Head to Head Study Epi proColon and FIT

NCT ID: NCT01580540

Last Updated: 2015-08-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

336 participants

Study Classification

OBSERVATIONAL

Study Start Date

2012-03-31

Study Completion Date

2012-11-30

Brief Summary

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The study aims to show non-inferiority in the clinical performance of the investigational assay, Epi proColon, to FIT using matched blood and stool specimens from screening-guideline eligible subjects.

Detailed Description

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There is strong evidence supporting the use of FOBT in CRC screening, with the earliest randomized controlled trials demonstrating a reduction in CRC incidence and mortality from CRC screening. Despite the implementation and incremental improvements in gFOBT- and FIT-based tests, they continue to represent a small percentage of CRC screening and currently remain largely the province of large, integrated healthcare delivery systems. Reasons for the limited adoption of stool-based testing are complicated, but include lack of physician recommendation, patient preferences, and cultural barriers.

Availability of a blood-based test may overcome the adoption challenges presently facing stool-based CRC screening and facilitate better compliance with CRC screening guidelines. However, there are currently no FDA-approved in vitro diagnostic tests for detection of CRC in a blood sample. As such, a high through-put blood-based test with performance characteristics similar to fecal testing could satisfy this clinical need.

This study is designed to prospectively collect matched blood and stool specimens and clinical data from screening guideline-eligible subjects found to have invasive colorectal cancer (CRC) at colonoscopy, i.e. AJCC/UICC stages I, II, III, and IV, with collection of specimens and testing after colonoscopy and from screening guideline-eligible subjects with blood and stool specimens collected before colonoscopy. A completed subject will have a FIT result, an Epi proColon result, and a medical diagnosis/colonoscopy determined clinical status (CRC, non-CRC). Demographic and baseline covariates will be reported for each individual.

Conditions

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Colorectal Cancer

Study Design

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Observational Model Type

CASE_CONTROL

Study Groups

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Group A, subjects with colorectal cancer

Subjects between ages 50 and 84 identified to have CRC. Blood and stool specimens are collected and tested after colonoscopy and prior to surgery or other interventions.

No interventions assigned to this group

Group B, subjects without CRC

Subjects between ages 50 and 84 who provide stool and blood specimens prior to colonoscopy.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

Group A

* Willing and able to sign an informed consent and adhere to study requirements
* 50 - 84 years of age at blood and stool sampling
* Colonoscopic diagnosis of colorectal carcinoma
* Colonoscopy within 6 months before inclusion into study
* Blood and stool sampling a minimum of 10 days after colonoscopy and before resection surgery

Group B

* Willing and able to sign an informed consent and adhere to study requirements
* 50 - 84 years of age at blood and stool sampling
* Able to provide blood and stool sample prior to bowel prep and colonoscopy

Exclusion Criteria

Group A

* Subject with curative biopsy during colonoscopy

Group A and B

* Previous personal history of CRC or previous colonocopy resulting in a recommendation to repeat colonoscopy at an interval less than 10 years
* Neoadjuvant treatment
* Familial risk for colorectal cancer
* History of inflammatory bowel disease
* Acute or chronic gastritis
* Current diagnosis of any other cancer
* Overt rectal bleeding or bleeding hemorrhoids
* Known infection with HIV, HBV, or HCV
* Subject concurrently receiving intravenous fluid at the time of the sample collection
Minimum Eligible Age

50 Years

Maximum Eligible Age

84 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Epigenomics, Inc

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Juergen Beck, MD

Role: PRINCIPAL_INVESTIGATOR

Epigenomics, Inc

Neil Mucci

Role: STUDY_DIRECTOR

Epigenomics, Inc

Locations

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Achieve Clinical Research LLC

Birmingham, Alabama, United States

Site Status

Greater Arizona Gastroenterology Associates

Casa Grande, Arizona, United States

Site Status

Visions Clinical Research

Tucson, Arizona, United States

Site Status

South Orange County Surgical Medical Group

Laguna Hills, California, United States

Site Status

Healthcare Partners Medical Group

Los Angeles, California, United States

Site Status

Futura Research, Inc.

Montebello, California, United States

Site Status

Southern California Research Institute Medical Group, Inc.

Murrieta, California, United States

Site Status

West Gastroenterology Medical Group

Murrieta, California, United States

Site Status

Diverse Research Solutions, LLC

Oxnard, California, United States

Site Status

Inland Gastroenterology Medical Associates, Inc.

Redlands, California, United States

Site Status

Santa Monica Research Institute

Santa Monica, California, United States

Site Status

Innovative Clinical Research Institute

Whittier, California, United States

Site Status

Gastroenterology Associates of Fairfield County

Bridgeport, Connecticut, United States

Site Status

Middlesex Hospital Cancer Center

Middletown, Connecticut, United States

Site Status

Zasa Clinical Research

Boyton Beach, Florida, United States

Site Status

Clinical Research of South Florida

Coral Gables, Florida, United States

Site Status

Center for Gastrointestinal Disorders

Hollywood, Florida, United States

Site Status

Palm Springs Research Institute, Inc

Miami, Florida, United States

Site Status

United Clinical Research, Corp.

