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Circulating Tumor Cells clinical trials

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NCT ID: NCT02951897 Recruiting - Treatment Clinical Trials

Application of Detecting Circulating Tumor Cells in the Accurate Treatment of Early Stage Lung Adenocarcinoma

CTCs detection
Start date: April 2016
Phase: N/A
Study type: Interventional

In 2015-2016, 224,390 cases were newly diagnosed with lung cancer in USA. Of all the cases, 83% are non-small cell lung cancer (NSCLC). Currently, the 5-year survival rate of NSCLC patients is 21%, and more than 25% of early stage NSCLC patients, who have undergone surgical treatment, will have a relapse or progression. Circulating tumor cells (CTCs), which shed from the primary tumor into the vasculature or lymphatics, can be regarded as a new prognostic factors of metastatic process. Thus far, CTCs-detection technologies can be divided into epithelial cell adhesion molecule (EpCAM)-based detection methods, e.g., the widely used CellSearch® and Adnatest®,and EpCAM-independent detection methods, e.g., ISET® and ScreenCell®. Herein, the investigators used a newly established approach, i.e., CanPatrolTM to detect CTCs in early stage lung Adenocarcinoma cases. The investigator aim to explore whether CTCs detection prior to surgery can be contributive to the early diagnosis, or may help to predict the prognosis and guide the treatment strategy of early stage lung Adenocarcinoma.

NCT ID: NCT02808884 Completed - Clinical trials for Circulating Tumor Cells

Cancer DNA Screening Pilot Study (CANDACE)

CANDACE
Start date: September 19, 2016
Phase: N/A
Study type: Interventional

The investigators have developed an assay that can sensitively and specifically detect DNA mutations circulating in human plasma that may be indicators of the presence of a solid tumor. This study is a pilot study to measure positive and negative predictive values of this assay as an indicator of the presence of a tumor in normal subjects

NCT ID: NCT02781025 Completed - Clinical trials for Circulating Tumor Cells

Culture of Circulating Tumor Cells Isolated From Cancer Patients With Metastatic Disease

Start date: April 2016
Phase:
Study type: Observational

The purpose of this study is to investigate the feasibility of using novel decellularized tissue matrices to isolate and culture circulating tumor cells (CTCs) collected from patients with metastatic solid tumor malignancies.

NCT ID: NCT02602938 Recruiting - Clinical trials for Circulating Tumor Cells

Aspirin on CTCs of Advanced Breast and Colorectal Cancer

ACABC
Start date: November 2015
Phase: Phase 2
Study type: Interventional

The purpose of this study is to determine whether Aspirin could affect the number and subtype of circulating tumor cells of metastatic breast cancer and colorectal cancer.

NCT ID: NCT02554448 Recruiting - Rectal Neoplasms Clinical Trials

Detection of CTCs in Stage III Rectal Cancer Patients Undergoing Neoadjuvant Therapy

Start date: January 2016
Phase: N/A
Study type: Interventional

The purpose of this study is to evaluate the value of dynamic change in detecting CTCs in peripheral blood from stage III rectal cancer patients undergoing neoadjuvant Folfox treatment and chemoradiotherapy,before and after surgery.

NCT ID: NCT02499458 Completed - Clinical trials for Circulating Tumor Cells

Prospective Validation of Circulating Tumor Cells & Circulating Endothelial Cells as Biomarkers in Renal Cancer

Start date: November 2014
Phase:
Study type: Observational

Circulating tumor cells (CTCs) have prognostic value in several tumor types, and increasing evidence suggests that molecular characterization of CTCs can serve as a "liquid biopsy" to understand and address treatment resistance. The goal of this proposal is to demonstrate that CTCs can be accurately enumerated and characterized in metastatic clear cell renal cancer (CCRC) and can serve as prognostic/predictive biomarkers to improve treatment. The challenge surrounding CTC analysis in CCRC is that most CTC technologies (including the clinical gold-standard CellSearch®) depend in epithelial markers such as EpCAM that are expressed at low or heterogeneous levels in CCRC. Members of the research team have developed a novel CTC microfluidic technology that can effectively detect CTCs that are completely undetectable by CellSearch® because of very low EpCAM expression, as well as allowing for CTC recovery for downstream molecular characterization. The goal of this proposal is therefore to test the hypotheses that (1) The microfluidics CTC technology will have better sensitivity/specificity relative to the CellSearch in metastatic CCRC; and (2) Enumeration of CTCs in metastatic CCRC patients (n=66) will have prognostic value, while molecular characterization of CTCs for expression of biomarkers (VHL, VEGF, mTOR, HIF1/HIF2, AKT) related to CCRC etiology will be predictive of response/resistance to targeted therapies. Although CCRC is relatively uncommon, the lack of established adjuvant treatments and high cost of targeted therapies in the palliative setting makes the search for new prognostic/predictive biomarkers an important clinical goal.

NCT ID: NCT02451384 Recruiting - Clinical trials for Carcinoma, Pancreatic Ductal

According CTC to Compare the Influences of Different Methods to Remove the PDAC

Start date: June 2015
Phase: N/A
Study type: Interventional

Acccording circulating tumor cells to compare the differences of different methods(routine method、no-touch principle method、laparoscopy method) to remove the ductal adenocarcinoma of pancreatic body and tail.

NCT ID: NCT02449837 Completed - Clinical trials for Circulating Tumor Cells

Investigation of Circulating Tumor Cells From Cancer Patients Undergoing Radiation Therapy

Start date: May 2014
Phase:
Study type: Observational

The purpose of this study is to investigate the level of Circulating Tumor Cells (CTCs) in cancer patients before and after undergoing treatment regimens where the primary treatment modality is radiation therapy (XRT). Specifically, there is interest in the change in CTCs pre- and post- XRT, both in absolute and relative terms.

NCT ID: NCT02345473 Completed - Bladder Cancer Clinical Trials

Detection and Clinical Significance of Circulating Cancer Cells in Patient Undergoing Radical Cystectomy

CirCanCell
Start date: January 2005
Phase: N/A
Study type: Observational

Very few factors may be identified as prognostic for patients with bladder cancer undergoing radical cystectomy. Recently, detection of circulating tumor cells has shown to be very promising in anticipating both the likelyhood of distant metastases and survival in patients with breast cancer, melanoma, prostate cancer and other malignancies. In the present study we both tested the detection rate of circulating tumor cells using a PCR based methodology in the peripheral blood of patients undergoing radical cystectomy, and we further correlated our results with their clinical outcome.

NCT ID: NCT02335151 Completed - Clinical trials for Pancreatic Neoplasms

CTC Pancreatic Adenocarcinoma

Start date: October 2016
Phase: Phase 4
Study type: Interventional

Proportion of circulating tumor cells (CTC) in the postoperative phase after curative tumor removal of pancreatic cancer will be determined and correlated to the accordance of anesthesia (desflurane versus propofol)