Scaling CRC Screening Through Outreach, Referral, and Engagement (SCORE)

Completed · Not applicable

Conditions studied: Colorectal Cancer

In brief

This study will test the effectiveness of mailing fecal immunochemical tests (FITs) in increasing colorectal cancer (CRC) screening rates in U.S. adults ages 45-75. We are implementing this study in two age groups, 45-49 years and 50-75 years.

Key facts

Study ID

NCT04406714

Run by

UNC Lineberger Comprehensive Cancer Center

People needed

4318

Starts

2020-07-07

Expected to finish

2024-09-02

Last updated by the study team

2026-05-15

Who can join

Age: 45 and older, up to 75. Sex: any. Healthy volunteers: accepted.

You may qualify if…

• Age 45-75 years
• At average risk for CRC ("average risk" is defined as those patients who do not have any of the following: documented history of CRC, colorectal neoplasms, colorectal polyps, colonic adenomas, family history of CRC among first degree relative [father, mother, sister, brother], or diagnosis of inflammatory bowel disease)
• No record of fecal occult blood test (FOBT)/FIT within the past 12 months or colonoscopy within 10 years, sigmoidoscopy within 5 years, barium enema within 5 years, or computed tomography (CT) colonography within 10 years of the EHR query date
• No record of any CRC diagnosis or total colectomy
• No record of comorbidities or screening contraindications, including dementia, hospice care, assisted living, end-stage renal disease, and other cancers (glioblastoma, pancreatic cancer, lung cancer, esophageal cancer, liver and bile duct cancer, mesothelioma)
• Has a complete North Carolina mailing address in the EHR
• Active patient of the clinic (seen within the past 18 months) at the time of randomization
• No record of a positive (abnormal) FIT result in the first study round (Trial Ages 50-75 only)

You may not qualify if…

• Age younger than 45 years or older than 75 years
• Not at average risk for CRC ("average risk" is defined as those patients who do not have any of the following: documented history of CRC, colorectal neoplasms, colorectal polyps, colonic adenomas, family history of CRC among first degree relative [father, mother, sister, brother], or diagnosis of inflammatory bowel disease)
• Record of FOBT/FIT within the past 12 months or colonoscopy within 10 years, sigmoidoscopy within 5 years, barium enema within 5 years, or CT colonography within 10 years of the EHR query date
• Record of any CRC diagnosis or total colectomy
• Record of comorbidities or screening contraindications, including dementia, hospice care, assisted living, end-stage renal disease, and other cancers (glioblastoma, pancreatic cancer, lung cancer, esophageal cancer, liver and bile duct cancer, mesothelioma)
• Does not have a complete North Carolina mailing address in the EHR
• Not an active patient of the clinic (not seen within the past 18 months) at the time of randomization
• Record of a positive (abnormal) FIT result reported during the first study round (Trial Ages 50-75)

Where it is running

• Roanoke Chowan Community Health Center — Ahoskie, North Carolina, United States
• Blue Ridge Health — Hendersonville, North Carolina, United States

Full record on ClinicalTrials.gov

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