Nasopharyngeal Carcinoma
Conditions
Keywords
Nasopharyngeal Carcinoma Screen, EBV DNA, EBV antibody
Brief summary
The investigators intend to compare Epstein-Barr virus antibody and Epstein-Barr virus DNA screening efficacy in first-degree relatives of nasopharyngeal carcinoma patients.
Detailed description
The investigators intend to test Epstein-Barr virus antibodies (Viral Capsid Antigen-immunoglobulin A, Epstein-Barr nuclear antigen 1-immunoglobulin A, early antigen-immunoglobulin A, Zta-immunoglobulin A, Rta-immunoglobulin G, Bnlf 2b) by ELISA and Epstein-Barr virus DNA by quantitative polymerase chain reaction, target sequencing and CRISPR-associated protein 12a in nasopharyngeal brushing and plasma of the same population at high-risk of nasopharyngeal carcinoma so as to determine the best method in nasopharyngeal carcinoma screening.
Interventions
ELISA test of VCA-IgA,EBNA1-IgA,EA-IgA, Zta-IgA ,Rta-IgG and BNLF 2b in nasopharyngeal brushing and plasma
quantitative polymerase chain reaction, CRISPR-associated protein 12a and target sequencing of EBV DNA in nasopharyngeal brushing and plasma
Sponsors
Study design
Eligibility
Inclusion criteria
* residents in Southern China * 30-62 years old * male * a first-degree relative of at least one nasopharyngeal carcinoma patient * no medical record of nasopharyngeal carcinoma * Eastern Cooperative Oncology Group score of 0-2 * be able to comprehend, sign, and date the written informed consent document to participate in the study
Exclusion criteria
* history of nasopharyngeal carcinoma * heavy cardiovascular, liver or kidney disease * on systemic steroid or immunosuppressant treatment or active autoimmune disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| positive predictive value | 3 years | the ratio of subjects truly diagnosed as nasopharyngeal carcinoma to all those who had positive test results |
| negative predictive value | 3 years | the ratio of subjects truly diagnosed as negative (do not have nasopharyngeal carcinoma) to all those who had negative test results |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| sensitivity | 3 years | the percentage of subjects who test positive to those who have nasopharyngeal carcinoma |
| specificity | 3 years | the percentage of subjects who test negative to those who do not have nasopharyngeal carcinoma |
| early diagnose rate | 3 years | the ratio of patients with stage I and stage II disease to all those who have nasopharyngeal carcinoma |
| cost-effectiveness | 3 years | the cost of detecting one nasopharyngeal carcinoma case |
Countries
China