2020-2021 ACG Institute Annual Report of Programs and Activities

Page 14

Supporting NEW CLINICAL RESEARCH CATEGORIES The ACG Institute recognized two areas in need of critical research support - established investigators in need of bridge funding and research utilizing the GIQuIC database. To address this need, ACG offers funding for the Established Investigator Bridge Funding Award (up to $300,000 over two years) and a new joint society award, the ACG/ASGE Epidemiologic Research Award in Gastrointestinal Endoscopy (up to $50,000). The 2021 recipients of the newest ACG Clinical Research Awards describe the impact of these awards on their research and their projects:

2021 ACG Established Investigator Bridge Funding Award Johane Allard, MD Toronto General Hospital Non-Alcoholic Fatty Liver Disease: Relationship Between Hepatic Gene Expression, Intestinal Microbiome and Disease Severity

The focus of our research is to assess the contribution of the intestinal

2021 ACG/ASGE Epidemiologic Award in Gastrointestinal Endoscopy Jason Dominitz, MD, MHS University of Washington School of Medicine Comparison of Colonoscopy Quality Metrics Among Individuals Undergoing Diagnostic Colonoscopy for an Abnormal Fecal Occult Blood Test, Abnormal FIT-DNA Test or Average Risk Screening Colonoscopy in a National Colonoscopy Registry

microbiome in the pathogenesis and severity of NAFLD. Little is known about

My co-investigators and I greatly appreciate the support of the ACG/ASGE

the relationship between the intestinal microbiome, hepatic gene expression and

Epidemiologic Research Award in Gastrointestinal Endoscopy. Using data from

NAFLD severity. We will leverage our previously funded work (Canadian Institute

the GI Quality Improvement Consortium (GIQuIC), our study will compare

of Health Research: CIHR) to assess this relationship and use an integrative

colonoscopy findings and follow-up recommendations between diagnostic

multi-omics approach. This approach combines shotgun metagenomics, liver

colonoscopy for an abnormal fecal immunochemical test (FIT) vs. an abnormal

transcriptomic, stools and plasma metabolites, diet and clinical phenotyping to

FIT-DNA (aka Cologuard®) vs. screening colonoscopy. Results of this study will

reveal specific molecular mechanisms involved in this process.

help inform adenoma detection rate (ADR) benchmarks for these indications, as adenoma detection information is especially limited for colonoscopy performed

Receiving the ACG Established investigator Bridge Funding Award (previously

to evaluate an abnormal FIT-DNA screening test. We will also examine the

named the Mid-Career/Senior Scientist Bridge Funding Award) is a great

impact of indication on withdrawal time, on use of additional testing, such

honor. I am very excited and extremely grateful for the funding which will

as performance of EGD, and on colonoscopy surveillance recommendations.

further enhance our current research program in non-alcoholic fatty liver

Finally, the results will help to establish real-world point estimates to inform

disease (NAFLD) by supporting hepatic transcriptomic, computing analysis and

assumptions for cost-effectiveness models of colorectal cancer screening and

integration of multi-omics data.

may identify targets for future interventions to improve the process of screening and surveillance for colorectal cancer. We would not be able to do this study without the funding from the ACG/ASGE Research Award.

12 | 2020–2021 ACG Institute Annual Report of Programs & Activities


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