The increasing incidence of young-onset colorectal cancer: a call to action.
Dennis J Ahnen, Sally W Wade, Whitney F Jones...
https://pubmed.ncbi.nlm.nih.gov/24393412/Actively Recruiting
Led by San Raffaele University · Updated on 2026-04-24
2300
Participants Needed
8
Research Sites
260 weeks
Total Duration
Researchers are investigating early-onset colorectal cancer eoCRC, which occurs before age 50, a condition that has been increasing worldwide. This international, multicenter case-control study explores how dietary, lifestyle, and anthropometric factors like smoking, alcohol use, physical activity, and body measurements relate to eoCRC risk. The study aims to better understand these risk factors in countries where eoCRC rates are rising compared to places with stable or decreasing rates. The study includes two parts a validation of a semi-quantitative food frequency questionnaire SQFFQ using three 24-hour dietary recalls, and a retrospective case-control study with prospectively enrolled patients. Patients diagnosed with eoCRC within the last two years and healthy controls matched by age and sex will participate. Controls will undergo a fecal occult blood test to confirm health status. Data on diet, lifestyle, and clinical factors will be collected through an online platform with separate sections for participants and doctors. Participants will complete the SQFFQ reporting usual food and drink consumption over the past 2 years, along with lifestyle and anthropometric data such as BMI, smoking habits, physical activity, and medication use. Doctors will provide clinical details for patients. The study will measure the association between these factors and eoCRC risk over 10 years. Data confidentiality and ethical standards, including informed consent and GDPR compliance, are ensured. The study is expected to continue through 2035.
CONDITIONS
Exogenous and Endogenous Risk Factors for Early-onset Colorectal Cancer
G
Giulia Martina Cavestro, MD PhD
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San Raffaele University
Lead Sponsor
Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milan, Italy
Collaborating Sponsor
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person) for controls to perform fecal occult blood test
Duration - Data collection refers to the 2 years prior to enrollment
Participants complete dietary and lifestyle questionnaires and provide anthropometric data through an online platform to assess risk factors related to early-onset colorectal cancer.
Online questionnaire completion with 3 non-consecutive 24-hour dietary recall calls for SQFFQ validation participants
Study Type
OBSERVATIONAL
Masking
N/A
Allocation
N/A
Model
N/A
Primary Purpose
N/A
Number of Arms
2
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https://pubmed.ncbi.nlm.nih.gov/30326010/San Raffaele University
Lead Sponsor
Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milan, Italy
Collaborating Sponsor