Status:

RECRUITING

Shield Post-Approval Study Protocol

Lead Sponsor:

Guardant Health, Inc.

Conditions:

Colo-rectal Cancer

Eligibility:

All Genders

45-81 years

Brief Summary

The Shield post-approval study (PAS) is a prospective, longitudinal study supplemented with Real World Evidence (RWE) to evaluate the longitudinal performance of Shield in an average risk population a...

Detailed Description

Colorectal cancer (CRC) is the fourth most diagnosed cancer and second leading cause of cancer-related death in the US, with an estimated 53,010 deaths attributable to CRC in 2024. The risk of CRC inc...

Eligibility Criteria

Inclusion

  • Subjects aged 45-81 years at time of consent
  • Intending to undergo a standard of care Shield test
  • Considered by a physician or healthcare provider as being of 'average risk' for CRC; 'Average-risk' individuals in the context of CRC screening are defined as those who do not have symptoms of CRC and do not have increased risk factors for the disease (i.e., prior diagnosis of CRC, adenomatous polyps, or inflammatory bowel disease; family history of CRC or known hereditary predisposition to CRC).
  • Subject agrees to comply with study procedures and associated standard of care assessments.

Exclusion

  • Undergoing colonoscopy for investigation of symptoms
  • Personal history of colorectal cancer (CRC), adenomas, or other related cancers
  • Family history of CRC, defined as having one or more first-degree relative (parent, sibling, or child) diagnosed with CRC at any age
  • Positive result on another colorectal cancer screening method within the last six months, or:
  • 12 months for fecal occult blood test (FOBT) or fecal immunochemical test (FIT)
  • 36 months for FIT-DNA test
  • Personal history of any of the following high-risk conditions for colorectal cancer:
  • Inflammatory Bowel Disease (IBD), including chronic ulcerative colitis (CUC) and Crohn's disease
  • Familial adenomatous polyposis (FAP)
  • Other hereditary cancer syndromes including but not limited to:
  • Hereditary non-polyposis colorectal cancer syndrome (HNPCC) or "Lynch Syndrome", Peutz- Jeghers Syndrome, MUTYH Polyposis (MAP), Gardner's Syndrome, Turcot's (or Crail's) Syndrome, Cowden's Syndrome, Juvenile Polyposis, Cronkhite-Canada Syndrome, Neurofibromatosis and Familial Hyperplastic Polyposis
  • Positive Shield test result within the previous 3 years
  • History of any malignancy (patients who have undergone surgical removal of skin squamous cell cancer may be enrolled provided the procedure was completed at least 12 months prior to the date of provision of informed consent for the study)
  • Known diagnosis of inflammatory bowel disease
  • Currently taking any anti-neoplastic or disease-modifying anti-rheumatic drugs (DMARDs)
  • Any major physical trauma (e.g., disruption of tissue, surgery, organ transplant, blood product transfusion) within the 30 days leading up to the provision of informed consent
  • Known medical condition which, in the opinion of the Investigator, should preclude enrollment into the study
  • Participation in a clinical research study in which an experimental medication has been administered or may be administered within the 30 days leading up to providing informed consent or may be administered through the time of colonoscopy

Key Trial Info

Start Date :

July 14 2025

Trial Type :

OBSERVATIONAL

Allocation :

ESTIMATED

End Date :

December 1 2030

Estimated Enrollment :

3375 Patients enrolled

Trial Details

Trial ID

NCT06880055

Start Date

July 14 2025

End Date

December 1 2030

Last Update

December 24 2025

Active Locations (43)

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Page 1 of 11 (43 locations)

1

Southeast Valley Gastroenterology Consultants

Chandler, Arizona, United States, 85224

2

Southeast Valley Gastroenterology Consultants

Gilbert, Arizona, United States, 85297

3

Alliance Research Institute, LLC

Canoga Park, California, United States, 91304

4

Paragon Rx Clinical, Inc.

Garden Grove, California, United States, 92840