About this trial
The investigators aim to evaluate the diagnostic accuracy of FIT and the novel panel of four bacterial gene markers collectively named as M3, to detect recurrent advanced adenomas in patients with history of colonic adenomas.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Known colorectal adenomas during index colonoscopy;
Available baseline M3 and FIT results before index colonoscopy;
Aged ≥18 years old;
Written informed consent obtained.
Disqualifiers
Refusal or unfit to undergo surveillance colonoscopy;
Incomplete colonoscopy, incomplete removal of colorectal adenomas, or inadequate bowel preparation (defined as Boston Bowel Preparation Scale score 0 or 1 in any colonic segment) at index colonoscopy;
Previous colonic resection;
Personal history of colorectal cancer;
Trial population
Subeject with history of colorectal adenomas
Trial design
Case-only
Prospective
Treatments tested in this trial
M3
Diagnostic testA panel of four bacterial gene markers (Fn, m3, Ch and Bc)
FIT
Diagnostic testfaecal immunochemical test
Treatment groups
Trial outcomes
Primary outcomes
Sensitivity of the panel of bacterial gene markers (M3) or FIT in detection of recurrent colonic advanced adenomas
The proportion of subjects with true positive results of either M3 or FIT among those with one of more advanced adenomas detected during the surveillance colonoscopy examination at year 3
Secondary outcomes
Sensitivity for advanced adenomas (year 3)
The proportion of subjects with true positive results of either M3 or FIT among those with one of more advanced adenomas detected at year 3 colonoscopy
Sensitivity for non-advanced adenomas (year 3)
The proportion of subjects with true positive results of either M3 or FIT among those with non-advanced adenomas detected at year 3 colonoscopy
Sensitivity for all adenomas (year 3)
The proportion of subjects with true positive results of either M3 or FIT among those with all adenomas detected at year 3 colonoscopy
Specificity (year 3)
Proportion of true negative results of M3/FIT among those with no adenoma detected in colonoscopy (year 3)
Sponsors and contacts
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