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The Role of Gut Microbiome and Chronic Inflammation in Young-onset Colorectal Cancer

2019年7月9日 更新者:Murdani Abdullah、Fakultas Kedokteran Universitas Indonesia

The Role of Gut Microbiome and Chronic Inflammation in Young-onset Colorectal Cancer: Next-generation Sequencing (NGS) as a Screening Method

This study aims to investigate the role of gut microbiome pattern and inflammation marker NF-ҡB in young-onset colorectal cancer

研究概览

研究类型

观察性的

注册 (预期的)

150

联系人和位置

本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。

学习地点

    • DKI Jakarta
      • Jakarta、DKI Jakarta、印度尼西亚、10430
        • RSUPN dr. Cipto Mangunkusumo (Cipto Mangunkusumo Hospital)

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

35年 及以上 (成人、年长者)

接受健康志愿者

是的

有资格学习的性别

全部

取样方法

非概率样本

研究人群

Patients suspected with colorectal cancer who come to our hospital to conduct colonoscopy procedure will be recruited for this study and will undergo a series of examinations. Since this is a pilot study to obtain gut microbiome pattern on colorectal cancer patients, the number of samples is determined by the researchers: 100 subjects for neoplasm and 50 subjects for non-neoplasm (according to histopathology report)

描述

Inclusion Criteria:

  1. Age ≥ 35 years old
  2. Suspected with colorectal cancer and undergoing a colonoscopy procedure
  3. No history of colorectal cancer treatment

Exclusion Criteria:

  1. Unwilling to provide fecal and blood sample
  2. Incomplete colonoscopy procedure due to any reasons

学习计划

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

研究是如何设计的?

设计细节

队列和干预

团体/队列
干预/治疗
Colorectal cancer suspects
Patients suspected with colorectal cancer who come to our hospital to conduct colonoscopy procedure will be recruited for this study and will undergo a series of examinations.
Asia Pacific Colorectal Screening (APCS) is a validated tool to predict the risk of colorectal cancer in asymptomatic Asian population. The scoring system comprises of three categories: low risk (score 0-1), moderate risk (score 2-3) and high risk (score 4-7). Patients with moderate and high risk will undergo further examinations.

Blood samples will be taken before colonoscopy procedure to evaluate the level of serum CEA by ELISA method and to evaluate the presence of NF-ҡB by immunohistochemical method.

  1. Carcinoembryonic antigen (CEA) is a well-known marker for colorectal cancer. A pre-treatment serum CEA level of ≥ 5 ng/mL is associated with poor prognosis in colorectal cancer patients.
  2. NF-ҡB is a chronic inflammation marker found in colorectal cancer patients.

Fecal samples will be taken before colonoscopy procedure to be tested for FIT and to evaluate the gut microbiome.

  1. Fecal immunochemical test (FIT) is a recommended screening method for colorectal cancer. Detection of hemoglobin over a certain level in fecal samples indicated a positive FIT. Patients with positive FIT will undergo further examinations.
  2. Gut microbiome examination will be conducted with next generation sequencing (NGS) method.

研究衡量的是什么?

主要结果指标

结果测量
措施说明
大体时间
Gut microbiome
大体时间:pre-colonoscopy, approximately 1 day before colonoscopy
Gut microbiome examination will be conducted with next generation sequencing (NGS) method
pre-colonoscopy, approximately 1 day before colonoscopy
Asia Pacific Colorectal Screening (APCS) score
大体时间:pre-colonoscopy, approximately 1 day before colonoscopy
Asia Pacific Colorectal Screening (APCS) is a validated tool to predict the risk of colorectal cancer in asymptomatic Asian population. The scoring system comprises of three categories: low risk (score 0-1), moderate risk (score 2-3) and high risk (score 4-7). Patients with moderate and high risk will undergo further examinations
pre-colonoscopy, approximately 1 day before colonoscopy
Carcinoembryonic antigen (CEA) serum level
大体时间:pre-colonoscopy, approximately 1 day before colonoscopy
Carcinoembryonic antigen (CEA) is a well-known marker for colorectal cancer. A pre-treatment serum CEA level of ≥ 5 ng/mL is associated with poor prognosis in colorectal cancer patients.
pre-colonoscopy, approximately 1 day before colonoscopy
Presence of NF-ҡB
大体时间:pre-colonoscopy, approximately 1 day before colonoscopy
NF-ҡB is a chronic inflammation marker found in colorectal cancer patients. Presence of NF-ҡB is assessed with immunohistochemical method. The result is considered positive if accumulated score ≥ 3.
pre-colonoscopy, approximately 1 day before colonoscopy
Fecal immunochemical test (FIT)
大体时间:pre-colonoscopy, approximately 1 day before colonoscopy
Fecal immunochemical test (FIT) is a recommended screening method for colorectal cancer. Detection of hemoglobin over a certain level in fecal samples indicated a positive FIT. Patients with positive FIT will undergo further examinations
pre-colonoscopy, approximately 1 day before colonoscopy

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

调查人员

  • 首席研究员:Murdani Abdullah、Fakultas Kedokteran Universitas Indonesia

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (预期的)

2019年7月1日

初级完成 (预期的)

2022年5月1日

研究完成 (预期的)

2022年5月1日

研究注册日期

首次提交

2019年7月2日

首先提交符合 QC 标准的

2019年7月4日

首次发布 (实际的)

2019年7月9日

研究记录更新

最后更新发布 (实际的)

2019年7月11日

上次提交的符合 QC 标准的更新

2019年7月9日

最后验证

2019年7月1日

更多信息

与本研究相关的术语

药物和器械信息、研究文件

研究美国 FDA 监管的药品

研究美国 FDA 监管的设备产品

此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.

Score assessment的临床试验

3
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