- ICH GCP
- Registro degli studi clinici negli Stati Uniti
- Sperimentazione clinica NCT06388967
Consorzio per la rilevazione del cancro al pancreas (PCDC)
Individuazione precoce del cancro al pancreas: studio prospettico
This study aims to prospective validate an exosome-based miRNA signature for noninvasive and early detection of pancreatic ductal adenocarcinoma.
Panoramica dello studio
Stato
Condizioni
- Neoplasie pancreatiche
- Tumore del pancreas
- Adenocarcinoma pancreatico
- Adenocarcinoma duttale pancreatico
- Cancro al pancreas resecabile
- Carcinoma pancreatico
- Cancro al pancreas non resecabile
- Stadio del cancro al pancreas III
- Stadio del cancro al pancreas
- Stadio del cancro al pancreas II
- Cancro al pancreas, adulto
- Cancro al pancreas Stadio I
- Cancro al pancreas Stadio 0
Intervento / Trattamento
Descrizione dettagliata
Pancreatic ductal adenocarcinoma (PDAC) is one of the deadliest forms of cancer. It often goes undetected until it is at an advanced stage, making it challenging to treat. Currently, only a small percentage of patients are diagnosed early enough for effective treatment. While a blood marker exists, called serum carbohydrate antigen 19-9 (CA19-9), it is used primarily to track the disease, and it is unreliable for early detection.
To address this problem, the researchers have developed a new method to analyze circulating vesicles (called exosomes), which contain specific genetic material called microRNAs (miRNAs). In a previous study, by analyzing both the miRNAs that circulate freely in serum and the miRNAs that are inside the exosomes, the researchers have already identified a combination of 13 miRNAs that could accurately detect early-stage PDAC.
In this study, the researchers will test this method in a larger international cohort study. This study aims to confirm the effectiveness of this approach in identifying PDAC at its earliest stages.
Tipo di studio
Iscrizione (Stimato)
Contatti e Sedi
Contatto studio
- Nome: Ajay Goel, PhD
- Numero di telefono: 6262183452
- Email: AJGOEL@COH.ORG
Luoghi di studio
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Seoul, Corea del Sud
- Reclutamento
- Asan Medical Center
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Contatto:
- Song Cheol Kim
- Email: drksc@amc.seoul.kr
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Sub-investigatore:
- Song Cheol Kim
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Nagoya, Giappone
- Reclutamento
- Nagoya University
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Sub-investigatore:
- Yasuhiro Kodera
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Contatto:
- Yasuhiro Kodera
- Email: ykodera@med.nagoya-u.ac.jp
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Sub-investigatore:
- Masamichi Hayashi
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Arizona
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Phoenix, Arizona, Stati Uniti, 85004
- Reclutamento
- Translational Genomics Research Institute
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Contatto:
- Daniel Von Hoff
- Email: dvh@tgen.org
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Investigatore principale:
- Daniel Von Hoff
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Sub-investigatore:
- Haiyong Han
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Sub-investigatore:
- Derek Cridebring
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Scottsdale, Arizona, Stati Uniti, 85258
- Terminato
- Honorhealth
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California
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Monrovia, California, Stati Uniti, 91016
- Reclutamento
- City of Hope Medical Center
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Sub-investigatore:
- Alessandro Mannucci
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Sub-investigatore:
- Caiming Xu
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Investigatore principale:
- Ajay Goel
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Sub-investigatore:
- Stanley Hamilton
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Sub-investigatore:
- Vincent Chung
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Contatto:
- Ajay Goel, PhD
- Numero di telefono: 626-218-3452
- Email: AJGOEL@COH.ORG
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Newport Beach, California, Stati Uniti, 92663
- Terminato
- Hoag Center
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Illinois
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Peoria, Illinois, Stati Uniti, 61637
- Reclutamento
- OSF HealthCare
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Contatto:
- Chandler Wilfong
- Email: chandler.d.wilfong@osfhealthcare.org
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Sub-investigatore:
- Chandler Wilfong
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Louisiana
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Jefferson, Louisiana, Stati Uniti, 70121
- Reclutamento
