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Home > "S" Clinical Trials Conditions > Screening Tests in Detecting Colorectal Cancer

Screening Tests in Detecting Colorectal Cancer



Screening Tests in Detecting Colorectal Cancer

For Condition: Rectal Cancer,Colon Cancer
Status: Recruiting
Sponsor(s): Mayo Clinic Cancer Center , National Cancer Institute (NCI),North Central Cancer Treatment Group
Synopsis: RATIONALE: Screening tests may help doctors detect cancer cells early and plan more effective treatment for colorectal cancer. PURPOSE: Randomized screening trial to compare the effectiveness of fecal occult blood testing to DNA-based testing of stool and blood in identifying colorectal cancer.
Details: OBJECTIVES: - Compare the performance characteristics (sensitivity, specificity, and predictive values) of fecal occult blood (FOB) testing and multitarget DNA-based assay panel (MTAP) testing applied to stools and plasma in identifying colorectal cancer. - Compare the specificity of the MTAP and FOB tests in participants given pretest dietary restrictions vs no pretest dietary restrictions in order to evaluate the necessity of a formal pretest preparation for MTAP. - Compare the detection rates of colorectal neoplasia using MTAP alone, flexible sigmoidoscopy alone, and combination sigmoidoscopy and FOB testing. - Determine the causes of MTAP "false-positive" results, (i.e., positive MTAP and negative colonoscopy). - Determine and compare the pathological and molecular features of colorectal cancer detected vs not detected by the MTAP. OUTLINE: This is a randomized, multicenter study. Participants are stratified according to gender and participating center. Participants are randomized to one of two screening arms. - Arm I: Participants eat no red meat and take no nonsteroidal anti-inflammatory drugs (NSAIDs) and no vitamin C or multivitamins for 3 days prior to and during stool sample collection. Participants collect stool samples 3 different times and perform fecal occult blood (FOB) test smears from each stool. After each collection, participants ship the whole stool and FOB test smear to their participating center for blinded multitarget DNA-based assay panel (MTAP) testing. - Arm II: Participants take no vitamin C or multivitamins for 3 days before and during stool sample collection. Participants collect stool samples and FOB test smears and samples are tested as in arm I. Within 2 months after stool sample collection, participants have their blood drawn for additional MTAP testing and undergo colonoscopy. PROJECTED ACCRUAL: A total of 4,000 participants (2,000 per arm) will be accrued for this study.
Eligibility:
Study Type:
  Observational, Screening
Minimum Age/Maximum Age: 65 Years/80 Years
Genders: Both
Protocol Entry Criteria: DISEASE CHARACTERISTICS: - Average risk of colorectal cancer and meets the following criteria: - More than 1 year since prior fecal occult blood test - More than 10 years since prior structural colorectal evaluation (i.e., colonoscopy, colon x-ray, or sigmoidoscopy) - More than 1 month since prior overt rectal bleeding (hematochezia or melena) - More than 5 years since prior aerodigestive cancer - No prior colorectal resection - No contraindications to colonoscopy - No high-risk conditions for colorectal cancer, such as the following: - Familial adenomatous polyposis - Hereditary nonpolyposis colorectal cancer syndrome - Other hereditary cancer syndromes - Prior colorectal cancer or adenoma - Inflammatory bowel disease - Two or more first-degree relatives with colorectal cancer PATIENT CHARACTERISTICS: Age: - 65 to 80 Performance status: - Not specified Menopausal status: - Postmenopausal, with the following qualifications: - No menstrual period within the past year - On regular hormone replacement therapy - Underwent surgical intervention Life expectancy: - Not specified Hematopoietic: - No coagulopathy Hepatic: - Not specified Renal: - Not specified Cardiovascular: - No serious cardiopulmonary disease Pulmonary: - See Cardiovascular PRIOR CONCURRENT THERAPY: Biologic therapy: - Not specified Chemotherapy: - At least 3 months since prior chemotherapy Endocrine therapy: - Not specified Radiotherapy: - Not specified Surgery: - See Disease Characteristics Other: - No concurrent therapeutic nonsteroidal anti-inflammatory drugs except prophylactic aspirin - No concurrent anticoagulants
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
DavidAhlquist,  Study Chair,  Mayo Clinic Cancer Center

