Pancreatic Cancer
Conditions
Brief summary
The prospective clinical trial PDA-MAPS - Pancreatic ductal adenocarcinoma - Microbiome as Predictor of Subtypes aims to investigate the prognostic and predictive power of the orointestinal and tumoral microbiome in PDAC patients and associate findings with genetic, transcriptional and clinical data, in particular with treatment response.
Detailed description
The prospective clinical trial PDA-MAPS - Pancreatic ductal adenocarcinoma - Microbiome as Predictor of Subtypes aims to investigate the prognostic and predictive power of the orointestinal and tumoral microbiome in PDAC patients and associate findings with genetic, transcriptional and clinical data, in particular with treatment response. Patients with histologically confirmed PDA are enrolled at primary diagnosis and prior to oncological or surgical treatment. Rectal and buccal microbiome swabs as well as detailed clinical records are obtained from all patients. Following DNA extraction, both 16S rRNA and metagenomic sequencing will be performed using ONT sequencing platform. All data and clinical records are centrally stored, visualized and integrated via tranSMART and SEEK platforms.
Interventions
Oral swabs and rectal swabs are collected non-invasively.
Sponsors
Study design
Eligibility
Inclusion criteria
\- Patients with pancreatic mass suspicious of pancreatic ductal adenocarcinoma
Exclusion criteria
* \< 18 years * patients that cannot give informed consent * pregnant and breastfeeding women
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Progression free survival | 12 months upon study enrollment | Progression free survival of patients measured in months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Molecular subtypes of pancreatic cancer | within 3 months of histological diagnosis | Basal and classical subtype via RNAseq from tissue samples |
| Response to chemotherapy | up to 6 months after start of therapy | reponse, partial response and progress according to RECIST within 6 months of therapy initiation |
Countries
Germany