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Clinical Trials

PRESEPT Study: Prospective Evaluation of SEPT9 Performance for Colorectal Screening

Summary:   The purpose of this study is to collect blood specimens and clinical data from screening guideline eligible individuals designated by their physician to receive a screening colonoscopy, and to evaluate the performance of a colorectal cancer-specific DNA methylation biomarker for detection of colorectal cancer in this cohort. Based on the outcome of the colonoscopy, polypectomy, biopsy and surgical tissue histopathology, the clinical utility of Septin 9 as colorectal cancer screening test will be evaluated.

HR#: 18525
PRINCIPAL INVESTIGATOR: Joseph Romagnuolo, , MD, FRCPC, FASGE, MScEpid
SPONSOR: Epigenomics
TARGET ENROLLMENT: 535
DISEASE TYPE: Other
BODY LOCATION(S): Large Intestine,
PRIMARY OBJECTIVE: To evaluate and validate the clinical performance of the SEPT9 Assay for detecting colorectal adenocarcinoma (Stage I-IV) in screening guideline-eligible individuals scheduled for screening colonoscopy
SECONDARY OBJECTIVE(S): Detection of adenomatous polyp(s) equal to or greater than 10 mm, flat lesion (s) or non-invasive adenocarcinoma by colonoscopy and confirmed by histology compared to the Septin 9 Biomarker classification will also be described
INCLUSION CRITERIA:
1 Informed consent provided.
2 Capable of providing adequate health history.
3 Age 50 or older at time of colonoscopy (colorectal screening guideline eligible).
4 Accessible for blood draw prior to start of bowel preparation for colonoscopy.
5 First large bowel endoscopy in lifetime.
EXCLUSION CRITERIA:
1 Anorectal bleeding or hematochezia within last 6 months for which patient sought medical attention.
2 Known iron deficiency anemia in the last 6 months for which patient sought medical attention.
3 Previous history of colorectal polyps or CRC.
4 High risk for colorectal cancer (2 or more primary relatives with CRC; 1 or more primary relative(s) <50 years with CRC, known HNPCC or FAP).
TREATMENT GROUPS:
LENGTH OF STUDY:
CONTACTS:
  • Rebekah Whichard, , BA, CCRC (Primary Study Coordinator)
    (843) 876-7233 or richreb@musc.edu
  • Kyle Orrell, MSHP (DDC Research Program Manager)
    843-876-4303 or orrell@musc.edu
  • Joseph Romagnuolo, , MD, FRCPC, FASGE, MScEpid (Principal Investigator)
    (843) 876-4261 or romagnuo@musc.edu