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CTRI Number  CTRI/2025/12/099951 [Registered on: 29/12/2025] Trial Registered Prospectively
Last Modified On: 28/12/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   How tests like p16, Ki-67, and HPV help doctors to detect and understand early cell changes in the cervix that could lead to cancer. 
Scientific Title of Study   Role Of p16 and Ki-67 Immunocytochemistry along with HPV testing in Cervical Epithelial Abnormalities 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Prachi Prajapati 
Designation  Post graduate student 
Affiliation  Maulana Azad Medical College 
Address  Room no.54,Department of Pathology,Pathology block,Maulana Azad Medical College,2 Bahadur Shah Zafar Marg,Central Delhi

New Delhi
DELHI
110002
India 
Phone  8178535024  
Fax    
Email  7.153.prachiprajapati@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Nidhi Verma 
Designation  Professor 
Affiliation  Maulana Azad Medical College 
Address  Room no.54,Department of Pathology,Pathology block,Maulana Azad Medical College,2 Bahadur Shah Zafar Marg,Central Delhi

New Delhi
DELHI
110002
India 
Phone  8527271104  
Fax    
Email  drnidhikamal@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Nidhi Verma 
Designation  Professor 
Affiliation  Maulana Azad Medical College 
Address  Room no.54,Department of Pathology,Pathology block,Maulana Azad Medical College,2 Bahadur Shah Zafar Marg,Central Delhi

New Delhi
DELHI
110002
India 
Phone  8527271104  
Fax    
Email  drnidhikamal@gmail.com  
 
Source of Monetary or Material Support  
Maulana Azad Medical College,2 Bahadur shah zafar marg,new delhi-110002 
 
Primary Sponsor  
Name  Maulana Azad Medical College 
Address  2,Bahadur Shah Zafar Marg ,New Delhi-110002 
Type of Sponsor  Government medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Nidhi Verma  Maulana Azad Medical College  Room no.54,Department of Pathology,Pathology block,Maulana Azad Medical College,2 Bahadur Shah Zafar Marg,Central Delhi
New Delhi
DELHI 
08527271104

drnidhikamal@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Maulana Azad Medical College and Associated hospital (Lok Nayak,G.I.P.M.E.R.,Guru Nanak Eye Centre,New Delhi-110002)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  , (1) ICD-10 Condition: N879||Dysplasia of cervix uteri, unspecified, (2) ICD-10 Condition: C539||Malignant neoplasm of cervix uteri, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
Intervention  Nil  Nil 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  21.00 Year(s)
Age To  99.00 Year(s)
Gender  Female 
Details  Newly diagnosed cases of cervical epithelial abnormalities. 
 
ExclusionCriteria 
Details  Cases of cervical infections and inflammatory lesions.Recurrent cases of cervical epithelial abnormalities.Age less than 21 years.  
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
The main goal is to find out how accurately p16 Ki-67 and HPV testing can help detect and confirm early changes or abnormal changes of cancer of cervix when compared to standard histopathological examination  Baseline 
 
Secondary Outcome  
Outcome  TimePoints 
p16 and Ki-67 expression and HPV testing in different categories of cervical epithelial abnormalities as per The Bethseda System.  Baseline 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   15/01/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   Cervical cancer is a common cancer among women in India, and early detection through screening can greatly reduce deaths. However, routine screening tests like Pap smear and HPV testing have limitations and may lead to unnecessary biopsies. This study aims to evaluate the role of additional biomarkers, p16 and Ki-67, using immunocytochemistry along with HPV testing, in detecting cervical epithelial abnormalities. Since p16 indicates HPV-related cell changes and Ki-67 shows cell proliferation, their combined use may improve diagnostic accuracy. The results will be correlated with histopathology, which is considered the gold standard.
Purpose:The purpose of this study is to find out whether p16 and Ki-67 tests, when used along with HPV testing, can improve the diagnosis of cervical epithelial abnormalities. This will help in better identification of serious lesions, reduce unnecessary biopsies, and improve patient management.
 
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