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Panc CA Risk Model & Biomarker Testing In High-Risk Cohort


2024-10


2026-10-31


2027-10-31


4000

Study Overview

Panc CA Risk Model & Biomarker Testing In High-Risk Cohort

The purpose of this study is to test a double screening strategy for pancreatic cancer, based on a model developed using patient medical records. Investigators would also like to test whether adding specific blood tests, can further help identify people who have a higher risk of pancreatic cancer than the general population, and would benefit from imaging in order to detect cancer early.

This research aims to identify people who have a higher risk of pancreatic cancer than the general population, by testing a double-screening strategy for pancreatic cancer. The purpose is to allow early detection of cancer, which potentially leads to cure. The double-screening will include a computer-based model developed using clinical data from medical records, and three different blood tests for early detection of pancreatic cancer. Participation in this study involves having medical records followed up for up to three years, and a single donation of blood specimens. - This is a Combined Retrospective and Prospective Review: * The first part of the study, involves collection of retrospective data from Electronic Health Record database (for the 3 collaborating HCOs) in order to deploy our EHR model, so that a high-risk group for pancreatic cancer can be identified. All individuals stratified into low, intermediate or high risk groups by the model, will be prospectively, electronically followed to assess outcome. * The second stage is prospective, and involves requesting biological specimen donations from participants identified as high-risk, for biomarker testing. The prospective "observation period" is up to 3 years (depending on each subject's index date at retrospective recruitment and outcome). Biological specimens will be collected during the prospective "observation period,"

  • Pancreatic Adenocarcinoma
  • DIAGNOSTIC_TEST: Blood Specimen
  • 21-490

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

2022-03-10  

N/A  

2024-03-27  

2022-03-10  

N/A  

2024-03-28  

2022-03-18  

N/A  

2024-03  

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
: Prospective

Blood specimens will be obtained for the model-assigned high risk cohort at each collaborating HCO, over two years of recruitment period. Data of each participant will be electronically followed for observation of outcome measures for up to 3 years.

DIAGNOSTIC_TEST: Blood Specimen

  • Blood samples will be collected from study participants at one time-point in the study, for the following: 1. tumor markers CEA and CA 19-9: 2 ml blood will be collected. 2. glycomics: 0.5 cc blood will be collected 3. ctDNA: 20 cc blood will be collecte
Primary Outcome MeasuresMeasure DescriptionTime Frame
Incident PDAC during the 3-year study observation periodThe diagnosis of PDAC will be determined by ICD code (ICD10 codes C25.X, excluding C25.4), tumor registry records or pathology reports3 Years
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Timing of incident PDAC occurrencetime from index date to diagnosis3 Years
Tumor stage at PDAC diagnosisstage at diagnosis per tumor registry/pathology report3 Years

Contacts and Locations

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

Study Contact

Name: Limor Appelbaum, MD

Phone Number: 617) 667-2345

Email: lappelb1@bidmc.harvard.edu

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:
50 Years

Accepts Healthy Volunteers:
1

    Inclusion Criteria:

  • Study population for part 1 of study:

  • -- Inclusion criteria: i) Male and females age >= 50 years; ii) at least one clinical visit to an outpatient clinic of the HCO, within the last year, before the study start date.
  • Study population for part 2 of study:


  • i) model-assigned high-risk subjects; ii) Male and females age >= 50 years; iii) at least one clinical visit to an outpatient clinic of the HCO, within the last year, before the study start date

  • Exclusion Criteria:

  • Exclusion Criteria for part 1 of study:


  • Personal history of PDAC or current PDAC
  • Age below 50.
  • Exclusion Criteria for part 2 of study


  • model-assigned low or intermediate risk subjects
  • Personal history of PDAC or current PDAC
  • Age below 50.

Collaborators and Investigators

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

  • National Institutes of Health (NIH)
  • Dana-Farber Cancer Institute

  • PRINCIPAL_INVESTIGATOR: Limor Appelbaum, MD, Beth Israel Deaconess Medical Center

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