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Идёт набор NCT07324096

A Screening Program to Improve the Early Detection of Sporadic Pancreatic Cancer in Individuals With a High-Risk of Developing Pancreatic Cancer

Без фазы С лечением Pancreatic Ductal Adenocarcinoma

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают
В протоколе указаны: Biospecimen Collection, Computed Tomography with Contrast, Electronic Health Record Review.
Кому может быть актуально
Состояния в реестре: Pancreatic Ductal Adenocarcinoma. Базовые параметры: 50 лет — 85 лет · Все.
Что важно проверить
Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится
США
Следующий шаг
Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
Официальное название

MC250406 Feasibility Study: Automated Risk Stratification, Serial AI-Augmented Imaging, and Biobanking for Early Detection of Sporadic Pancreatic Cancer (AI-PACED)

Обзор

This clinical trial studies a new screening program to improve the early detection of sporadic pancreatic cancer in individuals with a high risk of developing pancreatic cancer. Pancreatic cancer remains one of the deadliest solid tumors, characterized by a long phase without symptoms followed by rapid progression once clinically evident. Despite advancements in treatment, the survival rate for pancreatic cancer remains low. Research has helped to identify a subset of individuals with a markedly high short-term risk for developing pancreatic cancer, which includes adults aged 50 and older with glycemically-defined new-onset diabetes and an Enriching New-Onset Diabetes for Pancreatic Cancer (ENDPAC) score ≥ 3. However, current practice guidelines do not provide clear pathways for surveillance or early detection. The screening program in this trial combines repeated contrast-enhanced computed tomography (CT) scans using artificial intelligence (AI) and blood draws. Contrast-enhanced CT is an imaging technique which creates a series of detailed pictures of areas inside the body; the pictures are created by a computer linked to an x-ray machine and a contrast agent is used to enhance the images. The images are then reviewed using AI, which may make it easier to spot cancer earlier on the CT scans than with the human eye. Studying samples of blood in the laboratory from high-risk individuals may help doctors understand more about why they may develop pancreatic cancer. This may be an effective way to screen high-risk individuals and improve the early detection of sporadic pancreatic cancer.

Вмешательства

  • Процедура Biospecimen Collection
    Undergo blood sample collection
  • Процедура Computed Tomography with Contrast
    Undergo contrast-enhanced abdominal CT
  • Другое Electronic Health Record Review
    Undergo electronic medical record (EMR) surveillance

Первичные конечные точки

  • Recruitment yield (Feasibility) [Срок оценки: Up to 3 years]
  • Imaging adherence rates (Feasibility) [Срок оценки: Up to 3 years]
  • Blood collection success rates (Feasibility) [Срок оценки: Up to 3 years]
  • Completeness of electronic medical record (EMR)-based follow-up (Feasibility) [Срок оценки: Up to 3 years]
Вторичные конечные точки (4)
  • Time from glycemically-defined new-onset diabetes (gNOD) onset to pancreatic ductal adenocarcinoma (PDA) diagnosis [Срок оценки: Up to 3 years]
  • Proportion of PDAs diagnosed at stage 0/I [Срок оценки: Up to 3 years]
  • Rate and type of incidental findings requiring downstream evaluation [Срок оценки: Up to 3 years]
  • Artificial intelligence (AI)-detected imaging signatures and standard radiologist interpretations [Срок оценки: Up to 3 years]

Критерии участия

Критерии включения

  • Age ≥ 50 and ≤ 85 years
  • Glycemically-defined new-onset diabetes (gNOD) with onset ≤ 180 days preceding enrollment
  • Enriching New-onset Diabetes for Pancreatic Cancer (ENDPAC) score ≥ 3, based on validated risk stratification models
  • Provide written or remote informed consent

Критерии исключения

  • Prior diagnosis of pancreatic ductal adenocarcinoma (PDA)
  • Known hereditary cancer syndromes (e.g., BRCA1/2, Lynch syndrome, Peutz-Jeghers)
  • Prior history of pancreatic surgery
  • Pancreatic cyst surveillance at time of registration
  • Contraindications to contrast-enhanced CT imaging per standard clinical practice at time of registration

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение
Нерандомизированное
Модель
Параллельные группы
Маскирование
Простое слепое
Основная цель
Диагностика

Центры проведения

США · 1 центр
  • Mayo Clinic in Rochester — Rochester

Идентификаторы

NCT: NCT07324096 · MC250406 · NCI-2025-09279 · 25-009433 · MC250406

Первоисточники (государственные реестры)

Открыть это исследование на ClinicalTrials.gov ↗