NCT04144738

Brief Summary

The primary objective of this study is to assess the sensitivity for colorectal cancer (CRC) and specificity of the mt-sDNA 2.0 test.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
26,758

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Nov 2019

Typical duration for all trials

Geographic Reach
1 country

195 active sites

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 28, 2019

Completed
2 days until next milestone

First Posted

Study publicly available on registry

October 30, 2019

Completed
16 days until next milestone

Study Start

First participant enrolled

November 15, 2019

Completed
3.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 30, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 30, 2023

Completed
Last Updated

September 1, 2023

Status Verified

August 1, 2023

Enrollment Period

3.4 years

First QC Date

October 28, 2019

Last Update Submit

August 31, 2023

Conditions

Keywords

Sample CollectionStool DNAColonoscopy

Outcome Measures

Primary Outcomes (2)

  • Sensitivity for CRC with the mt-sDNA 2.0 test

    Through study completion, an average of 180 days

  • Specificity with the mt-sDNA 2.0 test

    Through study completion, an average of 180 days

Secondary Outcomes (4)

  • Sensitivity for advanced precancerous lesions

    Through study completion, an average of 180 days

  • Sensitivity for CRC compared to a commercially available fecal immunochemical test (FIT)

    Through study completion, an average of 180 days

  • Sensitivity for advanced precancerous lesions compared to commercially available fecal immunochemical test (FIT).

    Through study completion, an average of 180 days

  • Specificity for no colorectal neoplastic findings

    Through study completion, an average of 180 days

Study Arms (1)

Individuals eligible for CRC Screening

Individuals who are 40 years of age and older, eligible for CRC screening, and scheduled for a screening colonoscopy.

Diagnostic Test: mt-sDNA 2.0 screening testDiagnostic Test: FIT testProcedure: Colonoscopy

Interventions

Stool samples will be collected by the subject for the mt-sDNA screening test.

Individuals eligible for CRC Screening
FIT testDIAGNOSTIC_TEST

Stool samples will be collected by the subject for the FIT test.

Individuals eligible for CRC Screening
ColonoscopyPROCEDURE

Subjects will undergo a screening colonoscopy.

Individuals eligible for CRC Screening

Eligibility Criteria

Age40 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Subjects 40 years of age and older who are eligible for CRC screening and scheduled for a screening colonoscopy. 24,000 subjects are targeted to enroll.

You may qualify if:

  • Subjects must meet the following criteria to be eligible for the study:
  • Subject is ≥ 40 years of age at the time of enrollment.
  • Subject presents for a screening colonoscopy per standard of care.
  • Subject has no symptoms or signs that require immediate, or near term, referral for diagnostic or therapeutic colonoscopy.
  • Subject is able and willing to sign informed consent

You may not qualify if:

  • Subject has a history of CRC or advanced precancerous lesions.
  • Subject has a diagnosis or medical / family history of any of the following conditions, including:
  • Familial adenomatous polyposis (also referred to as "FAP", including attenuated FAP and Gardner's syndrome),
  • Hereditary non-polyposis CRC 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), Turcot's (or Crail's) Syndrome, Cowden's Syndrome, Juvenile Polyposis, Neurofibromatosis, or Familial Hyperplastic Polyposis.
  • Subject has a diagnosis or personal history of inflammatory bowel disease (IBD) including chronic ulcerative colitis and/or Crohn's disease.
  • Subject has a diagnosis of Cronkhite-Canada Syndrome.
  • Subject has had a positive Cologuard within the previous 2 years, or fecal occult blood test or FIT within the previous 6 months.
  • Subject has undergone a colonoscopy within the previous 9 years with the exception of a failed colonoscopy due to poor bowel preparation. Failed colonoscopy must have been within the past year and without therapeutic intervention.
  • Subject has had overt rectal bleeding within the previous 30 days.
  • Subject has any condition that in the opinion of the Investigator should preclude participation in the study.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (195)

