Neurotensin and IL-8 for screening colorectal cancer and adenomas

  • Research type

    Research Study

  • Full title

    The combined use of serum Neurotensin and IL-8 as screening markers for colorectal cancer and adenomas. A prospective study.

  • IRAS ID

    261217

  • Contact name

    Georgios Sgourakis

  • Contact email

    Georgios.Sgourakis@elht.nhs.uk

  • Sponsor organisation

    University Hospitals of Morecambe Bay

  • ISRCTN Number

    ISRCTN15709915

  • Clinicaltrials.gov Identifier

    36415-CUFUP4, study ID ISRCTN15709915

  • Duration of Study in the UK

    1 years, 0 months, 1 days

  • Research summary

    Neurotensin and Interleukin-8 for screening colorectal cancer and adenomas

    Study questions the validity of the combined use of serum Neurotensin, and IL-8 as screening markers for colorectal adenomas and cancer.
    Serum neurotensin and IL-8 values in the diagnosis of colorectal cancer have been reported for first time in the literature by the principal investigator in a published pilot study [Tumour Biol. 2014 Jun;35(6):5993-6002]. Potential benefit should be the re-definition of the cancer pathway and cost-effectiveness.
    Individuals referred for colonoscopy under any indication after the application of the inclusion/exclusion criteria will be consented for giving a blood sample for Neurotensin and IL-8. Participants will then undergo colonoscopy and/or biopsies according to standard protocols.
    Following the report of colonoscopy and the histology individuals will be assigned in three groups: a) group A - cancer patients, b) group B - adenoma patients and c) group C - No pathology/normal colonoscopy.
    Two analyses will be conducted for Neurotensin and IL-8 for a) the diagnostic performance for cancer detection (group A versus group C) and b) the diagnostic performance for detection of adenomas (group B versus group C).
    Inclusion criteria: Individuals over 50 years of age referred for colonoscopy under any indication.
    Recruitment: Study will be conducted at Furness General Hospital and Royal Preston Hospital.
    Patient Parameters: Age, Gender, BMI, Ethnicity, indication for colonoscopy, information concerning performance status, use of medications and Colonoscopic and histologic features.
    The primary endpoints: the contribution of Neurotensin and IL-8 in the detection of colorectal cancer and colorectal adenomas. Secondary end points: comparison with the current screening program.
    Sample size: We will require 500 patients in a 12 months’ period (interim report after first 250).
    Funding Body: Rosemere Cancer Foundation.

  • REC name

    West Midlands - South Birmingham Research Ethics Committee

  • REC reference

    19/WM/0139

  • Date of REC Opinion

    5 Sep 2019

  • REC opinion

    Further Information Favourable Opinion