NCT01741363

Brief Summary

  1. 1.The abundant results from this trial will be helpful for assessing the feasibility of increasing stool sampling and shortening screening interval in population setting for lower and upper gastrointestinal tract lesions, their long-term effects, and the respective cost-effectiveness.
  2. 2.The study will evaluate the value of population-based screen and treatment for H. pylori infection when the HPSA is combined with the FIT.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
99,314

participants targeted

Target at P75+ for not_applicable colorectal-cancer

Timeline
Completed

Started Jan 2014

Longer than P75 for not_applicable colorectal-cancer

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

October 5, 2012

Completed
2 months until next milestone

First Posted

Study publicly available on registry

December 4, 2012

Completed
1.1 years until next milestone

Study Start

First participant enrolled

January 1, 2014

Completed
7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2020

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2020

Completed
3.9 years until next milestone

Results Posted

Study results publicly available

November 21, 2024

Completed
Last Updated

November 21, 2024

Status Verified

October 1, 2018

Enrollment Period

7 years

First QC Date

October 5, 2012

Results QC Date

December 20, 2016

Last Update Submit

November 14, 2024

Conditions

Keywords

iFOBTone-day sampletwo-day sampleHelicobacter pylori stool antigen

Outcome Measures

Primary Outcomes (2)

  • Incidence of Stomach Cancer

    Number of incident stomach cancer The recruitment period of participants was from January 1, 2014 to September 27, 2018. Final follow-up occurred December 31, 2020. For outcome measurement, the average follow-up time of the study participants was 5.5 years.

    5.5 years

  • Mortality of Stomach Cancer

    Number of stomach cancer death The recruitment period of participants was from January 1, 2014 to September 27, 2018. Final follow-up occurred December 31, 2020. For outcome measurement, the average follow-up time of the study participants was 5.5 years.

    5.5 years

Secondary Outcomes (2)

  • Mortality of Colorectal Cancer

    5.5 years

  • Incidence of Colorectal Cancer

    5.5 years

Other Outcomes (5)

  • Helicobacter Pylori Eradication Rate

    5.5 years

  • Confirmatory Examination Referral Rate

    5.5 years

  • Detection of Advanced Adenoma and Cancer

    5.5 years

  • +2 more other outcomes

Study Arms (6)

one-day sampling with one-year interval

EXPERIMENTAL

FIT one-day sampling with one-year interval

Other: FIT(Eiken OC-Sensor) One-year intervalOther: FIT(Eiken OC-Sensor) One-day sampling

one-day sampling with two-year interval

ACTIVE COMPARATOR

FIT one-day sampling with two-year interval

Other: FIT(Eiken OC-Sensor) One-day samplingOther: FIT(Eiken OC-Sensor) Two-year interval

two-day sampling with one-year interval

EXPERIMENTAL

FIT two-day sampling with one-year interval

Other: FIT(Eiken OC-Sensor) Two-day samplingOther: FIT(Eiken OC-Sensor) One-year interval

two-day sampling with two-year interval

EXPERIMENTAL

FIT two-day sampling with two-year interval

Other: FIT(Eiken OC-Sensor) Two-day samplingOther: FIT(Eiken OC-Sensor) Two-year interval

Hp stool antigen (HpSA)+FIT

EXPERIMENTAL

HpSA for detection of upper gastrointestinal tract diseases and upper endoscopy for H. pylori carriers; HPSA combined with FIT

Other: FIT(Eiken OC-Sensor) One-day samplingOther: FIT(Eiken OC-Sensor) Two-year intervalOther: HpSA (Firstep Helicobacter pylori Antigen Rapid Test)

FIT only

ACTIVE COMPARATOR

HpSA + FIT compared with FIT alone

Other: FIT(Eiken OC-Sensor) One-day samplingOther: FIT(Eiken OC-Sensor) Two-year intervalOther: FIT only

Interventions

Collect two stool samples in two separate days

two-day sampling with one-year intervaltwo-day sampling with two-year interval

Screening with one-year interval

one-day sampling with one-year intervaltwo-day sampling with one-year interval

One-day sampling

FIT onlyHp stool antigen (HpSA)+FITone-day sampling with one-year intervalone-day sampling with two-year interval

Screening with two-year interval

FIT onlyHp stool antigen (HpSA)+FITone-day sampling with two-year intervaltwo-day sampling with two-year interval

HpSA for detection of upper gastrointestinal diseases; screen and treat for H. pylori infection. Upper endoscopy for H. pylori carriers. HPSA+FIT compared with FIT alone.

Hp stool antigen (HpSA)+FIT

HPSA+FIT compared with FIT alone.

FIT only

Eligibility Criteria

Age50 Years - 69 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • to 69 years average-risk subjects for FIT
  • to 69 years subjects for HpSA

You may not qualify if:

  • Subjects who are unwilling to participate
  • Subjects ineligible for colonoscopy (for the one-day vs two day FIT screening)
  • Subjects with a history of total gastrectomy
  • Pregnancy
  • Subjects with severe illnesses
  • Subjects with prior participation in the pilot program

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

National Taiwan University Hospital

Taipei, 10002, Taiwan

Location

Related Publications (2)

  • Lee YC, Chiang TH, Chiu HM, Su WW, Chou KC, Chen SL, Yen AM, Fann JC, Chiu SY, Chuang SL, Chen YR, Chen SD, Hu TH, Fang YJ, Wu MS, Chen TH, Yeh YP; Collaborators of Taiwan Community-based Integrated Screening Group. Screening for Helicobacter pylori to Prevent Gastric Cancer: A Pragmatic Randomized Clinical Trial. JAMA. 2024 Nov 19;332(19):1642-1651. doi: 10.1001/jama.2024.14887.

  • Lee YC, Chiang TH, Chiu HM, Wu MS, Yeh YP, Hsiu-Hsi Chen T; Collaborators of the Taiwan Community-Based Integrated Screening Group. Community-Based Gastric Cancer Screening Coupled With a National Colorectal Cancer Screening Program: Baseline Results. Gastroenterology. 2021 May;160(6):2159-2161.e4. doi: 10.1053/j.gastro.2021.01.008. Epub 2021 Jan 11. No abstract available.

MeSH Terms

Conditions

Colorectal NeoplasmsStomach Diseases

Condition Hierarchy (Ancestors)

Intestinal NeoplasmsGastrointestinal NeoplasmsDigestive System NeoplasmsNeoplasms by SiteNeoplasmsDigestive System DiseasesGastrointestinal DiseasesColonic DiseasesIntestinal DiseasesRectal Diseases

Results Point of Contact

Title
Han-Mo CHIU
Organization
Department of Internal Medicine, National Taiwan University Hospita

Study Officials

  • Han-Mo Chiu, M.D., Ph.D.

    Department of Internal Medicine & Health Management Center

    PRINCIPAL INVESTIGATOR
  • Yi-Chia Lee, M.D., Ph.D.

    National Taiwan University Hospital

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 5, 2012

First Posted

December 4, 2012

Study Start

January 1, 2014

Primary Completion

December 31, 2020

Study Completion

December 31, 2020

Last Updated

November 21, 2024

Results First Posted

November 21, 2024

Record last verified: 2018-10

Data Sharing

IPD Sharing
Will not share

Locations