Stool test could ease cancer screening for lynch syndrome patients
NCT ID NCT06898996
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study is testing whether a fecal immunochemical test (FIT), which checks for blood in the stool, can accurately detect colorectal cancer in people with Lynch Syndrome. Lynch Syndrome increases the risk of colorectal cancer, and patients currently need regular colonoscopies. The study will compare FIT results to colonoscopy findings in 400 participants to see how well the simpler test works.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Fecal immunochemical test (FIT)
- What this could lead to
- If successful, this could offer a less invasive, more convenient screening option for people with Lynch Syndrome, potentially reducing the need for frequent colonoscopies.
- What could go wrong
- This is an early-stage study focused on accuracy, not treatment. FIT may miss some cancers that colonoscopy would find, and results may not apply to all Lynch Syndrome patients.
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.
- Participants
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About 400 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2025
- Expected to finish
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Jul 2029
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.
Who is studied
People aged 20 - 80 years who have been diagnosed with Lynch syndrome
- Ages
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20 to 80 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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: * Have a diagnosis of LS with a confirmed pathogenic variant in MLH1, MSH2, MSH6, PMS2 or EPCAM genes. * Aged 20 - 80 years (for those with pathogenic variants in MLH1, MSH2, and EPCAM) * Aged 30 - 80 years (for those with pathogenic variants in PMS2 or MSH6). * Have an upcoming standard of care (SOC) colonoscopy appointment in line with standard LS surveillance guidelines (NCCN). * Patients with previous colon surgery who still have 20cm or more of colon remaining * Patients who are diagnosed with advanced neoplasia (e.g., advanced adenomas or cancers) and have NOT had endoscopic or surgical resection * Willing to sign informed consent, collect stools samples and complete surveys Exclusion Criteria: * Individuals who have not proceeded with genetic testing and therefore are not known to have LS, despite family history and/or criteria for testing. * Individuals who have previously undergone a subtotal or total colectomy. * Newly diagnosed Lynch Syndrome patients \< 20 years old with a pathogenic variant in MLH1, MSH2 or EPCAM, MSH6 or PMS2. * Newly diagnosed Lynch Syndrome patients \< 30 years old with a pathogenic variant in MSH6 or PMS2. * Individuals who are pregnant. * Individuals with inflammatory bowel disease or active malignancy. * Individuals not willing or able to sign 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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
3 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Columbia University
RECRUITINGNew York, New York, 10032, United States
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The University of Chicago Medical Center
RECRUITINGChicago, Illinois, 60639, United States
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University of Michigan
RECRUITINGAnn Arbor, Michigan, 48109, United States
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