Quantitative Versus Qualitative Fecal Immunochemical Tests (FIT) to Prioritize Urgency of Colonoscopy Referral

NCT ID: NCT02037646

Last Updated: 2017-10-27

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

Clinical Phase

NA

Total Enrollment

700 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-06-30

Study Completion Date

2016-12-31

Brief Summary

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The main aim of this study is to determine whether there is a difference in time to diagnosis of advanced colorectal neoplasms using quantitative Fecal Immunochemical Tests (FIT) to prioritize referral for colonoscopy (intervention) compared to usual care (qualitative FIT and appointment-based referral).

Detailed Description

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It is hypothesized that quantitative FIT will enable faster detection of advanced neoplasms compared to qualitative FIT.

Conditions

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Colorectal Cancer

Keywords

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Colorectal cancer Screening Fecal occult blood Fecal immunochemical test Qualitative Quantitative

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SCREENING

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Qualitative fecal immunochemical test

Stool samples will be tested with the qualitative fecal immunochemical test (qFIT), and will be stratified for colonoscopy as follows:

\>200 ng/dL - colonoscopy with one month 100-200 ng/dL - colonoscopy as per waiting list \<100 ng/dL - no colonoscopy

Cost analysis, anxiety scores and patient satisfaction scores will be calculated for all patients.

Group Type OTHER

Qualitative fecal immunochemical test

Intervention Type OTHER

This test measures the amount of blood within the submitted stool specimen

Colonoscopy

Intervention Type PROCEDURE

Patients with positive tests will be subjected to colonoscopy to determine presence or absence of advanced colorectal neoplasms.

Cost analysis

Intervention Type OTHER

Data on direct and indirect costs to patient and institution will be collected at each patient visit related to screening.

Anxiety scores

Intervention Type OTHER

Hospital Anxiety and Depression Scale (HADS) questionnaire

Patient satisfaction scores

Intervention Type OTHER

A 5-point patient satisfaction score will be documented at each patient visit related to screening.

Quantitative fecal immunochemical test

Stool samples will be tested with the quantitative fecal immunochemical test (FIT), and will be scheduled for colonoscopy as follows:

Positive - colonoscopy as per waiting list Negative - no colonoscopy

Cost analysis, anxiety scores and patient satisfaction scores will be calculated for all patients.

Group Type OTHER

Quantitative fecal immunochemical test

Intervention Type OTHER

This test detects presence or absence of blood within a submitted stool specimen.

Colonoscopy

Intervention Type PROCEDURE

Patients with positive tests will be subjected to colonoscopy to determine presence or absence of advanced colorectal neoplasms.

Cost analysis

Intervention Type OTHER

Data on direct and indirect costs to patient and institution will be collected at each patient visit related to screening.

Anxiety scores

Intervention Type OTHER

Hospital Anxiety and Depression Scale (HADS) questionnaire

Patient satisfaction scores

Intervention Type OTHER

A 5-point patient satisfaction score will be documented at each patient visit related to screening.

Interventions

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Qualitative fecal immunochemical test

This test measures the amount of blood within the submitted stool specimen

Intervention Type OTHER

Quantitative fecal immunochemical test

This test detects presence or absence of blood within a submitted stool specimen.

Intervention Type OTHER

Colonoscopy

Patients with positive tests will be subjected to colonoscopy to determine presence or absence of advanced colorectal neoplasms.

Intervention Type PROCEDURE

Cost analysis

Data on direct and indirect costs to patient and institution will be collected at each patient visit related to screening.

Intervention Type OTHER

Anxiety scores

Hospital Anxiety and Depression Scale (HADS) questionnaire

Intervention Type OTHER

Patient satisfaction scores

A 5-point patient satisfaction score will be documented at each patient visit related to screening.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Adults aged 50 years and above

Exclusion Criteria

* Lower gastrointestinal tract symptoms such as diarrhoea, constipation, per rectal bleeding
* Personal history of colorectal tumour or cancer
* Family history of familial adenomatous polyposis or hereditary non-polyposis colorectal cancer
Minimum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Malaya

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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April C Roslani, MBBCh

Role: PRINCIPAL_INVESTIGATOR

University of Malaya Medical Centre

Locations

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University of Malaya Medical Centre

Kuala Lumpur, , Malaysia

Site Status

Countries

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Malaysia

Other Identifiers

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926.24

Identifier Type: -

Identifier Source: org_study_id