Colorectal Cancer Screening in Cystic Fibrosis

Last updated: October 1, 2024
Sponsor: University of Washington, the Collaborative Health Studies Coordinating Center
Overall Status: Active - Not Recruiting

Phase

N/A

Condition

Cystic Fibrosis

Colorectal Cancer

Cancer

Treatment

Stool tests

Clinical Study ID

NCT05362344
NICE-CF
  • Ages 18-75
  • All Genders

Study Summary

This multi-center study will compare multi-target DNA and quantitative FIT stool-based testing to colonoscopy in individuals with Cystic Fibrosis (CF) undergoing colon cancer screening with colonoscopy. The primary endpoint is detection of any adenomas, including advanced adenomas and colorectal cancer (CRC).

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Adults with CF ages 18 - 75 years and due for a routine screening or surveillancecolonoscopy for colon cancer

  2. Cystic Fibrosis diagnosis, defined by a sweat chloride test result ≥ 60 mmol/L (maybe of historic value), and/or documented CF-causing CFTR mutations and clinicalfeatures of CF

  3. Capable of understanding the purposes and risks of the study in English or Spanishand willing to participate and sign informed consent

  4. Referred for screening or surveillance colonoscopy for CRC (current standard ofcare) and willing to undergo colonoscopy and stool testing

  5. Able to access the Internet to complete self-administered surveys

Exclusion

Exclusion Criteria:

  1. Any condition that, in the opinion of the site PI, introduces undue risk byparticipating in this study

  2. Incapable of understanding the purposes of the study or informed consent for anyreason

  3. Pregnancy

  4. Active inflammatory bowel disease as defined by a prior diagnosis of Crohn's Diseaseor Ulcerative Colitis, based on both clinical and histopathologic findings and theindividual currently on medical therapy for Crohn's disease or Ulcerative Colitis.

  5. Personal history of colon cancer diagnosis and treatment within 5 years ofenrollment

  6. Symptoms that merit colonoscopy for diagnostic purposes rather than as screening forCRC

  7. Known history of familial colon cancer syndrome that has been confirmed by previousgenetic testing

Study Design

Total Participants: 350
Treatment Group(s): 1
Primary Treatment: Stool tests
Phase:
Study Start date:
September 01, 2022
Estimated Completion Date:
June 30, 2025

Study Description

NICE-CF is a cross-sectional, multi-center study comparing stool-based testing (multi-target DNA test and quantitative FIT test) to standard of care colonoscopy for colorectal cancer (CRC) screening in people with CF. The study includes an enrollment visit, two stool samples completed at home, a clinical screening colonoscopy, and three participant surveys which will be completed at enrollment or remotely.

The total duration of participant participation will be 3-12 months, depending on the timing of the completion of the stool samples and the participant's colonoscopy. The targeted participant timeline is 3 months from enrollment to the completion of a clinical screening colonoscopy. To allow for varying site-specific clinical colonoscopy scheduling delays and COVID delays in scheduling, the duration of time between submitting stool samples and screening colonoscopy may extend up to 12 months for inclusion of data in the study. However, participating sites must notify the DCC to obtain preapproval for greater than 3 months duration between stool-based testing and colonoscopy.

CF patients who are eligible for CRC screening will either be enrolled during an in-person CF clinic visit or via phone/video if clinic visits are taking place remotely. Participants will be asked to perform stool sample collection at home, and then complete their colonoscopy within three to twelve months of submission of the stool sample.

Connect with a study center

  • University of California, Los Angeles

    Los Angeles, California 90404
    United States

    Site Not Available

  • Stanford University Medical Center

    Palo Alto, California 94063
    United States

    Site Not Available

  • National Jewish Health, University of Colorado

    Denver, Colorado 80206
    United States

    Site Not Available

  • University of Miami Hospital

    Miami, Florida 33136
    United States

    Site Not Available

  • Northwestern University

    Chicago, Illinois 60611
    United States

    Site Not Available

  • University of Kansas Medical Center

    Kansas City, Kansas 66160
    United States

    Site Not Available

  • Johns Hopkins Hospital, Johns Hopkins University

    Baltimore, Maryland 21287
    United States

    Site Not Available

  • Boston Children's Hospital

    Boston, Massachusetts 02115
    United States

    Site Not Available

  • Massachusetts General Hospital

    Boston, Massachusetts 02114
    United States

    Site Not Available

  • Michigan Medicine - University of Michigan

    Ann Arbor, Michigan 48109-5212
    United States

    Site Not Available

  • University of Minnesota

    Minneapolis, Minnesota 55455
    United States

    Site Not Available

  • Saint Louis University

    Saint Louis, Missouri 63103
    United States

    Site Not Available

  • Washington University

    Saint Louis, Missouri 63110
    United States

    Site Not Available

  • Columbia University Medical Center

    New York, New York 10032
    United States

    Site Not Available

  • North Carolina Children's Hospital / UNC

    Chapel Hill, North Carolina 27514
    United States

    Site Not Available

  • Atrium Health Pulmonary Care

    Charlotte, North Carolina 28203
    United States

    Site Not Available

  • University Hospitals Rainbow Babies & Children's

    Cleveland, Ohio 44106
    United States

    Site Not Available

  • Nationwide Children's Hospital

    Columbus, Ohio 43205
    United States

    Site Not Available

  • Oregon Health & Science University

    Portland, Oregon 97239-3098
    United States

    Site Not Available

  • Hospital of the University of Pennsylvania

    Philadelphia, Pennsylvania 19104
    United States

    Site Not Available

  • University of Pittsburgh Medical Center

    Pittsburgh, Pennsylvania 15219
    United States

    Site Not Available

  • Medical University of South Carolina

    Charleston, South Carolina 29425
    United States

    Site Not Available

  • Vanderbilt University Medical Center

    Nashville, Tennessee 37232
    United States

    Site Not Available

  • University of Texas Southwestern

    Dallas, Texas 75390
    United States

    Site Not Available

  • University of Utah

    Salt Lake City, Utah 84132-4701
    United States

    Site Not Available

  • University of Washington

    Seattle, Washington 98195
    United States

    Site Not Available

  • Medical College of Wisconsin

    Milwaukee, Wisconsin 53226
    United States

    Site Not Available

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