Parkway Medical Center

Birmingham, Alabama, 35215, United States

Location

Summit Internal Medicine, PC

Birmingham, Alabama, 35243, United States

Location

University of Alabama at Birmingham

Birmingham, Alabama, 35294, United States

Location

Cullman Clinical Trials

Cullman, Alabama, 35055, United States

Location

Digestive Health Specialists of the Southeast

Dothan, Alabama, 36301, United States

Location

G & L Research

Foley, Alabama, 36535, United States

Location

Medical Affiliated Research Center

Huntsville, Alabama, 35801, United States

Location

East View Medical Research, LLC

Mobile, Alabama, 36608, United States

Location

GI Associates of West Alabama, P.C

Tuscaloosa, Alabama, 35406, United States

Location

Mayo Clinic - AZ

Phoenix, Arizona, 85054, United States

Location

Del Sol Research Management, LLC

Tucson, Arizona, 85712, United States

Location

Southern Arizona VA Health Care System (SAVAHCS)

Tucson, Arizona, 85723, United States

Location

Lynn Institute of the Ozarks

Little Rock, Arkansas, 72204, United States

Location

Applied Research Center of Arkansas

Little Rock, Arkansas, 72212, United States

Location

Arkansas Gastroenterology, P.A.

North Little Rock, Arkansas, 72117, United States

Location

Fomat Medical Research

Camarillo, California, 93012, United States

Location

Alliance Research Institute

Canoga Park, California, 91304, United States

Location

GW Research Inc

Chula Vista, California, 91910, United States

Location

Paragon Rx Clinical, Inc.

Garden Grove, California, 92840, United States

Location

United Medical Doctors

Irvine, California, 92618, United States

Location

Prime Care Clinical Research Center

Laguna Hills, California, 92656, United States

Location

Gastro Care Institute

Lancaster, California, 93534, United States

Location

Facey Medical Foundation

Mission Hills, California, 91345, United States

Location

Knowledge Research Center

Orange, California, 92868, United States

Location

Desert Oasis Healthcare Medical Group

Palm Springs, California, 92262, United States

Location

Palo Alto Veterans Institute for Research

Palo Alto, California, 34304, United States

Location

SDG Clinical Research

San Diego, California, 92103, United States

Location

San Jose Gastroenterology

San Jose, California, 95116, United States

Location

Paragon Rx Clinical, Inc. - Santa Ana

Santa Ana, California, 92703, United States

Location

Sansum Clinic

Santa Barbara, California, 93105, United States

Location

Unison Clinical Trials

Sherman Oaks, California, 91403, United States

Location

Millennium Clinical Trials

Thousand Oaks, California, 91360, United States

Location

Dream Team Clinical Research

Upland, California, 91786, United States

Location

New West Physicians

Golden, Colorado, 80401, United States

Location

Gastroenterology Associates of Fairfield County

Bridgeport, Connecticut, 06606, United States

Location

Bridgeport Hospital

Bridgeport, Connecticut, 06610, United States

Location

Connecticut Clinical Research Institute

Bristol, Connecticut, 06010, United States

Location

Yale University

New Haven, Connecticut, 06519, United States

Location

Cornerstone Research Institute

Altamonte Springs, Florida, 32701, United States

Location

Vanguard Clinical Research

Fort Myers, Florida, 33907, United States

Location

SIMED Health Research

Gainesville, Florida, 32607, United States

Location

Westside Center of Clinical Research

Jacksonville, Florida, 32205, United States

Location

Shands Jacksonville Medical Center, Inc - University of Florida Health

Jacksonville, Florida, 32206, United States

Location

Health Awareness, Inc.

Jupiter, Florida, 33458, United States

Location

Wr-Msra, Llc

Lake City, Florida, 32055, United States

Location

Pioneer Clinical Research

Lighthouse PT, Florida, 33064, United States

Location

Suncoast Research Group, LLC

Miami, Florida, 33135, United States

Location

Next Phase Research Alliance

Miami, Florida, 33144, United States

Location

Research Associates of South Florida, LLC

Miami, Florida, 33156, United States

Location

Gastro Health Research

Miami, Florida, 33176, United States

Location

Gastroenterology Group of Naples

Naples, Florida, 34102, United States

Location

Sarkis Clinical Trials

Ocala, Florida, 34471, United States

Location

Imic, Inc.

