Colorectal Cancer ScreeningNCT02419716
A Study of Cologuard™ in an Average Risk Population Assessing a Three Year Test Interval
An observational study of Colorectal Cancer Screening and Colorectal Cancer, run by Exact Sciences Corporation at 40 sites in United States.
Trial summary
This is a prospective longitudinal study to assess the impact of repeat Cologuard testing at 3 years in average risk patients. Read more about this study
- Who is it for?
- Ages 50 years and olderHealthy volunteers can take part
- Conditions the study is for
- Colorectal Cancer Screening, Colorectal Cancer
- What is being tested?
- Cologuard
- Type of treatment
- Medical device
- How many people
- 2,404 participants
- Where
- 40 sitesUnited States
- Study dates
- Apr 2015to 16 Mar 2020
- 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 50 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Study population: The study will enroll approximately 2,400 men and women aged 50 years and older at a minimum of 20 sites to achieve a minimum of 1,119 subjects at the Year 3 visit. To increase the point prevalence of CRC in the study population, subject enrollment will be age-weighted toward a slightly older population. Enrollment of at least 65% of subjects age 65 years or older will be targeted
Who may be able to join
- Subject has been prescribed Cologuard for colorectal cancer screening
- Subject is at average risk for development of colorectal cancer
- Subject is 50 years or older
- Subject willing and able to sign informed consent.
Who cannot join
- Subject had a colonoscopy in the previous 9 years
- Subject has undergone any double-contrast barium enema, virtual (CT-based) colonoscopy, or flexible sigmoidoscopy within the previous five (5) years.
- Subject has had a positive fecal occult blood test or FIT within the previous six (6) months.
- Subject has any condition that in the opinion of the investigator should preclude participation in the study (e.g., subject not eligible for a diagnostic colonoscopy).
- Subject has a history of colorectal cancer or advanced adenoma.
- Subject has a history of aerodigestive tract cancer
Show all 16Show fewer
- Subject has had a prior colorectal resection for any reason other than sigmoid diverticular disease
- Subject has had overt rectal bleeding, e.g. hematochezia or melena, within the previous 30 days. (Blood on toilet paper, after wiping, does not constitute rectal bleeding)
- Subject has a diagnosis or personal history of any of the following high-risk conditions for colorectal cancer:
- Inflammatory bowel disease (IBD) including chronic ulcerative colitis (CUC) and Crohn's disease.
- 2 first-degree relatives who have been diagnosed with colon cancer. (Note: first-degree relatives include parents, siblings and offspring).
- One first-degree relative with CRC diagnosed before the age of 60.
- Subject has a family history of:
- Familial adenomatous polyposis (also referred to as "FAP", including attenuated FAP).
- Hereditary non-polyposis colorectal cancer syndrome (also referred to as "HNPCC" or "Lynch Syndrome").
- Other hereditary cancer syndromes including but are not limited to Peutz-Jeghers Syndrome, MYH-Associated Polyposis (MAP), Gardner's Syndrome, Turcot's (or Crail's) Syndrome, Cowden's Syndrome, Juvenile Polyposis, Cronkhite-Canada Syndrome, Neurofibromatosis and Familial Hyperplastic Polyposis.
Trial locations and contacts
40 sites in 1 country.
40 sites in 1 country
United States40 sites
The Kaufmann Clinic, Inc.
Atlanta, Georgia, 30308
Austin Regional Clinic
Austin, Texas, 78759
United Medical Associates
Binghamton, New York, 13901
Cassidy Medical Group/Radiant Research, Inc.
Carlsbad, California, 92008
University of North Carolina, Chapel Hill
Chapel Hill, North Carolina, 27599
Sentral Clinical Research
Cincinnati, Ohio, 45236
Innovative Research of West Florida
Clearwater, Florida, 33756
Columbia Medical Practice
Columbia, Maryland, 21045
Kindred Medical Institute for Clinical Trials, LLC
Corona, California, 92879
Centennial Medical Associates
Elkridge, Maryland, 21075
Regional Clinical Research, Inc.
