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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00843375
Registration number
NCT00843375
Ethics application status
Date submitted
12/02/2009
Date registered
13/02/2009
Date last updated
30/01/2024
Titles & IDs
Public title
Evaluation of Stool Based Markers for the Early Detection of Colorectal Cancers and Adenomas
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Scientific title
Evaluation of Stool Based Markers for the Early Detection of Colorectal Cancers and Adenomas
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Secondary ID [1]
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U01CA086400
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Secondary ID [2]
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UMCC 2018.126 GLNE 007
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Colonic Neoplasms
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Condition category
Condition code
Cancer
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Bowel - Back passage (rectum) or large bowel (colon)
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Metabolic and Endocrine
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Other endocrine disorders
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Higher risk, no neoplasia - Negative study colonoscopy and one or more of the following:
* Subjects with a personal history of adenomas (confirmed by pathology) with none present on qualifying colonoscopy
* Subjects with a personal history of colorectal cancer (CRC) (longer than 3 years ago because of exclusion criteria of cancer within last 3 years) with none present at time of qualifying colonoscopy
* Any family history of CRC (1st degree relative)
* Current positive screening stool test for blood, for DNA or for both within 12 months with no follow up intervention
Adenoma - Pathologically confirmed adenomas, both non-advanced adenoma and advanced. Advanced adenoma includes any of the following:
* Sessile serrated adenoma
* Tubulovillous adenoma
* Villous adenoma
* Sessile serrated polyp/adenoma
* Traditional serrated adenoma
* Any adenoma =1 cm
Colorectal adenocarcinoma - Pathologically confirmed colorectal cancer either present at time of stool collection or discovered during colonoscopy
Average risk, no neoplasia - No neoplasia found at colonoscopy and:
* No prior history of adenomas or sessile serrated adenomas
* No prior history of CRC
* No first degree family history of CRC
* Negative colorectal cancer screening test (if performed) for blood, for DNA or for both within 12 months.
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Biospecimen Retention: Samples with DNA
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Assessment method [1]
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Blood samples, up to 60 mls, will be obtained according to standard operating procedures. Subjects will collect stool samples per the schedule in the study calendar. Collection of Frozen Normal and Adenoma or Cancer Tissue: For individuals with large adenomas who are undergoing endoscopic resection, the fresh surgical sample will be obtained by the endoscopist.
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Timepoint [1]
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At 1 day of biospecimen collection
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Eligibility
Key inclusion criteria
* Willing to sign informed consent
* Able to physically tolerate removal of up to 60 ml of blood
* Adults at least 18 years old
* Willing to collect 1-2 stool samples and prepare a Fecal Immunochemical Test (FIT)
* Pregnant or nursing women who otherwise meet the eligibility criteria may participate
* Subjects with one of the following:
* Colorectal adenocarcinoma-not treated and in colon at time of stool collection (CRC bin)
* Adenoma-pathologically confirmed adenoma present in colon at time of stool collection (Adenoma Bin)
* Higher Risk Non-neoplastic Bin
* Subjects with a personal history of adenomas (confirmed by pathology) with none present on qualifying colonoscopy
* Subjects with a personal history of CRC (longer than 3 years ago because of exclusion criteria of cancer within last 3 years) with none present at time of qualifying colonoscopy
* Any family history of CRC (1st degree relative)
* Current positive screening stool test for blood, for DNA or for both within 12 months with no follow-up intervention.
* Average Risk, Non-neoplastic Bin
* No history or current finding of any colorectal neoplasia including CRC, adenomas, sessile serrated adenomas and no family history of CRC.
* Subjects who had CRC that was successfully treated at least three years ago may be considered eligible for the adenoma bin if their polyps are adenomas and there is no evidence of CRC, or for the higher risk non-neoplastic bin as noted above.
* Subjects whose screening colonoscopy shows any of these types of polyps may be included in the non-neoplastic or the higher risk non-neoplastic bin if they meet the other criteria noted above.
* Hyperplastic polyps
* Benign mucosal polyps
* Polypoid granulation tissue
* Prolapsed mucosal polyps
* Inflammatory polyp
* Transitional mucosal polyp
* Lipoma
* Gangleoneuroma
* Neuroma
* Hamartomatous polyp
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Cancer patients who have had any surgery, radiation, or chemotherapy for their current colorectal cancer prior to collecting the baseline samples
* History of or clinically active Inflammatory Bowel Disease
* Known HNPCC or FAP
* Inability to provide informed consent.
* Other active malignancy within 3 years of enrollment except any of the following:
* Squamous cell carcinoma of the skin
* Basal cell carcinoma of the skin
* Carcinoma in situ of the cervix, Stages Ia or Ib invasive squamous cell carcinoma of the cervix treated by surgery only. (Excluded if had pelvic radiation)
* Stage Ia Grade 1 adenocarcinoma of the endometrium treated with surgery
* Patients on active chemotherapy or radiation treatment for any purpose
* Known HIV or chronic active viral hepatitis
* Women who are pregnant
* CT colonography (virtual colonoscopy) patients
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Study design
Purpose
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Duration
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Selection
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Timing
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
7/08/2019
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/03/2028
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Actual
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Sample size
Target
1200
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
SA
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Recruitment hospital [1]
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Flinders Medical Center - Adelaide
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Recruitment postcode(s) [1]
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5001 - Adelaide
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Recruitment outside Australia
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United States of America
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State/province [1]
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Massachusetts
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United States of America
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State/province [2]
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Michigan
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United States of America
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Minnesota
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United States of America
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New York
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Country [5]
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United States of America
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North Carolina
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Pennsylvania
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Texas
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United States of America
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Washington
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Canada
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State/province [9]
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Ontario
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Funding & Sponsors
Primary sponsor type
Other
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Name
University of Michigan Rogel Cancer Center
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Address
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Other collaborator category [1]
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Other
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Name [1]
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Early Detection Research Network
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Address [1]
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Other collaborator category [2]
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Commercial sector/industry
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Name [2]
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Clinical Genomics Pathology
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Address [2]
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Other collaborator category [3]
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Other
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Name [3]
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VolitionRx
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Address [3]
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Other collaborator category [4]
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Government body
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Name [4]
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Department of Health and Human Services
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Address [4]
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Other collaborator category [5]
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Other
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Name [5]
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Great Lakes New England Clinical Validation Center
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Other collaborator category [6]
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Government body
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Name [6]
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National Cancer Institute (NCI)
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Ethics approval
Ethics application status
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Summary
Brief summary
Colon cancer is the second most common cancer in men and women. It is a disease that can be prevented if it is found early. Colonoscopy is still the best screening tool for colon cancer and the polyps that turn into colon cancer. However, due to a variety of factors, including affordability, time, and age, not all patients are able to be screened. Researchers are working on other options for early detection that are as accurate as colonoscopy. The purpose of this study if to determine if stool or blood can be used to detect colon cancers as early or earlier than colonoscopy. The researchers plan to use these samples to learn about specific proteins (also known as biomarkers) that may indicate colon polyps, colon cancer or an increased risk of developing colon cancer. In order to learn more about preventing and detecting colon and rectal cancer, we are collecting samples from subjects with cancer, adenomas, and colonoscopies who may be at risk for polyps.
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Trial website
https://clinicaltrials.gov/study/NCT00843375
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dean E Brenner, M.D.
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Address
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University of Michigan
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Phone
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Fax
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Email
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Contact person for public queries
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Cancer AnswerLine
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Address
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Phone
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1-800-865-1125
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Fax
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Email
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[email protected]
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT00843375
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