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The CCANED-CIPHER Study: Early Cancer Detection and Treatment Response Monitoring Using AI-Based Platelet and Immune Cell Transcriptomic Profiling


2025-08-01


2027-08-01


2028-08-01


6000

Study Overview

The CCANED-CIPHER Study: Early Cancer Detection and Treatment Response Monitoring Using AI-Based Platelet and Immune Cell Transcriptomic Profiling

The purpose of the CCANED-CIPHER study is to develop and validate an AI-based blood test for early cancer detection and to monitor treatment effectiveness in cancer patients. This two-phase, multi-center observational study aims to identify specific transcriptomic biomarkers in platelets and immune cells that distinguish cancer patients from healthy individuals and correlate with treatment outcomes. By analysing blood samples using artificial intelligence, the study seeks to create a safe, non-invasive method to enhance cancer diagnosis and monitor treatment responses over time.

The CCANED-CIPHER study aims to revolutionise cancer diagnostics and treatment monitoring by developing and evaluating an AI-based early cancer detection tool that profiles RNA biomarkers from platelets and immune cells in blood samples. This non-invasive approach leverages liquid biopsy methods to enhance early cancer detection and provide insights into therapeutic responses. Phase 1 (Common Cancer Early Detection [CCANED]): Early Cancer Detection Objective: To identify specific platelet-derived RNA biomarkers that can distinguish individuals with common cancers from healthy controls using AI-driven transcriptomic analysis. Methodology: * Enrol 3,500 patients with confirmed diagnoses of various common cancers and 1,500 cancer-free controls matched by age and sex. * Obtain a single blood sample from each participant at baseline. Laboratory Analysis: * Platelet Isolation from blood samples. * RNA Sequencing and transcriptomic profiling to identify RNA expression patterns. Data Analysis: * Use machine learning algorithms to analyse RNA data and identify biomarkers indicative of cancer presence. * Assess sensitivity and specificity of the diagnostic tool, and evaluate its ability to differentiate between cancer types. Expected Outcomes: * Identification of reliable RNA biomarkers for early cancer detection. * Validation of the AI-based diagnostic tool's accuracy and feasibility in a clinical setting. Phase 2 ( Cancer Immuno-Profiling of Hematologic and Extracellular RNA [CIPHER]): Therapeutic Response Monitoring Objective: To evaluate how RNA biomarkers from immune cells and platelets correlate with therapeutic responses, providing insights into treatment efficacy and potential relapse. Methodology: * Enrol 1,000 cancer patients diagnosed with HCC or NSCLC across stages I to IV. * Baseline: Collect blood samples before therapy initiation. * Follow-Up: Additional samples at 6 weeks and 6 months post-therapy initiation. Laboratory Analysis: * Isolation of Immune Cells and Platelets from blood samples. * Analysis of RNA expression changes over time. Data Analysis: * Evaluate associations between RNA biomarkers and clinical treatment responses. * Develop models integrating platelet and immune cell RNA profiles to predict outcomes. Expected Outcomes: * Identification of biomarkers that correlate with treatment responses and progression-free survival. * Development of predictive models for relapse and drug resistance. Significance of the Study The CCANED-CIPHER study addresses critical needs in oncology by providing: * A blood test that reduces the need for invasive tissue biopsies. * Potential for identifying cancers at an earlier, more treatable stage. * Tailored treatment strategies based on individual biomarker profiles. * Enhanced ability to monitor treatment effectiveness and adjust therapies accordingly. * Early detection of relapse or drug resistance, enabling prompt clinical interventions. Expected Impact and Future Applications: The identification of specific RNA biomarkers from platelets and immune cells has the potential to transform current practices in oncology, offering a more efficient, accurate and patient-friendly approach to cancer care.

  • Brest Cancer
  • Lung Cancer (NSCLC)
  • Pancreatic Cancer, Adult
  • Prostate Cancers
  • Ovarian Cancer
  • Colorectal Cancer
  • Glioblastoma (GBM)
  • Liver Carcinoma
  • DIAGNOSTIC_TEST: DiNanoQ: A multi-cancer early detection (MCED) blood test
  • OTHER: DiNanoTrack: Therapeutic Response Monitoring Blood Test
  • CCANED-CIPHER

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

2024-11-28  

N/A  

2025-02-17  

2024-12-03  

N/A  

2025-02-19  

2024-12-05  

N/A  

2025-02  

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
: Cancer Patients (Phase 1)

This arm will include 3,500 individuals with confirmed diagnoses of common cancers such as Non-Small Cell Lung Cancer (NSCLC), Glioblastoma Multiforme (GBM), Colorectal Cancer, Hepatocellular Carcinoma (HCC), Breast Cancer, Prostate Cancer, Ovarian Cancer

DIAGNOSTIC_TEST: DiNanoQ: A multi-cancer early detection (MCED) blood test

  • Procedure: Participants will undergo a single blood draw at baseline. Sample Analysis: Platelet Isolation: Platelets will be extracted from the collected blood samples. RNA Analysis: RNA from the isolated platelets will be extracted and analyzed using
: Healthy Individuals

This arm will consist of 1,500 age- and sex-matched cancer-free individuals serving as controls.

