AI-EMERGE: Development and Validation of a Multi-analyte, Blood-based Colorectal Cancer Screening Test

NCT ID: NCT03688906

Last Updated: 2022-03-02

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

3275 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-01-12

Study Completion Date

2019-11-25

Brief Summary

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Freenome is using a type of artificial intelligence, called machine learning, to identify patterns of cell-free biomarkers in blood to detect cancer early. The purpose of this study is to develop and validate a blood-based assay to detect colorectal cancer by collecting blood and stool samples from healthy patients undergoing routine screening colonoscopy and from patients recently diagnosed with colorectal cancer or advanced adenomas.

Detailed Description

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Early detection of cancer combined with effective treatment improves survival and quality of life. Freenome is using a type of artificial intelligence, called machine learning, to identify patterns of cell-free biomarkers in the blood to detect cancer early. The purpose of this study is to develop and validate a blood-based assay for the early detection of colorectal cancer. The study will collect blood and stool samples from healthy patients undergoing routine screening colonoscopy and from patients recently diagnosed with colorectal cancer or advanced adenomas. A blood-based test for colorectal cancer and pre-cancerous lesions could offer an accurate, convenient, and patient-friendly screening option for current and future generations, and, in doing so, could save and improve lives by increasing adherence and early detection.

Freenome is looking for three types of patients in this study:

Cohort A:

People ages 50-84 who have been recently diagnosed with (or strong clinical suspicion for) colorectal cancer or advanced adenoma. Blood samples must be collected before any cancer treatment has been initiated.

Cohort B:

People ages 50-84 undergoing routine screening colonoscopies for colorectal cancer as part of their regular medical check-ups. Blood samples must be collected before bowel preparation for the colonoscopy.

Cohort C:

People 18 years or older who have been recently diagnosed with (or strong clinical suspicion for) colorectal cancer or advanced adenoma. Blood samples must be collected before any cancer treatment has been initiated.

Conditions

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Colo-rectal Cancer Cancer Colon Cancer, Rectum Neoplasms,Colorectal Polyps Polyp of Colon Adenoma Adenoma Colon

Study Design

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Observational Model Type

OTHER

Study Time Perspective

PROSPECTIVE

Study Groups

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Cohort A

Blood and stool specimen collection.

Study samples must be collected prior to any treatment.

No interventions assigned to this group

Cohort B

Blood and stool specimen collection.

Samples must be collected prior to performing bowel preparation for the colonoscopy.

No interventions assigned to this group

Cohort C

Blood and stool specimen collection.

Study samples must be collected prior to any treatment.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* 50-84 years of age (inclusive) at the time of screening
* Recently diagnosed with (or strong clinical suspicion for) primary colorectal cancer or advanced adenoma with plans to surgically or endoscopically remove the target lesion(s)
* At least 7 days before but no more than 6 months after the most recent colonoscopy
* Able and willing to provide blood and stool (optional) samples per protocol
* Able to comprehend and willing to sign and date the written informed consent document(s) and any applicable medical record release documents for the study


* 50-84 years of age (inclusive) at the time of screening
* Planning to undergo a screening colonoscopy within 75 days after providing signed informed consent
* Able and willing to provide blood and stool (optional) samples per protocol
* Able to comprehend and willing to sign and date the written informed consent document(s) and any applicable medical record release documents for the study


* At least 18 years of age (inclusive) at the time of screening
* Recently diagnosed with (or strong clinical suspicion for) primary colorectal cancer or advanced adenoma with plans to surgically or endoscopically remove the target lesion(s)
* At least 7 days before but no more than 6 months after the most recent colonoscopy
* Able and willing to provide blood and stool (optional) samples per protocol
* Able to comprehend and willing to sign and date the written informed consent document(s) and any applicable medical record release documents for the study

Exclusion Criteria

* Personal history of colorectal cancer, colorectal adenomas (excluding non-adenomatous (e.g., hyperplastic polyps)) or aerodigestive tract cancer (other than most recent diagnosis)
* Colonoscopy within the previous 9 years (other than most recent diagnosis)
* Overt rectal bleeding within the previous 30 days
* Have a medical condition which, in the opinion of the investigator, should preclude enrollment into the study.
* Have participated or be currently participating in a clinical research study in which an experimental medication has been administered during the 60 days up to and including the date of providing informed consent or may be administered through the time of the colonoscopy.
* If female, known to be pregnant.

