PREFACE: Preserving Fertility After Colorectal Cancer Study
Study Details
Study Description
Brief Summary
The PREFACE Study is a prospective, longitudinal cohort study of reproductive health and clinical outcomes among individuals diagnosed with colorectal cancer between age 18 to 49 years.
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
The Preserving Fertility After Colorectal Cancer (PREFACE) Study comprehensively investigates fertility, sexual health and clinical outcomes along the cancer care continuum among individuals diagnosed with colorectal cancer between age 18 to 49 years.
Patients are recruited prior to colorectal cancer therapy [baseline] and followed for up to 36 months after completion of first-course therapy (or 45 months after diagnosis for patients on maintenance therapy). Study timepoints are defined at: (i) completion of first-course treatment (or 9 months after diagnosis for patients on maintenance therapy [treatment]); (ii) and at 9, 18 and 36 month intervals thereafter [surveillance]. This cohort is enriched by a robust collection of biospecimens and data.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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PREFACE: Vanderbilt-Ingram Cancer Center Patient recruitment and follow-up, longitudinal collection of data and multiple biospecimen at pre-defined study timepoints, objective assessment of health behaviors/habits, individual interviews. |
Outcome Measures
Primary Outcome Measures
- Change(s) in serum hormonal markers [Baseline, treatment and multiple surveillance timepoints (up to 5 years)]
For female patients not taking oral contraceptive pills (OCPs), serum hormonal markers to be measured include: anti-Mullerian hormone (AMH), estrogens, sex hormone binding globulin (SHBG), follicle-stimulating hormone (FSH), luteinizing hormone (LH) and androgens. For male patients, serum hormonal markers to be measured include: inhibin B, FSH, androgens, estrogens, SHBG and LH.
- Reproductive health history (Questionnaire) [Baseline timepoint]
- Change(s) in reproductive health (Questionnaire) [Baseline, treatment and multiple surveillance timepoints (up to 5 years)]
- Sexual health history (Questionnaire) [Baseline timepoint]
- Changes in sexual health (Questionnaire) [Baseline, treatment and multiple surveillance timepoints (Up to 5 years)]
- Sexual health (Interview) [9 month post-treatment/Surveillance timepoint]
- Disease-free survival [Up to 5 years]
Secondary Outcome Measures
- Change(s) in health-related quality of life (Questionnaire) [At baseline, treatment and multiple surveillance timepoints (Up to 5 years)]
- Physical activity (Accelerometer) [Baseline timepoint]
- Physical activity (Accelerometer) [Completion of first-course treatment (or 9 months after baseline)]
- Physical activity (Accelerometer) [9 month post-treatment/Surveillance timepoint]
- Physical activity (Accelerometer) [18 month post-treatment/Surveillance timepoint]
- Physical activity (Accelerometer) [36 month post-treatment/Surveillance timepoint]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Known diagnosis of colorectal cancer
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Age 18 to 49 years at colorectal cancer diagnosis
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Diagnosed by and/or consulting with a physician participating in the PREFACE Study
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No prior history of colorectal cancer and/or colorectal cancer treatment
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Mentally and physically able to consent and participate in the study
Exclusion Criteria:
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Women who are pregnant at the time of colorectal cancer diagnosis
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Prisoners
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Unable to provide informed consent
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Unable to read, write, or complete questionnaires in English
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Vanderbilt-Ingram Cancer Center | Nashville | Tennessee | United States | 37232 |
Sponsors and Collaborators
- Andreana Holowatyj, PhD, MSCI
Investigators
- Principal Investigator: Andreana N Holowatyj, PhD, MSCI, Vanderbilt-Ingram Cancer Center
Study Documents (Full-Text)
None provided.More Information
Additional Information:
Publications
- Eng C, Jácome AA, Agarwal R, Hayat MH, Byndloss MX, Holowatyj AN, Bailey C, Lieu CH. A comprehensive framework for early-onset colorectal cancer research. Lancet Oncol. 2022 Mar;23(3):e116-e128. doi: 10.1016/S1470-2045(21)00588-X. Epub 2022 Jan 31. Review.
- Holowatyj AN, Eng C, Lewis MA. Incorporating Reproductive Health in the Clinical Management of Early-Onset Colorectal Cancer. JCO Oncol Pract. 2022 Mar;18(3):169-172. doi: 10.1200/OP.21.00525. Epub 2021 Sep 23.
- VICC GI 2186