CCOP - Illinois Oncology Research Association *Recruiting*
Peoria,  Illinois,  61602
United States
Recruiting John  Kugler 309-636-3605

CCOP - Merit Care Hospital *Recruiting*
Fargo,  North Dakota,  58122
United States
Recruiting Preston  Steen 701-234-6161

CCOP - Upstate Carolina *Recruiting*
Spartanburg,  South Carolina,  29303
United States
Recruiting James  Bearden 864-560-7050

CCOP - Iowa Oncology Research Association *Recruiting*
Des Moines,  Iowa,  50309-1016
United States
Recruiting Roscoe  Morton 515-244-7586

CCOP - Cedar Rapids Oncology Project *Recruiting*
Cedar Rapids,  Iowa,  52403-1206
United States
Recruiting Martin  Wiesenfeld 319-363-8303

CentraCare Health Plaza *Recruiting*
St. Cloud,  Minnesota,  56303
United States
Recruiting Harold  Windschitl 320-229-5199

CCOP - Missouri Valley Cancer Consortium *Recruiting*
Omaha,  Nebraska,  68106
United States
Recruiting James  Mailliard 402-280-4364

Mayo Clinic Cancer Center *Recruiting*
Rochester,  Minnesota,  55905
United States
Recruiting David  Ahlquist 507-284-2511

CCOP - Mayo Clinic Scottsdale Oncology Program *Recruiting*
Scottsdale,  Arizona,  85259-5404
United States
Recruiting Tom  Fitch 480-301-9875

CCOP - Carle Cancer Center *Recruiting*
Urbana,  Illinois,  61801
United States
Recruiting Kendrith  Rowland 217-383-4083

CCOP - Ochsner *Recruiting*
New Orleans,  Louisiana,  70121
United States
Recruiting Carl  Kardinal 504-842-3910

CCOP - Geisinger Clinic and Medical Center *Recruiting*
Danville,  Pennsylvania,  17822-2001
United States
Recruiting Suresh  Nair 570-271-6413

CCOP - Michigan Cancer Research Consortium *Recruiting*
Ann Arbor,  Michigan,  48106
United States
Recruiting Philip  Stella 734-712-2000

Siouxland Hematology-Oncology *Recruiting*
Sioux City,  Iowa,  51101-1733
United States
Recruiting Donald  Wender 712-252-0088

CCOP - Sioux Community Cancer Consortium *Recruiting*
Sioux Falls,  South Dakota,  57104
United States
Recruiting Loren  Tschetter 605-328-8044

Mayo Clinic *Recruiting*
Jacksonville,  Florida,  32224
United States
Recruiting Edith  Perez 904-953-0118

Rapid City Regional Hospital *Recruiting*
Rapid City,  South Dakota,  57709
United States
Recruiting Larry  Ebbert 605-341-8704

CCOP - Wichita *Recruiting*
Wichita,  Kansas,  67214-3882
United States
Recruiting Shaker  Dakhil 316-268-5784


Additional Information:
Study ID Numbers:
  CDR0000068783;  NCI-P01-0185,NCCTG-MC9944,MAYO-MC9944
Study Start Date: 
Record last reviewed: February 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00025025

Other Colon Cancer Studies:
1. Aspirin and/or Folic Acid in Preventing Recurrent Colorectal Polyps

2. Celecoxib With or Without Eflornithine in Preventing Colorectal Cancer in Patients With Familial Adenomatous Polyposis.

3. Curcumin for the Prevention of Colon Cancer

4. Conventional Care With or Without Specialized Cancer Care in Treating Patients Receiving Chemotherapy

5. Genetic Study of Patients and Families With a History of Colorectal Cancer

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