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Optical and Biochemical Biomarkers in Early Pancreatic Cancer


2018-01-11


2022-03-10


2022-03-10


346

Study Overview

Optical and Biochemical Biomarkers in Early Pancreatic Cancer

The purpose of this study is to develop a test for detection of pancreatic cancer by looking at the subject's DNA.

Pancreatic juice collection is performed by intravenous injection of FDA approved synthetic human secretin (ChiRhoClin Inc., Burtonsville, MD) at a dose of 0.2 µg/kg will be administered while the endoscope is positioned in the second portion of the duodenum. From within the duodenum and without cannulation of the papilla of Vater, a 2.3-mm plastic aspiration catheter (Olympus, Tokyo, Japan) will be passed through the biopsy channel of the endoscope until visible on screen in the endoscopic monitor. Once active visible secretion via the papilla has begun, the first 10 ml of pancreatic juice will be collected via suctioning. This entire process from secretin injection to sample collection takes an average of 5 minutes. The sample is then aliquoted into 2 ml ampules, which are snap-frozen in liquid nitrogen (or portable rapid-freeze freezer) and freezer-stored until the assays are performed. The top 10 candidate markers from discovery and validation on tissue (AUCs >0.95) and from pilot pancreatic-juice testing (AUCs >0.9) will be evaluated in this study. Following extraction from an equivalent of 0.4 ml pancreatic juice, DNA will be bisulfite treated using optimized methods. Then, an assay of aberrant methylation on target genes will be conducted using the QuARTS technique. Results will be normalized to either a human DNA marker (eg, beta-actin) or a methylated DNA marker identified for normal pancreatic epithelium.

  • Pancreatic Cancer
  • DRUG: Synthetic Human Secretin
  • 17-005211

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates Results Reporting Dates Study Record Updates

2018-01-12  

N/A  

2023-06-05  

2018-01-12  

N/A  

2023-06-06  

2018-01-19  

N/A  

2023-06  

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

Design Details

Primary Purpose:
N/A


Allocation:
N/A


Interventional Model:
N/A


Masking:
N/A


Arms and Interventions

Participant Group/ArmIntervention/Treatment
: Pancreas Cancer Subjects

Patients with pancreas cancer will receive Synthetic Human Secretin during an endoscopy procedure.

DRUG: Synthetic Human Secretin

  • Subjects will receive a dose of 0.2ng/kg while the endoscope is positioned in the second portion of the duodenum.
: Control Subjects

Controls will receive Synthetic Human Secretin during an endoscopy procedure. Controls are at an elevated risk of pancreas cancer, including pancreatic cystic neoplasms.

DRUG: Synthetic Human Secretin

  • Subjects will receive a dose of 0.2ng/kg while the endoscope is positioned in the second portion of the duodenum.
: Familial Pancreatic Cancer Subjects

Subjects who have a family history of pancreas cancer will receive Synthetic Human Secretin during an endoscopy procedure.

DRUG: Synthetic Human Secretin

  • Subjects will receive a dose of 0.2ng/kg while the endoscope is positioned in the second portion of the duodenum.
Primary Outcome MeasuresMeasure DescriptionTime Frame
Methylated DNA markers as measured by mean percentage of total human DNA per pancreatic juice volumeAfter pancreatic juice is collected, top 10 markers for pancreas cancer detection will be done from discovery and validation on tissue (AUC>.95) and from pilot pancreatic-juice testing (AUCs >0.9).one year
Secondary Outcome MeasuresMeasure DescriptionTime Frame

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person’s general health condition or prior treatments.

Ages Eligible for Study:
ALL

Sexes Eligible for Study:
18 Years

Accepts Healthy Volunteers:

    Inclusion Criteria:

  • Patients who are referred for the evaluation of pancreas cancer, pancreatic cystic neoplasm, and family history of pancreas cancer.
  • International normalized ratio (INR) less than 1.5
  • Platelet count >50,000

  • Exclusion Criteria:

  • Any medical condition that preclude the patient from having a therapeutic procedure regardless of the Endoscopic ultrasound (EUS) finding
  • Pregnant patients

Collaborators and Investigators

This is where you will find people and organizations involved with this study.


    • PRINCIPAL_INVESTIGATOR: Massimo Raimondo, MD, Mayo Clinic

    Publications

    The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

    General Publications

    No publications available