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Deep Liver Phenotyping and Immunology Study (DELPHI)

28. marts 2022 opdateret af: University of Oxford

Hepatocellular carcinoma (HCC) and cholangiocarcinoma are the two most common causes of primary liver cancer and HCC is the second highest cause of cancer death worldwide. It is known that most of these cancers occur in patients who already have a liver condition. Despite close monitoring of many patients who have liver disease with regular ultrasound scans, HCC and cholangiocarcinoma are often discovered at a late stage. This is because they rarely cause symptoms until they have reached an advanced stage. Early identification of these cancers would enable more patients to have curative treatments such as surgery or liver transplantation.

The investigators want to collect blood and urine samples as well as small samples of cells directly from the liver. In some cases this will be done using a technique called liver fine needle aspiration. This technique is low risk and has been successfully used in other studies. The investigators will compare samples from patients with cancer to those of patients with other diseases of the liver who are at risk of developing cancer in the future.

The investigators aim to detect changes in the liver, blood, urine and/or bile of patients who have liver conditions that could tell us their risk of a future cancer. These changes could be in the types of white blood cells found within the liver, or, they may be in products secreted by liver cells. In the latter case the liver cells may release small pieces of their DNA that could be detected in the blood. When liver cells are dysfunctional, they may also change the types of metabolic products that they produce, and the investigators may be able to detect these changes in the urine or bile.

Studieoversigt

Status

Rekruttering

Betingelser

Detaljeret beskrivelse

The purpose of this study is to perform a characterisation of the cancer predisposing 'field effect' that is associated with hepatic & hepato-biliary malignancy, and, to identify minimally invasive biomarkers that may detect this field effect. This will be achieved through collection of patient samples (Tissue/Blood/Urine/Bile). Comparisons will then be made between patients with hepatic & hepatobiliary cancer and patients with chronic liver disease and also longitudinally in individual patients who either develop or are cured of hepatic & hepato-biliary malignancy during the study. The investigators hope to exploit this knowledge to develop novel biomarker candidates that may ultimately form inputs to a multi-parametric early cancer detection model. The study aims are:

  1. Develop a cohort of patients with HCC, cholangiocarcinoma or liver metastases and a cohort of chronic liver disease patients representing all the commonly encountered aetiologies (viral, metabolic, autoimmune and alcohol related liver disease).
  2. Collect samples from directly within the non-cancerous liver (FNA liver/biopsy/ablation/resection specimens), blood and urine in addition tumour tissue (resection/biopsy/ablation), bile and bile duct brushings.
  3. Flow cytometric & molecular biologic analysis of tissue and peripheral blood and bile.
  4. Transcriptomic analysis of cell populations in liver and blood.
  5. Genetic & molecular biologic analysis of hepatic and immune cells and secreted products.

Undersøgelsestype

Observationel

Tilmelding (Forventet)

100

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Studiesteder

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år til 75 år (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Prøveudtagningsmetode

Ikke-sandsynlighedsprøve

Studiebefolkning

Hepatology patients treated at a single hospital trust.

Beskrivelse

Inclusion Criteria:

  • Participant is willing and able to give informed consent for participation in the study.
  • Male or Female, aged 18 years to 75 years.

Malignancy Cohort: extra inclusion criteria - Diagnosed with a malignancy or with clinical suspicion of a malignancy affecting the Liver or Biliary Tree.

Control cohort: extra inclusion criteria

- Patients with confirmed chronic non-malignant hepatobiliary disease.

Additional Inclusion Criteria for Patients Undergoing optional Liver FNA

  • Willing to undergo ultrasound guided liver FNA (unless specific contra-indications to the procedure apply).
  • Has undergone appropriate clinical imaging of the upper abdomen (US/CT/MRI) within the last 12 months.
  • Full blood count (FBC) and coagulation profile (Coag) checked within 30 days prior to FNA procedure (Baseline Visit).

Exclusion Criteria:

  • Unable to consent.
  • Pregnancy.
  • Any concern by the investigator regarding the safe participation of the patient in the study; or investigator's consideration, for any other reason, that a patient is inappropriate for participation in the study.

Additional Exclusion Criteria for Patients Undergoing optional Liver FNA (These criteria will exclude a patient from having FNA as part of the study)

  • Significant comorbid medical condition(s) which may in the opinion of the investigator increase the risk of an FNA Liver.
  • Coagulopathy - International Normalized Ratio (INR) >1.3, Prothrombin Time (PT) >16 seconds, Platelet count <100 x 10^3/L.
  • Known bleeding disorder (e.g. Haemophilia).
  • Current use of an oral/injectable anticoagulant medication.
  • Current use of an oral antiplatelet agent.
  • The presence of ascites.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

Kohorter og interventioner

Gruppe / kohorte
Malignancy Cohort
Patients with hepatic or hepatobiliary malignancy at enrolment
Control Cohort
Patients with chronic liver disease but no hepatic or hepatobiliary malignancy at enrolment

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Measurement of intra-hepatic and peripheral blood immune cell numbers in Malignancy Cohort and Control Cohort patients.
Tidsramme: At study enrolment
Proportion of immune cell populations relative to total immune cell count measured by single cell RNA sequencing.
At study enrolment

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Measurement of liver cancer occurrence and all-cause mortality.
Tidsramme: 15 years
Measurement of absolute numbers of liver cancers and deaths in study patients
15 years

Andre resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Measure safety of fine needle aspiration in cirrhosis
Tidsramme: 5 years
Measurement of absolute numbers of adverse events related to liver fine needle aspiration in study patients with cirrhosis.
5 years
Measure tolerability of liver fine needle aspiration
Tidsramme: 5 years
Measure post procedure analgesia dose and duration in patients undergoing liver fine needle aspiration as a study procedure
5 years

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

University of Oxford

Efterforskere

  • Ledende efterforsker: Rory J Peters, University of Oxford

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

12. marts 2021

Primær færdiggørelse (Forventet)

31. oktober 2040

Studieafslutning (Forventet)

31. oktober 2040

Datoer for studieregistrering

Først indsendt

9. juni 2021

Først indsendt, der opfyldte QC-kriterier

22. juni 2021

Først opslået (Faktiske)

1. juli 2021

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

6. april 2022

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

28. marts 2022

Sidst verificeret

1. marts 2022

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • 264839
  • C2195/A27431 (Andet bevillings-/finansieringsnummer: Cancer Research UK)
  • CA30358/A29725 (Andet bevillings-/finansieringsnummer: Cancer Research UK)

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

Studerer et amerikansk FDA-reguleret lægemiddelprodukt

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Studerer et amerikansk FDA-reguleret enhedsprodukt

Ingen

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