Evidence map›Paper›PMID 42632449›Full record

ArticleContemporary clinical trials2026

Expanding access to colorectal cancer screening through community pharmacies: Study protocol for the PharmFIT™ randomized controlled trial.

Morgan Glascock, Mary Wangen, Renée M Ferrari, Meghan C O'Leary, Jessie Schwartz, Michelle Ndugulile, Joseph M Unger, Li Li, Macary Weck Marciniak, Daniel S Reuland and 4 more

Registry-linked trialAbstract read
In one paragraph

Article in Contemporary clinical trials, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06656936 (Expanding Access to Colorectal Cancer Screening Through Community Pharmacies), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06656936 nanot yet recruitingnot on this map

Expanding Access to Colorectal Cancer Screening Through Community Pharmacies: The PharmFIT Study

TypeinterventionalSponsorUNC Lineberger Comprehensive Cancer CenterRan2026 to 2029Enrolled1,500ConditionsColorectal CancerArmsPharmFIT
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Morgan GlascockFred Hutchinson Cancer Center, Seattle, WA, United States of America.
Mary WangenUniversity of North Carolina, Chapel Hill, NC, United States of America.
Renée M FerrariUniversity of North Carolina, Chapel Hill, NC, United States of America.
Meghan C O'LearyUniversity of North Carolina, Chapel Hill, NC, United States of America.
Jessie SchwartzFred Hutchinson Cancer Center, Seattle, WA, United States of America.
Michelle NdugulileFred Hutchinson Cancer Center, Seattle, WA, United States of America.
Joseph M UngerFred Hutchinson Cancer Center, Seattle, WA, United States of America.
Li LiFred Hutchinson Cancer Center, Seattle, WA, United States of America.
Macary Weck MarciniakUniversity of North Carolina, Chapel Hill, NC, United States of America.
Daniel S ReulandUniversity of North Carolina, Chapel Hill, NC, United States of America.
Kate WatabayashiFred Hutchinson Cancer Center, Seattle, WA, United States of America.
Alison T BrennerUniversity of North Carolina, Chapel Hill, NC, United States of America.
Stephanie B WheelerUniversity of North Carolina, Chapel Hill, NC, United States of America.
Parth D ShahFred Hutchinson Cancer Center, Seattle, WA, United States of America. Electronic address: pshah@fredhutch.org.

Funding

Expanding access to colorectal cancer screening through community pharmacies: The PharmFIT studyR01CA279010 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Alison T Brenner, Parth D Shah · 2024 to 2026
$2.1M
NCI NIH HHS R01 CA279010
6 · The paper itself

Abstract

backgroundColorectal cancer (CRC) is a leading cause of cancer death. Fecal immunochemical test (FIT) screening remains underused, particularly in underserved communities. Community pharmacies are highly accessible and increasingly deliver preventive care, yet pharmacy-based CRC screening has not been tested in a large pragmatic randomized trial with concurrent implementation and economic evaluation. This protocol describes a pragmatic trial testing a pharmacy-based CRC screening intervention using FIT, called PharmFIT™, which integrates community pharmacies into CRC screening pathways for primary care patients due for screening.

methodsPharmFIT™ is a two-arm, pragmatic, hybrid type 1 effectiveness-implementation trial in two geographically disparate states (Washington and North Carolina). Adults aged 45-75 years, due for CRC screening, are randomized (n = 1200) to PharmFIT™ or usual care. In the intervention arm, clinics recommend CRC screening and refer participants to partner pharmacies, and pharmacists counsel participants, dispense FIT kits, and support kit return and follow-up. The primary outcome is completion of any United States Preventive Services Task Force-recommended CRC screening test within 6 months. Secondary outcomes include reach, timeliness of FIT completion and follow-up colonoscopy, and screening differences across participant subgroups. Implementation outcomes (acceptability, appropriateness, feasibility, fidelity, cost) are assessed using mixed methods, and economic analyses estimate intervention implementation costs, incremental cost per additional participant screened, and budget impact conducted from pharmacy and societal perspectives.

conclusionsPharmFIT™ will provide effectiveness, implementation, and cost evidence for pharmacy-based CRC screening, informing the scalability of pharmacist-led cancer prevention within primary care.

trial registrationClinicalTrials.gov (NCT06656936).

Indexed as

Colorectal cancer screeningCommunity pharmacyCRC screeningEconomic evaluationFecal immunochemical testFITHybrid effectiveness–implementation trialImplementation sciencePragmatic randomized controlled trial

Identifiers

PMID42632449
PMCPMC13544599

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