Early Screening of Colorectal Cancer Based on Plasma Multi-omics Combining With Artificial Intelligence

NCT ID: NCT05587452

Last Updated: 2022-10-24

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

UNKNOWN

Total Enrollment

950 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-05-01

Study Completion Date

2025-05-01

Brief Summary

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To evaluate the accuracy and effectiveness of a novel screening method based on plasma multi-omics combining with artificial intelligence in a large prospective cohort for the detection of colorectal cancer and advanced adenomas.

Detailed Description

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Minimally invasive detection of circulating tumor DNA (ctDNA) in peripheral blood of patients with colorectal malignancies via liquid biopsy has emerged as a promising biomarker. This is urgently needed, as conventional imaging and plasma protein-derived biomarkers lack sensitivity and specificity.The goal of this observational study is to evaluate the effectiveness and accuracy of a novel screening method based on plasma multi-omics combining with artificial intelligence in five hospitals around China for the detection of colorectal cancer and advanced adenomas.

Conditions

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Colorectal Adenoma Colorectal Cancer

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Healthy group

People without colorectal adenoma or cancer

Colonoscopy

Intervention Type DIAGNOSTIC_TEST

Colonoscopy is performed to identify whether the patient has colorectal adenoma or cancer

Test of ctDNA methylation

Intervention Type DIAGNOSTIC_TEST

A specified panel is used to detect the site of methylation of ctDNA in plasma

Test of characteristics of ctDNA fragment

Intervention Type DIAGNOSTIC_TEST

Low pass whole genome sequencing is used to detect the characteristics of ctDNA fragment

Advanced adenoma group

People with colorectal adenoma

Colonoscopy

Intervention Type DIAGNOSTIC_TEST

Colonoscopy is performed to identify whether the patient has colorectal adenoma or cancer

Test of ctDNA methylation

Intervention Type DIAGNOSTIC_TEST

A specified panel is used to detect the site of methylation of ctDNA in plasma

Test of characteristics of ctDNA fragment

Intervention Type DIAGNOSTIC_TEST

Low pass whole genome sequencing is used to detect the characteristics of ctDNA fragment

Colorectal cancer group

People with colorectal cancer

Colonoscopy

Intervention Type DIAGNOSTIC_TEST

Colonoscopy is performed to identify whether the patient has colorectal adenoma or cancer

Test of ctDNA methylation

Intervention Type DIAGNOSTIC_TEST

A specified panel is used to detect the site of methylation of ctDNA in plasma

Test of characteristics of ctDNA fragment

Intervention Type DIAGNOSTIC_TEST

Low pass whole genome sequencing is used to detect the characteristics of ctDNA fragment

Interventions

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Colonoscopy

Colonoscopy is performed to identify whether the patient has colorectal adenoma or cancer

Intervention Type DIAGNOSTIC_TEST

Test of ctDNA methylation

A specified panel is used to detect the site of methylation of ctDNA in plasma

Intervention Type DIAGNOSTIC_TEST

Test of characteristics of ctDNA fragment

Low pass whole genome sequencing is used to detect the characteristics of ctDNA fragment

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

Inclusion Criteria:

1. Inclusion criteria for colorectal cancer/advanced adenoma 1) Voluntarily participate and sign the informed consent form, and be able to cooperate with the entire research process 2) Be able to provide sufficient and qualified blood samples for this study 3) Patients with pathological diagnosis of colorectal cancer stage I-III (TNM staging according to AJCC 8th edition colorectal cancer staging system) 4) No previous cancer treatment, including chemotherapy, radiotherapy, targeted or immunotherapy, and any surgery treat 5) Advanced adenoma should at least meet one of the following conditions: ① Diameter \>10mm ② Villus-tubiform adenoma ③ More than 25% of villi structure in mixed adenoma ④High-grade intraepithelial neoplasia
2. Inclusion criteria for healthy people 1) Voluntarily participate and sign the informed consent form, and be able to cooperate with the entire research process 2) Diagnosed without colorectal adenoma or cancer by colonoscopy within 12 months

Exclusion Criteria:

1. Exclusion criteria for colorectal cancer/advanced adenoma 1) Women who are pregnant or breastfeeding 2) Currently diagnosed with another cancer or have a history cancer 3) Persistent fever or receiving anti-inflammatory treatment within 14 days before blood samples are taken in this study 4) Receiving blood transfusion within 30 days 5) Receiving organ transplantation or previous non-autologous (allogeneic) bone marrow or stem cell transplantation 6) Digestive tract bleeding, obstruction, perforation and any trauma or surgery within 3 months 7) Poor physical condition, not suitable for extraction blood samples 8) Subjects who are judged by the investigator to be unsuitable to participate in this study for other reasons;
2. Exclusion criteria for healthy people 1) Women who are pregnant or breastfeeding 2) Receiving organ transplantation or previous non-autologous (allogeneic) bone marrow or stem cell transplantation 3) Have a history cancer 4) Receiving blood transfusion within 30 days 5) Poor physical condition, not suitable for extraction Blood samples 6) Diagnosed with precancerous lesions by colonoscopy.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Cangzhou Central Hospital

OTHER

Sponsor Role collaborator

Weifang Medical University

OTHER

Sponsor Role collaborator

Heji Hospital affiliated to Changzhi Medical College

UNKNOWN

Sponsor Role collaborator

Beijng Fengtai Hospital

UNKNOWN

Sponsor Role collaborator

Cancer Institute and Hospital, Chinese Academy of Medical Sciences

OTHER

Sponsor Role lead

Responsible Party

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Jianqiang Tang

Associate professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Cancer Hospital Chinese Academy of Medical Sciences

Beijing, Beijing Municipality, China

Site Status RECRUITING

Beiijing Fengtai Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

Cangzhou Central Hospital

Cangzhou, Hebei, China

Site Status RECRUITING

Affiliated Hospital of Weifang Medical University

Weifang, Shandong, China

Site Status RECRUITING

Heji Hospital affiliated to Changzhi Medical College

Changzhi, Shanxi, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Jianqiang Tang, Dr.

Role: CONTACT

+8613661090036

Mingguang Zhang, Dr.

Role: CONTACT

+8613261967603

Facility Contacts

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Jianqiang Tang, Dr.

Role: primary

+8613661090026

Fucheng Liu, Dr.

Role: primary

Guiwei Liu, Dr.

Role: primary

+8618031792096

Bin Ren, Dr.

Role: primary

+8613563610520

Wei Guo, Dr.

Role: primary

+8613835513617

Other Identifiers

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NCC3511

Identifier Type: -

Identifier Source: org_study_id

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