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- Klinische proef NCT05868486
Analyse van magnetische resonantiebeeldvorming van het hele lichaam en vloeibare biopsie voor vroege detectie van kanker bij patiënten met een sterke familiegeschiedenis van kanker
MRI van het hele lichaam en vloeibare biopsie voor vroege opsporing van kanker
This study evaluates patient acceptability of whole body magnetic resonance imaging (WBM) and liquid biopsies (LB) in detecting early stage cancer in patients with a strong family history of cancer. Collecting family history and testing for genes passed on from parent to child (germline testing) can be used to predict the likelihood of a patient developing cancer. Currently, detection of early cancers focuses on screening specific organ systems such as breast and colon cancer. Magnetic resonance imaging (MRI) uses a large magnet and radio waves to look at organs and structures inside the body. Health care professionals use MRI scans to diagnose a variety of conditions, from torn ligaments to cancer. Liquid biopsy is test that analyzes blood samples to determine if cancer cells are present. This study may help researchers determine the feasibility of WBM and liquid biopsies to detect early stage cancer in patients that have a strong family history of cancer.
Studie Overzicht
Toestand
Gedetailleerde beschrijving
PRIMARY OBJECTIVE:
I. To assess the acceptability of the approach of LB and WBM.
SECONDARY OBJECTIVES:
I. Determine the prevalence of WBM findings requiring additional imaging or invasive testing.
II. Determine the effect of germline testing, LB, and WBM on psychological distress and health-related quality of life (HR-QOL) at 6 months after testing compared with baseline.
EXPLORATORY OBJECTIVE:
I. Determine correlation between high-risk LB findings and cancer detected on WBM.
OUTLINE: This is an observational study.
Patients undergo WBM without contrast, blood sample collection for liquid biopsy, and complete surveys on study. Germline testing may also be performed on blood sample collected as standard of care or using the Precision Medicine protocol (Institutional Review Board [IRB] 96144).
Studietype
Inschrijving (Werkelijk)
Fase
- Vroege fase 1
Contacten en locaties
Studie Locaties
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California
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Duarte, California, Verenigde Staten, 91010
- City of Hope Medical Center
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Beschrijving
Inclusion Criteria:
- Age >= 50 years, or age within 10 years of first degree relative with cancer at age of diagnosis (as long as age is >= 18)
- Have a strong family history of cancer ( >= 2 first-degree relatives with cancer, one first and second degree relative with cancer in one lineage (side of family), or at least three first or second degree relatives with cancer in one lineage (side of the family). Non-melanoma skin cancer excluded from family history eligibility
- Have a family history of early-onset cancer (age >40) in at least one first-degree relative
- Willing to have 50 mL of blood (approximately 3.5 tablespoons) drawn (40 ml if germline testing already performed)
- Able to undergo MRI (no implants, metal, or claustrophobia that would preclude MRI)
- Any cancer diagnosis within past 5 years, excluding non-melanoma skin cancer
- Positron emission tomography/computed tomography (PET/CT) or other whole body imaging modality (including combination of CT chest and abdomen) within 3 years
- No signs/symptoms of possible cancer (e.g. hemoptysis, breast mass, blood per rectum, unexplained weight loss)
- Willing to undergo standard of care genetic counseling and germline testing, or has already undergone genetic counseling and germline testing
- Documented informed consent of the participant
Exclusion Criteria:
- Unable to provide informed consent
- Contraindications to MRI (implants, metal, or claustrophobia that would preclude MRI)
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Screening
- Toewijzing: NVT
- Interventioneel model: Opdracht voor een enkele groep
- Masker: Geen (open label)
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
|
Experimenteel: Whole Body MRI and Liquid Biopsy
Patients undergo WBM without contrast and blood sample collection for liquid biopsy |
Undergo blood sample collection
Andere namen:
Complete surveys Undergo germline testing
Andere namen:
Undergo liquid biopsy testing
Andere namen:
Undergo whole body MRI without contrast
Andere namen:
|
Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Acceptability of germline testing, liquid biopsy and whole body magnetic resonance imaging (WBM)
Tijdsspanne: Up to 6 months after WBM
