Colorectal Cancer Screening in Cystic Fibrosis

NCT ID: NCT05362344

Last Updated: 2025-05-04

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

ACTIVE_NOT_RECRUITING

Total Enrollment

350 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-09-01

Study Completion Date

2026-06-30

Brief Summary

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This multi-center study will compare multi-target DNA and quantitative FIT stool-based testing to colonoscopy in individuals with Cystic Fibrosis (CF) undergoing colon cancer screening with colonoscopy. The primary endpoint is detection of any adenomas, including advanced adenomas and colorectal cancer (CRC).

Detailed Description

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NICE-CF is a cross-sectional, multi-center study comparing stool-based testing (multi-target DNA test and quantitative FIT test) to standard of care colonoscopy for colorectal cancer (CRC) screening in people with CF. The study includes an enrollment visit, two stool samples completed at home, a clinical screening colonoscopy, and three participant surveys which will be completed at enrollment or remotely.

The total duration of participant participation will be 3-12 months, depending on the timing of the completion of the stool samples and the participant's colonoscopy. The targeted participant timeline is 3 months from enrollment to the completion of a clinical screening colonoscopy. To allow for varying site-specific clinical colonoscopy scheduling delays and COVID delays in scheduling, the duration of time between submitting stool samples and screening colonoscopy may extend up to 12 months for inclusion of data in the study. However, participating sites must notify the DCC to obtain preapproval for greater than 3 months duration between stool-based testing and colonoscopy.

CF patients who are eligible for CRC screening will either be enrolled during an in-person CF clinic visit or via phone/video if clinic visits are taking place remotely. Participants will be asked to perform stool sample collection at home, and then complete their colonoscopy within three to twelve months of submission of the stool sample.

Conditions

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Cystic Fibrosis Colorectal Cancer Adenoma

Study Design

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Observational Model Type

COHORT

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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NICE-CF Cohort

Adults with CF ages 18 - 75 years who are due for a routine screening or surveillance colonoscopy for colon cancer.

Stool tests

Intervention Type PROCEDURE

Non-invasive, stool-based tests for colorectal cancer screening.

Interventions

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Stool tests

Non-invasive, stool-based tests for colorectal cancer screening.

Intervention Type PROCEDURE

Other Intervention Names

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Stool-based Fecal Immunochemical Testing (FIT) test and Stool-based DNA test (Cologuard) test.

Eligibility Criteria

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Inclusion Criteria

1. Adults with CF ages 18 - 75 years and due for a routine screening or surveillance colonoscopy for colon cancer
2. Cystic Fibrosis diagnosis, defined by a sweat chloride test result ≥ 60 mmol/L (may be of historic value), and/or documented CF-causing CFTR mutations and clinical features of CF
3. Capable of understanding the purposes and risks of the study in English or Spanish and willing to participate and sign informed consent
4. Referred for screening or surveillance colonoscopy for CRC (current standard of care) and willing to undergo colonoscopy and stool testing
5. Able to access the Internet to complete self-administered surveys

Exclusion Criteria

1. Any condition that, in the opinion of the site PI, introduces undue risk by participating in this study
2. Incapable of understanding the purposes of the study or informed consent for any reason
3. Pregnancy
4. Active inflammatory bowel disease as defined by a prior diagnosis of Crohn's Disease or Ulcerative Colitis, based on both clinical and histopathologic findings and the individual currently on medical therapy for Crohn's disease or Ulcerative Colitis.
5. Personal history of colon cancer diagnosis and treatment within 5 years of enrollment
6. Symptoms that merit colonoscopy for diagnostic purposes rather than as screening for CRC
7. Known history of familial colon cancer syndrome that has been confirmed by previous genetic testing
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cystic Fibrosis Foundation

OTHER

Sponsor Role collaborator

University of Washington, the Collaborative Health Studies Coordinating Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Christine Hachem, MD

Role: PRINCIPAL_INVESTIGATOR

St. Louis University

Sarah Jane Schwarzenberg, MD

Role: PRINCIPAL_INVESTIGATOR

University of Minnesota

Steven D. Freedman, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Beth Israel Deaconess Medical Center

Locations

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University of California, Los Angeles

Los Angeles, California, United States

Site Status

Stanford University Medical Center

Palo Alto, California, United States

Site Status

National Jewish Health, University of Colorado

Denver, Colorado, United States

Site Status

University of Miami Hospital

Miami, Florida, United States

Site Status

University of Kansas Medical Center

Kansas City, Kansas, United States

Site Status

Johns Hopkins Hospital, Johns Hopkins University

Baltimore, Maryland, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Boston Children's Hospital

Boston, Massachusetts, United States

Site Status

Michigan Medicine - University of Michigan

Ann Arbor, Michigan, United States

Site Status

University of Minnesota

Minneapolis, Minnesota, United States

Site Status

Saint Louis University

St Louis, Missouri, United States

Site Status

Washington University

St Louis, Missouri, United States

Site Status

Columbia University Medical Center

New York, New York, United States

Site Status

North Carolina Children's Hospital / UNC

Chapel Hill, North Carolina, United States

Site Status

Atrium Health Pulmonary Care

Charlotte, North Carolina, United States

Site Status

University Hospitals Rainbow Babies & Children's

Cleveland, Ohio, United States

Site Status

Nationwide Children's Hospital

Columbus, Ohio, United States

Site Status

Oregon Health & Science University

Portland, Oregon, United States

Site Status

Hospital of the University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania, United States

Site Status

Medical University of South Carolina

Charleston, South Carolina, United States

Site Status

Vanderbilt University Medical Center

Nashville, Tennessee, United States

Site Status

University of Texas Southwestern

Dallas, Texas, United States

Site Status

University of Utah

Salt Lake City, Utah, United States

Site Status

University of Washington

Seattle, Washington, United States

Site Status

Medical College of Wisconsin

Milwaukee, Wisconsin, United States

Site Status

Countries

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United States

Other Identifiers

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NICE-CF

Identifier Type: -

Identifier Source: org_study_id

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