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CompletedNCT02289053Updated May 15, 2017

Prevalence and Topography of Adenomas in 40-49 Year Old Patients With a Family History of Colon Cancer

An observational study in Colorectal Cancer, Colon Polyps and Adenomatous Polyp of Colon, sponsored by University of Michigan. Completed at 6 sites in United States. Open to participants aged 40 Years to 49 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2017-05-15.

Sponsored by University of Michigan · Observational

Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
1,623
Ages
40 Years to 49 Years
Sex
All
01

Study summary

Conflicting guideline recommendations for screening colonoscopy result due to scant data upon which to develop appropriate recommendations. No previous study has compared the prevalence of advanced adenomas or adenomas (any size) among 40-49 year old individuals with a first degree relative (FDR) with colorectal cancer (CRC) versus 40-49 year old average risk individuals with no family history of CRC. The purpose of this study is to determine the prevalence of colon adenomas in 40-49 year old individuals and identify risk factors associated with the presence of advanced adenomas. This data will provide evidence to determine appropriate colon cancer screening guidelines in 40-49 year old persons with a family history of colon polyps or colorectal cancer.

02

Conditions studied

  • Colorectal Cancer
  • Colon Polyps
  • Adenomatous Polyp of Colon

Keywords

  • Colorectal Cancer
03

In context

Colorectal Neoplasms

5,599 studies on the registry are indexed under Colorectal Neoplasms; 1,459 are open to participants now.

This study's enrollment of 1,623 is above the median of 250 across 1,226 observational studies indexed under Colorectal Neoplasms.

Browse Colorectal Neoplasms studies →

Lead sponsor

University of Michigan is the lead sponsor of 1,475 studies on the registry; 196 are open to participants now.

Of its 162 completed or terminated interventional studies of FDA-regulated products, 128 (79%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
40 Years to 49 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Participants are recruited from the endoscopy units of the participating study sites prior to their colonoscopy procedure.

Inclusion criteria

  • 40-49 year old asymptomatic men and women referred for colorectal cancer screening with a family history of CRC in a first degree relative;
  • 40-49 year old asymptomatic men and women referred for colorectal cancer screening with a family history of polyps in a first degree relative;
  • 40-49 year old men and women without a family history of CRC or polyps in a first degree relative who are referred for colonoscopy to evaluate scant hematochezia characterized as red blood on toilet tissue after wiping or small droplets of blood on stool or in toilet water after evacuating stool, abdominal discomfort or altered bowel habits characterized as constipation or diarrhea.

Exclusion criteria

Exclusion Criteria:

  • Personal history of iron deficiency anemia within six months of referral;
  • Personal history of iron deficiency without anemia within six months of referral;
  • Personal history of (+) FOBT within one year of referral;
  • Personal history of previous colonoscopy or barium enema within the past 10 years;
  • Personal history of previous flexible sigmoidoscopy in the past 5 years;
  • Personal history of adenoma, colorectal cancer, inflammatory bowel disease, HNPCC, or familial adenomatous polyposis (FAP);
  • Unintentional weight loss > 10 lbs within the previous six months;
  • Individuals with family history of CRC AND scant hematochezia;
  • Inability to speak and read English.
05

Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
1,623 participants (actual)
Patient registry
No

Groups and cohorts

  • Positive Family History

    Eligible participants with a family history of colorectal cancer or polyps will be grouped into the "subjects" group.

  • Average Risk Patients

    Eligible participants without a family history of colorectal cancer or polyps will be grouped into the "control" group.

06

What researchers measure

Primary outcomes

  1. Prevalence of advanced adenomas among 40-49 year old individuals with and without a family history of colorectal cancer

    The outcome will be assessed after the completion of patient recruitment at all locations in August 2014. Advanced adenomas are defined as greater than or equal to 10 mm (1 cm). The presence of adenomas is determined be reviewing patient medical records and pathology reports.

    Time frame: Data analysis will begin September 2014 for a duration of three months.

Secondary outcomes

  1. Absolute prevalence of advanced adenomas in 40-49 year olds with a family history of colorectal cancer

    The outcome will be assessed after the completion of patient recruitment at all locations in August 2014. Advanced adenomas are defined as greater than or equal to 10 mm (1 cm). The presence of adenomas is determined be reviewing patient medical records and pathology reports.

    Time frame: Data analysis will begin September 2014 for a duration of three months.

  2. Absolute prevalence of advanced adenomas in 40-49 year old individuals with a family history of colorectal polyps

    The outcome will be assessed after the completion of patient recruitment at all locations in August 2014. Advanced adenomas are defined as greater than or equal to 10 mm (1 cm). The presence of adenomas is determined be reviewing patient medical records and pathology reports.

    Time frame: Data analysis will begin September 2014 for a duration of three months.

Other outcomes

  1. Risk factors associated with the presence of advanced adenomas

    Logistic regression will be used to determine if specific risk factors are associated with the risk of adenomas in 40-49 year old individuals. Data will be collected from patient surveys and medical records.

    Time frame: Data analysis will begin September 2014 for a duration of three months.

07

Study locations

6 sites
  • Walter Reed National Military Medical Center
    Bethesda, Maryland 20889, United States
  • Ann Arbor VA Healthcare System
    Ann Arbor, Michigan 48105, United States
  • University of Michigan
    Ann Arbor, Michigan 48109, United States
  • John D. Dingell VA Medical Center
    Detroit, Michigan 48201, United States
  • Huron Gastro
    Ypsilanti, Michigan 48197, United States
  • Durham VA Medical Center
    Durham, North Carolina 27705, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 15, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02289053
Lead sponsor
University of Michigan
Collaborators
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Responsible party
Philip Schoenfeld (Professor of Medicine, University of Michigan) — Principal investigator
First posted
Nov 13, 2014
Start date
Apr 1, 2006
Primary completion
Jun 30, 2014
Completion
Jun 30, 2014
Last update
May 15, 2017

Study contacts

Philip Schoenfeld, MD
principal investigator · University of Michigan

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2017. You cannot join it, but the record below documents what was studied.

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