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Overview

High–risk human papillomavirus (HPV) is now recognized as the primary causal factor in the development of cervical cancer; studies show that high–risk HPV types were found in greater than 99.7% of cervical cancer cases. The Digene® HPV Test*, using Hybrid Capture® 2 (hc2) technology, is the only FDA–approved HPV DNA test and collectively detects the 13 clinically–relevant high–risk HPV types.

HPV vaccines + HPV screening:
Learn more.

Also known to laboratories as the hc2 High–Risk HPV DNA Test® or as the DNAwithPap® Test, The Digene HPV Test is a signal–amplified, nucleic acid test that provides standardized, objective results upon which healthcare providers may rely on to accurately assess patient risk for cervical intraepithelial neoplasia (CIN) and cancer. The test has a sensitivity optimized to detect clinically relevant HPV DNA levels and its performance has been clinically validated in studies reported in more than 300 peer-reviewed publications based on studies involving more than 40,000 women. The Digene HPV Test is the only FDA–approved HPV test for:

  • Primary screening, in conjunction with a Pap, of women age 30 years and older; and
  • Triage of women of any age with ASC–US Pap results.

National guidelines and recommendations from the American College of Obstetricians and Gynecologists (ACOG), the American Cancer Society (ACS), the Association of Reproductive Health Professionals (ARHP) and the American Society for Colposcopy and Cervical Pathology (ASCCP) all now recommend that high-risk HPV testing be used in conjunction with the Pap for improved detection of cervical disease and cancer.

HPV testing along with a Pap is emerging as a standard of care and is acknowledged in clinical guidelines developed by major medical groups. For laboratories, this creates the potential need to perform millions of high–risk HPV tests annually. The real benefit for labs, clinicians, and patients is clear: The Digene HPV Test provides greater assurance that high–grade cervical disease and cancer are not missed and allows clinicians to more accurately assess a woman's risk for disease based on her HPV and Pap status.



The Digene HPV Test offers the laboratory optimum clinical sensitivity for patient risk assessment:

  • Studies have shown the clinical sensitivity of The Digene HPV Test to be greater than 96% for the detection of high–grade CIN and cancer when performed with cytology, versus 84.4% for liquid cytology alone and 57.7% for the conventional Pap alone.1
  • This high sensitivity, combined with a very high negative predictive value, means that providers can report negative test results with confidence that CIN 2/3 and cancer are not present and that the patient is not at risk for developing cervical cancer within the next several years.2,3
  • False–negative results have historically reduced the effectiveness of cervical cancer screening programs because cancers were not detected early enough, which can potentially lead to otherwise preventable invasive treatments (such as hysterectomy) or cervical cancer death and the associated risk for the physician of medical malpractice litigation.

Sensitivity for detection of HSIL
Source: Clavel et.al, Brit J Cancer 2001;89:1616–1623

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Resources:
1 Solomon, et al. Comparison of Three Management Strategies for Patients with Atypical Squamous Cells of Undetermined Significance: Baseline Results from a Randomized Trial. JNCI. 2001; 93:293–299.
2 Cuzick et al. Management of Women Who Test Positive for High–Risk Types of Human Papillomavirus: the HART Study. Lancet. 2003; 362:1871–1876.
3 Sherman, et al. Baseline Cytology, Human Papillomavirus Testing, and Risk for Cervical Neoplasia: A 10–Year Cohort Analysis. JNCI. 2003; 95:46–52.

* "The Digene HPV Test" was approved by the US FDA and is also known to laboratories and physicians as the "hc2 High–Risk HPV DNA Test®" and "DNAwithPap® Test." This does not refer to the Digene product that tests for several types of the virus commonly referred to as "low–risk HPV," which are not associated with cervical cancer.

** FDA–approved for testing converted ThinPrep® PreservCyt specimens

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