NCT01361100

Brief Summary

This is a multicentric feasibility study aimed to evaluate the Oncoral® test. The study includes 2 steps. The first one aims to validate the algorithm defined at the time when the test was developed in patients with different tumour stages. Patients will be enrolled before any treatment. They will immediately undergo the test. No follow-up will be realized. In total, 100 patients will be included in this first step. The estimated period of inclusion is 6 months. If the algorithm is validated, the second step of the study will start. The purpose is to determine the characteristics of the test. Enrollment will concern smokers and alcohol drinkers at high risk of developing an epidermoid carcinoma of the upper aerodigestive tract. Patient follow-up will vary with both the result of the test and the biopsy, up to a maximum of one year. In total, 385 patients will be enrolled in this step during an estimated period of 18 months.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
485

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Dec 2010

Longer than P75 for not_applicable

Geographic Reach
1 country

8 active sites

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

December 1, 2010

Completed
3 months until next milestone

First Submitted

Initial submission to the registry

March 8, 2011

Completed
3 months until next milestone

First Posted

Study publicly available on registry

May 26, 2011

Completed
4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2015

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2015

Completed
Last Updated

October 2, 2012

Status Verified

October 1, 2012

Enrollment Period

4.5 years

First QC Date

March 8, 2011

Last Update Submit

October 1, 2012

Conditions

Keywords

Otolaryngology

Outcome Measures

Primary Outcomes (2)

  • First step: Confirm that the parameters used for the development of the test to qualify it as positive or negative lead to the same level of sensitivity (98%)

    The algorithm was first defined when the test was developed in patients on different tumour stages .

    1 year after the beginning of enrollment

  • Second step: Determine the characteristics of the Oncoral® test

    Sensitivity, specificity, positive predictive value, negative predictive value.

    2 years after the beginning of the second step enrolment

Secondary Outcomes (3)

  • First step: Estimation of test sensitivity

    1 year after the beginning of enrolment

  • Second step : Estimation of test feasibility

    2 years after the beginning of the second step enrolment

  • Second step: Estimation of the prevalence of epidermoid carcinoma of the upper aerodigestive tract in the target population

    3 years after the beginning of the second step enrolment

Study Arms (1)

Oncoral test

EXPERIMENTAL
Device: Oncoral® test

Interventions

The patient rinses his oral cavity for 2 minutes. Then he screws lid back onto a beaker. The investigator holds the beaker straight so that the end of the aspiration mouth is dipped into the liquid. Then, the investigators takes 2 tubes and pushes them one after the other down on the opening of the beaker. The tubes should fill by themselves. The tubes can't be kept more than eleven days and are send to the Clinident Institute for the analysis.

Oncoral test

Eligibility Criteria

Age40 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • First step:
  • Man or woman aged more than 40 years
  • With frequent alcohol intoxication and/or smoking
  • With histologically confirmed epidermoid carcinoma of the upper aerodigestive tract
  • No treatment delivered for this disease
  • Signed, written informed consent
  • Mandatory affiliation with a health insurance system
  • Second step:
  • Man or woman aged more than 40 years
  • With frequent alcohol intoxication and/or smoking
  • With no sign of an epidermoid carcinoma of the upper aerodigestive tract
  • Signed, written informed consent
  • Mandatory affiliation with a health insurance system

You may not qualify if:

  • First step:
  • Previous history of cancer except carcinoma in situ of the uterine cervix or skin basal cell carcinoma treated with curative intent
  • Gingivorrhagia when the test is realised
  • Hypersensitivity to aspirin or to benzoate
  • Asthmatic, diabetic patients or patents with chronic bronchitis requiring oxygen therapy
  • Patients taking antibiotics at enrolment or during the previous week
  • Second step:
  • Previous history of cancer except carcinoma in situ of the uterine cervix or skin basal cell carcinoma treated with curative intent
  • Patient already treated for a cancer
  • Gingivorrhagia when the test is realised
  • Hypersensitivity to aspirin or to benzoate
  • Asthmatic, diabetic patients or patients with chronic bronchitis requiring oxygen therapy
  • Patients on antibiotics at enrolment or during the previous week

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (8)

