Intensive Cancer Screening After Cryptogenic Stroke

ConditionOccult Cancer
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorOttawa Hospital Research Institute

About this trial

The INCOGNITO Pilot Trial is a single centre pilot prospective randomized open-label blinded endpoint (PROBE) trial to assess the feasibility of a full-scale randomized trial to determine whether an occult cancer screening strategy of FDG PET/CT (F-fluorodeoxyglucose positron emission/computed tomography) in addition to usual care increases the number of occult cancers diagnosed after screening compared to usual care cancer screening alone in patients with cryptogenic stroke.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

adults ≥18 years

presenting to the Ottawa Hospital Stroke Prevention Clinic or the Ottawa Hospital Neurovascular Unit with a first cryptogenic ischemic stroke after advanced evaluation as per American Heart Association guidelines and Saver approach (maximum 3 months after stroke)

patient or delegate willing and able to provide informed consent.

Disqualifiers

contraindications to FDG PET/CT (pregnancy or unable to lie still in bed for 20 minutes)

active cancer or previous cancer diagnosis (other than basal or squamous cell carcinoma of the skin)

Trial design

Design model

Parallel

Treatments tested in this trial

  • FDG PET/CT

    Diagnostic test

    F-fluorodeoxyglucose positron emission/computed tomography

  • Usual Care

    Diagnostic test

    Cancer screening according to sex, age and risk as per Canadian Task Force on Preventative Health Care

Treatment groups

45 Participants
are divided into 2 treatment groups
Group A: Intensive Cancer ScreeningExperimental treatment 1 intervention
Group B: Usual CareOther 1 intervention

Trial outcomes

Primary outcomes

1

Participant Recruitment

Number of participants recruited

Time frame
Over 12 months

Secondary outcomes

1

Eligibility Rate

percentage of screened patients who are eligible

Time frame
Over 12 months
2

Consent Rate

percentage of eligible patients who provide consent

Time frame
Over 12 months
3

Retention Rate

percentage of participants retained at follow-up

Time frame
Over 24 months
4

Study Completion Rate

percentage of participants who completed all study procedures

Time frame
Over 24 months

Other outcomes

1

Screening time frame

time from diagnosis to screening

Time frame
Over 24 months
2

Reasons for participation

Reasons for accepting/declining participation

Time frame
Over 24 months
3

Usual care cancer screening strategies

Usual care cancer screening strategies ordered by treating physicians

Time frame
Over 24 months

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Ottawa Hospital Research Institute

Lead sponsor

Brain Canada

Collaborator

Heart and Stroke Foundation of Canada

Collaborator

Canadian Stroke Consortium (CSC)

Collaborator