A Study on a Blood-based Dual-target Test for CRC Detection

NCT ID: NCT05508503

Last Updated: 2024-02-16

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

1378 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-10-21

Study Completion Date

2023-08-11

Brief Summary

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To evaluate the effectiveness and accuracy of the ctDNA dual-target test kit in a large case-control cohort for the detection of colorectal cancer and advanced adenomas.

Detailed Description

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Usually, colorectal cancers (CRCs) diagnosed in their early stages are curable, especially precancerous lesions (adenomas, polyps) that can be removed during a colonoscopy.However, due to low patient compliance and limited resources, colonoscopy is not feasible for screening the average-risk population. gFOBT/FIT are limited by their low sensitivity and high false-positive rate. Compared to colonoscopy and stool DNA tests, blood-based methylation tests showed greater patient compliance and convenience. Hypermethylated NTMT1 and MAP3K14-AS1 were found in multiple cohorts of CRC samples in our previous study. In this study, we aimed to evaluate the effectiveness and accuracy of the ctDNA dual-target(NTMT1 and MAP3K14-AS1) test kit in 5 tertiary hospitals around china for the detection of colorectal cancer and advanced adenomas. Fecal immunochemical test (FIT) will also privided to participants in the study. Sanger sequencing would be performed to evalute the accuracy of the dual-target methylation detection test kit.

Conditions

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Colorectal Cancer Colorectal Adenoma

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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CRC group

patients with colorectal cancer

Test of methylated NTMT1 and MAP3K14-AS1

Intervention Type DIAGNOSTIC_TEST

A dual-target test kit to detect methylated NTMT1 and MAP3K14-AS1 in blood samples.

FIT

Intervention Type DIAGNOSTIC_TEST

Fecal immunochemical test(optional)

Control group

patients without colorectal cancer

Test of methylated NTMT1 and MAP3K14-AS1

Intervention Type DIAGNOSTIC_TEST

A dual-target test kit to detect methylated NTMT1 and MAP3K14-AS1 in blood samples.

FIT

Intervention Type DIAGNOSTIC_TEST

Fecal immunochemical test(optional)

Interventions

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Test of methylated NTMT1 and MAP3K14-AS1

A dual-target test kit to detect methylated NTMT1 and MAP3K14-AS1 in blood samples.

Intervention Type DIAGNOSTIC_TEST

FIT

Fecal immunochemical test(optional)

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Exclusion Criteria

1. Patients who had undergone radical resection of bowel cancer (except for postoperative follow-up) and those who had received anti-tumor therapy such as radiotherapy/chemotherapy;
2. Colorectal cancer or colorectal adenoma with other malignancies;
3. Postoperative follow-up patients of colorectal cance with distant metastasis;
4. The sample size collected did not meet the detection requirements;
5. Other patients who are considered unsuitable for this study (such as pregnancy, high blood pressure, heart disease, etc., who are not suitable for colonoscopy due to physical condition).
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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The Second Hospital of Hebei Medical University

OTHER

Sponsor Role collaborator

Qilu Hospital of Shandong University

OTHER

Sponsor Role collaborator

Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

OTHER

Sponsor Role collaborator

Henan Provincial People's Hospital

OTHER

Sponsor Role collaborator

Changhai Hospital

OTHER

Sponsor Role lead

Responsible Party

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Zhaoshen Li

MD,Director, Head of Department of Gastroenterology and Digestive Endoscopy Center, Principal Investigator, Clinical Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Zhaoshen Li, MD

Role: PRINCIPAL_INVESTIGATOR

Changhai Hospital, Navy/Second Military Medical University

Locations

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Changhai Hospital

Shanghai, Shanghai Municipality, China

Site Status

Countries

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China

References

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Thierry AR, El Messaoudi S, Gahan PB, Anker P, Stroun M. Origins, structures, and functions of circulating DNA in oncology. Cancer Metastasis Rev. 2016 Sep;35(3):347-76. doi: 10.1007/s10555-016-9629-x.

Reference Type BACKGROUND
PMID: 27392603 (View on PubMed)

Scholer LV, Reinert T, Orntoft MW, Kassentoft CG, Arnadottir SS, Vang S, Nordentoft I, Knudsen M, Lamy P, Andreasen D, Mortensen FV, Knudsen AR, Stribolt K, Sivesgaard K, Mouritzen P, Nielsen HJ, Laurberg S, Orntoft TF, Andersen CL. Clinical Implications of Monitoring Circulating Tumor DNA in Patients with Colorectal Cancer. Clin Cancer Res. 2017 Sep 15;23(18):5437-5445. doi: 10.1158/1078-0432.CCR-17-0510. Epub 2017 Jun 9.

Reference Type BACKGROUND
PMID: 28600478 (View on PubMed)

Oster B, Thorsen K, Lamy P, Wojdacz TK, Hansen LL, Birkenkamp-Demtroder K, Sorensen KD, Laurberg S, Orntoft TF, Andersen CL. Identification and validation of highly frequent CpG island hypermethylation in colorectal adenomas and carcinomas. Int J Cancer. 2011 Dec 15;129(12):2855-66. doi: 10.1002/ijc.25951. Epub 2011 Apr 1.

Reference Type BACKGROUND
PMID: 21400501 (View on PubMed)

Cao Y, Zhao G, Yuan M, Liu X, Ma Y, Cao Y, Miao B, Zhao S, Li D, Xiong S, Zheng M, Fei S. KCNQ5 and C9orf50 Methylation in Stool DNA for Early Detection of Colorectal Cancer. Front Oncol. 2021 Jan 29;10:621295. doi: 10.3389/fonc.2020.621295. eCollection 2020.

Reference Type BACKGROUND
PMID: 33585248 (View on PubMed)

Chen H, Li N, Ren J, Feng X, Lyu Z, Wei L, Li X, Guo L, Zheng Z, Zou S, Zhang Y, Li J, Zhang K, Chen W, Dai M, He J; group of Cancer Screening Program in Urban China (CanSPUC). Participation and yield of a population-based colorectal cancer screening programme in China. Gut. 2019 Aug;68(8):1450-1457. doi: 10.1136/gutjnl-2018-317124. Epub 2018 Oct 30.

Reference Type RESULT
PMID: 30377193 (View on PubMed)

Wang Z, He Z, Lin R, Feng Z, Li X, Sui X, Gu L, Xia T, Zhou D, Zhao B, Li Y, Li Z, Bai Y. Evaluation of a plasma cell-free DNA methylation test for colorectal cancer diagnosis: a multicenter clinical study. BMC Med. 2024 Oct 8;22(1):436. doi: 10.1186/s12916-024-03662-y.

Reference Type DERIVED
PMID: 39379942 (View on PubMed)

Other Identifiers

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2020CRC-cfDNA

Identifier Type: -

Identifier Source: org_study_id

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