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出境医 / 临床实验 / Plasma-based Colorectal Cancer Screening Research & Development

Plasma-based Colorectal Cancer Screening Research & Development

Study Description
Brief Summary:
The objective of this Clinical Sample Collection Study is to develop a biobank of appropriately collected plasma samples from colorectal cancer patients (i.e. AJCC/UICC stages 0, I, II, III) prior to therapeutic intervention, and from people reporting for colorectal cancer screening by colonoscopy, prior to bowel preparation.

Condition or disease Intervention/treatment
Colo-rectal Cancer Diagnostic Test: Epi proColon

Detailed Description:
The objective of this Clinical Sample Collection Study is to develop a biobank of appropriately collected plasma samples from colorectal cancer patients (i.e. AJCC/UICC stages 0, I, II, III) prior to therapeutic intervention, and from people reporting for colorectal cancer screening by colonoscopy, prior to bowel preparation. Samples in the colorectal cancer biobank will be used to: 1) assess the clinical performance of novel biomarkers for colorectal cancer screening; 2) develop improved processing workflows for the Epi proColon® test; 3) develop an automated Epi BiSKit workflow.
Study Design
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Study Type : Observational
Actual Enrollment : 354 participants
Observational Model: Case-Control
Time Perspective: Prospective
Official Title: Clinical Sample Protocol for Plasma-based Colorectal Cancer Screening Research & Development
Actual Study Start Date : May 3, 2019
Actual Primary Completion Date : March 31, 2020
Actual Study Completion Date : March 31, 2020
Arms and Interventions
Group/Cohort Intervention/treatment
Group 1 - Cancer Patients
Subjects with known colorectal cancer (i.e. AJCC/UICC stages 0, I, II, and III) who provide plasma at least 7 days after diagnosis by colonoscopy, but prior to surgery or treatment
Diagnostic Test: Epi proColon
Analysis of DNA methylation status for Septin9 and additional biomarkers

Group 2 - Screening Subjects
Prospectively enrolled subjects reporting for screening colonoscopy who provide a blood sample up to 2 weeks prior to bowel prep and prior to colonoscopy. We accept all subjects who meet the institutional criteria as average risk subjects referred for a screening colonoscopy for colorectal cancer, including subjects undergoing a colonoscopy as a follow-up to a positive (non-colonoscopic) test
Diagnostic Test: Epi proColon
Analysis of DNA methylation status for Septin9 and additional biomarkers

Outcome Measures
Primary Outcome Measures :
  1. Test Positivity [ Time Frame: Anticipated time frame for testing blood sample is within 12 months of collection ]
    DNA methylation status of Epi proColon and biomarker panel


Biospecimen Retention:   Samples With DNA
EDTA plasma samples

Eligibility Criteria
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Ages Eligible for Study:   45 Years to 84 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Sampling Method:   Probability Sample
Study Population
Women and Men age 45-84 reporting for screening colonoscopy (Group 2) or with known colorectal cancer, prior to intervention (Group 1).
Criteria

Inclusion Criteria: Group 1

  • Willing and able to sign an Informed Consent and adhere to study requirements.
  • Subjects with colorectal cancer preferably detected by screening (any guideline recommended modality).
  • Colonoscopy diagnosis of colorectal cancer (CRC).*
  • Blood sampling a minimum of 7 days after colonoscopy and before resection surgery.

    • = Strong clinical suspicion of colorectal carcinoma is also acceptable for subject enrollment; Case must have a confirmed diagnosis after surgery of CRC and be accompanied by a complete final pathology report.

Inclusion Criteria: Group 2

  • Willing and able to sign an Informed Consent and adhere to study requirements.
  • Eligible for colorectal cancer screening colonoscopy.
  • 45 - 84 years of age at blood sampling.
  • Able to provide blood sample within up to 2 weeks prior to bowel prep and colonoscopy.

Exclusion Criteria: Group 1

  • Subject with curative biopsy during colonoscopy.
  • Current neoadjuvant treatment.
  • Current diagnosis of any cancer other than CRC, except non-melanoma skin cancer.
  • Known infection with HIV, HBV or HCV.

Exclusion Criteria: Group 2

  • Previous personal history of CRC, adenomatous polyps >10mm or sessile serrated adenomas (polyps).
  • Familial risk for colorectal cancer (1 or more 1st degree relatives with CRC; known HNPCC or FAP).
  • History of inflammatory bowel disease.
  • Current neoadjuvant treatment.
  • Current diagnosis of any cancer other than CRC, except non-melanoma skin cancer.
  • infection with HIV, HBV or HCV.
Contacts and Locations

