Evaluation of Oral Potentially Malignant Disorders (OPMDs) with STRATICYTE™
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
The study objectives are to:
- Evaluate STRATICYTE™ sensitivity and specificity in a cohort of patients that meet the inclusion/exclusion criteria.
- Identify patient and clinical characteristics influencing the sensitivity and specificity of the STRATICYTE™ model.
- Estimate the correlation between STRATICYTE™ outcome and time to a positive diagnosis of oral cancer.
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: Jody Filkowski, BSc, MSc, PhD
- Phone Number: 1-825-305-0749
- Email: Jody.Filkowski@medlior.com
Study Contact Backup
- Name: Jason TK Hwang, HBSc, MSc, PhD
- Phone Number: 1-647-255-1370
- Email: jhwang@proteocyte.com
Study Locations
-
-
Alabama
-
Birmingham, Alabama, United States, 35233
- Completed
- The University of Alabama at Birmingham
-
-
California
-
Loma Linda, California, United States, 92350
- Completed
- Loma Linda University
-
-
Minnesota
-
Minneapolis, Minnesota, United States, 55415
- Withdrawn
- Minnesota Oral and Facial Surgery
-
-
Texas
-
Houston, Texas, United States, 44907
- Recruiting
- MD Anderson Cancer Cetner
-
Contact:
- Andrew G Sikora, MD, PhD
-
Houston, Texas, United States, 77054
- Completed
- UTHealth Houston School of Dentistry
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- From the archive, any patient who presents with clinically evident oral lesions and biopsy-proven dysplasia (punch or scalpel biopsies; any grade or classification system)
- Patients with initial oral lesions with epithelial atypia suspicious for neoplasia, with:
- No histological evidence of cancer with clinical follow-up data for a period of at least five years; or
- OSCC development (histologic or documented evidence of invasive cancer).
- Patients who had archived biopsy tissue blocks of a previous oral lesion(s) meeting the above criteria and retained at the same clinical center.
Exclusion Criteria:
- Patients with oral lesions or dysplasia with no indication of OSCC development or follow-up data of less than five years in non-OSCC patients.
- Patients diagnosed with oral epithelial dysplasia concomitant with OSCC at the time of the biopsy's original pathology report or a subsequent clinical note of cancer progression within three months post-biopsy.
Study Plan
How is the study designed?
Design Details
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
OPMDs that progressed to OSCC
No dysplasia, mild, moderate, severe dysplasia, CIS
|
Assessment for risk of progression to oral cancer
Other Names:
|
|
OPMDs that did not progress to OSCC
No dysplasia, mild, moderate, severe dysplasia, CIS
|
Assessment for risk of progression to oral cancer
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Sensitivity and Specificity
Time Frame: 5 years
|
Standard measures of accuracy calculated using cross-tabulation of predicted risk category and confirmed cancer progression over a 5-year period from biopsy
|
5 years
|
|
Survival analysis
Time Frame: 5 years
|
Kaplan-Meier analyses to compare time to a positive diagnosis of oral cancer between patients/biopsies with a STRATICYTE™ classification of Low- and Elevated-Risk.
|
5 years
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
AUC
Time Frame: 5 years
|
Area under the receiver operator curve
|
5 years
|
|
C-index (Harrell's)
Time Frame: 5 years
|
From all possible pairs of patients, compute the number of concordant and discordant pairs.
Compute C-index as the proportion of all possible pairs that are concordant.
|
5 years
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Simon W Young, DDS, MD, PhD, UTHealthHouston
Publications and helpful links
General Publications
- Ralhan R, Desouza LV, Matta A, Tripathi SC, Ghanny S, Datta Gupta S, Bahadur S, Siu KW. Discovery and verification of head-and-neck cancer biomarkers by differential protein expression analysis using iTRAQ labeling, multidimensional liquid chromatography, and tandem mass spectrometry. Mol Cell Proteomics. 2008 Jun;7(6):1162-73. doi: 10.1074/mcp.M700500-MCP200. Epub 2008 Mar 13.
- Ralhan R, Desouza LV, Matta A, Tripathi SC, Ghanny S, Dattagupta S, Thakar A, Chauhan SS, Siu KW. iTRAQ-multidimensional liquid chromatography and tandem mass spectrometry-based identification of potential biomarkers of oral epithelial dysplasia and novel networks between inflammation and premalignancy. J Proteome Res. 2009 Jan;8(1):300-9. doi: 10.1021/pr800501j.
- Tripathi SC, Matta A, Kaur J, Grigull J, Chauhan SS, Thakar A, Shukla NK, Duggal R, DattaGupta S, Ralhan R, Siu KW. Nuclear S100A7 is associated with poor prognosis in head and neck cancer. PLoS One. 2010 Aug 3;5(8):e11939. doi: 10.1371/journal.pone.0011939.
- Kaur J, Matta A, Kak I, Srivastava G, Assi J, Leong I, Witterick I, Colgan TJ, Macmillan C, Siu KW, Walfish PG, Ralhan R. S100A7 overexpression is a predictive marker for high risk of malignant transformation in oral dysplasia. Int J Cancer. 2014 Mar 15;134(6):1379-88. doi: 10.1002/ijc.28473. Epub 2013 Oct 8.
- Hwang JT, Gu YR, Shen M, Ralhan R, Walfish PG, Pritzker KP, Mock D. Individualized five-year risk assessment for oral premalignant lesion progression to cancer. Oral Surg Oral Med Oral Pathol Oral Radiol. 2017 Mar;123(3):374-381. doi: 10.1016/j.oooo.2016.11.004. Epub 2016 Nov 22.
- Hwang, J.T.K., Dammling, C., McCord, C. et al. External Validation of Straticyte™, a Quantitative Biomarker-Based Risk Assay in Predicting Oral Cancer. J. Maxillofac. Oral Surg. (2024). https://doi.org/10.1007/s12663-024-02362-7
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
- Lesion
- Personalized medicine
- Hyperplasia
- Early Diagnosis
- Leukoplakia
- Erythroplakia
- Erythroleukoplakia
- S100A7 Immunohistochemistry Signature-based
- STRATICYTE
- Hyperkeratosis
- Predictive Assay
- Oral epithelial dysplasia
- S100A7 biomarker
- Oral neoplasia
- Oral epithelial atypia
- Potentially premalignant oral epithelial lesion
- Oral potentially malignant disorders
- Mild dysplasia
- Moderate dysplasia
- Severe dysplasia
- Low-grade dyspalsia
- High-grade dysplasia
- Whole slide imaging
- Computational pathology
- Digital pathology
- Oral potentially malignant lesion
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- PRO-STR-PPOEL-2
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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