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A randomised controlled trial to assess the cost-effectiveness of intensive versus no scheduled follow-up in patients who have undergone resection for colorectal cancer with curative intent - pilot study
ISRCTN ISRCTN61091474
ClinicalTrials.gov identifier
Public title A randomised controlled trial to assess the cost-effectiveness of intensive versus no scheduled follow-up in patients who have undergone resection for colorectal cancer with curative intent - pilot study
Scientific title
Acronym FACS (Follow-up After Colorectal Surgery)
Serial number at source HTA 99/10/09
Study hypothesis Aim: To assess the cost-effectiveness of intensive versus no scheduled follow-up in patients who have undergone resection for colorectal cancer with curative intent.
Objectives:
1. To confirm the feasibility of recruiting 5000 participants from 20 centres to the trial in two years.
2. To assess the effectiveness and cost-effectiveness of serial blood CEA measurement in detecting treatable recurrence and thereby improving 5 year survival.
3. To assess the effectiveness and cost-effectiveness of hospital follow-up involving regular ultrasound and CT imaging compared with no imaging and follow-up in general practice in detecting treatable recurrence and thereby improving 5 year survival.

Details of this study can also be found at: http://www.hta.ac.uk/1229
The ISRCTN record of main FACS trial that followed this pilot study can be found at: http://www.controlled-trials.com/ISRCTN41458548.
Lay summary
Ethics approval Not provided at time of registration.
Study design Randomised controlled trial
Countries of recruitment United Kingdom
Disease/condition/study domain Cancer (neoplasms): Rectum; Cancer (neoplasms): Colon
Participants - inclusion criteria Patients who have undergone resection for colorectal cancer with curative intent.
Participants - exclusion criteria Not provided at time of registration.
Anticipated start date 01/09/2002
Anticipated end date 29/02/2004
Status of trial Completed
Patient information material
Target number of participants Not provided at time of registration.
Interventions Monitoring of carcinoembryonic antigen (CEA) in primary care vs intensive imaging in hospital.
Follow-up after 3 months.

See details of ISRCTN41458548: FACS main trial on http://www.controlled-trials.com/isrctn/trial/ISRCTN41458548/0/41458548.html
Primary outcome measure(s) Not provided at time of registration.
Secondary outcome measure(s) Not provided at time of registration.
Sources of funding NIHR Health Technology Assessment Programme - HTA (UK)
Trial website http://www.facs.soton.ac.uk/
Publications No publication intended as of 06/10/2009
Contact name Prof  John  Primrose
  Address School of Medicine
University of Southampton
Biomedical Sciences Building
Bassett Crescent East
  City/town Southampton
  Zip/Postcode SO16 6YD
  Country United Kingdom
  Tel +44 2380 796144
  Fax +44 2380 794020
  Email j.n.primrose@soton.ac.uk
Sponsor Department of Health (UK)
  Address Quarry House
Quarry Hill
  City/town Leeds
  Zip/Postcode LS2 7UE
  Country United Kingdom
  Tel +44 (0)1132 545 843
  Email Sheila.Greener@doh.gsi.gov.uk
  Sponsor website: http://www.dh.gov.uk/en/index.htm
Date applied 25/04/2003
Last edited 09/10/2009
Date ISRCTN assigned 25/04/2003
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