The BD OnclarityTM HPV Assay was extensively tested among women of different ages, ethnicities, and vaccination status in a prospective, multicenter clinical trial that enrolled more than 33,000 women.1

The primary objective was to determine the screening performance of the BD OnclarityTM HPV Assay in:

  • Triage: Women ≥21 years with ASC-US cytology for detecting cervical cancer and precancer (≥CIN2)2
  • HPV primary: Women ≥25 years for primary cervical cancer screening (HPV alone)1
  • Co-testing: Women ≥30 years with normal cytology (NILM) as an adjunct test3

A secondary objective was to examine the contribution of individual hr-HPV genotypes to disease.

Triage:
Women ≥ 21 years with ≥ ASC-US cytology2

Performance of the BD OnclarityTM HPV Assay vs HC2 for detection of ≥CIN3 (n=35) in the ASC-US population*

0%20%40%60%80%100%10%30%50%70%90%Sensitivity (%)Specificity (%)Positivepredictive value (%)Negativepredictive value (%)62.0%59.5%91.4%85.7%99.7%99.5%5.1%4.5%BD OnclarityTM HPV AssayHC2

 

Adapted from Wright TC et al. Am J Clin Pathol. 2019;151(1):53-62.
*Results are based on 1,601 women ≥ 21 yrs with consensus pathology results and HPV results with both the BD Onclarity™ HPV Assay and digene© Hybrid Capture 2 assays (paired analysis).

 

HPV primary:
Women ≥ 25 years for primary cervical cancer screening1

The primary screening algorithm with the BD Onclarity™ HPV Assay improves disease detection and reduces
the number of colposcopies versus cytology alone1

Performance of the BD Onclarity™ HPV Assay vs cytology alone for detection of ≥CIN3 in the ≥25 years population§

0%20%40%60%80%100%10%30%50%70%90%64.2%49.2%94.4%92.0%99.5%99.7%Sensitivity (%)Specificity (%)Positivepredictive value (%)Negativepredictive value (%)9.0%5.0%15.0% diferencep=0.054.0% diferencep=0.052.4% diferencep=0.050.15% diferencep=0.05BD OnclarityTM HPV AssayPrimary Screening algorithmCytology algorithm

 

Adapted from Stoler MH et al. Gynecol Oncol. 2018;149(3):498–505.
§The use of the BD Onclarity™ HPV Assay as a first line screening method was evaluated by comparing the Primary
Screening algorithm (HPV 16 and 18 genotyping with reflex to cytology) with the Cytology algorithm (cytology alone)

 

Co-testing:
Women ≥ 30 years with normal cytology (NILM)3

Performance of the BD Onclarity™ HPV Assay vs HC2 for detection of ≥CIN3 (n=46) in the NILM ≥30 years population**

0%20%40%60%80%100%10%30%50%70%90%93.5%87.0%48.3%# 51.9% 99.8%99.5%Sensitivity (%)Specificity (%)Positivepredictive value (%)Negativepredictive value (%)3.2%3.2%BD OnclarityTM HPV AssayHC2

 

Adapted from Stoler MH et al. Am J Clin Pathol. 2019;151(4):433-442.
**Results represent p16INK4A immunostain-assisted adjudicated histology with HPV results by the BD Onclarity™ HPV Assay and digene© Hybrid Capture 2 assays (paired analysis).
#Verification bias adjusted value for specificity = 92.3%.
†Verification bias adjusted value for specificity = 93.3%

 

Sensitivity, Specificity
NPV and PPV

3-year longitudinal nation-wide study representative of the US population 33,858 women ≥21 years were enrolled during routine cervical cancer screening at 31 sites.

Cytology and HPV testing (n=33,858)At year 3: Colposcopy/biopsy Colposcopy/biopsy (n=7,449)- Women ≥ 21 years with ≥ ASC-US (n=3,082)- Women ≥ 25 years with NILM cytology and HPV positive (n=2,861)- Random subgroup of women ≥ 25 years with NILM and HPV negative (n=1,461) At year 1, 2 and 3: Cytology and HPV testing + colposcopy/biopsy if ≥ASC-US- All women from visit 2 who where not treated- Random subgroup of women ≥ 25 years with NILM and HPV negative from visit 1 (n=2,833)Visit 1:EnrollmentVisit 2:Colposcopy/biopsy3-yearlongitudinal phaseEnd ofstudy visitWomen treated for ≥ CIN2 exited the study

Adapted from Stoler MH al. Gynecol Oncol. 2018;149(3);498-505

The BD Onclarity™ FDA trial was a regulatory trial designed to obtain FDA-approval for hr-HPV testing and genotyping for HPV 16, 18, 45 and beyond1

The BD Onclarity™ HPV Assay gives you the most comprehensive and reliable HPV test results on the market to ensure a more precise and accurate cervical cancer risk assessment* – so you can better support your patients.1,3,5-9

Results you can trust

For more information on the BD OnclarityTM FDA trial


Baseline BD OnclarityTM FDA trial
Stoler MH et al. Gynecol Oncol 2018;149(3):498–505.

BD OnclarityTM FDA trial in the ASC-US subpopulation
Wright TC et al. Am J Clin Pathol 2019;151(1):53–62.

BD OnclarityTM FDA trial in the NILM subpopulation
Stoler MH et al. Am J Clin Pathol 2019;151(4):433–442.

ASC-US, atypical squamous cells of undetermined significance; HC2, Hybrid Capture 2; HPV, human papillomavirus; hr, high risk; NILM, negative for intraepithelial neoplasia grade 1

1. Stoler MH et al. Gynecol Oncol. 2018;149(3):498–505.
2. Wright TC et al. Am J Clin Pathol. 2019;151(1):53–62.
3. Stoler MH et al. Am J Clin Pathol. 2019;151(4):433–42.