Palmetto Bay, Florida, 33157, United States

Location

Family Medical Specialists of Florida, PLC

Plant City, Florida, 33563, United States

Location

Alternative Solutions, LLC

St. Petersburg, Florida, 33711, United States

Location

Precision Clinical Research, LLC

Sunrise, Florida, 33351, United States

Location

Clinical Trials of Tampa

Tampa, Florida, 33614, United States

Location

Summit Clinical Research, LLC

Athens, Georgia, 30607, United States

Location

Augusta University

Augusta, Georgia, 30912, United States

Location

Atlanta Center for Gastroenterology, P.C.

Decatur, Georgia, 30033, United States

Location

Infinite Clinical Trials

Morrow, Georgia, 30260, United States

Location

Grand Teton Research Group

Idaho Falls, Idaho, 83404, United States

Location

Christie Clinic, LLC

Champaign, Illinois, 61882, United States

Location

Rush University Medical Center

Chicago, Illinois, 60612, United States

Location

GI Partners of IL / Avicenna

Downers Grove, Illinois, 60515, United States

Location

Edward Hines Jr. VA Hospital

Hines, Illinois, 60141, United States

Location

Southwest Gastroenterology

Oak Lawn, Illinois, 60453, United States

Location

Margaret Mary Health

Batesville, Indiana, 47006, United States

Location

Deaconess Clinic, Inc.

Evansville, Indiana, 47713, United States

Location

Richard L. Roudebush VA Medical Center

Indianapolis, Indiana, 46202, United States

Location

Deaconess Clinic, Inc.

Newburgh, Indiana, 47630, United States

Location

The South Bend Clinic

South Bend, Indiana, 46617, United States

Location

PMG Research

Ames, Iowa, 50010, United States

Location

University of Iowa

Iowa City, Iowa, 52242, United States

Location

The Iowa Clinic, P.C.

West Des Moines, Iowa, 50266, United States

Location

Digestive Health Center of the Four States, LLC

Galena, Kansas, 66739, United States

Location

Hutchinson Clinic

Hutchinson, Kansas, 67502, United States

Location

Ascension Via Christi Hospitals Wichita, Inc

Wichita, Kansas, 67214, United States

Location

St. Elizabeth Healthcare

Edgewood, Kentucky, 41017, United States

Location

Horizon Research Group of Opelousas, LLC

Eunice, Louisiana, 70535, United States

Location

Houma Digestive Health Specialists-CroNOLA

Houma, Louisiana, 70360, United States

Location

Combined Gastro Research, LLC

Lafayette, Louisiana, 70503, United States

Location

Clinical Trials of SWLA, LLC

Lake Charles, Louisiana, 70601, United States

Location

Clinical Trials Management, LLC

Metairie, Louisiana, 70006, United States

Location

New Orleans Research Institute

Metairie, Louisiana, 70006, United States

Location

Delta Research Partners

Monroe, Louisiana, 71201, United States

Location

Louisiana Research Center; Gastrointestinal Associates

Shreveport, Louisiana, 71105, United States

Location

Clinical Trials of America, LLC

West Monroe, Louisiana, 71291, United States

Location

Gastro Health Research

Annapolis, Maryland, 21401, United States

Location

Chevy Chase Clinical Research

Chevy Chase, Maryland, 20815, United States

Location

Centennial Medical Group

Elkridge, Maryland, 21075, United States

Location

Massachusetts General Hospital

Boston, Massachusetts, 02114, United States

Location

Beth Israel Deaconess Medical Center - Harvard

Boston, Massachusetts, 02215, United States

Location

IQVIA RDS, Inc.

