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NCT05366881 | RECRUITING | Brain Cancer


cfDNA Assay Prospective Observational Validation for Early Cancer Detection and Minimal Residual Disease
Sponsor:

Adela, Inc

Brief Summary:

This is an observational case-control study to train and validate a genome-wide methylome enrichment platform to detect multiple cancer types and to differentiate amongst cancer types. The cancers included in this study are brain, breast, bladder, cervical, colorectal, endometrial, esophageal, gastric, head and neck, hepatobiliary, leukemia, lung, lymphoma, multiple myeloma, ovarian, pancreatic, prostate, renal, sarcoma, and thyroid. These cancers were selected based on their prevalence and mortality to maximize impact on clinical care. Additionally, the ability of the whole-genome methylome enrichment platform to detect minimal residual disease after completion of cancer treatment and to detect relapse prior to clinical presentation will be evaluated in four cancer types (breast, colorectal, lung, prostate). These cancers were selected based on the existing clinical landscape and treatment availability.

Condition or disease

Brain Cancer

Breast Cancer

Bladder Cancer

Cervical Cancer

Colorectal Cancer

Endometrial Cancer

Esophageal Cancer

Stomach Cancer

Head and Neck Cancer

Hepatobiliary Cancer

Leukemia

Lung Cancer

Lymphoma

Multiple Myeloma

Ovarian Cancer

Pancreatic Cancer

Prostate Cancer

Renal Cancer

Sarcoma

Thyroid Cancer

Detailed Description:

This is an observational case-control study that includes individuals with cancer and individuals without known cancer. All participants will have clinical follow-up after enrollment. A subset of individuals with cancer will also have longitudinal blood sampling to evaluate the ability of the genome-wide methylome enrichment platform to detect minimal residual disease. This includes individuals with Stage I-III breast, colorectal, lung, or prostate cancer (Tier 1 Cancers). At baseline, all participants will provide a blood sample and applicable clinical data. Participants with a Tier 1 cancer will have clinical follow-up and blood draws after the completion of first-line treatment, every 3 months for the first year after first-line treatment, and every 6 months for an additional 2 years. All other cases will have clinical follow-up once a year for 3 years after enrollment. Control participants will have clinical follow-up every 6 months for up to 3 years from enrollment to evaluate cancer status. The blood test to be used in this study is a highly sensitive, epigenomic-based genome-wide methylome enrichment platform. The assay includes bisulfite-free, non-degradative genome-wide DNA methylation profiling from small quantities of cell-free DNA (cfDNA). Libraries constructed from cfDNA are enriched for methylated CpGs and preserve the native fragment length. This is followed by high throughput sequencing. For all assays, samples from participants with cancer and participants without cancer will be run together to reduce batch effects using methodology determined by the Sponsor. Results from the liquid biopsy test will not be returned to clinicians or participants.

Study Type : OBSERVATIONAL
Estimated Enrollment : 7000 participants
Official Title : cfDNA Assay Multicenter Prospective Observational Validation for Early Cancer Detection, Minimal Residual Disease, and Relapse
Actual Study Start Date : 2022-05-03
Estimated Primary Completion Date : 2025-09
Estimated Study Completion Date : 2026-12

Information not available for Arms and Intervention/treatment

Ages Eligible for Study: 40 Years
Sexes Eligible for Study: ALL
Accepts Healthy Volunteers: 1
Criteria
Case Inclusion Criteria
  • * Newly diagnosed (within 90 days) with cancer or a recurrence of a cancer diagnosed \>5 years ago of one of the following subtypes: Invasive Brain, Breast, Bladder, Cervical, Colorectal, Endometrial, Esophageal, Gastric, Head and Neck, Hepatobiliary, Lung, Ovarian, Pancreatic, Prostate, Renal, Sarcoma, Thyroid; Leukemia, Lymphoma, Multiple Myeloma
  • * Able and willing to provide informed consent
  • * ≥40 years of age
  • Case Exclusion Criteria
    • * Currently receiving any treatment for cancer
    • * Currently taking any demethylating agents/DNA hypomethylating agents
    • * Simultaneously diagnosed with two or more invasive cancers
    • * Diagnosed with any invasive or non-invasive cancer in addition to the index cancer in the last 5 years
    • * Currently diagnosed with any chronic hematopoietic cancer (e.g. chronic CLL) in addition to the index cancer
    • * Currently diagnosed with any myelodysplastic syndromes and/or precursor hematologic conditions (e.g. MGUS) in addition to the index cancer
    • * Women who are known to be pregnant (self-reported)
    • Control Inclusion Criteria
    • * Not diagnosed with any cancer in the last 5 years (non-invasive cancer is allowed)
    • * Able and willing to provide informed consent
    • * ≥40 years of age
    • Control Exclusion Criteria
    • * Currently receiving any treatment for cancer
    • * Currently taking any demethylating agents/DNA hypomethylating agents
    • * Women who are known to be pregnant (self-reported)

cfDNA Assay Prospective Observational Validation for Early Cancer Detection and Minimal Residual Disease

Location Details

NCT05366881


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How to Participate

Want to participate in this study, select a site at your convenience, send yourself email to get contact details and prescreening steps.

Locations


RECRUITING

United States, California

City of Hope

Duarte, California, United States, 91010

RECRUITING

United States, Florida

Miami Cancer Institute

Miami, Florida, United States, 33176

RECRUITING

United States, Georgia

North Georgia Health System

Gainesville, Georgia, United States, 306501

RECRUITING

United States, Indiana

Baptist Floyd

New Albany, Indiana, United States, 47150

RECRUITING

United States, Kentucky

Baptist Corbin

Corbin, Kentucky, United States, 40701

RECRUITING

United States, Kentucky

Baptist Hardin

Elizabethtown, Kentucky, United States, 42701

RECRUITING

United States, Kentucky

Baptist Lexington

Lexington, Kentucky, United States, 40503

WITHDRAWN

United States, Kentucky

Baptist Paducah

Paducah, Kentucky, United States, 42003

RECRUITING

United States, Minnesota

Mayo Clinic

Rochester, Minnesota, United States, 55902

RECRUITING

United States, Ohio

Cleveland Clinic

Cleveland, Ohio, United States, 44195

RECRUITING

United States, Oregon

Oregon Health Sciences University

Portland, Oregon, United States, 97201

RECRUITING

United States, South Carolina

McLeod Health

Florence, South Carolina, United States, 29502

RECRUITING

United States, Tennessee

Baptist (BHMCC)

Memphis, Tennessee, United States, 38120

RECRUITING

United States, Tennessee

Vanderbilt-Ingram Cancer Center

Nashville, Tennessee, United States, 37203

RECRUITING

United States, Texas

Elligo Health Research, Inc.

Austin, Texas, United States, 78704

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