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CompletedNCT03706248PASCALUpdated Feb 13, 2020

Paired Analysis of Sensitivity for Colorectal Cancer Using COLVERA : PASCAL

An observational study in Colorectal Cancer, sponsored by Clinical Genomics Pathology. Completed at 6 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-02-13.

Sponsored by Clinical Genomics Pathology · Observational

Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
65
Ages
18 Years and older
Sex
All
01

Study summary

To compare the sensitivity and specificity estimates of Colvera with that of a commercially available CEA test for detection of recurrent disease in subjects with colorectal cancer that have documented recurrence or no evidence of recurrence by CT.

Read the detailed description

The study will be carried out as a single cohort, observational, prospective study to compare sensitivity of Colvera to detect recurrent colorectal cancer confirmed by radiology imaging (CT) with CEA sensitivity in paired testing. Blood is collected for assay of methylated BCAT1 and IKZF1 DNA and CEA, from subjects who have undergone curative treatment for primary CRC of stages II and III (AJCC) and who are in remission (No evidence of disease). Subjects will have recently (within 4 weeks of blood collection) had follow-up radiological imaging as part of their surveillance program for recurrence. Participation is for one visit only as part of each subject's surveillance-monitoring schedule. Two PAXgene blood tubes (minimum 10 mL, maximum 20 mL) will be collected. Any evidence of methylated BCAT1 and/or IKZF1 DNA in blood represents a Colvera "positive" result. CEA levels of 5ug/L or higher will represent a "positive" result. Sensitivity and specificity of the Colvera and CEA test will be estimated and compared in a paired fashion in each case where recurrence status has been investigated and determined by the site clinical management team. Blood testing shall be performed and analyzed by qualified staff blinded to clinical status. This is a cross-sectional observational non-significant risk study, and test results will not be used for clinical management, i.e. there will be no interventions in subjects consenting to participate in this Research Study.

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Conditions studied

  • Colorectal Cancer
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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 65 is below the median of 250 across 1,226 observational studies indexed under Colorectal Neoplasms.

Browse Colorectal Neoplasms studies →

Lead sponsor

Clinical Genomics Pathology is the lead sponsor of 2 studies on the registry; none are open to participants now.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

This prospective study will enroll 50 subjects with radiologic confirmation of recurrence of colorectal cancer and 50 subjects without CRC recurrence (documented by CT scan). Eligible study subjects will include men and women (18 years or older) of any race and ethnicity who have completed treatment (no further adjuvant chemotherapy or surgery currently planned) for primary CRC of stages II and III (AJCC, [2]), and have been considered by the site clinical management team for at least 6 months to be in remission. . (Concurrent imaging is not required as part of the clinical determination of remission. Subjects who have had a recent (within 4 weeks) or prior CT scan for purposes of surveillance are eligible.)

Inclusion criteria

  1. Subject is 18 years or older, and capable and willing to provide informed consent.
  2. Subject has undergone curative treatment for primary CRC of stages II and III (AJCC).
  3. Subject was determined to be in remission at the conclusion of primary therapy and has been in clinical surveillance for at least 6 months. (No imaging is required for the determination of remission. Last treatment was at least 6 months earlier. No requirement to complete all of the initial adjuvant treatment plan.)
  4. Subject has had a surveillance CT scan within the past 4 weeks and either has recurrent CRC or does not have recurrent CRC based on that CT scan result.
  5. Subject is willing to provide a blood sample. (2 PAXgene tubes)
  6. Definition of recurrence is evidence of local tumor recurrence or metastasis by CT scan of chest, abdomen and pelvis or other modalities that confirm recurrent CRC

Exclusion criteria

Exclusion Criteria:

  1. Subject has other cancer at the time of recruitment.
  2. Subject has prior history of recurrent CRC.
  3. Subject has a diagnosis of End Stage Renal Disease (ESRD), with or without current dialysis treatment.
  4. Subject's life expectancy is less than one year based on performance status and clinical signs and symptoms.
  5. Subject is receiving chemo- or radiotherapy at the time of blood collection, or between radiological imaging and blood collection.
  6. Results of the recent surveillance CT of the chest, abdomen and pelvis are inconclusive regarding recurrence of CRC, and further work up (other imaging and/or biopsy) is not required at this time.
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Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
65 participants (actual)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • No recurrence

    CT scan has confirmed that subjects are without recurrence. Blood can be drawn up to 4 weeks after scan. Effective Feb 28, 2019, this group is closed to accrual as it has reached the goal.

    Other: Blood Draw

  • Recurrence

    CT scan has confirmed that subjects are have recurrence of their colorectal cancer. Blood can be drawn prior to any treatment for the recurrent disease.

    Other: Blood Draw

Interventions

  • OtherBlood Draw

    20 ml of blood will be drawn from subjects via venipuncture

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What researchers measure

Primary outcomes

  1. Sensitivity, specificity, positive predictive value and negative predictive value

    Comparison of Colvera and CEA in recurrent and non-recurrent CRC

    Time frame: 1 year

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Study locations

6 sites
  • Torrance Memorial Physician Network
    Redondo Beach, California 90277, United States
  • University of South Florida
    Tampa, Florida 33606, United States
  • Rush University Medical Center
    Chicago, Illinois 60612, United States
  • Indiana University
    Indianapolis, Indiana 46202, United States
  • Colon and Rectal Surgery Associates
    Metairie, Louisiana 70001, United States
  • Providence Hospital-Ascension Health
    Novi, Michigan 48374, United States
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References and documents

Individual participant data

Plan to share: Yes — Data from each subject is captured without any identifiers in an electronic database.

Supporting information: Study protocol, Sap, Icf, Csr

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 13, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03706248
Lead sponsor
Clinical Genomics Pathology
Responsible party
Sponsor
First posted
Oct 15, 2018
Start date
Jul 28, 2018
Primary completion
Jul 15, 2019
Completion
Jul 15, 2019
Last update
Feb 13, 2020

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Feb 2020. You cannot join it, but the record below documents what was studied.

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