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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT05224596
Other study ID # B2020-390R
Secondary ID
Status Recruiting
Phase
First received
Last updated
Start date January 18, 2021
Est. completion date September 22, 2022

Study information

Verified date January 2022
Source Shanghai Zhongshan Hospital
Contact Yihong Sun, MD
Phone +86-021-65642662
Email sun.yihong@zs-hospital.sh.cn
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

ASCEND-Gastric is a prospective, multi-omics, observational study aimed at detecting gastric cancer by combined assays for serum protein markers, deep sequencing of cell-free DNA (cfDNA), circulating tumor DNA (ctDNA) mutation and circulating RNA. The study will enroll 498 participants, including 128 patients with benign gastric diseases and 370 patients with gastric cancer.


Recruitment information / eligibility

Status Recruiting
Enrollment 498
Est. completion date September 22, 2022
Est. primary completion date May 30, 2022
Accepts healthy volunteers No
Gender All
Age group 40 Years to 75 Years
Eligibility Inclusion Criteria for Cancer Arm Participants: - Age 40-75 years at the day of consenting to the study. - Able to provide a written informed consent. - No prior cancer treatment (local or systematic) with either of the following: A. Pathologically confirmed cancer diagnosis within 42 days prior to blood draw. B. High suspicious for cancer diagnosis by imaging tests or other routine clinical examinations, with confirmed pathological cancer diagnosis within 42 days after the blood draw. Exclusion Criteria for Cancer Arm Participants: - Insufficient qualified blood samples. - During pregnancy or lactation. - Recipient of organ transplant or prior non-autologous (allogeneic) bone marrow or stem cell transplant. - Recipient of blood transfusion within 7 days prior to blood draw. - Recipient of anti-tumor drugs to treat non-cancer diseases within 30 days prior to blood draw. - With other known malignant tumors or multiple primary tumors. Inclusion Criteria for Benign Disease Arm Participants: - Age 40-75 years at the day of consenting to the study. - Able to provide a written informed consent. - Able to provide sufficient and qualified blood samples for study tests. - Have either of the following: A. Pathological confirmed diagnosis of benign diseases within 90 days prior to the study blood draw, with no prior treatment such as surgical resection. B. High suspicious for benign diseases diagnosis by radiological or other routine clinical assessments, with confirmed benign diseases diagnosis within 42 days after study blood draw. Exclusion Criteria for Benign Disease Arm Participants: - Insufficient qualified blood sample for study test. - During pregnancy or lactation. - Recipient of organ transplant or prior non-autologous (allogeneic) bone marrow or stem cell transplant. - Recipient of blood transfusion within 7 days prior to study blood draw. - Recipient of anti-tumor drugs to treat non-cancer diseases within 30 days prior to blood draw.

Study Design


Related Conditions & MeSH terms


Intervention

Diagnostic Test:
Blood draw and blood-based biomarkers analyses
blood-based biomarkers analyses

Locations

Country Name City State
China ZhongShan hospital FuDan university Shanghai Shanghai

Sponsors (2)

Lead Sponsor Collaborator
Shanghai Zhongshan Hospital Guangzhou Burning Rock Bioengineering Ltd

Country where clinical trial is conducted

China, 

References & Publications (30)

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So JBY, Kapoor R, Zhu F, Koh C, Zhou L, Zou R, Tang YC, Goo PCK, Rha SY, Chung HC, Yoong J, Yap CT, Rao J, Chia CK, Tsao S, Shabbir A, Lee J, Lam KP, Hartman M, Yong WP, Too HP, Yeoh KG. Development and validation of a serum microRNA biomarker panel for detecting gastric cancer in a high-risk population. Gut. 2021 May;70(5):829-837. doi: 10.1136/gutjnl-2020-322065. Epub 2020 Oct 7. — View Citation

Widschwendter M, Jones A, Evans I, Reisel D, Dillner J, Sundström K, Steyerberg EW, Vergouwe Y, Wegwarth O, Rebitschek FG, Siebert U, Sroczynski G, de Beaufort ID, Bolt I, Cibula D, Zikan M, Bjørge L, Colombo N, Harbeck N, Dudbridge F, Tasse AM, Knoppers BM, Joly Y, Teschendorff AE, Pashayan N; FORECEE (4C) Consortium. Epigenome-based cancer risk prediction: rationale, opportunities and challenges. Nat Rev Clin Oncol. 2018 May;15(5):292-309. doi: 10.1038/nrclinonc.2018.30. Epub 2018 Feb 27. Review. — View Citation

Zhang X, Li M, Chen S, Hu J, Guo Q, Liu R, Zheng H, Jin Z, Yuan Y, Xi Y, Hua B. Endoscopic Screening in Asian Countries Is Associated With Reduced Gastric Cancer Mortality: A Meta-analysis and Systematic Review. Gastroenterology. 2018 Aug;155(2):347-354.e9. doi: 10.1053/j.gastro.2018.04.026. Epub 2018 Apr 30. Review. — View Citation

* Note: There are 30 references in allClick here to view all references

Outcome

Type Measure Description Time frame Safety issue
Other Sensitivity and specificity of a blood miRNA-based model in detecting gastric cancer. 30 months
Primary Sensitivity and specificity of the cfDNA methylation-based model in detecting gastric cancer. 30 months
Secondary The differences of sensitivity and specificity in gastric cancer participants at different clinical stages. 30 months
Secondary Sensitivity and specificity for detecting gastric cancer of a cfDNA methylation-based model, in combination with other biomarkers. 30 months
Secondary Sensitivity and specificity of a ctDNA mutation-based model and a serum protein-based model in detecting gastric cancer, respectively. 30 months
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