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Enrolling By InvitationNCT06931860

Head to Head Trial of Mailed Cologuard to Mailed FIT

Comparative Effectiveness of Mailed Cologuard Outreach to Mailed FIT Outreach

Status
Enrolling By Invitation
Phase
N/A
Study type
Interventional
Enrollment
400 (estimated)
Sponsor
University of California, San Diego · Academic / Other
Sex
All
Age
45 Years – 49 Years
Healthy volunteers
Not accepted

Summary

The objective of this study is to measure the comparative effectiveness of mailed outreach of two stool based tests, multi-target stool DNA (Cologuard) and the fecal immunochemical test (FIT) in screening eligible adults ages 45-49 receiving care at the University of California San Diego Health system.

Detailed description

Adults ages 45-49 who are insured, deemed average risk and not currently up to date with colorectal cancer screening will be enrolled. Eligible participants will be randomized to either mailed Cologuard outreach, facilitated by Exact Sciences or mailed FIT outreach. Colorectal cancer screening completion within 12 months of randomization will be measured as the primary outcome, in addition to secondary outcomes of Cologuard or FIT positivity rate measured within 12 months of randomization, and follow-up colonoscopy uptake and CRC incidence, measured within 24 months of randomization.

Conditions

Interventions

TypeNameDescription
DIAGNOSTIC_TESTCologuardMulti-target stool DNA test for colorectal cancer screening implemented by Exact Sciences. Cologuard has 94% sensitivity and 87% specificity to detect colorectal cancer.
DIAGNOSTIC_TESTFecal Immunochemical TestStool blood test for colorectal cancer screening. FIT has 75% sensitivity and 90% specificity to detect colorectal cancer.

Timeline

Start date
2025-09-05
Primary completion
2026-09-01
Completion
2027-09-01
First posted
2025-04-17
Last updated
2025-09-09

Locations

1 site across 1 country: United States

Regulatory

Source: ClinicalTrials.gov record NCT06931860. Inclusion in this directory is not an endorsement.