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Trial registered on ANZCTR
Registration number
ACTRN12621000984897
Ethics application status
Approved
Date submitted
22/04/2021
Date registered
27/07/2021
Date last updated
29/09/2024
Date data sharing statement initially provided
27/07/2021
Type of registration
Retrospectively registered
Titles & IDs
Public title
Yield of same day dual endoscopy for patients referred for assessment of positive Fecal Occult Blood Test.
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Scientific title
Effect of same day dual endoscopy on frequency of common gastrointestinal conditions and gastrointestinal symptoms for patients referred for assessment of positive Fecal Occult Blood Test.
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Secondary ID [1]
303953
0
None
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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:
Bowel Cancer screening
321548
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Upper gastrointestinal tract pathology
321549
0
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Gastric and esophageal cancers
321550
0
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Peptic ulcer disease
321551
0
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Celiac disease
322107
0
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Iron deficiency anemia
322108
0
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Condition category
Condition code
Cancer
319296
319296
0
0
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Bowel - Back passage (rectum) or large bowel (colon)
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Oral and Gastrointestinal
319297
319297
0
0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Cancer
319298
319298
0
0
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Bowel - Small bowel (duodenum and ileum)
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Blood
319299
319299
0
0
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Anaemia
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Cancer
319822
319822
0
0
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Stomach
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Inflammatory and Immune System
320324
320324
0
0
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Autoimmune diseases
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Intervention/exposure
Study type
Observational
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Patient registry
False
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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
This study has a prospective and a retrospective component. This study is single center study, which will be conducted at the Gastroenterology department at the Princess Alexandra hospital. For the retrospective component, we will audit all patient records who have undergone Gastroscopy and Colonoscopy on the same day for investigation of positive FOBT from Jan 2010 until July 2019.
Gastroscopy which will take approximately 10 mins will be done on the same day as the colonoscopy (either immediately before or after the colonoscopy). There will be no additional anesthesia or observation required for the gastroscopy. Both colonoscopy and gastroscopy will be performed by a gastroenterologist. Patients will not be required to fill additional questionnaire or have phone interviews.
The retrospective part of the study will involve reviewing electronic medical records to collect information (demographic details including age, sex, BMI, ethnicity, medications, co-morbidities, outcomes of gastroscopy and colonoscopy, quality of bowel preparation, laboratory data (Full blood count, celiac serology, Iron studies and Helicobacter pylori status)) for patients who have undergone same day gastroscopy and colonoscopy.
The participants would have undergone this screening procedure in the absence of this study
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Intervention code [1]
320263
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Diagnosis / Prognosis
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
327178
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1. To assess the frequency of common gastrointestinal conditions (namely IDA and Celiac disease) and gastrointestinal symptoms in patients referred for evaluation of positive FOBT. This is a composite primary outcome and this will be assessed from endoscopy.
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Assessment method [1]
327178
0
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Timepoint [1]
327178
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To be assessed on the day of the procedure
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Secondary outcome [1]
394079
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2. To determine the frequency of both upper and lower intestinal lesions in asymptomatic FOBT-positive patients and those with gastrointestinal symptoms.
This is a composite secondary outcome and will be assessed from the endoscopy.
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Assessment method [1]
394079
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Timepoint [1]
394079
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To be assessed on the day of the procedure
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Eligibility
Key inclusion criteria
All patients referred for investigation of positive FOBT will be considered for participation in study.
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Minimum age
50
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
None
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Study design
Purpose
Screening
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Both
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Statistical methods / analysis
Using SPSS, compare frequency of UGI lesions in patients with negative and positive findings on the colonoscopy, using parametric tests.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
21/10/2019
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Date of last participant enrolment
Anticipated
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Actual
20/01/2021
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Date of last data collection
Anticipated
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Actual
20/01/2021
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Sample size
Target
1000
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Accrual to date
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Final
783
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment hospital [1]
19175
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Princess Alexandra Hospital - Woolloongabba
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Recruitment postcode(s) [1]
33747
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4102 - Woolloongabba
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Funding & Sponsors
Funding source category [1]
308335
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Hospital
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Name [1]
308335
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Princess Alexandra Hospital
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Address [1]
308335
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Department of Gastroenterology and Hepatology,
Princess Alexandra Hospital
199 Ipswich Rd
Woolloongabba QLD 4102
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Country [1]
308335
0
Australia
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Primary sponsor type
Hospital
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Name
Princess Alexandra Hospital
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Address
Department of Gastroenterology and Hepatology,
Princess Alexandra Hospital
199 Ipswich Rd
Woolloongabba QLD 4102
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Country
Australia
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Secondary sponsor category [1]
309150
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None
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Name [1]
309150
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NA
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Address [1]
309150
0
NA
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Country [1]
309150
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
308310
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Metro South HREC
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Ethics committee address [1]
308310
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Princess Alexandra Hospital 199 Ipswich Rd Woolloongabba QLD 4102
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Ethics committee country [1]
308310
0
Australia
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Date submitted for ethics approval [1]
308310
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14/03/2019
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Approval date [1]
308310
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18/10/2019
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Ethics approval number [1]
308310
0
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Summary
Brief summary
This study will investigate the effect of same day dual endoscopy on finding common gastrointestinal conditions for patients referred for assessment of positive Fecal Occult Blood Test (Bowel cancer screening test) Who is it for? You may be eligible to join this study if you are aged 50 and above, and have been referred for investigation of positive Fecal Occult Blood Test (Bowel cancer screening test) Study details: All participants in this study will have two endoscopy procedures on the same day: an upper (gastroscopy) and lower (colonoscopy) as part of the routine clinical care for patients with a positive fecal occult blood test. We would also access your electronic medical records so we can confirm your diagnosis and test results. The findings from both upper and lower endoscopy will be used to evaluate occult GI bleeding. Participants will not be asked to attend any additional appointments, outside their scheduled clinical visits. This study therefore has no effect and no foreseeable risk of harm to its participants. No attempts at directly contacting the patient or their family will be made. All the relevant findings from the endoscopy (both gastroscopy and colonoscopy) will be discussed with the participants by their gastroenterologist. It is hoped these findings will provide further guidance/evidence to support the routine use of both upper and lower endoscopy for the evaluation of occult GI bleeding.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
110258
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Prof Gerald Holtmann
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Address
110258
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Department of Gastroenterology
Princess Alexandra Hospital
199 Ipswich Rd
Woolloongabba QLD 4102
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Country
110258
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Australia
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Phone
110258
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+61 400107754
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Fax
110258
0
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Email
110258
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[email protected]
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Contact person for public queries
Name
110259
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Gerald Holtmann
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Address
110259
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Department of Gastroenterology
Princess Alexandra Hospital
199 Ipswich Rd
Woolloongabba QLD 4102
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Country
110259
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Australia
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Phone
110259
0
+61 400107754
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Fax
110259
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Email
110259
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[email protected]
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Contact person for scientific queries
Name
110260
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Gerald Holtmann
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Address
110260
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Department of Gastroenterology
Princess Alexandra Hospital
199 Ipswich Rd
Woolloongabba QLD 4102
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Country
110260
0
Australia
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Phone
110260
0
+61 400107754
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Fax
110260
0
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Email
110260
0
[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
Ethics requirement
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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
No additional documents have been identified.
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