- Ochsner Medical Center
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Contatto:
- John Bolton
- Email: jbolton@ochsner.org
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Sub-investigatore:
- John Bolton
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New Jersey
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Morristown, New Jersey, Stati Uniti, 07960
- Reclutamento
- Atlantic Health System
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Contatto:
- Angela Alistar
- Email: angela.alistar@atlantichealth.org
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Sub-investigatore:
- Angela Alistar
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Sub-investigatore:
- Eric Whitman
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Pennsylvania
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Pittsburgh, Pennsylvania, Stati Uniti, 15212
- Reclutamento
- AHN Cancer Institute at Allegheny General Hospital
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Contatto:
- Ali Zaidi, MD
- Email: ali.zaidi@ahn.org
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South Carolina
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Rock Hill, South Carolina, Stati Uniti, 29732
- Reclutamento
- Piedmont Medical Center
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Contatto:
- Andrew Page
- Email: Andrew.Page@piedmont.org
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Sub-investigatore:
- Andrew Page
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Sub-investigatore:
- Eyal Meiri
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Washington
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Tacoma, Washington, Stati Uniti, 98405
- Reclutamento
- MultiCare Cancer Institute - Tacoma General Hospital
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Contatto:
- Alex Cantafio, MD
- Email: alex.cantafio@multicare.org
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Wisconsin
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Milwaukee, Wisconsin, Stati Uniti, 53226
- Reclutamento
- Medical College of Wisconsin
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Contatto:
- Douglas Evans
- Email: devans@mcw.edu
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Sub-investigatore:
- Douglas Evans
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Criteri di partecipazione
Criteri di ammissibilità
Età idonea allo studio
Accetta volontari sani
Sessi ammissibili allo studio
Metodo di campionamento
Popolazione di studio
Independent cohorts of individuals with and without pancreatic cancer (cases and controls, respectively)
Descrizione
Inclusion Criteria:
- Histological diagnosis of pancreatic ductal adenocarcinoma, stages I-IV (TNM classification, 8th edition)
- Received standard diagnostic and staging procedures as per local guidelines, and at least one sample was drawn before receiving any curative-intent treatment.
- Imaging- or endoscopy-based proof of lack of pancreatic ductal adenocarcinoma at the time of sampling (Non-disease controls)
Exclusion Criteria:
- Lack of written informed consent.
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Modelli osservazionali: CASE_CONTROL
- Prospettive temporali: PROSPECTIVE
Coorti e interventi
Gruppo / Coorte |
Intervento / Trattamento |
|---|---|
|
Patients with Pancreatic Cancer Ductal Adenocarcinoma (Training)
Individuals diagnosed with pancreatic ductal adenocarcinoma |
This test will utilize quantitative reverse transcriptase polymerase chain reaction (qRT-PCR) to quantify the expression levels of 5 cell-free and 8 exosome-miRNAs in plasma samples obtained from patients with pancreatic ductal adenocarcinoma and from individuals without it
Altri nomi:
|
|
Individuals without Pancreatic Cancer Ductal Adenocarcinoma (Training)
Individuals without pancreatic ductal adenocarcinoma |
This test will utilize quantitative reverse transcriptase polymerase chain reaction (qRT-PCR) to quantify the expression levels of 5 cell-free and 8 exosome-miRNAs in plasma samples obtained from patients with pancreatic ductal adenocarcinoma and from individuals without it
Altri nomi:
|
|
Patients with Pancreatic Cancer Ductal Adenocarcinoma (Validation)
Individuals diagnosed with pancreatic ductal adenocarcinoma |
This test will utilize quantitative reverse transcriptase polymerase chain reaction (qRT-PCR) to quantify the expression levels of 5 cell-free and 8 exosome-miRNAs in plasma samples obtained from patients with pancreatic ductal adenocarcinoma and from individuals without it
Altri nomi:
|
|
Individuals without Pancreatic Cancer Ductal Adenocarcinoma (Validation)
Individuals without pancreatic ductal adenocarcinoma |
This test will utilize quantitative reverse transcriptase polymerase chain reaction (qRT-PCR) to quantify the expression levels of 5 cell-free and 8 exosome-miRNAs in plasma samples obtained from patients with pancreatic ductal adenocarcinoma and from individuals without it
Altri nomi:
|
Cosa sta misurando lo studio?
