GENESIS: Genetic Biopsy for Prediction of Surveillance Intervals After Endoscopic Resection of Colonic Polyps

NCT ID: NCT02595645

Last Updated: 2016-11-03

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 101 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2015-08-31
• Study Completion Date: 2016-10-31

Brief Summary

Colorectal cancer ist the 2nd most leading cancer among men and women in germany. Screening colonoscopy has the potential to detect premalignant lesions. By endoscopical resection of these lesions, colorectal cancers could be avoided. The decision for surveillance is made according to patients medical history, amount and histological characteristics of the resected polyps. Molecular guided decisions are still missing. Thus, further tools and mechanisms, beyond but in addition to endoscopy and histopathological, are strongly required to reduce such interval carcinomas and get a better and deeper inside into molecular alterations which occurs in premalignant lesions in the colon and describe risk populations which might benefit from shorter surveillance strategies by colonoscopy. Therefore GENESIS will enroll 100 patients, which underwent screening colonoscopy with polyp ectomy. All biopsies were stored and processed without formalin in special boxes (PaxGene by Qiagen®). After microdissection of polyp tissue and isolation of DNA targeted next generation sequencing of 38 cancer-related genes followed by bioinformatics and systems biology analyses. The sequencing results were correlated to the endoscopical and histopathological findings. In parallel we are collecting EDTA-blood samples for analysis of circulating cell-free DNA (cfDNA) to investigate the potential of liquid biopsies in premalignant colorectal lesions.

Detailed Description

Colorectal cancer ist the 2nd most leading cancer among men and women in germany. Screening colonoscopy is provided for all people over 55 years in germany to detect and remove precancerous lesions (polyps) and thereby prevent the occurence of colorectal cancers. According to the result of screening colonoscopy and histopathological examination of the removed polyps the next examination will be planned. But so called interval carcinomas were observed with increasing incidence. Thus, further tools and mechanisms, beyond but in addition to endoscopy and histopathology, are strongly required to reduce such interval carcinomas and get a better and deeper inside into molecular alterations which occurs in premalignant lesions in the colon and describe risk populations which might benefit from shorter surveillance strategies by colonoscopy. Therefore we will enroll 100 patients, which underwent screening colonoscopy with polyp ectomy. Each polyp, provided for endoscopical removal, well be biopsied and stored separately. In each case, diagnosis is ensured. Per patient a maximum of 6 biopsies (from 6 different polyps) is intended. All biopsies were stored and processed without formalin in special boxes (PaxGene by Qiagen®). After microdissection of polyp tissue and isolation of DNA targeted next generation sequencing of 38 genes (ACVR1B, DCC, MIER3, SLC9A9, AKT1, DMD, MLH1, SMAD2, APC, EP300, MSH2, SMAD4, ATM, ERBB2, MSH3, TCERG1, ATP6V0D2, FBXW7, MSH6, TCF7L2, BAX, FZD3, MYO1B, TGFBR2, BRAF, GPC6, NRAS, TP53, CASP8, KRAS, PIK3CA, WBSCR17, CDC27, MAP2K4, PIK3R1, CTNNB1, MAP7, PTPN12) followed by bioinformatics and systems biology analyses. The sequencing results were correlated to the endoscopical and histopathological findings. In parallel we are collecting EDTA-blood samples for analysis of circulating cell-free DNA (cfDNA). NGS targeted sequencing of these 38 genes should also be performed on cfDNA level to investigate the potential of liquid biopsies in premalignant colorectal lesions.

Conditions

Colonic Polyps

Keywords

colorectal adenoma; colorectal cancer; next generation sequencing; liquid biopsy; screening colonoscopy; surveillance strategies

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: SCREENING
• Blinding Strategy: NONE

Study Groups

Polypectomy and NGS

All patients which underwent screening colonoscopy and fulfilling the inclusion criteria are eligible. Polyps were biopsied and underwent histopathological and genetic analyses

Group Type: EXPERIMENTAL

Polypectomy and NGS

Intervention Type: GENETIC

NGS of 38 cancer-related genes, systems biological analyses, correlation genetics to pathology and clinical data

Interventions

Polypectomy and NGS

NGS of 38 cancer-related genes, systems biological analyses, correlation genetics to pathology and clinical data

Intervention Type: GENETIC

Eligibility Criteria

Inclusion Criteria

• written informed consent
• indication of screening colonoscopy

Exclusion Criteria

• chronic inflammatory bowl disease
• known colorectal cancer (except curative treated colorectal cancers more than 5 years ago)
• disagreement in participation

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Technical University of Munich

OTHER

Sponsor Role: collaborator

Medical University of Graz

OTHER

Sponsor Role: collaborator

Specialized Medical Office for Gastroenterology Dornstadt

OTHER

Sponsor Role: collaborator

QIAGEN Gaithersburg, Inc

INDUSTRY

Sponsor Role: collaborator

University of Ulm

OTHER

Sponsor Role: lead

Responsible Party

Thomas Seufferlein

Prof. Dr. Alexander Meining

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Alexander G. Meining, Prof. Dr.

Role: PRINCIPAL_INVESTIGATOR

University Ulm, Internal Medicine I, Interventional and experimental endoscopy (InExEn)

Locations

Medical University Graz

Graz, Styria, Austria

Specialized Medical Office for Gastroenterology

Dornstadt, Baden-Wurttemberg, Germany

University Ulm, Internal Medicine I, Interventional and Experimental Endoscopy (InExEn)

Ulm, Baden-Wurttemberg, Germany

Technical University Munich

Munich, Bavaria, Germany

Countries

Austria; Germany

Other Identifiers

GENESIS

Identifier Type: -

Identifier Source: org_study_id