CAD-EYE System for the Detection of Neoplastic Lesions in Patients With Lynch Syndrome

Lynch Syndrome Clinical Trial

— CADLYNCH  

Official title:

Evaluation of the CAD-EYE System for the Detection of Colorectal Neoplastic Lesions in Patients With Lynch Syndrome

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT05963191
• Other study ID #: SFED 156
• Status: Not yet recruiting
• Phase: N/A
• Start date: October 2, 2023
• Est. completion date: October 2, 2025

Study information

• Verified date: July 2023
• Source: French Society of Digestive Endoscopy
• Contact: Guillaume Perrod, MD
• Phone: +33 1 56 09 34 17
• Email: guillaume.perrod[@]aphp.fr
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Lynch syndrome (LS) is the most common genetic predisposition syndrome for colorectal cancer (CRC), responsible for around 2-4% of cancers. It is characterized by a pathogenic germline mutation in one of the DNA mismatch repair genes (path_MMR) MLH1, MSH2, MSH6, PMS2 or a deletion in the 3' region of the Epcam gene. Patients followed up for LS are at high risk of developing CRC at an early age, and have a high cumulative CRC risk. In this context, CRC screening by colonoscopy is of major importance, as it is associated with a reduction in both CRC incidence and mortality.

In France, the Institut National du Cancer (INCa) recommends colonoscopy with indigo carmine chromoendoscopy (CE), as it is associated with a significant increase in the adenoma detection rate (ADR) compared with white light. However, EC is not routinely performed in clinical practice, as it is a time-consuming technique requiring a dedicated slot with a trained operator.

Recent years have seen the emergence of artificial intelligence techniques for real-time polyp detection aids or CADe devices. These easy-to-use systems have shown very promising results compared with high-definition (HD) white light. Indeed, data from the first meta-analysis of 5 randomized controlled trials (4354 patients) confirmed a significantly higher ADD in the CADe group than in the HD group (36.6% vs. 25.2%; 95% CI], 1.27-1.62; P < 0.01; I2 Z 42%) 10. The CAD EYE system (Fujifilm) is a CADe device supporting both detection (sensitivity > 95%) and characterization of colonic polyps in real time.

To date, artificial intelligence has never been evaluated for CRC screening in patients followed up for LS. The aim of this work is to evaluate the effectiveness of the CAD EYE system in this specific population. To this end, we intend to conduct a randomized, controlled, non-inferiority trial comparing CAD EYE with CE in patients with LS.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 272
• Est. completion date: October 2, 2025
• Est. primary completion date: October 2, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 90 Years

Eligibility

Inclusion Criteria:

• Confirmed pathogenic mutation (path_MLH1, path_MSH2, path_MSH6, path_PMS2, path_EpCAM)

• Male or female of legal age at time of colonoscopy prescription.

• Patient agreeing to participate in the study

• Person affiliated with or benefiting from a social security scheme

• Free, informed and express consent

Exclusion Criteria:

• Patient undergoing total colectomy with ileoanal or ileosigmoid anastomosis

• Patient with a history of Crohn's disease or ulcerative colitis

• Patients with a known allergy or intolerance to polyethylene glycol and ascorbic acid.

• Patients unable to undergo fractionated colonic preparation

• Inadequate colonic preparation: Boston sub-score <2 per segment

• Patient under guardianship or protected person

• Patient who does not understand French or cannot read

• Person not affiliated to a Social Security system.

• Pregnant women

Related Conditions & MeSH terms

• Colorectal Neoplasms, Hereditary Nonpolyposis
• Lynch Syndrome
• Syndrome

Intervention

Device:
• Colorectal cancer screening with CAD EYE colonoscopy
The colonoscopy procedure for each patient will be no different from a conventional colonoscopy examination. A colonoscopy is considered complete if the endoscope reaches the appendicular orifice or the terminal ileum. In line with recommendations, water lavage (using a lavage pump) and aspiration of food residues will be performed on ascent and/or descent to visualize the entire colonic mucosa. In the CAD EYE group, descent is performed under white light, with the CAD EYE system switched on. When polyps are detected, they are rigorously described and histological predictions of endoscopist and CAD EYE will be reported separately. Then polyps will be removed by polypectomy or mucosectomy. Removed polyps are then sent for anatomopathological analysis.

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
PERROD Guillaume

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	to evaluate the effectiveness of the CAD EYE system in screening for neoplastic lesions in Lynch syndrome.	Comparison of the adenoma detection rate (ADR) between the CAD-EYE group and the indigo carmin chromoendoscopy (CE) group (reference technique).	Through study completion, an average of 2 years
Secondary	Detection rates of specific lesions	Mean number of adenomas and serrated lesions per patient	Through study completion, an average of 2 years
Secondary	Diagnostic performance of CAD EYE	Comparison of the diagnostic performance of CAD EYE assessed by specificity, negative predictive value and positive predictive value for the characterization (adenoma/hyperplastic) of colonic polyps with the CAD EYE automated detection system. The anatomopathology of polyps was taken as the diagnostic reference.	Through study completion, an average of 2 years
Secondary	Rate of resect and discard strategy	Evaluation of the feasibility of a "resect and discard" strategy in Lynch Syndrome. Retrospective analysis comparing CAD-EYE histological prediction vs. endoscopist prediction, using histological report as reference examination (Sensitivity and negative predictive value).	Through study completion, an average of 2 years
Secondary	Time of Colonoscopies	Comparison of different procedure times between the 2 groups. Total procedure time will be defined as the time from endoscope insertion to extraction through the anus. Withdrawal time will be defined as the time spent on inspection, from the cecum to extraction of the endoscope through the anus, excluding the time required for polypectomy.	Through study completion, an average of 2 years