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Plasma-based Colorectal Cancer Screening Research & Development

Completed
Conditions
Colo-rectal Cancer
Interventions
Diagnostic Test: Epi proColon
Registration Number
NCT04027790
Lead Sponsor
Epigenomics, Inc
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.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
354
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.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Group 1 - Cancer PatientsEpi proColonSubjects 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
Group 2 - Screening SubjectsEpi proColonProspectively 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
Primary Outcome Measures
NameTimeMethod
Test PositivityAnticipated time frame for testing blood sample is within 12 months of collection

DNA methylation status of Epi proColon and biomarker panel

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (5)

Springfield Clinic

🇺🇸

Springfield, Illinois, United States

Ochsner Clinic Foundation

🇺🇸

New Orleans, Louisiana, United States

University of Pennsylvania Perelman Center for Advanced Medicine

🇺🇸

Philadelphia, Pennsylvania, United States

University of South Florida

🇺🇸

Tampa, Florida, United States

Washington University

🇺🇸

Saint Louis, Missouri, United States

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