Endwell, New York, 13760
Pharmakon Inc
Evergreen Park, Illinois, 60805
Paragon Rx Clinical
Garden Grove, California, 92840
Thomas C Lenzmeier, M.D., P.C
Glendale, Arizona, 85308
Harleysville Medical Associates
Harleysville, Pennsylvania, 19438
Nevada Family Care
Henderson, Nevada, 89074
Homestead Medical Research
Homestead, Florida, 33030
Indiana University, Eskanazi Hospital, Regenstrief Health Center
Indianapolis, Indiana, 46202
Health Awareness, Inc
Jupiter, Florida, 33458
Precision Clinical Research
Lauderdale Lakes, Florida, 33319
UCLA, Division of Digestive Diseases
Los Angeles, California, 90095
Advanced Clinical Research
Meridian, Idaho, 83642
Central Arizona Medical Associates, PC
Mesa, Arizona, 85206
MedPharmics, LLC
Metairie, Louisiana, 70006
Advanced Bioresearch
Miami, Florida, 33134
Next Phase Research Alliance
Miami, Florida, 33144
FACEY Medical Foundation
Mission Hills, California, 91345
PCP for Life (DM Research)
Montgomery, Texas, 77356
John D. Homan, MD
Newport Beach, California, 92663
Diverse Research Solutions
Oxnard, California, 93030
Ventura County Gastroenterology
Oxnard, California, 93030
Desert Oasis Healthcare Medical Group
Palm Springs, California, 92262
Clinical Research Center of Florida
Pompano Beach, Florida, 33060
Health Awareness, Inc-Port St. Lucie
Port Saint Lucie, Florida, 34984
Mayo Clinic Minnesota
Rochester, Minnesota, 55905
Advanced Pain Diagnostics & Solutions
Sacramento, California, 95825
Wasatch Clinical Research
Salt Lake City, Utah, 84107
Fiel Family and Sports Medicine
Tempe, Arizona, 85283
Comprehensive Internal Medicine, Inc.
Wooster, Ohio, 44691
Family Practice Center of Wooster, Inc./Clinical Trial Developers
Wooster, Ohio, 45150
About this study
Official title: A Longitudinal Study of Cologuard™ in an Average Risk Population Assessing a Three Year Test Interval
This is a prospective longitudinal study to assess the impact of repeat Cologuard testing at 3 years in average risk patients.
Read the detailed description
This is a prospective longitudinal study to assess the impact of repeat Cologuard testing at 3 years in average risk patients. Enrolled subjects will be prescribed Cologuard per approved labeling at baseline. Subjects with positive results will be referred to colonoscopy and study participation completed. Subjects with negative Cologuard results will be seen annually for 3 years. At year 3, subjects will repeat Cologuard, followed by colonoscopy, regardless of the Cologuard test outcome. Subjects who have a colonoscopy at any time during the study will be discontinued following collection of the colonoscopy and associated histopathology results.
- Conditions
- Colorectal Cancer Screening, Colorectal Cancer
- Being tested
- Cologuard
- Keywords
- colorectal cancer, Colorectal cancer screening
- Medical subject headings
- Colorectal Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
CologuardDevice
Prescription of Cologuard for at-home stool collection
What is being measured
The primary outcome is the main question the study is designed to answer.
Positive and Negative Predictive Value
The difference between the positive predictive value (PPV) at year 3 (PPV3) and 1 minus the negative predictive value (NPV) at year 3 (NPV3).
Measured: Three years
Secondary outcomes (1)
Colorectal Cancer Incidence
Observed versus the expected reduction in colorectal cancer incidence at year 3 (T3)
Measured: 3 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Apr 2015 (estimated)
- Study startApr 2015
- Primary completion16 Mar 2020
- Study completion16 Mar 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Colorectal Cancer ScreeningStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Other
- Time perspective
- Prospective
- Enrolment
- 2,404 participants (actual)
Sponsor and investigators
- Lead sponsor
- Exact Sciences Corporation
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Thomas Imperiale, MD, Principal investigator, Indiana University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02419716
- Sponsor's protocol ID
- Exact Sciences 2014-01
- Status last verified
- Apr 2020
- First submitted
- 9 Apr 2015
- Last updated
- 2 Apr 2020
- Results posted
- No
- Data monitoring committee
- No
- Individual data sharing
- Yes: Individual participant data that underlie the results reported in publications of the study will be shared after deidentification. This may include text, tables, figures, and appendices. The study protocol, statistical analysis plan, informed consent form, and clinical study report will also be shared.
