Managing Hepatitis B (Hep. B) and Human Papilloma Virus (HPV) Related Cancers and Mental Health.
- Sponsor
- Eunice Dube
- Study ID
- NCT06786429
- Phase
- PHASE4
- Status
- Not Yet Recruiting
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Conditions
- Cancer Liver
- Cancer of Cervix
- Depression, Anxiety
- Gall Stones (& [Calculus - Gall Bladder])
- Hepatitis B
- Human Papilloma Virus
- Mental Health Issue
Eligibility Criteria
- Sex
- ALL
- Age
- 13 Years - 45 Years
- Healthy Volunteers
- Accepted
Interventions
- Gardasil 9 vaccine — BIOLOGICALParticipants with a valid consent will be offered a three-dose Gardasil 9 series if eligible.
- Hepatitis B Virus Vaccine(HBV) — BIOLOGICALParticipants who do not demonstrate immunity to Hep B antibody marker in their blood, HBsAb and not HBsAg will be offered a three-dose series of Hep B. vaccine. A blood test will be done six months later to assess vaccine take i.e. immunity. Patients who demonstrate infection with Hep B virus will be referred to their doctor for further management.
- Cognitive Behavioral Therapy — BEHAVIORALParticipants who demonstrate signs and symptoms of depression and/or anxiety will be offered individual behavioral management services. This consists of weekly individual sessions by a trained therapist for 8 weeks with option for referral for further management depending on the outcome of the intervention. The positive outcome consists of a change in presenting symptoms determined after administration of the youth risk behavior screen for high school students, and PHQ-9, and Edinburgh post-natal depression screen for women respectively.
Study Details
Aim: The main goal of this observational study is to determine the prevalence of Human Papilloma Virus(HPV) infection, and Hepatitis B (Hep B) immunity amongst women of childbearing age 13 to 45 years) attending clinics at Mtshabezi Mission and Matobo clinic respectively; and assess behavioral risk factors of high school students at these catchment areas that can put them at risk for developing cancer of the cervix and liver. Question: Can screening for cancer, and vaccination against Hep B and HPV, and cognitive behavior intervention help in preventing related cancers amongst these groups of participants.
Key Dates
- Start date
- Aug 30, 2026
- Status verified
- Jan 2026
- Primary completion
- Sep 30, 2031
- Completion
- Dec 30, 2031
Study Design
- Enrollment
- 1,800 participants (estimated)
- Allocation
- NON_RANDOMIZED
- Intervention model
- PARALLEL
- Primary purpose
- HEALTH_SERVICES_RESEARCH
Arms
- Other: High School StudentsAll high school students in study area are eligible, approximately 1000-1500 students. Participants will complete a Youth Risk Behavior Screen (CDC), offer Cognitive Behavioral Therapy if indicated. Participants will be offered a 3-dose series of Gadarsil to protect against HPV.
- Other: Women of childbearing age and young adultsThis group is at highest risk for having exposure to cervical and liver cancer, gall bladder issues, depression and anxiety. Participants are unlikely to have had vaccines of interest, Hep B. and HPV as status is unknown due to lack of screening and vaccination. Participants in this group with depressive/anxiety symptoms are likely to benefit from CBT intervention
Primary Outcome Measure
Human Papilloma Virus infection [ Time Frame: Baseline and 10 years post vaccination ]
Central Contacts
- Eunice Dube, DSc.4437106077
- Jill Koshiol, Ph. D.2402767178
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