Miami, Florida, United States

Site Status

Advance Medical Research Service Corp.

Miami, Florida, United States

Site Status

Physicians Regional Medical Center

Naples, Florida, United States

Site Status

Advance Medical Research Group

Palm Harbor, Florida, United States

Site Status

Accord Clinical Research, LLC

Port Orange, Florida, United States

Site Status

Stedman Clinical Trials, LLC

Tampa, Florida, United States

Site Status

PMI Research

Atlanta, Georgia, United States

Site Status

Rockford Gastroenterology Associates, Ltd.

Rockford, Illinois, United States

Site Status

Springfield Clinic

Springfield, Illinois, United States

Site Status

Saint Francis Cancer Care Center

Indianapolis, Indiana, United States

Site Status

Trover Center for Clinical Studies

Madisonville, Kentucky, United States

Site Status

New Orleans Research Institute

Metairie, Louisiana, United States

Site Status

Ochsner Clinic Foundation

New Orleans, Louisiana, United States

Site Status

Louisiana Research Center

Shreveport, Louisiana, United States

Site Status

Metropolitan Gastroenterology Group

Chevy Chase, Maryland, United States

Site Status

Commonwealth Clinical Trials

Brockton, Massachusetts, United States

Site Status

Detroit Clinical Research Center

Novi, Michigan, United States

Site Status

Beaumont Hospital

Royal Oak, Michigan, United States

Site Status

Troy Gastroenterology PC Center for Digestive Health

Troy, Michigan, United States

Site Status

Research Medical Center

Kansas City, Missouri, United States

Site Status

Binghampton Gastroenterology Associates

Binghampton, New York, United States

Site Status

Life Medi-research and Management

Brooklyn, New York, United States

Site Status

Bassett Healthcare Center

Cooperstown, New York, United States

Site Status

Mid Hudson Medical Research, PLLC

New Windsor, New York, United States

Site Status

New York Gastroenterology Associates, LLP

New York, New York, United States

Site Status

Montefiore - Einstein Cancer Care Center

New York, New York, United States

Site Status

Asheville Gastroenterology Associates

Asheville, North Carolina, United States

Site Status

Charlotte Gastroenterology and Hepatology, PLLC

Charlotte, North Carolina, United States

Site Status

Carolina Digestive Health Associates

Charlotte, North Carolina, United States

Site Status

Atlantic Medical Group

Kinston, North Carolina, United States

Site Status

Digestive Health Specialists, PA

Winston-Salem, North Carolina, United States

Site Status

Piedmont Medical Research Associates, LLC

Winston-Salem, North Carolina, United States

Site Status

Legacy Pharma Research

Bismarck, North Dakota, United States

Site Status

Lillestol Research, LLC

Fargo, North Dakota, United States

Site Status

Gastroenterology Research Consultants of Greater Cincinnati

Cincinnati, Ohio, United States

Site Status

Bend Memorial Clinic

Bend, Oregon, United States

Site Status

Clinical Trials of America, Inc.

Eugene, Oregon, United States

Site Status

Bux-Mont Gastroenterology Associates

Sellersville, Pennsylvania, United States

Site Status

Coastal Carolina Research Center

Mt. Pleasant, South Carolina, United States

Site Status

ClinSearch, LLC

Chattanooga, Tennessee, United States

Site Status

Gastroenterology Associates

Kingsport, Tennessee, United States

Site Status

Independent Clinical Research, LLC

Carrolton, Texas, United States

Site Status

Digestive Associates of Houston

Spring, Texas, United States

Site Status

Spring Gastroenterology

Spring, Texas, United States

Site Status

Salt Lake Research

Salt Lake City, Utah, United States

Site Status

Gastroenterology Associates of Tidewater

Chesapeake, Virginia, United States

Site Status

Digestive and Liver Disease Specialists

Norfolk, Virginia, United States

Site Status

Clinical Research Associates of Tidewater

Norfolk, Virginia, United States

Site Status

Multicare Health Systems, Medical Oncology

Tacoma, Washington, United States

Site Status

Dean Foundation Medical Research

Madison, Wisconsin, United States

Site Status

University of Wisconsin

Madison, Wisconsin, United States

Site Status

Clinical Research of Puerto Rico

San Juan, , Puerto Rico

Site Status

Countries

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United States Puerto Rico

References

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Johnson DA, Barclay RL, Mergener K, Weiss G, Konig T, Beck J, Potter NT. Plasma Septin9 versus fecal immunochemical testing for colorectal cancer screening: a prospective multicenter study. PLoS One. 2014 Jun 5;9(6):e98238. doi: 10.1371/journal.pone.0098238. eCollection 2014.

Reference Type DERIVED
PMID: 24901436 (View on PubMed)

Other Identifiers

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Epigenomics-SPR 0022

Identifier Type: -

Identifier Source: org_study_id

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