Point of Care Faecal Immunochemical Testing for Colorectal Cancer

  • Research type

    Research Study

  • Full title

    Can Point of Care Faecal Immunochemical Testing (FIT) be used in a clinical setting to contribute towards the diagnosis and management of symptomatic patients?

  • IRAS ID

    260384

  • Contact name

    William Maclean

  • Contact email

    william.maclean1@nhs.net

  • Sponsor organisation

    Research and Development, Royal Surrey County Hospital

  • Clinicaltrials.gov Identifier

    NCT04402424

  • Duration of Study in the UK

    1 years, 3 months, 27 days

  • Research summary

    Faecal Immunochemical Testing (FIT) is an investigation that can detect the presence and concentration of blood in the stool. It is a recognised test for patients in primary care presenting with bowel symptoms. Recent evidence suggests that FIT is a good “rule out” test of cancer for these patients. FIT is performed by the patient collecting a stool sample and then the sample is sent off to and processed in a laboratory. There are however available portable FIT machines that offer a result at the point of care that have not been trialled in these patients.

    There is an increased number of patients with symptoms being referred to our fast track “two-week rule” clinic for suspected bowel cancer and the majority will undergo an internal camera investigation called colonoscopy. Point of care FIT may offer a quicker, more convenient, less painful and cheaper alternative.

    We hope to understand the accuracy of this form of investigation in our two-week rule clinic by comparing its results with patients’ standard investigations. The data generated can be used to determine its use as a triage tool or an alternative to colonoscopy.

  • REC name

    London - South East Research Ethics Committee

  • REC reference

    19/LO/0889

  • Date of REC Opinion

    31 May 2019

  • REC opinion

    Favourable Opinion