AzTrials
AzTrials

Colorectal CancerVOLGACORENCT02332213

Volatile Markers in Digestive Cancer

An observational study of Colorectal Cancer and Colorectal Adenoma, run by University of Latvia at 2 sites in 2 countries.

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

The study is aimed to determine the potential of volatile marker testing for identification of gastrointestinal cancers (in particular - colorectal and gastric cancers), the related precancerous lesions in the stomach and colon. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
What is being tested?
Breath sampling for volatile marker detection, Upper endoscopy with biopsies and Colonoscopy with biopsies or lesion removal when required
How many people
2,022 participants
Where
2 sitesin 2 countries
Study dates
Jan 2014to 30 Jun 2017
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 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: Cancer patients (Group 1 and 5) will be predominantly enrolled at the time scheduled for surgery, however also patients undergoing diagnostic procedures (endoscopy) will be eligible Patients without malignant disease but defined colorectal (Groups 2-4) status will be predominantly enrolled prior colonoscopy in out-patient settings. Sampling starting from 1 week after colonoscopy will be allowed if the lesions will not get removed during the index endoscopy Patients without malignant disease but defined gastric mucosal status (Groups 6-8) status will be predominantly enrolled prior upper endoscopy in out-patient settings. Sampling starting from 2 days after upper endoscopy will be allowed if the lesions will not get removed during the index endoscopy Average cancer risk subjects (Group 9) will get enrolled by inviting individuals predominantly selected from the lists of general practitioners.

Who may be able to join

  • Patients with verifies colorectal cancer (Group 1)
  • Patients with verified gastric cancer (Group 5)
  • Patients undergoing colonoscopy due to clinical indications (group 2-4)
  • Patients undergoing upper endoscopy due to clinical indications (Group 6-8)
  • Average-risk population group aged 40-64 at inclusion without alarm symptoms (Group 9)
  • Motivation to participate in the study
  • Physical status allowing volatile marker sampling and other procedures within the protocol
  • Signed consent

Who cannot join

  • Known other active cancer
  • Ventilation problems, airway obstruction
  • Unwillingness or inability to co-operate

Trial locations and contacts

2 sites in 2 countries.

2 sites in 2 countries

Latvia1 site
  • University of Latvia

    Riga, LV 1586

Other trials in Latvia

Lithuania1 site
  • Lithuanian University of Health Sciences

    Kaunas, LT 44307

Other trials in Lithuania

About this study

Official title: Volatile Marker Testing for Digestive Cancer and Precancerous Lesion Detection, Evaluation of Confounding Factors

The study is aimed to determine the potential of volatile marker testing for identification of gastrointestinal cancers (in particular - colorectal and gastric cancers), the related precancerous lesions in the stomach and colon.

The study will be addressing the role of confounding factors, including lifestyle factors, diet, smoking as well as addressing the potential role of microbiota in the composition of exhaled volatile markers.

Read the detailed description

Patients with established disease (cancer, precancerous lesions) as well as patients investigated for the lesions and having been documented lack of the lesions will be enrolled to the study at clinical sites in Europe (Latvia, Lithuania). In addition, group of persons from general population at average risk for developing the target disease will be also enrolled.

Testing of volatile markers will be conducted by one of two methods: 1) gas chromatography coupled to mass spectroscopy (GS-MS) and 2) nanosensor technology.

Volunteers (including patients with established disease) will be enrolled prior the removal of the target lesion (e.g. surgery for cancer or polypectomy in the case of a polyp).

The study will be conducted by utilizing the experience of institutions in the European Union and Israel.

