Study of Colorectal Cancer Screening Options

NCT ID: NCT05987709

Last Updated: 2025-12-16

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

2004 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-03-17

Study Completion Date

2023-06-15

Brief Summary

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The investigators propose to evaluate Guardant Health's commercially available colorectal cancer screening assay(Guardant SHIELD) in individuals who are not up to date with CRC screening.

Detailed Description

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The investigators propose to evaluate Guardant Health's commercially available colorectal cancer screening assay(Guardant SHIELD) in individuals who are not up to date with CRC screening.

Primary Objective (or Aim) Assess colorectal cancer screening completion among patients who are non-adherent after receiving stool test outreach, who have an upcoming clinical appointment, and who are offered a commercially available colorectal cancer blood test versus usual care (i.e. reminder to complete stool testing during their clinical appointment).

Secondary Objectives (or Aim) Assess patients' and providers' perceived confidence in the test (based on available test performance characteristics) and willingness to obtain/offer the test on an on-going basis, based on qualitative interviews; assess preliminary rates of follow-up colonoscopy completion (after an initial abnormal test result) among participants allocated to the blood test vs. usual care condition.

Conditions

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Colon Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SCREENING

Blinding Strategy

NONE

Study Groups

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Guardant Shield Blood Test

Patients will have the Guardant Shield blood test for colorectal cancer screening.

Group Type OTHER

GuardantSHIELD Blood Test

Intervention Type DIAGNOSTIC_TEST

The GuardantSHIELD CRC screening test is a commercially available test which works by finding signs of colorectal tumor in the blood of patients at average risk for CRC

Standard of Care

Patients will have standard of care, which is a reminder to do their FIT test for colorectal cancer screening

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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GuardantSHIELD Blood Test

The GuardantSHIELD CRC screening test is a commercially available test which works by finding signs of colorectal tumor in the blood of patients at average risk for CRC

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Age 45-75
* Received a FIT test in the last 3-9 months yet did not return their FIT
* Upcoming appointment or willing to reschedule an appointment at KPNW within 2 - 6 weeks
* Able and willing to provide informed consent if in the intervention arm

Exclusion Criteria

* On KPNW's do not contact list
* Having a legal authorized representative
* Non-English speakers
Minimum Eligible Age

45 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Kaiser Permanente

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Gloria Coronado, PhD

Role: PRINCIPAL_INVESTIGATOR

Kaiser Permanente

Locations

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Kaiser Permanente Northwest

Portland, Oregon, United States

Site Status

Countries

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United States

References

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Coronado GD, Jenkins CL, Shuster E, Johnson C, Amy D, Cook J, Sahnow S, Zepp JM, Mummadi R. Blood-based colorectal cancer screening in an integrated health system: a randomised trial of patient adherence. Gut. 2024 Mar 7;73(4):622-628. doi: 10.1136/gutjnl-2023-330980.

Reference Type DERIVED
PMID: 38176899 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Informed Consent Form

View Document

Other Identifiers

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KPNW Guardant [1866832-1]

Identifier Type: -

Identifier Source: org_study_id