Point of Care Test to Diagnosed Colorectal Cancer and Polyps in Low Middle Income Countries

NCT ID: NCT03173729

Last Updated: 2024-04-04

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

926 participants

Study Classification

OBSERVATIONAL

Study Start Date

2017-02-11

Study Completion Date

2023-12-31

Brief Summary

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This is a-two phase study. Phase 1 will adapt a 3-metabolite biosensor that identifies patients with colorectal cancer (CRC) and precancerous polyps to Nigerian patients. Phase 2 will pilot test and evaluate the point-of-care (POC) biosensor device in Nigeria.

Detailed Description

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In Phase 1, urine will be collected from 450 Nigerian patients (150 with CRC, 150 with polyps, and 150 patients with no colon premalignant or malignant pathology. These samples will be used to refine a handheld biosensor. This handheld biosensor is intended to be a cost-effective POC diagnostic test highly sensitive for CRC in Nigerian patients.

In Phase 2, the biosensor device will be piloted in Nigeria with 75 patients that are high-risk for CRC.. After the pilot, POC test in real-time analysis on urine from 645 patients who are in one of three groups: 1.\> 40 years of age with rectal bleeding; 2.a family history of CRC; 3. have a diagnosis of CRC. All patients will receive a colonoscopy. Beliefs and barriers related to urine testing for CRC will be investigated. Study will be completed within 5 years.

Conditions

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Colorectal Cancer

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Phase 1 Cohort 1

CRC (n = 150)

No interventions assigned to this group

Phase 1 Cohort 2

Precancerous polyps (n = 150)

No interventions assigned to this group

Phase 1 Cohort 3

Normal controls (n = 150)

No interventions assigned to this group

Phase 2 Field Test

75 patients who are high risk for CRC as described in the eligibility

Biosensor Point of Care Device

Intervention Type DIAGNOSTIC_TEST

This device is a point of care urine-based metabolomic diagnostic test that detects metabolite biomarkers for CRC and polyps.

Phase 2 Validation Study Cohort 1

Family history of CRC (n = 330)

Biosensor Point of Care Device

Intervention Type DIAGNOSTIC_TEST

This device is a point of care urine-based metabolomic diagnostic test that detects metabolite biomarkers for CRC and polyps.

Phase 2 Validation Study Cohort 2

LGI bleeding (n = 240)

Biosensor Point of Care Device

Intervention Type DIAGNOSTIC_TEST

This device is a point of care urine-based metabolomic diagnostic test that detects metabolite biomarkers for CRC and polyps.

Phase 2 Validation Study Cohort 3

Patients with history of CRC (n = 75)

Biosensor Point of Care Device

Intervention Type DIAGNOSTIC_TEST

This device is a point of care urine-based metabolomic diagnostic test that detects metabolite biomarkers for CRC and polyps.

Interventions

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Biosensor Point of Care Device

This device is a point of care urine-based metabolomic diagnostic test that detects metabolite biomarkers for CRC and polyps.

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Patients \> 40 years of age with LGI bleeding OR
* Patients who are high risk due to family history of CRC

o Must be at most 10 years younger than when relative presented with CRC (for example, a patient with a relative diagnosed at age 40 with CRC will be eligible after age 30) OR
* Patients with a diagnosis of stage I-III CRC who have no evidence of disease

Exclusion Criteria

* Patients who are unable to provide written informed consent;
* Previous diagnosis, treatment, or surgery for any cancer other than CRC
* Age younger than 40 years with no family history of CRC
* Any significant medical comorbidities
* Inability to provide a urine sample no fewer than 3 days before colonoscopy
* Inability to fully complete the patient satisfaction survey tool
* Diagnosis of or suspected inflammatory bowel disease.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Memorial Sloan Kettering Cancer Center

OTHER

Sponsor Role collaborator

Obafemi Awolowo University Teaching Hospital

OTHER

Sponsor Role lead

Responsible Party

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Olusegun Alatise

Dr

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Endoscopy Unit, University of Ilorin Teaching Hospital

Ilorin, Kwara State, Nigeria

Site Status

Federal Medical Center

Owo, Ondo State, Nigeria

Site Status

Endoscopy Unit, University College Hospital

Ibadan, Osun State, Nigeria

Site Status

Endoscopy Unit, Obafemi Awolowo University Teaching Hospitals

Ile-Ife, Osun State, Nigeria

Site Status

Ladoke Akintola University Teaching Hospital

Osogbo, Osun State, Nigeria

Site Status

Countries

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Nigeria

Other Identifiers

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ERC/2017/02/11

Identifier Type: -

Identifier Source: org_study_id

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