Cambridge, Massachusetts, 02139, United States

Location

Digestive Health Specialists, PC

Chelmsford, Massachusetts, 01824, United States

Location

NECCR PrimaCare Research, LLC

Fall River, Massachusetts, 02721, United States

Location

University of Massachusetts - Worcester

Worcester, Massachusetts, 01655, United States

Location

University of Michigan

Ann Arbor, Michigan, 48109, United States

Location

Oakland Medical Research

Troy, Michigan, 48085, United States

Location

Clinical Research Institute of Michigan, LLC

Troy, Michigan, 48098, United States

Location

Mayo Clinic

Rochester, Minnesota, 55905, United States

Location

Southern Therapy and Advanced Research LLC (STAR)

Jackson, Mississippi, 39216, United States

Location

Clinical Research Professionals

Chesterfield, Missouri, 63005, United States

Location

Sundance Clinical Research, LLC

St Louis, Missouri, 63141, United States

Location

Methodist Physicians Clinic / CCT Research

Fremont, Nebraska, 68025, United States

Location

CHI Nebraska

Omaha, Nebraska, 68124, United States

Location

University of Nevada, Las Vegas

Las Vegas, Nevada, 89102, United States

Location

Clinical Research of South Nevada

Las Vegas, Nevada, 89121, United States

Location

Digestive Health Associates

Reno, Nevada, 89511, United States

Location

AGA Clinical Research Associates, LLC

Egg Harbor, New Jersey, 08234, United States

Location

Allied Health Clinical Research Organization, LLC

West Long Branch, New Jersey, 07728, United States

Location

United Health Services Hospitals, Inc.

Binghamton, New York, 13903, United States

Location

VA NY Harbor HCS- Brooklyn Campus

Brooklyn, New York, 11209, United States

Location

Sing Chan, MD

Flushing, New York, 11354, United States

Location

Mid Hudson Medical Research, PLLC

New Windsor, New York, 12553, United States

Location

Icahn School of Medicine at Mount Sinai

New York, New York, 10029, United States

Location

DiGiovanna Institute for Medical Education & Research

North Massapequa, New York, 11758, United States

Location

Digestive Health Partners, PA

Asheville, North Carolina, 28801, United States

Location

University of North Carolina at Chapel Hill

Chapel Hill, North Carolina, 27599, United States

Location

Atrium Health Department of Family Medicine Research

Charlotte, North Carolina, 28207, United States

Location

Javara

Charlotte, North Carolina, 28210, United States

Location

Coastal Research Institute, LLC

Fayetteville, North Carolina, 28304, United States

Location

Medication Management LLC

Greensboro, North Carolina, 27405, United States

Location

Peters Medical Research

High Point, North Carolina, 27262, United States

Location

Clinical Trials of America, LLC

Mount Airy, North Carolina, 27030, United States

Location

Coastal Carolina Health Care, P.A.

New Bern, North Carolina, 28562, United States

Location

Trial Management Associates, LLC

Wilmington, North Carolina, 28403, United States

Location

Lillestol Research, LLC

Fargo, North Dakota, 58104, United States

Location

Plains Clinical Research Center, LLC

Fargo, North Dakota, 58104, United States

Location

Great Lakes Medical Research, LLC

Beachwood, Ohio, 44122, United States

Location

Gastro Health Research

Cincinnati, Ohio, 45219, United States

Location

Hightop Medical Research Clinic

Cincinnati, Ohio, 45224, United States

Location

University Hospitals Cleveland Medical Center

Cleveland, Ohio, 44106, United States

Location

Dayton Clinical Resesarch

Dayton, Ohio, 45409, United States

Location

META Medical Research Institute, LLC

Dayton, Ohio, 45432, United States

Location

Great Lakes Gastroenterology Research, LLC

Mentor, Ohio, 44060, United States

Location

Paramount Medical Research and Consulting, LLC

Middleburg Heights, Ohio, 44130, United States

Location

Northshore Gastroenterology Research, LLC

Westlake, Ohio, 44145, United States

Location

Comprehensive Internal Medicine, Inc

Wooster, Ohio, 44691, United States

Location

Alliance for Multispecialty Research, LLC

Norman, Oklahoma, 73069, United States

Location

SSM Health Medical Group/Hightower Clinical

Oklahoma City, Oklahoma, 73102, United States

Location

Options Health Research, LLC

Tulsa, Oklahoma, 74104, United States

Location

Great Lakes Medical Research, LLC

Harrisburg, Pennsylvania, 17110, United States

Location

Richard M. Kastelic, M.D., and Associates, P.C.