|
Acceptability, as measured by the survey question "How satisfied are you with the research study overall?" and is defined as a score of 4 ("moderately acceptable) or 5 ("highly acceptable"). |
Up to 6 months after WBM
|
Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Prevalence of WBM findings requiring additional imaging or invasive testing
Tijdsspanne: Up to 6 months after WBM
|
Prevalence of WBM findings requiring additional imaging or invasive testing, described as a per participant percentage. |
Up to 6 months after WBM
|
|
Psychological distress (Germline testing)A
Tijdsspanne: Up to 6 months after WBM
|
The effect of germline testing on psychological distress, as measured by STAI survey composite score between baseline and 6 months after testing. |
Up to 6 months after WBM
|
|
Psychological distress (Germline testing)B
Tijdsspanne: Up to 6 months after WBM
|
The effect of germline testing on psychological distress, as measured by cancer worry scale survey scores between baseline and 6 months after testing. |
Up to 6 months after WBM
|
|
Psychological distress (Liquid Biopsy)A
Tijdsspanne: Up to 6 months after WBM
|
The effect of LB on psychological distress, as measured by STAI survey composite score between baseline and 6 months after testing. |
Up to 6 months after WBM
|
|
Psychological distress (Liquid Biopsy)B
Tijdsspanne: Up to 6 months after WBM
|
The effect of LB on psychological distress, as measured by cancer worry scale survey scores between baseline and 6 months after testing. |
Up to 6 months after WBM
|
|
Psychological distress (WBM)A
Tijdsspanne: Up to 6 months after WBM
|
The effect of Whole Body MRI on Psychological distress, as measured by STAI survey composite score between baseline and 6 months after testing. |
Up to 6 months after WBM
|
|
Psychological distress (WBM)B
Tijdsspanne: Up to 6 months after WBM
|
The effect of Whole Body MRI on Psychological distress, as measured by cancer worry scale survey scores between baseline and 6 months after testing. |
Up to 6 months after WBM
|
|
Health Related Quality of Life (HRQOL/Germline)
Tijdsspanne: Up to 6 months after WBM
|
The effect of germline testing on HRQOL, as measured by the change in SF12 survey composite score between baseline and 6 months after testing. |
Up to 6 months after WBM
|
|
Health Related Quality of Life (HRQOL/LB)
Tijdsspanne: Up to 6 months after WBM
|
The effect of LB on HRQOL, as measured by the change in SF12 survey composite score between baseline and 6 months after testing. |
Up to 6 months after WBM
|
|
Health Related Quality of Life (HRQOL/WBM)
Tijdsspanne: Up to 6 months after WBM
|
The effect of WBM on HRQOL, as measured by the change in SF12 survey composite score between baseline and 6 months after testing. |
Up to 6 months after WBM
|
Andere uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Correlation between high-risk liquid biopsy findings and cancer detected on WBM
Tijdsspanne: Up to 6 months after WBM
|
Liquid biopsy (LB) test sensitivity and specificity calculated by comparing the LB results with the WBM results, with WBM results considered the gold standard. Confusion matrix statistics, such as positive predictive value, negative predictive value, and test accuracy examined. Results reported with their corresponding 95% confidence intervals. |
Up to 6 months after WBM
|
Medewerkers en onderzoekers
Sponsor
Medewerkers
Onderzoekers
- Hoofdonderzoeker: Dan Raz, City of Hope Medical Center
Publicaties en nuttige links
Studie record data
Bestudeer belangrijke data
Studie start (Werkelijk)
Primaire voltooiing (Geschat)
Studie voltooiing (Geschat)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Aanvullende relevante MeSH-voorwaarden
- Onderzoekstechnieken
- Klinische laboratoriumtechnieken
- Diagnostische technieken en procedures
- Diagnose
- Cytologische technieken
- Biopsie
- Cytodiagnose
- Farmacologische acties
- Chemische acties en gebruik
- Gezondheidsdiensten
- Gezondheidszorgfaciliteiten personeel en diensten
- Community Health Services
- Preventieve gezondheidsdiensten
- Gedragsdisciplines en activiteiten
- Specialiteitgebruik van chemicaliën
- Geestelijke gezondheidszorg
- Genetische technieken
- Genetische diensten
- Diagnostische diensten
- Diagnostisch gebruik van chemicaliën
- Vloeibare biopsie
- Exemplaarbehandeling
- Genetische tests
- Counseling
- Contrast media
Andere studie-ID-nummers
- 21574
- P30CA033572 (Subsidie/contract van de Amerikaanse NIH)
- 21574 (Andere identificatie: City of Hope Medical Center)
- NCI-2022-01829 (Register-ID: CTRP (Clinical Trial Reporting Program))
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
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