Pancreatic Cancer
Conditions
Brief summary
This study is a multi-center, observational study aiming at developing a machine learning-based early detection model using prospectively collected liquid biopsy samples from clinically-annotated individuals.
Detailed description
Peripheral blood samples from participants with new diagnosis of pancreatic cancers will be collected to characterize the cancer-specific circulating signals by sequencing cell free DNA. A noninvasive test integrating machine learning algorithm will be trained and validated through a two-stage approach in recruited well-classified individuals, along with non-cancers without clinical diagnosis of cancer after routine medical screening. The performance of liquid biospy assays discovering cancer from non-cancer will be evaluated in participants with benign disease as well as average risk individuals.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
Cancer Arm Inclusion Criteria: * 40-75 years old * Clinically and/or pathologically diagnosed pancreatic cancer * No prior or undergoing any systemic or local antitumor therapy, including but not limited to surgical resection, radiochemotherapy, endocrinotherapy, targeted therapy, immunotherapy, interventional therapy, etc. * Able to provide a written informed consent and willing to comply with all part of the protocol procedures.
Exclusion criteria
* Pregnancy or lactating women * Known prior or current diagnosis of other types of malignancies comorbidities * Severe acute infection (e.g. severe or critical COVID-19, sepsis, etc.) or febrile illness (body temperature of ≥ 38.0 °C) within 14 days prior to blood draw * Recipients of organ transplant or prior bone marrow transplant or stem cell transplant * Recipients of blood transfusion within 30 days prior to study blood draw * Recipients of therapy in past 14 days prior to blood draw, including oral or IV antibiotics, glucocorticoid, azacitidine, decitabine, procainamine, hydrazine, arsenic trioxide * Other conditions that the investigators considered are not suitable for the enrollment Benign Disease Arm Inclusion Criteria: * 40-75 years old * Clinically and/or pathologically diagnosed pancreatic non-malignant disease (pancreatic intraepithelial neoplasia, pancreatic cyst and chronic pancreatitis) * No prior or undergoing any systemic or local antitumor therapy, including but not limited to surgical resection, radiochemotherapy, endocrinotherapy, targeted therapy, immunotherapy, interventional therapy, etc. * Able to provide a written informed consent and willing to comply with all part of the protocol procedures
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Performance of cfDNA methylation-based model for discriminating pancreatic cancer versus non-cancer | 12 months | Sensitivities of cfDNA methylation-based model at specificity of 99% and 95%, respectively. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Performance of models using multi-omic data for discriminating pancreatic cancer versus non-cancer | 12 months | Sensitivities of model integrating multi-omics data at specificity of 99% and 95%,respectively. |
| Performance of pre-defined model in clinical sub-groups of interest | 12 months | Sensitivity of pre-defined model in different pathological subtypes or different age groups or tumor marker-negative cases. |
Countries
China