DIAGNOSTIC_TEST: DiNanoQ: A multi-cancer early detection (MCED) blood test

  • Procedure: Participants will undergo a single blood draw at baseline. Sample Analysis: Platelet Isolation: Platelets will be extracted from the collected blood samples. RNA Analysis: RNA from the isolated platelets will be extracted and analyzed using
: Cancer Patients Undergoing Treatment

This cohort will include 1,000 patients diagnosed with Hepatocellular Carcinoma (HCC) or Non-Small Cell Lung Cancer (NSCLC) across stages I to IV who are about to commence standard cancer therapy.

DIAGNOSTIC_TEST: DiNanoQ: A multi-cancer early detection (MCED) blood test

  • Procedure: Participants will undergo a single blood draw at baseline. Sample Analysis: Platelet Isolation: Platelets will be extracted from the collected blood samples. RNA Analysis: RNA from the isolated platelets will be extracted and analyzed using

OTHER: DiNanoTrack: Therapeutic Response Monitoring Blood Test

  • Procedures: Blood Sample Collection: Participants will have blood samples drawn at three time points: Baseline: Before therapy initiation. 6 Weeks Post-Therapy Initiation: To monitor early treatment response. 6 Months Post-Therapy Initiation: To assess
Primary Outcome MeasuresMeasure DescriptionTime Frame
Identification of Platelet RNA Biomarkers Distinguishing Cancer Patients from ControlsUtilise AI-based transcriptomic analysis of platelet RNA to identify biomarkers that differentiate between cancer patients and cancer-free controls.Baseline (single time point)
Identification of RNA Biomarkers Correlating with Therapeutic Response (Phase 2)Identify RNA biomarkers from immune cells and platelets that correlate with clinical treatment response, as measured by standard criteria (e.g., RECIST)Baseline to 6 months post-therapy initiation
Association Between Immune Cell Transcriptomes and AI-Based Platelet SignalsEvaluate how changes in immune cell transcriptomes are associated with signals detected by the AI-based platelet profiling tool.Baseline to 6 months post-therapy initiation
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Sensitivity and Specificity of the AI-Based Diagnostic Tool (Phase 1)Calculate the diagnostic accuracy of the AI-based tool in detecting cancer among participants.Baseline
Feasibility of Platelet Transcriptomic Profiling ImplementationAssess the practicality of sample collection, processing, and analysis in a clinical setting.Phase 1 - 2 years
Development of Predictive Models for Treatment Outcomes (Phase 2)Create and validate predictive models that integrate platelet and immune cell RNA profiles to predict treatment response and progression-free survival.Phase 2 - Two years
Identification of Biomarkers Predictive of Relapse and Drug Resistance (Phase 2)Identify RNA biomarkers predictive of relapse and drug resistance at the 6-month follow-up.Baseline to 6 months post-therapy initiation

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: Javier Toledo, Medical Degree

Phone Number: +447494946013

Email: research@dysplasiadx.com

Study Contact Backup

Name: Osagie Izuogu, PhD

Phone Number: +441223485000

Email: info@dysplasiadx.com

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:
40 Years

Accepts Healthy Volunteers:
1

    Phase 1 (Common Cancer Early Detection - CCANED)
    Inclusion Criteria:

  • Age: Adults aged 40 years or older.
  • Confirmed diagnosis of one of the following common cancers: Non-Small Cell Lung Cancer (NSCLC), Glioblastoma Multiforme (GBM), Colorectal Cancer, Hepatocellular Carcinoma (HCC), Breast Cancer, Prostate Cancer, Ovarian Cancer, Pancreatic Cancer.

  • Exclusion Criteria:

  • Currently pregnant.
  • Presence of any active infectious diseases.
  • Use of anticoagulant or antiplatelet drugs within the past 2 weeks.
  • Any medical or psychological conditions that may affect the participant's ability to comply with study procedures.

  • Phase 2 ( Cancer Immuno-Profiling of Hematologic and Extracellular RNA - CIPHER)
    Inclusion Criteria:

  • Adults aged 40 years or older.
  • Confirmed diagnosis of: Hepatocellular Carcinoma (HCC), Non-Small Cell Lung Cancer (NSCLC)
  • Willingness to provide blood samples at the specified intervals (baseline, 6 weeks, and 6 months post-therapy initiation).

  • Exclusion Criteria:

  • Presence of another malignancy unless it has been in remission for at least 5 years.
  • Significant uncontrolled co-morbid conditions that may interfere with study participation or outcomes.

Collaborators and Investigators

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


    • STUDY_DIRECTOR: Solomon Rotimi, PhD, Dysplasia Diagnostics Limited

    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

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