- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06790355
ProSight: A Multi-centre Interventional Study Evaluating MCED in Asymptomatic Population
Feasibility of Blood-based Test for Multi-cancer Early Detection in Asymptomatic Screening Population(ProSight): a Multi-centre Interventional Study
Study Overview
Status
Intervention / Treatment
Detailed Description
Approximately 2527 participants will be enrolled and offered the multi-cancer early detection (MCED) test along with standard-of-care (SOC) cancer screenings and usual medical care. The investigational test is designed to detect five cancer types at a curable stage, which are lung cancer, colorectal cancer, liver cancer, gastric cancer and esophageal cancer. The test provides a binary result and predicts the signal origins if a cancer signal is detected. Those with "cancer signal detected" test results as well as those with warning signs of cancer during health check-up will undergo diagnostic procedures. The diagnostic work-up will be at the discretion of qualified oncologists, instead of being dictated by protocol.
Both the safety and performance of MCED in the screening setting will be evaluated. The extent of diagnostic testing, including laboratory and imaging tests and procedures required to achieve diagnostic resolution, will be recorded and assessed. Additionally, patient-reported outcomes relating to the testing experience will also be collected at specified time points using the Electronic Clinical Outcome Assessment (eCOA) app.
Participants will be actively followed for 1 year from the date of the blood draw.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Fujian
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Fuzhou, Fujian, China, 350014
- Fujian Cancer Hospital
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Henan
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Zhengzhou, Henan, China, 450008
- Henan Cancer Hospital
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Jiangsu
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Nanjing, Jiangsu, China, 210009
- Jiangsu Cancer Hospital
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Shanghai Municipality
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Shanghai, Shanghai Municipality, China, 200032
- Fudan University Shanghai Cancer Center
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- 40-74 years old
- Able to provide a written informed consent and willing to comply with all parts of the protocol procedures
Exclusion Criteria:
- With cancer-associated clinical symptoms or suspected of cancer within 30 days prior to screen
- Have definite contraindications of cancer screening examination and diagnostic procedures
- Unable to comply with the protocol procedures
- Personal history of cancer, diagnosed within the 3 years prior to expected enrollment date
- Have received or are undergoing curative cancer treatment within three years prior to recruitment. Adjuvant endocrinotherapy for cancer is not an exclusion criterion.
- Recipients of anti-tumor therapy within 30 days prior to screen
- Pregnancy or lactating women
- Recipients of organ transplant or prior bone marrow transplant or stem cell transplant
- Recipients of blood transfusion within 7 days prior to screen
- With autoimmune diseases
- Have an acute infection or inflammation or uncontrolled chronic infection within 14 days prior to blood draw
- Unsuitable for this trial determined by the researchers (eg. hemorrhagic diseases)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Screening
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Healthy subjects
|
Blood collection for multi-cancer early detection(MCED), followed by clinical diagnosis based on the results of MCED and standard-of-care screening
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Feasibility of MCED in the intended use setting.
Time Frame: From enrollment to the Follow-up at 1 year
|
Descriptive statistics will be used to summarize the number of 5 pre-specified cancers diagnosed by MCED.
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From enrollment to the Follow-up at 1 year
|
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Safety of MCED in the intended use setting.
Time Frame: From enrollment to the Follow-up at 1 year
|
Descriptive statistics will be used to summarize the time to achieve diagnostic resolution following receipt of a positive MCED test and to assess the extent of testing pursued.
|
From enrollment to the Follow-up at 1 year
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Performance of MCED in the intended use setting.
Time Frame: From enrollment to the Follow-up at 1 year
|
Positive Predictive Value defined as the proportion of participants with cancer diagnosis out of all participants with "signal detected" test result.
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From enrollment to the Follow-up at 1 year
|
|
Cancer signal origin accuracy of MCED.
Time Frame: From enrollment to the Follow-up at 1 year
|
Cancer signal origin accuracy defined as the proportion of participants with correct SCO predictions among those with positive test results who had a cancer diagnosis.
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From enrollment to the Follow-up at 1 year
|
|
Clinical utility of MCED alongside SOC screening.
Time Frame: From enrollment to the Follow-up at 1 year
|
Descriptive statistics will be used to summarize the number and types of cancers diagnosed by MCED among participants who are ineligible for SOC screening.
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From enrollment to the Follow-up at 1 year
|
|
Participant-reported psychological impact.
Time Frame: From enrollment to the Follow-up at 1 year
|
Changes in anxiety during study will be assessed using the short form of STAI (The state-trait anxiety inventory).
Descriptive statistics for a total score will be used to measure feelings of anxiety.
|
From enrollment to the Follow-up at 1 year
|
|
Participant-reported health related quality of life (HRQoL) .
Time Frame: From enrollment to the Follow-up at 1 year
|
Changes in HRQoL during study will be assessed using the EQ-5D-5L.
Descriptive statistics for an index value at various time points will be used to reflect how good or bad a health state is.
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From enrollment to the Follow-up at 1 year
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Participant-reported satisfaction with MCED.
Time Frame: From enrollment to the Follow-up at 1 year
|
Descriptive statistics for a total score across all questions and individual ratings for each question.
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From enrollment to the Follow-up at 1 year
|
|
Cross-reactivity of MCED.
Time Frame: From enrollment to the Follow-up at 1 year
|
Descriptive statistics will be used to summarize the number and types of untrained cancers (beyond the 5 pre-specified cancers) diagnosed by MCED in participants for whom cancer signal origin directed workups do not result in diagnosis of cancer.
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From enrollment to the Follow-up at 1 year
|
Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Xianjun Yu, Fudan University
- Study Director: Xiaohui Wu, Shanghai Weihe Medical Laboratory Co., Ltd.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Neoplasms by Site
- Neoplasms
- Intestinal Diseases
- Respiratory Tract Diseases
- Gastrointestinal Neoplasms
- Digestive System Neoplasms
- Digestive System Diseases
- Gastrointestinal Diseases
- Intestinal Neoplasms
- Rectal Diseases
- Lung Diseases
- Head and Neck Neoplasms
- Liver Diseases
- Respiratory Tract Neoplasms
- Thoracic Neoplasms
- Colonic Diseases
- Esophageal Diseases
- Lung Neoplasms
- Colorectal Neoplasms
- Esophageal Neoplasms
- Liver Neoplasms
Other Study ID Numbers
- Genie-ProSight
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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