Multicentre Study for Data Collection, Development, and Evaluation of Novel CRC Screening and Diagnostic Methods

NCT ID: NCT06515821

Last Updated: 2025-09-10

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

RECRUITING

Total Enrollment

4100 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-08-01

Study Completion Date

2026-12-31

Brief Summary

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The primary goal is to develop easy accessible diagnostic tools for high risk subjects for colon cancer in different European populations to improve early CRC detection. These CRC screening technologies would be low cost, breakthrough and of high sensitivity and specificity.

Detailed Description

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Colorectal Cancer (CRC) is the third most commonly occurring cancer in men and the second most commonly occurring cancer in women. CRC can often be prevented through regular screening. Although colonoscopy-based screening programs result in a significant decrease in CRC incidence, the compliance rate for performing the required screening remains too low and not the desired one. Fecal Occult Blood Test (FOBT) is another widely used screening modality for CRC but have certain constraints, such as relatively low sensitivity and the need for multiple sampling (three) to reach full screening potential. The development of novel, more practical screening methods can effectively increase the screening rates for CRC through non-invasive, repeatable, cost-effective, easy-to-use, and patient-friendly procedures. This is of particular importance in different European societies and population subgroups, since an increase in the incidence of Early-Onset CRC is currently noticed, which is significantly associated with risk factors such as heredity, obesity, smoking, alcohol abuse, and hyperlipidemia.

Within this framework, ONCOSCREEN will develop a multi-tier diagnostic solution towards improved CRC screening. Furthermore, ONCOSCREEN will consider specific socio-economic determinants which increase the regional or national CRC risks, thus exploiting new solutions, particularly in younger high-risk individuals in European communities. For the validation of the developed solution, a clinical validation study (titled "ONCOSCREEN-CS") will be conducted to assess its effectiveness, sensitivity, and specificity in detecting CRC at an early stage. During the first phase of the study (ONCOSCREEN-CS-Phase A), the investigators will identify the different expression patterns of the four diagnostic solutions (ONCO-VOC, ONCO-CRISP, ONCO-NMR, ONCO-CTC) in CRC patients and healthy controls with high risk for CRC, and also initially estimate their sensitivity and specificity. During the second phase (ONCOSCREEN-CS-Phase B), the ONCOSCREEN solution will be clinically validated.

Conditions

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Colorectal Cancer

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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CRC Group

Subject has positive CRC diagnosis according to colonoscopy result

ONCOSCREEN

Intervention Type DIAGNOSTIC_TEST

Subjects samples will be tested with diagnostic tests.

Control Group with risks and presence of polyps

Healthy individuals with recognized risk factors for CRC development defined by either heredity and/or obesity and/or smoking and/or excess alcohol consumption and/or hyperlipidaemia.

ONCOSCREEN

Intervention Type DIAGNOSTIC_TEST

Subjects samples will be tested with diagnostic tests.

Control Group with risks and absence of polyps

Healthy individuals with recognized risk factors for CRC development defined by either heredity and/or obesity and/or smoking and/or excess alcohol consumption and/or hyperlipidaemia.

ONCOSCREEN

Intervention Type DIAGNOSTIC_TEST

Subjects samples will be tested with diagnostic tests.

Control Group with no risks

Healthy individuals without any recognized risk factors for CRC development defined by either heredity and/or obesity and/or smoking and/or excess alcohol consumption and/or hyperlipidemia.

ONCOSCREEN

Intervention Type DIAGNOSTIC_TEST

Subjects samples will be tested with diagnostic tests.

Interventions

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ONCOSCREEN

Subjects samples will be tested with diagnostic tests.

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* CRC Group

1. Signature of the informed consent indicating that the subject accepts to participate in the study and to comply with the requirements and restrictions inherent in this study.
2. Subjects aged ≥18 years
3. Subject is willing to undergo FOBT test, colonoscopy, and tissue biopsy
4. Subject for whom the decision to perform a colonoscopy has been made by the treating physician
5. Subject has positive CRC diagnosis according to colonoscopy result
6. Covered by a Health Insurance System
7. Subject is able to comply with all study procedures
* Control Group with risks and presence of polyps

