Personalized colonoscopy schedule for people with Lynch syndrome

Optimal Colorectal Cancer Surveillance Strategy for Lynch Syndrome by Genotype

['FUNDING_R01'] · COLUMBIA UNIVERSITY HEALTH SCIENCES · NIH-11167473

This project aims to find colonoscopy schedules matched to each Lynch syndrome gene so people can avoid extra procedures while still preventing colorectal cancer.

Quick facts

Phase['FUNDING_R01']
Study typeNih_funding
SexAll
SponsorCOLUMBIA UNIVERSITY HEALTH SCIENCES (nih funded)
Locations1 site (NEW YORK, UNITED STATES)
Trial IDNIH-11167473 on ClinicalTrials.gov

What this research studies

You would hear how colorectal cancer risk differs depending on which Lynch syndrome gene you carry and see screening plans that reflect that risk. Researchers will combine medical records, cancer outcomes, and genetic information to model lifetime cancer risk and how often colonoscopies would be needed. They will compare harms and benefits like cancer cases prevented, deaths avoided, and the number of colonoscopies people would undergo. The goal is to suggest less frequent checks for lower-risk genes and focused surveillance for higher-risk genes so care is safer and easier to live with.

Who could benefit from this research

Good fit: Adults with a confirmed Lynch syndrome pathogenic variant (for example MLH1, MSH2, MSH6, PMS2, or EPCAM) who are receiving or planning colorectal surveillance are the ideal candidates.

Not a fit: People without a confirmed Lynch syndrome gene or those with complex prior colorectal cancer history or other medical reasons requiring individualized follow-up may not benefit from generalized genotype-based schedules.

Why it matters

Potential benefit: If successful, this could lower the number of lifetime colonoscopies for many people with Lynch syndrome while maintaining strong protection against colorectal cancer.

How similar studies have performed: Previous research has documented different colorectal cancer risks by Lynch gene and modeling work supports genotype-tailored screening, but large prospective trials of personalized schedules are limited.

Where this research is happening

NEW YORK, UNITED STATES

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.

View on NIH RePORTER →

Conditions: Cancer Control, Cancer Control Science, Cancer Model, CancerModel, Cancers

Last reviewed 2026-05-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.