Locations
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United States, Florida
University of South Florida
Tampa, Florida, United States, 33606
United States, Illinois
Springfield Clinic
Springfield, Illinois, United States, 62702
United States, Louisiana
Ochsner Clinic Foundation
New Orleans, Louisiana, United States, 70170
United States, Missouri
Washington University
Saint Louis, Missouri, United States, 63110
United States, Pennsylvania
University of Pennsylvania Perelman Center for Advanced Medicine
Philadelphia, Pennsylvania, United States, 19104
Sponsors and Collaborators
Epigenomics, Inc
Investigators
Layout table for investigator information
Study Director: Theo deVos, PhD Epigenomics, Inc
Tracking Information
First Submitted Date June 6, 2019
First Posted Date July 22, 2019
Last Update Posted Date February 2, 2021
Actual Study Start Date May 3, 2019
Actual Primary Completion Date March 31, 2020   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures
 (submitted: July 18, 2019)
Test Positivity [ Time Frame: Anticipated time frame for testing blood sample is within 12 months of collection ]
DNA methylation status of Epi proColon and biomarker panel
Original Primary Outcome Measures Same as current
Change History
Current Secondary Outcome Measures Not Provided
Original Secondary Outcome Measures Not Provided
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title Plasma-based Colorectal Cancer Screening Research & Development
Official Title Clinical Sample Protocol for Plasma-based Colorectal Cancer Screening Research & Development
Brief Summary The objective of this Clinical Sample Collection Study is to develop a biobank of appropriately collected plasma samples from colorectal cancer patients (i.e. AJCC/UICC stages 0, I, II, III) prior to therapeutic intervention, and from people reporting for colorectal cancer screening by colonoscopy, prior to bowel preparation.
Detailed Description The objective of this Clinical Sample Collection Study is to develop a biobank of appropriately collected plasma samples from colorectal cancer patients (i.e. AJCC/UICC stages 0, I, II, III) prior to therapeutic intervention, and from people reporting for colorectal cancer screening by colonoscopy, prior to bowel preparation. Samples in the colorectal cancer biobank will be used to: 1) assess the clinical performance of novel biomarkers for colorectal cancer screening; 2) develop improved processing workflows for the Epi proColon® test; 3) develop an automated Epi BiSKit workflow.
Study Type Observational
Study Design Observational Model: Case-Control
Time Perspective: Prospective
Target Follow-Up Duration Not Provided
Biospecimen Retention:   Samples With DNA
Description:
EDTA plasma samples
Sampling Method Probability Sample
Study Population Women and Men age 45-84 reporting for screening colonoscopy (Group 2) or with known colorectal cancer, prior to intervention (Group 1).
Condition Colo-rectal Cancer
Intervention Diagnostic Test: Epi proColon
Analysis of DNA methylation status for Septin9 and additional biomarkers
Study Groups/Cohorts
  • Group 1 - Cancer Patients
    Subjects with known colorectal cancer (i.e. AJCC/UICC stages 0, I, II, and III) who provide plasma at least 7 days after diagnosis by colonoscopy, but prior to surgery or treatment
    Intervention: Diagnostic Test: Epi proColon
  • Group 2 - Screening Subjects
    Prospectively enrolled subjects reporting for screening colonoscopy who provide a blood sample up to 2 weeks prior to bowel prep and prior to colonoscopy. We accept all subjects who meet the institutional criteria as average risk subjects referred for a screening colonoscopy for colorectal cancer, including subjects undergoing a colonoscopy as a follow-up to a positive (non-colonoscopic) test
    Intervention: Diagnostic Test: Epi proColon
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status Completed
Actual Enrollment
 (submitted: February 1, 2021)
354
Original Estimated Enrollment
 (submitted: July 18, 2019)
400
Actual Study Completion Date March 31, 2020
Actual Primary Completion Date March 31, 2020   (Final data collection date for primary outcome measure)
Eligibility Criteria

Inclusion Criteria: Group 1

  • Willing and able to sign an Informed Consent and adhere to study requirements.
  • Subjects with colorectal cancer preferably detected by screening (any guideline recommended modality).
  • Colonoscopy diagnosis of colorectal cancer (CRC).*
  • Blood sampling a minimum of 7 days after colonoscopy and before resection surgery.

    • = Strong clinical suspicion of colorectal carcinoma is also acceptable for subject enrollment; Case must have a confirmed diagnosis after surgery of CRC and be accompanied by a complete final pathology report.

Inclusion Criteria: Group 2

  • Willing and able to sign an Informed Consent and adhere to study requirements.
  • Eligible for colorectal cancer screening colonoscopy.
  • 45 - 84 years of age at blood sampling.
  • Able to provide blood sample within up to 2 weeks prior to bowel prep and colonoscopy.

Exclusion Criteria: Group 1

  • Subject with curative biopsy during colonoscopy.
  • Current neoadjuvant treatment.
  • Current diagnosis of any cancer other than CRC, except non-melanoma skin cancer.
  • Known infection with HIV, HBV or HCV.

Exclusion Criteria: Group 2

  • Previous personal history of CRC, adenomatous polyps >10mm or sessile serrated adenomas (polyps).
  • Familial risk for colorectal cancer (1 or more 1st degree relatives with CRC; known HNPCC or FAP).
  • History of inflammatory bowel disease.
  • Current neoadjuvant treatment.
  • Current diagnosis of any cancer other than CRC, except non-melanoma skin cancer.
  • infection with HIV, HBV or HCV.
Sex/Gender
Sexes Eligible for Study: All
Ages 45 Years to 84 Years   (Adult, Older Adult)
Accepts Healthy Volunteers Yes
Contacts Contact information is only displayed when the study is recruiting subjects
Listed Location Countries United States
Removed Location Countries  
 
Administrative Information
NCT Number NCT04027790
Other Study ID Numbers ECS0001
Has Data Monitoring Committee No
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: Yes
Product Manufactured in and Exported from the U.S.: No
IPD Sharing Statement Not Provided
Responsible Party Epigenomics, Inc
Study Sponsor Epigenomics, Inc
Collaborators Not Provided
Investigators
Study Director: Theo deVos, PhD Epigenomics, Inc
PRS Account Epigenomics, Inc
Verification Date February 2021

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