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Sensitivity
Lasso di tempo: Through study completion, an average of 1 year
|
True positive rate: the probability of a positive test result, conditioned on the individual truly being positive |
Through study completion, an average of 1 year
|
Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Specificity
Lasso di tempo: Through study completion, an average of 1 year
|
True negative rate: the probability of a negative test result, conditioned on the individual truly being negative |
Through study completion, an average of 1 year
|
|
Accuracy
Lasso di tempo: Through study completion, an average of 1 year
|
A measure of trueness: proportion of correct predictions (both true positives and true negatives) among the total number of cases examined |
Through study completion, an average of 1 year
|
Collaboratori e investigatori
Sponsor
Investigatori
- Investigatore principale: Ajay Goel, PhD, City of Hope Medical Center
Pubblicazioni e link utili
Pubblicazioni generali
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- Fahrmann JF, Schmidt CM, Mao X, Irajizad E, Loftus M, Zhang J, Patel N, Vykoukal J, Dennison JB, Long JP, Do KA, Zhang J, Chabot JA, Kluger MD, Kastrinos F, Brais L, Babic A, Jajoo K, Lee LS, Clancy TE, Ng K, Bullock A, Genkinger J, Yip-Schneider MT, Maitra A, Wolpin BM, Hanash S. Lead-Time Trajectory of CA19-9 as an Anchor Marker for Pancreatic Cancer Early Detection. Gastroenterology. 2021 Mar;160(4):1373-1383.e6. doi: 10.1053/j.gastro.2020.11.052. Epub 2020 Dec 14.
- Majumder S, Taylor WR, Foote PH, Berger CK, Wu CW, Mahoney DW, Bamlet WR, Burger KN, Postier N, de la Fuente J, Doering KA, Lidgard GP, Allawi HT, Petersen GM, Chari ST, Ahlquist DA, Kisiel JB. High Detection Rates of Pancreatic Cancer Across Stages by Plasma Assay of Novel Methylated DNA Markers and CA19-9. Clin Cancer Res. 2021 May 1;27(9):2523-2532. doi: 10.1158/1078-0432.CCR-20-0235. Epub 2021 Feb 16.
- Gui JC, Yan WL, Liu XD. CA19-9 and CA242 as tumor markers for the diagnosis of pancreatic cancer: a meta-analysis. Clin Exp Med. 2014 May;14(2):225-33. doi: 10.1007/s10238-013-0234-9. Epub 2013 Mar 3.
- Tempero MA, Uchida E, Takasaki H, Burnett DA, Steplewski Z, Pour PM. Relationship of carbohydrate antigen 19-9 and Lewis antigens in pancreatic cancer. Cancer Res. 1987 Oct 15;47(20):5501-3.
- Martin LK, Wei L, Trolli E, Bekaii-Saab T. Elevated baseline CA19-9 levels correlate with adverse prognosis in patients with early- or advanced-stage pancreas cancer. Med Oncol. 2012 Dec;29(5):3101-7. doi: 10.1007/s12032-012-0278-9. Epub 2012 Jun 24.
- Luo G, Liu C, Guo M, Cheng H, Lu Y, Jin K, Liu L, Long J, Xu J, Lu R, Ni Q, Yu X. Potential Biomarkers in Lewis Negative Patients With Pancreatic Cancer. Ann Surg. 2017 Apr;265(4):800-805. doi: 10.1097/SLA.0000000000001741.
- Bloomston M, Frankel WL, Petrocca F, Volinia S, Alder H, Hagan JP, Liu CG, Bhatt D, Taccioli C, Croce CM. MicroRNA expression patterns to differentiate pancreatic adenocarcinoma from normal pancreas and chronic pancreatitis. JAMA. 2007 May 2;297(17):1901-8. doi: 10.1001/jama.297.17.1901.
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- Yu W, Hurley J, Roberts D, Chakrabortty SK, Enderle D, Noerholm M, Breakefield XO, Skog JK. Exosome-based liquid biopsies in cancer: opportunities and challenges. Ann Oncol. 2021 Apr;32(4):466-477. doi: 10.1016/j.annonc.2021.01.074. Epub 2021 Feb 4.
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Termini MeSH pertinenti aggiuntivi
Altri numeri di identificazione dello studio
- 19288/PCDC
Piano per i dati dei singoli partecipanti (IPD)
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Descrizione del piano IPD
Data collected for the study will be made available to others, including de-identified participant data, at publication, via a signed data access agreement and at the discretion of the investigators' approval of the proposed use of such data
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