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Trial registered on ANZCTR
Registration number
ACTRN12609000628246
Ethics application status
Approved
Date submitted
22/07/2009
Date registered
28/07/2009
Date last updated
5/09/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
Increasing appropriate screening for colorectal cancer patients and their first degree relatives. A randomised controlled trial.
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Scientific title
The effect of an educational intervention versus minimal ethical care on the level of appropriate screening for colorectal cancer patients and their first degree relatives. A randomised controlled trial.
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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:
Colorectal Cancer
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Condition category
Condition code
Cancer
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0
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Bowel - Back passage (rectum) or large bowel (colon)
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Cancer
239634
239634
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0
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Bowel - Anal
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Cancer
239635
239635
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0
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Bowel - Small bowel (duodenum and ileum)
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
People with bowel cancer and their first degree relatives will be allocated to an intervention or minimal ethical care group. Those in the intervention group will be posted a detailed information booklet about screening tests recommended by the National Health and Medical Research Council (NHMRC). A corresponding information booklet will also be mailed to their General Practitioner (GP) and for index cases only, cancer surgeon. This tailored advice on screening will be provided to participants and their clinicians within 4 weeks of recruitment, and 12 and 24 months later.
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Intervention code [1]
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Prevention
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Intervention code [2]
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Early detection / Screening
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Comparator / control treatment
Those allocated to the minimal ethical care group will each receive one standard pamphlet about bowel cancer within four weeks of recruitment.
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Control group
Active
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Outcomes
Primary outcome [1]
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Proportion of first degree relatives and index cases who have screening in line with NHMRC guideline recommendations will be assessed through self-report.
Accuracy of self-report will be tested for a random sub-sample. This will be carried out by cross-checking self-reported screening with clinician records.
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Assessment method [1]
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Timepoint [1]
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Measured at baseline, 12, 24 and 36 months after intervention.
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Secondary outcome [1]
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Nil
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Assessment method [1]
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Timepoint [1]
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Nil
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Eligibility
Key inclusion criteria
Index Cases - People who have received a confirmed diagnosis of bowel cancer no more than 6 months previously.
First degree relatives - Of people with bowel cancer particpating in the trial.
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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
Index cases - People with familial adenomatous polyposis or hereditary non-polyposis colorectal cancer (HNPCC). Non-English speaking.
First-degree Relatives - Those with familial adenomatous polyposis or hereditary non-polyposis colorectal cancer (HNPCC), ulcerative colitis, Crohn’s disease, inflammatory bowel disease or a previous diagnosis of bowel cancer. Non-English speaking.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Allocation will be concealed as participants will be randomly allocated to groups by central randomisation with a computer.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
31/08/2009
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Actual
10/01/2010
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Date of last participant enrolment
Anticipated
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Actual
30/10/2012
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Date of last data collection
Anticipated
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Actual
22/12/2013
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Sample size
Target
4800
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Accrual to date
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Final
1572
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Recruitment in Australia
Recruitment state(s)
ACT,NSW,NT,QLD,SA,TAS,WA,VIC
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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NHMRC
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Address [1]
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Level 1
16 Marcus Clarke Street
Canberra ACT 2601
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Country [1]
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Australia
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Primary sponsor type
University
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Name
The University of Newcastle
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Address
University Drive
Callaghan,
Newcastle, NSW, 2308
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
236865
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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The Cancer Council Victoria Human Research Ethics Committee
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Ethics committee address [1]
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1 Rathdowne St, Carlton, Victoria, 3053
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Ethics committee country [1]
239500
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Australia
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Date submitted for ethics approval [1]
239500
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Approval date [1]
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10/07/2008
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Ethics approval number [1]
239500
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HREC 0810
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Ethics committee name [2]
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The University of Newcastle Human Research Ethics Committee
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Ethics committee address [2]
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University Drive, Callaghan, Newcastle, NSW, 2308
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Ethics committee country [2]
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Australia
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Date submitted for ethics approval [2]
239501
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Approval date [2]
239501
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Ethics approval number [2]
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H-2008-047
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Summary
Brief summary
This research aims to improve adherence to guideline recommendations for surveillance for people with colorectal cancer and screening of their first degree relatives using an educational intervention. People with colorectal cancer and their first degree relatives will be randomly assigned to receive tailored educational materials on screeening (intervention group) or standard pamphlets (minimal ethical care group). It is expected that those in the intervention group will have 10%, 12% and 15% higher levels of adherence to screening/surveillance recommendations at 1, 2, and 3 years post recruitment respectively, when compared with those in the minimal ethical care group.
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Trial website
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Trial related presentations / publications
Carey M, Sanson-Fisher R, Macrae F, Hill D, D’Este C, Paul C, Doran C. 2012. Improving adherence to surveillance and screening recommendations for people with colorectal cancer and their first degree relatives: A randomized controlled trial. BMC Cancer 12:62. Courtney R, Paul C, Carey M, Sanson-Fisher R, Macrae F, D’Este C, Hill D, Barker D, Simmons J. 2013. A population-based cross-sectional study of colorectal cancer screening practices of first-degree relatives of colorectal cancer patients. BMC Cancer 13:13. Courtney RJ, Paul CL, Sanson-Fisher RW, Carey ML, Macrae FA, Yoong SL. 2012. Community approaches to increasing colorectal screening uptake: a review of the methodological quality and strength of current evidence. Cancer Forum, 36(1):27-35. Cameron E, Rose S, Carey M. 2014. Assessment of family history of colorectal cancer in primary care: Perceptions of first degree relatives of people with colorectal cancer. Patient Education and Counseling 94 (3) 427-431. Paul C, Courtney R, Sanson-Fisher R, Carey M, Hill D, Simmons J, Rose S. 2014. A randomized controlled trial of the effectiveness of a pre-recruitment primer letter to increase participation in a study of colorectal screening and surveillance. BMC Medical Research Methodology, 14:44. Paul C, Cameron E, Doran C, Hill D, Macrae F, Carey M, Sanson-Fisher R. 2016. Experiences of colorectal cancer patients in the 2 years post-diagnosis and patient factors predicting poor outcome. Supportive Care in Cancer: 1-8. Carey M, Sanson-Fisher R, Macrae F, Cameron E, Hill D, D’Este C, Simmons J, Doran C. 2016. Can a print-based intervention increase appropriate screening for first degree relatives of people with colorectal cancer? Results of randomised controlled trial. Australian and New Zealand Journal of Public Health. DOI: 10.1111/1753-6405.12579 Carey, M., Sanson-Fisher, R., Macrae, F., Cameron, E., Hill, D., D’Este, C., & Doran, C. 2017. Improving adherence to colorectal cancer surveillance guidelines: results of a randomised controlled trial. BMC Cancer, 17(1).
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Rob Sanson-Fisher
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Address
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Rm 267, Level 2,
David Maddison Building,
Cnr King & Watt Streets,
Newcastle,
NSW, 2300
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Country
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Australia
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Phone
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+61 2 4913 8678
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Fax
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+ 61 2 4913 6779
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Email
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[email protected]
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Contact person for scientific queries
Name
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Rob Sanson-Fisher
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Address
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Rm 267, Level 2,
David Maddison Building,
Cnr King & Watt Streets,
Newcastle,
NSW 2300
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Country
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Australia
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Phone
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+61 2 4913 8678
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Fax
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+ 61 2 4913 6779
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Email
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[email protected]
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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
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Improving adherence to surveillance and screening recommendations for people with colorectal cancer and their first degree relatives: A randomized controlled trial.
2012
https://dx.doi.org/10.1186/1471-2407-12-62
N.B. These documents automatically identified may not have been verified by the study sponsor.
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