About this trial
Development of a multiomics assay for use on OriColTM sampled rectal mucus for detection of cancer and significant polyps in symptomatic patients on the Colorectal Urgent Suspected Cancer pathway.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients 18 years and over
Patients referred from primary care to the 'urgent suspected cancer' CRC pathway during the study period.
Patients who provide voluntary written informed consent to participate in the study.
Disqualifiers
Patients who are unable to undergo digital rectal examination (DRE).
Patients who have undergone radiotherapy.
An acute or chronic anal fissure
Perianal haematoma
Trial population
Up to 6600 patients referred through the UK Urgent Suspected Cancer Pathway.
Trial design
Cohort
Prospective
Treatments tested in this trial
Oricol Test
Diagnostic testAssessment of diagnostic accuracy of Oricol Sampling device for triage in patients with suspected lower gastrointestinal cancer
Treatment groups
Trial outcomes
Primary outcomes
TRIOMIC - 1
Determination of the clinical utility for stratification of colorectal cancer and high risk adenoma in a symptomatic population using hologenomic analysis.
TRIOMIC - 2
To expand and refine the genomic, epigenetic and microbiome biomarker signature profiles associated with colorectal cancer and high-risk adenoma to identify rarer biomarkers in addition to those previously established.
TRIOMIC - 3
To generate indicative performance metrics, including an assessment of discriminatory power, sensitivity, specificity and negative predictive values for the clinical application of Oricol™ multiomics assay.
Secondary outcomes
Health Economic Assessment
1\. To assess the health economics of delivering a diagnostic service to patients referred to the urgent suspected cancer (USC) pathway via a Community Diagnostic Centre (CDC) in comparison to the current delivery mechanisms through the Two-Week Wait (TWW) pathway.
Sponsors and contacts
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Origin Sciences
Lead sponsor
Shrewsbury and Telford Hospitals NHS Trust
Collaborator