Attitudes Towards Prophylactic Colectomy in Hereditary Non-polyposis Colorectal Cancer (HNPCC) Patients
3 other identifiers
observational
16
1 country
1
Brief Summary
The purpose of this study is to learn more about individual's with a family history of colon cancer and the process by which they may decide to undergo or not undergo prophylactic colectomy. This is a surgery to remove the colon in order to reduce risk of cancer (or of getting cancer again).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for all trials
Started Nov 2004
Longer than P75 for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
November 1, 2004
CompletedFirst Submitted
Initial submission to the registry
December 21, 2007
CompletedFirst Posted
Study publicly available on registry
December 28, 2007
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2009
CompletedDecember 10, 2009
December 1, 2009
5.1 years
December 21, 2007
December 9, 2009
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
To assess levels of intention in prophylactic colectomy among individuals at increased familial risk of colorectal cancer and to identify distinctive decision types based on profiles of perceived pros and cons of prophylactic colectomy;
12 months
Study Arms (2)
2
Affected patients who are at high risk for metachronous colorectal tumors due to mutation status.
1
Unaffected patients who are at high risk for developing colon cancer based on family history and/or mutation status.
Interventions
Eligibility Criteria
Unaffected patients who are at high risk for developing colon cancer based on family history and/or mutation status, and affected patients who are at high risk for metachronous colorectal tumors due to mutation status.
You may qualify if:
- are from a family that has a known mismatch repair mutation; or
- meet Amsterdam I or Amsterdam II criteria that spell out the family and personal cancer history characteristics associated with HNPCC
- are considered at sufficiently high risk by their CRC specialty physician that prophylactic colectomy may be presented as an option (excluding FAP).
- Amsterdam I Criteria
- At least three relatives with a colorectal cancer and the following criteria:
- One should be a first degree relative of the other two
- At least two successive generations should be affected
- At least one colorectal cancer should be diagnosed before the age of 50
- Familial Adenomatous Polyposis (FAP) should be excluded in the colorectal cancer case(s), if any
- Amsterdam II Criteria (also known as Revised Amsterdam Criteria
- At least three relatives with an HNPCC-associated cancer (colorectal cancer, cancer of the endometrium, small bowel, ureter, or renal pelvis) \*:
- One should be a first degree relative of the other two
- At least two successive generations should be affected
- At least one relative should be diagnosed before age 50
- FAP should be excluded in the colorectal cancer case(s), if any \*NOTE: ovarian cancer will also be considered an HNPCCassociated cancer as per Lynch et al (NEJM 2003)
You may not qualify if:
- non-English speaking
- under the age of 18
- are unable to give meaningful informed consent due to physical, psychiatric or cognitive disability
- are from a family affected by FAP
- have already undergone subtotal colectomy or total proctocolectomy
- are in active treatment and/or less than six months post-surgery for cancer.
- Have undergone genetic counseling and testing for HNPCC at MSKCC
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Memorial Sloan Kettering Cancer Center
New York, New York, 10065, United States
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Karen Hurley, PhD
Memorial Sloan Kettering Cancer Center
Study Design
- Study Type
- observational
- Observational Model
- FAMILY BASED
- Time Perspective
- CROSS SECTIONAL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
December 21, 2007
First Posted
December 28, 2007
Study Start
November 1, 2004
Primary Completion
December 1, 2009
Study Completion
December 1, 2009
Last Updated
December 10, 2009
Record last verified: 2009-12