Johnstown, Pennsylvania, 15905, United States

Location

Regional GI

Lancaster, Pennsylvania, 17601, United States

Location

Thomas Jefferson University

Philadelphia, Pennsylvania, 19107, United States

Location

Care Access Research, Pottsville

Pottsville, Pennsylvania, 17901, United States

Location

Ralph H. Johnson VAMC

Charleston, South Carolina, 29401, United States

Location

Pharmacorp Clinical Trials, Inc.

Charleston, South Carolina, 29412, United States

Location

Invocare Medical Research & Healthcare Center

West Columbia, South Carolina, 29169, United States

Location

Rapid City Medical Center, LLP

Rapid City, South Dakota, 57701, United States

Location

WR-ClinSearch, LLC

Chattanooga, Tennessee, 37421, United States

Location

Gastro One

Germantown, Tennessee, 38138, United States

Location

The Jackson Clinic, PA

Jackson, Tennessee, 38301, United States

Location

Clinical Research Solutions, LLC - TN

Jackson, Tennessee, 38305, United States

Location

The Jackson Clinic, PA

Jackson, Tennessee, 38305, United States

Location

Tri-Cities

Kingsport, Tennessee, 37663, United States

Location

Great Lakes Medical Research, LLC

Union City, Tennessee, 38261, United States

Location

ARC Clinical Research at Four Points

Austin, Texas, 78726, United States

Location

Elligo Health Research Inc.

