Colon cancer detection by measuring DNA of cells collected from rectum: A pilot study

ISRCTN ISRCTN30255103
DOI https://doi.org/10.1186/ISRCTN30255103
Secondary identifying numbers PTG95-96
Submission date
20/05/2008
Registration date
29/05/2008
Last edited
01/08/2012
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Alexandre Loktionov
Scientific

Colonix Medical Limited
Babraham Research Campus
Babraham
Cambridge
CB22 3AT
United Kingdom

Phone +44(0)1223 496095

Study information

Study designObservational pilot study
Primary study designObservational
Secondary study designCross-section survey
Study setting(s)Other
Study typeScreening
Scientific titleColorectal cancer screening by quantitative analysis of DNA isolated from exfoliated cells sampled from the surface of human rectal mucosa: A pilot study
Study acronymPTG (Pilot Trial Guildford)
Study objectivesCell exfoliation from the surface of colorectal tumours is much more intensive than from normal colorectal mucosa. The hypothesis is that exfoliated cells are transferred to the rectum within mucocellular layer separating colon mucosa from the gut contents, and accumulation of exfoliated cells in cancer patients is much greater comparing to healthy individuals. It is suggested that this phenomenon can be used for colorectal cancer early detection and screening.

Please note that another study closely related to this study has been registered with ISRCTN95403112 (http://www.controlled-trials.com/ISRCTN95403112)
Ethics approval(s)South West Surrey Local Research Ethics Committee. Date of approval: 03/04/2004 (ref: 04/Q1909/38)
Health condition(s) or problem(s) studiedColorectal cancer; inflammatory bowel disease
InterventionThis study was conducted with two distinct groups of participants:
1. Patients presenting colorectal symptoms (outpatient group)
2. Patients with clinical diagnosis of colorectal malignancies

This pilot study did not follow a "case-control" pattern; the two groups were enrolled for different purposes. The outpatient group provided samples for prospective analysis of DNA scores in individuals with a range of colorectal conditions. Investigation of the known cancer group addressed possible differences between tumours of the proximal and distal colon.

Interventions:
Samples of exfoliated cells were collected from the surface of rectal mucosa using proctoscopy and a short (10 sec) inflation in the rectal cavity of a cell-collecting balloon. The procedure was minimally invasive and was completed within five minutes. The collected samples were assessed for DNA contents.
Intervention typeOther
Primary outcome measureDNA yields from exfoliated materials (DNA scores) are assessed in terms of their predictive value in detecting the presence of serious colorectal conditions (colorectal cancer and inflammatory bowel disease)
Secondary outcome measuresNo secondary outcome measures
Overall study start date01/04/2005
Completion date30/09/2006

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants100-130 outpatients with unknown status and 50-60 patients with clinical diagnosis of colorectal cancer
Key inclusion criteriaTwo different groups of participants were recruited:
1. Consecutive outpatients presenting colorectal symptoms and selected for diagnostic full colonoscopy
2. Consecutive patients with clinical diagnosis of colorectal malignancies prepared for operations in the Royal Surrey County Hospital (Guildford)

Note: In this small pilot study there was no sex and age limitations. All patients were over 35 of age.
Key exclusion criteriaExtensive surgical interventions in the colorectal region in the past
Date of first enrolment01/04/2005
Date of final enrolment30/09/2006

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Colonix Medical Limited
Cambridge
CB22 3AT
United Kingdom

Sponsor information

Colonix Medical Ltd (UK)
Industry

Babraham Research Campus
Babraham
Cambridge
CB22 3AT
United Kingdom

Phone +44(0)1223 496092
Email alex.loktionov@colonixltd.co.uk
Website http://www.colonixmedical.com
ROR logo "ROR" https://ror.org/01g15q926

Funders

Funder type

Industry

Colonix Medical Ltd (UK)

No information available

East of England Development Agency, Grant for Research and Development 2006 (UK)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/02/2009 Yes No