: 25 years to - · Sex: Female · Does not accept healthy volunteers
Sites (2)
Sites in registry order. Pick your city on the disease page to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| Nyanza Reproductive Health Society Coordinator of this site? Confirm its status | Kisumu | Kenya | Unknown status |
| Maseno University Coordinator of this site? Confirm its status | Kisumu | Kenya | Unknown status |
This page is information, not medical advice. Discuss any trial with your doctor.