Austin, Texas, 78738, United States

Location

ARC Clinical Research at William Cannon

Austin, Texas, 78745, United States

Location

Avant Research Associates

Austin, Texas, 78748, United States

Location

Mercy Family Clinic

Dallas, Texas, 75211, United States

Location

Dharma PA D/B/A Southwest Family Medicine Associates

Dallas, Texas, 75235, United States

Location

Texas Tech University Health Sciences Center El Paso

El Paso, Texas, 79905, United States

Location

Houston Digestive Disease

Houston, Texas, 77030, United States

Location

UT MD Anderson Cancer Center

Houston, Texas, 77030, United States

Location

Biopharma Informatic, LLC

Houston, Texas, 77084, United States

Location

Fairway Medical Clinic

Houston, Texas, 77087, United States

Location

Digestive System Healthcare

Houston, Texas, 77505, United States

Location

FMC Science, LLC

Lampasas, Texas, 76550, United States

Location

Rio Grande Gastroenterology

McAllen, Texas, 78503, United States

Location

Wellness Clinical Research

McKinney, Texas, 75071, United States

Location

ARC Clinical Research at Kelly Lane

Pflugerville, Texas, 78660, United States

Location

Epic Medical Research, LLC

Red Oak, Texas, 75154, United States

Location

Clinical Associates in Research Therapeutics of America

San Antonio, Texas, 78212, United States

Location

Gastroenterology Research of San Antonio

San Antonio, Texas, 78229, United States

Location

Texas Gastro Consultants

Tomball, Texas, 77375, United States

Location

Progressive Clinical Research, LLC

Bountiful, Utah, 84010, United States

Location

Tanner Clinic

Layton, Utah, 84041, United States

Location

Advanced Research Institute

Ogden, Utah, 84405, United States

Location

Advanced Clinical Research

Riverton, Utah, 84065, United States

Location

Granger Medical Clinic

Riverton, Utah, 84096, United States

Location

Advanced Research Institute

Sandy City, Utah, 84092, United States

Location

Blue Ridge Medical Research

Lynchburg, Virginia, 24502, United States

Location

Summit Clinical Research

Petersburg, Virginia, 23805, United States

Location

Central Virginia VA Healthcare System

Richmond, Virginia, 23249, United States

Location

Virginia Gastroenterology Institute

Suffolk, Virginia, 23434, United States

Location

Benaroya Research Institute at Virginia Mason

Seattle, Washington, 98101, United States

Location

Spokane Gastroenterology

Spokane, Washington, 99202, United States

Location

Wenatchee Valley Hospital

Wenatchee, Washington, 98801, United States

Location

University Physicians and Surgeons, Inc. DBA Marshall Health

Huntington, West Virginia, 25701, United States

Location

University of Wisconsin Hospital and Clinics

Madison, Wisconsin, 53215, United States

Location

Ascension Wisconsin

Milwaukee, Wisconsin, 53211, United States

Location

Wisconsin Center for Advanced Research

Milwaukee, Wisconsin, 53215, United States

Location

Related Publications (3)

  • Imperiale TF, Gagrat ZD, Krockenberger M, Porter K, Ziegler E, Leduc CM, Matter MB, Olson MC, Limburg PJ. Algorithm Development and Early Performance Evaluation of a Next-Generation Multitarget Stool DNA Screening Test for Colorectal Cancer. Gastro Hep Adv. 2024 May 17;3(6):740-748. doi: 10.1016/j.gastha.2024.05.002. eCollection 2024.

  • Imperiale TF, Porter K, Zella J, Gagrat ZD, Olson MC, Statz S, Garces J, Lavin PT, Aguilar H, Brinberg D, Berkelhammer C, Kisiel JB, Limburg PJ; BLUE-C Study Investigators. Next-Generation Multitarget Stool DNA Test for Colorectal Cancer Screening. N Engl J Med. 2024 Mar 14;390(11):984-993. doi: 10.1056/NEJMoa2310336.

  • Gagrat ZD, Krockenberger M, Bhattacharya A, Gagrat BZ, Leduc CM, Matter MB, Fourrier KD, Mahoney DW, Edwards V DK, Lidgard GP, Limburg PJ, Johnson SC, Domanico MJ, Kisiel JB. Next-generation Multi-target Stool DNA Panel Accurately Detects Colorectal Cancer and Advanced Precancerous Lesions. Cancer Prev Res (Phila). 2024 Mar 4;17(3):119-126. doi: 10.1158/1940-6207.CAPR-23-0285.

Biospecimen

Retention: SAMPLES WITH DNA

Residual stool samples will be used to develop and evaluate the performance of biomarker assays to detect cancers and advanced precancerous lesions. Samples may be stored for up to 20 years. These stool samples will be de-identified.

MeSH Terms

Conditions

Colorectal Neoplasms

Interventions

Colonoscopy

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Endoscopy, GastrointestinalEndoscopy, Digestive SystemDiagnostic Techniques, Digestive SystemDiagnostic Techniques and ProceduresDiagnosisEndoscopyDiagnostic Techniques, SurgicalDigestive System Surgical ProceduresSurgical Procedures, OperativeMinimally Invasive Surgical Procedures

Study Officials

  • Thomas Imperiale, MD

    Indiana University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 28, 2019

First Posted

October 30, 2019

Study Start

November 15, 2019

Primary Completion

March 30, 2023

Study Completion

March 30, 2023

Last Updated

September 1, 2023

Record last verified: 2023-08

Data Sharing

IPD Sharing
Will share

Individual participant data that underlie the results reported in publications of the study may be shared after de-identification. This may include text, tables, figures, and appendices. The study protocol, statistical analysis plan, and informed consent form may also be shared. Data may be shared with researchers who provide a methodologically sound proposal to achieve the aims outlined in the approved proposal.

Shared Documents
STUDY PROTOCOL, SAP, ICF
Time Frame
Data may be available from 2 years and ending 4 years after publication.
Access Criteria
Proposals for access to data should be directed to clinicaltrials@exactsciences.com. To gain access, data requestors will need to provide a methodologically sound proposal and sign a data access agreement. Researchers are required to obtain necessary IRB/EC approvals or waivers as applicable to conduct research.

Locations