1. Signature of the informed consent indicating that the subject accepts to participate in the study and to comply with the requirements and restrictions inherent in this study.
2. Subjects aged ≥18 years
3. Otherwise healthy individuals with recognized risk factors for CRC development defined by either heredity and/or obesity and/or smoking and/or excess alcohol consumption and/or hyperlipidaemia.
4. Subject be willing to undergo FOBT test, colonoscopy, and tissue biopsy
5. Subject has negative CRC diagnosis according to colonoscopy result
6. Covered by a Health Insurance System, which will cover colonoscopy as screening in patients with risk factors and alarm symptoms such as abdominal pain, change in stool texture, change in stool frequency, blood in stool/rectal bleeding, diarrhea, constipation, abdominal bloating, weight loss, tiredness.
* Control Group with risks and absence of polyps

1. Signature of the informed consent indicating that the subject accepts to participate in the study and to comply with the requirements and restrictions inherent in this study.
2. Subjects aged ≥18 years
3. Otherwise healthy individuals with recognized risk factors for CRC development defined by either heredity and/or obesity and/or smoking and/or excess alcohol consumption and/or hyperlipidaemia.
4. Subject be willing to undergo FOBT test, colonoscopy, and tissue biopsy
5. Subject has negative CRC diagnosis according to colonoscopy result
6. Covered by a Health Insurance System, which will cover colonoscopy as screening in patients with risk factors and alarm symptoms such as abdominal pain, change in stool texture, change in stool frequency, blood in stool/rectal bleeding, diarrhea, constipation, abdominal bloating, weight loss, tiredness.
* Control Group with no risks

1. Signature of the informed consent indicating that the subject accepts to participate in the study and to comply with the requirements and restrictions inherent in this study.
2. Subjects aged ≥40 years
3. Otherwise healthy individuals without any recognized risk factors for CRC development defined by either heredity and/or obesity and/or smoking and/or excess alcohol consumption and/or hyperlipidemia.
4. Subject be willing to undergo FOBT test
5. Subject has negative FOBT result

Exclusion Criteria

* For the CRC Group

1. Legal incapacity or limited legal capacity
2. Subject did not sign the Informed Consent form
3. Subject who, according to the investigator's assessment, presents with an unstable medical condition contraindicating the performance of the planned blood test, stool test or breath test
4. Subject has had surgery in the previous 6-8 weeks or is under medication for CRC treatment.
* For the control groups

1. Legal incapacity or limited legal capacity
2. Subject did not sign the Informed Consent form
3. Previous history of any type of cancer
4. Gastrointestinal disorders or other serious acute or chronic diseases
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Medical Center Mainz

OTHER

Sponsor Role collaborator

Firalis SA

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Markus MOELHER, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

University Medical Center Mainz

Locations

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Military Medical Academy Sofia, Gastroenterology Clinic, 3 Sveti Georgi Sofiiski str., Sofia 1606, Bulgaria

Sofia, , Bulgaria

Site Status RECRUITING

University Specialised Hospital for Active Treatment of Oncology Departement of Gastroenterology.

Sofia, , Bulgaria

Site Status NOT_YET_RECRUITING

UFC: Université de Franche-Comté Oncology department CHU Besançon

Besançon, , France

Site Status NOT_YET_RECRUITING

MKI UKSH Lübeck

Lübeck, , Germany

Site Status RECRUITING

UMC Mainz: University Medical Center Mainz

Mainz-GE, , Germany

Site Status RECRUITING

LSMU: Lithuanian University of Health Sciences Gastroenterology Department,

Kaunas, , Lithuania

Site Status RECRUITING

IPO: Instituto Português de Oncologia

Porto, , Portugal

Site Status RECRUITING

IBO: Institutul Oncologic Prof. Dr. Alexandru Trestioreanu București

Bucharest, , Romania

Site Status NOT_YET_RECRUITING

Countries

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Bulgaria France Germany Lithuania Portugal Romania

Central Contacts

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Federica ZILLI, PhD

Role: CONTACT

+33 (0) 389911320

Céline Meyer

Role: CONTACT

Facility Contacts

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Daniela Stoyanova, Prof. Dr.

Role: primary

Bozhidar TOMOV, MD

Role: primary

Christophe BORG, MD

Role: primary

+(33) 0 6 13 88 01 61

Jens MARQUARDT, MD

Role: primary

Annette Benderschiffer

Role: backup

Markus MOEHLER, Prof. Dr.

Role: primary

Juozas KUPCINSKAS, MD

Role: primary

Laurynas Jarukas

Role: backup

Mário DINIS RIBEIRO, MD

Role: primary

Alda SILVA

Role: backup

Geanina Papuc, MD

Role: primary

Related Links

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https://oncoscreen.health/

Website of the clinical study

Other Identifiers

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2023-A01793-42

Identifier Type: -

Identifier Source: org_study_id

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