Being tested
Breath sampling for volatile marker detection, Upper endoscopy with biopsies, Colonoscopy with biopsies or lesion removal when required, Plasma/serum sampling, Faecal sample acquisition
Keywords
Volatile organic compounds, Nanosensor technology, GC-MS, Breath-testing, Digestive cancer, Precancerous lesions, Colorectal cancer, Adenoma, Gastric cancer, Atrophic gastritis, OLGIM
Medical subject headings
Colorectal Neoplasms, Stomach Neoplasms, Peptic Ulcer, Gastritis, Atrophic, Gastrointestinal Neoplasms, Adenoma

What participants receive

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

  • Breath sampling for volatile marker detectionProcedure or surgery

    Acquisition of two exhaled breath samples of alveolar air to be analysed by GCMS and nanosensor technology

  • Upper endoscopy with biopsiesProcedure or surgery

    Upper endoscopy with proper biopsy work-up will be used for identification and stratification of gastric lesions as well as acquisition of biopsies for microbiota testing

  • Colonoscopy with biopsies or lesion removal when requiredProcedure or surgery

    Colonoscopy with proper biopsy or polypectomy material work-up will be used for identification and stratification of colorectal lesions as well as acquisition of biopsies for microbiota testing

  • Plasma/serum samplingProcedure or surgery

    Plasma/serum sampling will be used to obtain information for group stratification, e.g. H.pylori status determination

  • Faecal sample acquisitionProcedure or surgery

    Faecal samples will be obtained for faecal occult blood testing as well as microbiota analysis

  • Histological evaluation of the surgery materialProcedure or surgery

    The material obtained during surgery (stomach or colorectal) will be used for confirmation of the diagnosis in cancer groups. Surgery itself will be performed according to the clinical indications, and will not be extended (i.e. cannot be considered a study intervention)

Study groups in NCT02332213
Study groupRoleWhat they receive
1. Colorectal cancerPatients with histologically confirmed colorectal cancer (adenocarcinoma)
Receives: Procedure: Breath sampling for volatile marker detection; Procedure: Colonoscopy with biopsies or lesion removal when required; Procedure: Plasma/serum sampling; Procedure: Faecal sample acquisition; Procedure: Histological evaluation of the surgery material
2. Colorectal high-risk lesionsPatients without colorectal adenocarcinoma, but carrying high-risk adenomatous polyps being described by one of the following: 1) size≥1 cm; 2) high-grade dysplasia; 3) villous component. Prior to removal of the lesions.
Receives: Procedure: Breath sampling for volatile marker detection; Procedure: Colonoscopy with biopsies or lesion removal when required; Procedure: Plasma/serum sampling; Procedure: Faecal sample acquisition
3. Colorectal low-risk adenomaPatients without colorectal adenocarcinoma and without colorectal high-risk lesions as described under Group 2 criteria
Receives: Procedure: Breath sampling for volatile marker detection; Procedure: Colonoscopy with biopsies or lesion removal when required; Procedure: Plasma/serum sampling; Procedure: Faecal sample acquisition
4. Group of control (colorectal)Patients having undergone colonoscopy without an evidence for colorectal lesions fulfilling Group 1 or Group 2 or Group 3 criteria. Prior to removal of the lesions.
Receives: Procedure: Breath sampling for volatile marker detection; Procedure: Colonoscopy with biopsies or lesion removal when required; Procedure: Plasma/serum sampling; Procedure: Faecal sample acquisition
5. Gastric cancerPatients with histologically confirmed gastric cancer (adenocarcinoma)
Receives: Procedure: Breath sampling for volatile marker detection; Procedure: Upper endoscopy with biopsies; Procedure: Plasma/serum sampling; Procedure: Faecal sample acquisition; Procedure: Histological evaluation of the surgery material
6. Gastric dysplasiaPatients without gastric adenocarcinoma but with histologically confirmed dysplasia (either high- or low-grade) of the stomach
Receives: Procedure: Breath sampling for volatile marker detection; Procedure: Upper endoscopy with biopsies; Procedure: Plasma/serum sampling; Procedure: Faecal sample acquisition
7. High-risk gastric lesionsPatients graded Stage III-IV according to OLGIM (Operative Link of Gastric Intestinal Metaplasia Assessment) staging system, but excluding those with dysplasia (Group 5)
Receives: Procedure: Breath sampling for volatile marker detection; Procedure: Upper endoscopy with biopsies; Procedure: Plasma/serum sampling; Procedure: Faecal sample acquisition
8. Normal and low-risk gastric lesionsStaged 0-III according to OLGIM. Dysplasia should be excluded
Receives: Procedure: Breath sampling for volatile marker detection; Procedure: Upper endoscopy with biopsies; Procedure: Plasma/serum sampling; Procedure: Faecal sample acquisition
9. Average risk populationAverage risk population of both genders aged 40-64 at the time of inclusion lacking alarm symptoms for gastrointestinal cancer.
Receives: Procedure: Breath sampling for volatile marker detection; Procedure: Plasma/serum sampling; Procedure: Faecal sample acquisition

