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Colorectal CancerNCT02289053

Prevalence and Topography of Adenomas in 40-49 Year Old Patients With a Family History of Colon Cancer

An observational study of Colorectal Cancer and Colon Polyps, run by University of Michigan at 6 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Conflicting guideline recommendations for screening colonoscopy result due to scant data upon which to develop appropriate recommendations. No previous study has compared the prevalence of advanced adenomas or adenomas (any size) among 40-49 year old individuals with a first degree relative (FDR) with colorectal… Read more about this study

Who is it for?
Ages 40 to 49 yearsHealthy volunteers can take part
How many people
1,623 participants
Where
6 sitesUnited States
Study dates
1 Apr 2006to 30 Jun 2014
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 40 to 49 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Study population: Participants are recruited from the endoscopy units of the participating study sites prior to their colonoscopy procedure.

Who may be able to join

  • 40-49 year old asymptomatic men and women referred for colorectal cancer screening with a family history of CRC in a first degree relative;
  • 40-49 year old asymptomatic men and women referred for colorectal cancer screening with a family history of polyps in a first degree relative;
  • 40-49 year old men and women without a family history of CRC or polyps in a first degree relative who are referred for colonoscopy to evaluate scant hematochezia characterized as red blood on toilet tissue after wiping or small droplets of blood on stool or in toilet water after evacuating stool, abdominal discomfort or altered bowel habits characterized as constipation or diarrhea.

Who cannot join

  • Personal history of iron deficiency anemia within six months of referral;
  • Personal history of iron deficiency without anemia within six months of referral;
  • Personal history of (+) FOBT within one year of referral;
  • Personal history of previous colonoscopy or barium enema within the past 10 years;
  • Personal history of previous flexible sigmoidoscopy in the past 5 years;
  • Personal history of adenoma, colorectal cancer, inflammatory bowel disease, HNPCC, or familial adenomatous polyposis (FAP);
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  • Unintentional weight loss > 10 lbs within the previous six months;
  • Individuals with family history of CRC AND scant hematochezia;
  • Inability to speak and read English.

Trial locations and contacts

6 sites in 1 country.

6 sites in 1 country

United States6 sites
  • Ann Arbor VA Healthcare System

    Ann Arbor, Michigan, 48105

  • University of Michigan

    Ann Arbor, Michigan, 48109

  • Walter Reed National Military Medical Center

    Bethesda, Maryland, 20889

  • John D. Dingell VA Medical Center

    Detroit, Michigan, 48201

  • Durham VA Medical Center

    Durham, North Carolina, 27705

  • Huron Gastro

    Ypsilanti, Michigan, 48197

Other trials in United States

About this study

Conflicting guideline recommendations for screening colonoscopy result due to scant data upon which to develop appropriate recommendations. No previous study has compared the prevalence of advanced adenomas or adenomas (any size) among 40-49 year old individuals with a first degree relative (FDR) with colorectal cancer (CRC) versus 40-49 year old average risk individuals with no family history of CRC. The purpose of this study is to determine the prevalence of colon adenomas in 40-49 year old individuals and identify risk factors associated with the presence of advanced adenomas. This data will provide evidence to determine appropriate colon cancer screening guidelines in 40-49 year old persons with a family history of colon polyps or colorectal cancer.

Keywords
Colorectal Cancer
Medical subject headings
Colorectal Neoplasms, Colonic Polyps

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT02289053
Study groupRoleWhat they receive
Positive Family HistoryEligible participants with a family history of colorectal cancer or polyps will be grouped into the "subjects" group.
Average Risk PatientsEligible participants without a family history of colorectal cancer or polyps will be grouped into the "control" group.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Prevalence of advanced adenomas among 40-49 year old individuals with and without a family history of colorectal cancer

    The outcome will be assessed after the completion of patient recruitment at all locations in August 2014. Advanced adenomas are defined as greater than or equal to 10 mm (1 cm). The presence of adenomas is determined be reviewing patient medical records and pathology reports.

    Measured: Data analysis will begin September 2014 for a duration of three months.

Secondary outcomes (2)
  1. Absolute prevalence of advanced adenomas in 40-49 year olds with a family history of colorectal cancer

    The outcome will be assessed after the completion of patient recruitment at all locations in August 2014. Advanced adenomas are defined as greater than or equal to 10 mm (1 cm). The presence of adenomas is determined be reviewing patient medical records and pathology reports.

    Measured: Data analysis will begin September 2014 for a duration of three months.

  2. Absolute prevalence of advanced adenomas in 40-49 year old individuals with a family history of colorectal polyps

    The outcome will be assessed after the completion of patient recruitment at all locations in August 2014. Advanced adenomas are defined as greater than or equal to 10 mm (1 cm). The presence of adenomas is determined be reviewing patient medical records and pathology reports.

    Measured: Data analysis will begin September 2014 for a duration of three months.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted13 Nov 2014 (estimated)
  2. Study start1 Apr 2006
  3. Primary completion30 Jun 2014
  4. Study completion30 Jun 2014

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case-control
Time perspective
Prospective
Enrolment
1,623 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02289053
Sponsor's protocol ID
K24-DK
Other IDs
1K24DK084208
Status last verified
May 2017
First submitted
26 Feb 2014
Last updated
15 May 2017
Results posted
No
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

An observational study of Colorectal Cancer and Colon Polyps, run by University of Michigan at 6 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 15 May 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 6 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Prevalence of advanced adenomas among 40-49 year old individuals with and without a family history of colorectal cancer (time frame: Data analysis will begin September 2014 for a duration of three months.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 May 2017.

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