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Clinical Trials/NCT05648240
NCT05648240CompletedNot Applicable

Proof-of-concept Study of Blood Markers of Tumor Dissemination in Patients With Versus Without Intestinal Polyps

Centre Hospitalier Universitaire de Nīmes1 site in 1 country120 target enrollmentStarted: February 23, 2023Last updated:
Conditions
Interventions

Trial Snapshot

Phase
Not Applicable
Status
Completed
Sponsor
Enrollment
120
Locations
1
Primary Endpoint
Dissemination of circulating tumor cells in blood samples from patients with intestinal polyps compared to patients without polyps

Study Overview

Brief Summary

The study authors hypothesize that in patients with intestinal polyps, tumor cells could disseminate and circulating factors could be secreted by the polyp. These two parameters could become biomarkers to refine the follow-up of patients and to establish targeted therapeutic strategies.

Study Design

Study Type
Observational
Observational Model
Cohort
Time Perspective
Prospective

Eligibility Criteria

Ages
18 Years to — (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • •Patient to be examined by colonoscopy
  • •The patient must be a member or beneficiary of a health insurance plan

Exclusion Criteria

  • •The subject is participating in a category 1 interventional study, or is in a period of exclusion determined by a previous study
  • •The subject signals their opposition to participate in the study
  • •It is impossible to give the subject informed information
  • •The patient is under safeguard of justice or state guardianship
  • •Patient pregnant or breastfeeding
  • •History of proven cancerous disease
  • •Patient followed for a chronic inflammatory bowel disease

Arms & Interventions

Patients with polyps

Intervention: Blood test (Other)

Patients without polyps

Intervention: Blood test (Other)

Outcomes

Primary Outcomes

Dissemination of circulating tumor cells in blood samples from patients with intestinal polyps compared to patients without polyps

Time Frame: Day 0

Number of disseminated circulating tumor cells found on the ANGLE Parsortix™ system

Secondary Outcomes

  • Caecal intubation rate according to presence of circulating tumor cells, cytokine presence and presence of polyp(Day 0)
  • Total number of histologically validated resected colonic adenomas according to presence of circulating tumor cells, cytokine presence and presence of polyp(Day 0)
  • Size of resected adenomas according to presence of circulating tumor cells, cytokine presence and presence of polyp(Day 0)
  • Location of resected adenomas according to presence of circulating tumor cells, cytokine presence and presence of polyp(Day 0)
  • Location of resected adenomas according to presence of circulating tumor cells, cytokine presence and membrane marker expression(Day 0)
  • Concentration of Granulocyte Macrophage Colony Stimulating Factor (GM-CSF) in the blood samples between groups.(Day 0)
  • Concentration of Tissue Inhibitor of Metalloproteinase 1 (TIMP-1) in the blood samples between groups(Day 0)
  • Screening colonoscopy operator (inter-operator tumor detection rate) according to presence of circulating tumor cells, cytokine presence and presence of polyp(Day 0)
  • Total number of colonic adenomas visualized according to presence of circulating tumor cells, cytokine presence and presence of polyp(Day 0)
  • Method of resected adenomas according to presence of circulating tumor cells, cytokine presence and presence of polyp(Day 0)
  • Concentration of keratinocyte-derived cytokine (CXCL-1) in the blood samples between groups(Day 0)
  • Concentration of Stromal cell-Derived Factor 1 (SDF-1) in the blood samples between groups(Day 0)
  • Anti-coagulant therapy according to presence of circulating tumor cells, cytokine presence and presence of polyp(Day 0)
  • Known intestinal pathology according to presence of circulating tumor cells, cytokine presence and presence of polyp(Day 0)
  • Per-surgical complications according to presence of circulating tumor cells, cytokine presence and presence of polyp(Day 0)
  • Concentration of Chemokine ligand 2 (CCL-2) in the blood samples between groups.(Day 0)
  • Anti-aggregant therapy according to presence of circulating tumor cells, cytokine presence and presence of polyp(Day 0)
  • Reason for screening colonoscopy according to presence of circulating tumor cells, cytokine presence and presence of polyp(Day 0)
  • Morphology of resected adenomas according to presence of circulating tumor cells, cytokine presence and presence of polyp(Day 0)
  • Concentration of Macrophage Colony Stimulating Factor (M-CSF) in the blood samples between groups(Day 0)
  • Quality of the preparation according to presence of circulating tumor cells, cytokine presence and presence of polyp(Day 0)
  • Recovery of the adenoma after resection according to presence of circulating tumor cells, cytokine presence and presence of polyp(Day 0)
  • Histology of resected adenomas according to presence of circulating tumor cells, cytokine presence and presence of polyp(Day 0)

Investigators

Sponsor
Centre Hospitalier Universitaire de Nīmes
Sponsor Class
Other
Responsible Party
Sponsor

Study Sites (1)

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