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CTRI Number  CTRI/2026/02/102856 [Registered on: 03/02/2026] Trial Registered Prospectively
Last Modified On: 02/02/2026
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Single Arm Study 
Public Title of Study   Early detection of Vulvar precancer in women with HPV using a special examination technique  
Scientific Title of Study   Clinical utility of the three ring vulvoscopy as a screening tool for the detection of vulvar intraepithelial neoplasia in HPV positive female 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Drbharti joshi 
Designation  Additional Professor  
Affiliation  PGIMER  
Address  PGIMER Chandigarh

Chandigarh
CHANDIGARH
160012
India 
Phone  6281014571  
Fax    
Email  drbhartijoshi09@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Drbharti joshi 
Designation  Additional Professor  
Affiliation  PGIMER  
Address  PGIMER Chandigarh

Chandigarh
CHANDIGARH
160012
India 
Phone  6281014571  
Fax    
Email  drbhartijoshi09@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Drbharti joshi 
Designation  Additional Professor  
Affiliation  PGIMER  
Address  PGIMER Chandigarh

Chandigarh
CHANDIGARH
160012
India 
Phone  6281014571  
Fax    
Email  drbhartijoshi09@gmail.com  
 
Source of Monetary or Material Support  
PGImer chandigarh, sector 12,160012,india  
 
Primary Sponsor  
Name  PGIMER  
Address  PGIMER, sector 12,Chandigarh 160012,india 
Type of Sponsor  Research institution and hospital 
 
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 
DrSireesha   PGIMER   Gynae opd,Sector 12,Chandigarh
Chandigarh
CHANDIGARH 
6281014571

Bollysireesha@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institute ethics committee (intramural)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C519||Malignant neoplasm of vulva, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  65.00 Year(s)
Gender  Female 
Details  Confirmed HPV positive status by HPV DNA testing or pap smear.
3. Patients who have not undergone vulvar surgery or ablation therapy in last 6 months.
4.Consent to participate
 
 
ExclusionCriteria 
Details  1.Antenatal female.
2.Women with known vulvar carcinoma.
3.Age less than 30 years.
4.Women with recent vulvar surgery (within last 6 months) .
5.Women with active vulvar infections or severe inflammation(genital herpes or candidiasis)
6.Contraindication or allergy to acetic acid.
7.Refusal to give consent.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
evaluate effectiveness of threering Vulvoscopy in detecting VIN in HPV positive females with normal vulval examination.
Secondary objective:
 
3 weeks after tests
 
 
Secondary Outcome  
Outcome  TimePoints 
1.To evaluate correlation between lesion, location & its association with severity of VIN lesions.
2.To find out lesions other than VIN in HPV positive females.
3.To correlate VIN with cervical cytology abnormalities.
 
4weeks 
 
Target Sample Size   Total Sample Size="70"
Sample Size from India="70" 
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)   18/02/2026 
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="0"
Months="11"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
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  

This is an observational study. This study evaluates the clinical utility of Three Ring Vulvoscopy technique for detecting premalignant vulvar lesions specifically in HPV-positive women. It will validate a structured scoring system incorporating symptoms,paintests,lesion appearance and ring wise localization. The findings may contribute to early detection strategies, preventive care, and screening protocols for vulvar neoplasia in asymptomatic or high-risk populations. 

 
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