COHORT B


* Personal history of colorectal cancer, colorectal adenoma (excluding non-adenomatous (e.g., hyperplastic polyps)) or aerodigestive tract cancer
* Colonoscopy within the previous 9 years
* Overt rectal bleeding within the previous 30 days
* Have a medical condition which, in the opinion of the investigator, should preclude enrollment into the study.
* Have participated or be currently participating in a clinical research study in which an experimental medication has been administered during the 60 days up to and including the date of providing informed consent or may be administered through the time of the colonoscopy.
* If female, known to be pregnant.

COHORT C


* Have a medical condition which, in the opinion of the investigator, should preclude enrollment into the study.
* Have participated or be currently participating in a clinical research study in which an experimental medication has been administered during the 60 days up to and including the date of providing informed consent or may be administered through the time of the colonoscopy.
* If female, be known to be pregnant.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Freenome Holdings Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Girish Putcha, M.D., Ph.D

Role: PRINCIPAL_INVESTIGATOR

Freenome Holdings Inc.

Locations

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Clinical Research Associates

Huntsville, Alabama, United States

Site Status

Del Sol Research Management

Chandler, Arizona, United States

Site Status

Del Sol Research Management,

Tucson, Arizona, United States

Site Status

Del Sol Research Management

Tucson, Arizona, United States

Site Status

Preferred Research Partners

Little Rock, Arkansas, United States

Site Status

Precision Research Institute

Chula Vista, California, United States

Site Status

Diverse Research Solutions

Oxnard, California, United States

Site Status

Precision Research Institute

San Diego, California, United States

Site Status

Gastroenterology Associates of Fairfield County

Bridgeport, Connecticut, United States

Site Status

Palmetto Research

Hialeah, Florida, United States

Site Status

Clinical Research of Homestead

Homestead, Florida, United States

Site Status

Advanced Gastroenterology Associates, LLC

Palm Harbor, Florida, United States

Site Status

Rockford Gastroenterology

Rockford, Illinois, United States

Site Status

Delta Research Partners

Bastrop, Louisiana, United States

Site Status

New Orleans Research Institute

Metairie, Louisiana, United States

Site Status

Louisiana Research Center

Shreveport, Louisiana, United States

Site Status

Commonwealth Clinical Studies

Brockton, Massachusetts, United States

Site Status

Quality Clinical Research

Omaha, Nebraska, United States

Site Status

Asheville Gastroenterology Associates

Asheville, North Carolina, United States

Site Status

University of North Carolina at Chapel Hill

Chapel Hill, North Carolina, United States

Site Status

Cumberland Research Associates

Fayetteville, North Carolina, United States

Site Status

Wake Research Associates

Raleigh, North Carolina, United States

Site Status

Trial Management Associates

Wilmington, North Carolina, United States

Site Status

The Jackson Clinic

Jackson, Tennessee, United States

Site Status

Advanced Research Institute

Ogden, Utah, United States

Site Status

Gastroenterology Associates of Tidewater

Chesapeake, Virginia, United States

Site Status

Verity Research Inc

Fairfax, Virginia, United States

Site Status

Digestive and Liver Disease Specialists

Norfolk, Virginia, United States

Site Status

Washington Gastroenterology

Bellevue, Washington, United States

Site Status

Forzani and MacPhail Colon Cancer Screening Centre

Calgary, Alberta, Canada

Site Status

Countries

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United States Canada

References

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Putcha G, Liu T-Y, Ariazi E, Bertin M, Drake A, Dzamba M, Hogan G, Kothen-Hill S, Liao J, Li K, Mahajan S, Palaniappan K, Sansanwal P, St John J, Ulz P, Wan N, Warsinske H, Weinberg D, Yang R, Lin J. Blood-based detection of early-stage colorectal cancer using multiomics and machine learning. [Abstract] J Clin Oncol 38 (Suppl 4): A-66, 2020.

Reference Type RESULT

Other Identifiers

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AI-EMERGE/FRE-001

Identifier Type: -

Identifier Source: org_study_id

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