Study at a glance
From the registry record, last updated by the sponsor on 2 Apr 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Longitudinal Study of Cologuard™ in an Average Risk Population Assessing a Three Year Test Interval
- ClinicalTrials.gov ID
- NCT02419716
- Acronym / sponsor ID
- Exact Sciences 2014-01
- Conditions
- Colorectal Cancer Screening, Colorectal Cancer
- Keywords
- colorectal cancer, Colorectal cancer screening
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 2,404 participants (actual)
- Lead sponsor
- Exact Sciences CorporationIndustry (pharma, biotech, devices)
- Study start
- Apr 2015
- Primary completion
- 16 Mar 2020 (actual)
- Study completion
- 16 Mar 2020 (actual)
- First posted
- 17 Apr 2015 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a prospective longitudinal study to assess the impact of repeat Cologuard testing at 3 years in average risk patients.
Detailed description
This is a prospective longitudinal study to assess the impact of repeat Cologuard testing at 3 years in average risk patients. Enrolled subjects will be prescribed Cologuard per approved labeling at baseline. Subjects with positive results will be referred to colonoscopy and study participation completed. Subjects with negative Cologuard results will be seen annually for 3 years. At year 3, subjects will repeat Cologuard, followed by colonoscopy, regardless of the Cologuard test outcome. Subjects who have a colonoscopy at any time during the study will be discontinued following collection of the colonoscopy and associated histopathology results.
Study design
- Observational model
- Other
- Time perspective
- Prospective
Who may qualify
- Ages
- 50 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
- Study population
- The study will enroll approximately 2,400 men and women aged 50 years and older at a minimum of 20 sites to achieve a minimum of 1,119 subjects at the Year 3 visit. To increase the point prevalence of CRC in the study population, subject enrollment will be age-weighted toward a slightly older population. Enrollment of at least 65% of subjects age 65 years or older will be targeted
Key inclusion criteria (4 listed)
- Subject has been prescribed Cologuard for colorectal cancer screening
- Subject is at average risk for development of colorectal cancer
- Subject is 50 years or older
- Subject willing and able to sign informed consent.
Key exclusion criteria (16 listed)
- Subject had a colonoscopy in the previous 9 years
- Subject has undergone any double-contrast barium enema, virtual (CT-based) colonoscopy, or flexible sigmoidoscopy within the previous five (5) years.
- Subject has had a positive fecal occult blood test or FIT within the previous six (6) months.
- Subject has any condition that in the opinion of the investigator should preclude participation in the study (e.g., subject not eligible for a diagnostic colonoscopy).
- Subject has a history of colorectal cancer or advanced adenoma.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| CologuardPrescription of Cologuard for at-home stool collection | Device | – |
Primary outcome
Positive and Negative Predictive Value
Time frame: Three years
The difference between the positive predictive value (PPV) at year 3 (PPV3) and 1 minus the negative predictive value (NPV) at year 3 (NPV3).
1 secondary outcome
Colorectal Cancer Incidence
Time frame: 3 years
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Apr 2020.
- Individual participant dataSharing planned: Yes. Individual participant data that underlie the results reported in publications of the study will be shared after deidentification. This may include text, tables, figures, and appendices. The study protocol, statistical analysis plan, informed consent form, and clinical study report will also be shared.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Thomas Imperiale, MD principal investigator
Indiana University
40 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Colorectal Cancer Screening and Colorectal Cancer, run by Exact Sciences Corporation at 40 sites in United States.
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 4 inclusion and 16 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 2 Apr 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 40 sites in United States. 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?
Positive and Negative Predictive Value (time frame: Three years). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 2 Apr 2020.