Diagnostic Yield of Colonoscopy Surveillance in Testicular Cancer Survivors Treated With Platinum-based Chemotherapy
NCT04180033 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 154
Last updated 2023-01-31
Summary
Testicular cancer (TC) survivors treated with platinum-based chemotherapy have an increased risk of colorectal cancer (CRC) (hazard ratio (HR) 3.9 for platinum-containing chemotherapy versus no platinum-containing chemotherapy, 95% confidence interval 1.7-8.9). Colonoscopy screening can reduce CRC incidence and mortality. Given this increased risk of CRC, colonoscopy surveillance should be considered for TC survivors treated with platinum-based chemotherapy.
The aim of this study is to evaluate the diagnostic yield of advanced colorectal neoplasia during colonoscopy surveillance in TC survivors treated with platinum-based chemotherapy. The secondary objectives are to determine cost-effectiveness and burden of colonoscopy. Furthermore, the molecular profile of advanced neoplasia will be evaluated to create insight into the carcinogenesis. The effectiveness of fecal immunochemical testing (FIT) will be evaluated with colonoscopy as a reference. Finally, blood plasma platinum-levels will be determined to examine a potential correlation with the outcome of the ccolonoscopy.
Conditions
- Testicular Cancer
- Colorectal Neoplasms
Interventions
- DIAGNOSTIC_TEST
-
Colonoscopy surveillance
Participants will be asked to undergo a first colonoscopy surveillance.
Sponsors & Collaborators
-
The Netherlands Cancer Institute
lead OTHER
Principal Investigators
-
Monique van Leerdam, MD PhD · Antoni van Leeuwenhoek Hospital
Study Design
- Allocation
- NA
- Purpose
- PREVENTION
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 35 Years
- Max Age
- 75 Years
- Sex
- MALE
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2020-02-18
- Primary Completion
- 2022-11-25
- Completion
- 2022-11-25
Countries
- Netherlands
Study Locations
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