Could a simple stool test spare thousands from repeat colonoscopies?
NCT ID NCT04967183
First seen Sep 03, 2026 · Last updated Sep 04, 2026 · Updated 1 time
Summary
This trial tests whether an annual stool-based test (FIT) can be as effective as routine colonoscopy for people who have had advanced polyps removed. Participants aged 50 to 65 from colorectal cancer screening programs will be randomly assigned to either yearly FIT or scheduled endoscopic surveillance. The study tracks rates of new colorectal cancer, advanced lesions, and complications over several years to see if the less invasive approach holds up.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Annual fecal immunochemical test (FIT) compared with endoscopic surveillance (colonoscopy)
- What this could lead to
- If FIT proves non-inferior, many people could avoid frequent colonoscopies after polyp removal, easing the burden on patients and healthcare systems.
- What could go wrong
- The trial is large but results are not yet available. FIT may miss some lesions that colonoscopy would find, and the study only includes people already in screening programs.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 3,788 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2022
- Expected to finish
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Jun 2035
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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50 to 65 years
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Individuals aged 50 to 65 years. 2. Individuals with at least one advanced adenoma (tubulovillous or villous histology, high grade dysplasia or ≥ 10mm), and / or at least three non-advanced adenomas detected and resected completely within the population-based CRC screening program. Exclusion Criteria: 1. Personal history of CRC. 2. Colonic lesion ≥10mm resected without histological diagnosis. 3. More than 10 adenomas in baseline colonoscopy. 4. Serrated polyposis syndrome. 5. Two or more first-degree relatives with CRC. 6. Hereditary predisposition to CRC. 7. Relevant comorbidity with life expectancy inferior to 5 years. 8. Colonoscopy with incomplete mucosal examination. 9. Incomplete resection of baseline lesions. 10. Non-acceptance after reading the informed consent.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Complexo Hospitalario Universitario de Ourense
Ourense, Ourense, 32002, Spain
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