What is being measured

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

  1. Performance of nanoarray sensor testing to detect target lesions

    Sensitivity, specificity, overall accuracy of nanoarray sensor testing for VOCs to detect the target lesions in the blinded analysis

    Measured: At the time of breath sampling

  2. VOCs differentiating the study groups

    List of VOCs assayed by GC-MS with statistical difference between the study groups

    Measured: At the time of breath sampling

Secondary outcomes (3)
  1. Identification of characteristic VOC pattern in risk age groups

    List of characteristic VOCs in general population at risk for developing gastrointestinal cancer, including analysis of confounding factors, e.g. dietary habits, smoking, and profession.

    Measured: At the time of sampling

  2. VOC pattern changes following treatment

    Significant change in VOC content before and following treatment (surgery, medical therapy, combined)

    Measured: At baseline and every 6 months within 3 year period

  3. Groups of gastrointestinal microbiota correlating to VOCs

    List of gastrointestinal microbiota groups (phylum/genus level) with positive correlation to particular VOCs

    Measured: At the time of sampling

Timeline

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

  1. First posted6 Jan 2015 (estimated)
  2. Study startJan 2014
  3. Primary completion30 Jun 2017
  4. Study completion30 Jun 2017

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
Cohort
Time perspective
Prospective
Enrolment
2,022 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02332213
Sponsor's protocol ID
2914
Other IDs
LZP Nr. 2014.10-5
Acronym
VOLGACORE
Status last verified
Aug 2018
First submitted
30 Dec 2014
Last updated
21 Aug 2018
Results posted
No
Data monitoring committee
No

Publications

  • Haick H, Broza YY, Mochalski P, Ruzsanyi V, Amann A. Assessment, origin, and implementation of breath volatile cancer markers. Chem Soc Rev. 2014 Mar 7;43(5):1423-49. doi: 10.1039/c3cs60329f. Epub 2013 Dec 4.

    PubMed 24305596
  • Xu ZQ, Broza YY, Ionsecu R, Tisch U, Ding L, Liu H, Song Q, Pan YY, Xiong FX, Gu KS, Sun GP, Chen ZD, Leja M, Haick H. A nanomaterial-based breath test for distinguishing gastric cancer from benign gastric conditions. Br J Cancer. 2013 Mar 5;108(4):941-50. doi: 10.1038/bjc.2013.44.

    PubMed 23462808
  • Amal H, Leja M, Broza YY, Tisch U, Funka K, Liepniece-Karele I, Skapars R, Xu ZQ, Liu H, Haick H. Geographical variation in the exhaled volatile organic compounds. J Breath Res. 2013 Dec;7(4):047102. doi: 10.1088/1752-7155/7/4/047102. Epub 2013 Nov 1.

    PubMed 24184568

Questions about this trial

What is this clinical trial studying?

An observational study of Colorectal Cancer and Colorectal Adenoma, run by University of Latvia at 2 sites in 2 countries.

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 8 inclusion and 3 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 21 Aug 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Latvia, Lithuania. 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?

Performance of nanoarray sensor testing to detect target lesions (time frame: At the time of breath sampling). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02332213, which also lists 3 linked publications.

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 21 Aug 2018.

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