CHU Bordeaux - Groupe Hospitalier Pellegrin

Bordeaux, 33076, France

RECRUITING

CHU Caen Cote de Nacre

Caen, 14033, France

RECRUITING

Centre François Baclesse

Caen, 14076, France

NOT YET RECRUITING

Centre Oscar Lambret

Lille, 59000, France

RECRUITING

Centre Leon Berard

Lyon, 69008, France

RECRUITING

Groupement Hospitalier Pitié Salpêtrière

Paris, 75005, France

NOT YET RECRUITING

Institut Curie

Paris, 75005, France

RECRUITING

Centre Alexis Vautrin

Vandœuvre-lès-Nancy, 54511, France

RECRUITING

Related Publications (14)

  • Castellsague X, Quintana MJ, Martinez MC, Nieto A, Sanchez MJ, Juan A, Monner A, Carrera M, Agudo A, Quer M, Munoz N, Herrero R, Franceschi S, Bosch FX. The role of type of tobacco and type of alcoholic beverage in oral carcinogenesis. Int J Cancer. 2004 Feb 20;108(5):741-9. doi: 10.1002/ijc.11627.

    PMID: 14696101BACKGROUND
  • Lingen MW, Kalmar JR, Karrison T, Speight PM. Critical evaluation of diagnostic aids for the detection of oral cancer. Oral Oncol. 2008 Jan;44(1):10-22. doi: 10.1016/j.oraloncology.2007.06.011. Epub 2007 Sep 6.

    PMID: 17825602BACKGROUND
  • Nagler R, Bahar G, Shpitzer T, Feinmesser R. Concomitant analysis of salivary tumor markers--a new diagnostic tool for oral cancer. Clin Cancer Res. 2006 Jul 1;12(13):3979-84. doi: 10.1158/1078-0432.CCR-05-2412.

    PMID: 16818695BACKGROUND
  • Tavassoli M, Brunel N, Maher R, Johnson NW, Soussi T. p53 antibodies in the saliva of patients with squamous cell carcinoma of the oral cavity. Int J Cancer. 1998 Oct 29;78(3):390-1. doi: 10.1002/(SICI)1097-0215(19981029)78:33.0.CO;2-9. No abstract available.

    PMID: 9766578BACKGROUND
  • Peng G, Hakim M, Broza YY, Billan S, Abdah-Bortnyak R, Kuten A, Tisch U, Haick H. Detection of lung, breast, colorectal, and prostate cancers from exhaled breath using a single array of nanosensors. Br J Cancer. 2010 Aug 10;103(4):542-51. doi: 10.1038/sj.bjc.6605810. Epub 2010 Jul 20.

    PMID: 20648015BACKGROUND
  • Mager DL, Haffajee AD, Devlin PM, Norris CM, Posner MR, Goodson JM. The salivary microbiota as a diagnostic indicator of oral cancer: a descriptive, non-randomized study of cancer-free and oral squamous cell carcinoma subjects. J Transl Med. 2005 Jul 7;3:27. doi: 10.1186/1479-5876-3-27.

    PMID: 15987522BACKGROUND
  • Li Y, St John MA, Zhou X, Kim Y, Sinha U, Jordan RC, Eisele D, Abemayor E, Elashoff D, Park NH, Wong DT. Salivary transcriptome diagnostics for oral cancer detection. Clin Cancer Res. 2004 Dec 15;10(24):8442-50. doi: 10.1158/1078-0432.CCR-04-1167.

    PMID: 15623624BACKGROUND
  • El-Naggar AK, Mao L, Staerkel G, Coombes MM, Tucker SL, Luna MA, Clayman GL, Lippman S, Goepfert H. Genetic heterogeneity in saliva from patients with oral squamous carcinomas: implications in molecular diagnosis and screening. J Mol Diagn. 2001 Nov;3(4):164-70. doi: 10.1016/S1525-1578(10)60668-X.

    PMID: 11687600BACKGROUND
  • Liao PH, Chang YC, Huang MF, Tai KW, Chou MY. Mutation of p53 gene codon 63 in saliva as a molecular marker for oral squamous cell carcinomas. Oral Oncol. 2000 May;36(3):272-6. doi: 10.1016/s1368-8375(00)00005-1.

    PMID: 10793330BACKGROUND
  • Anker P, Lyautey J, Lederrey C, Stroun M. Circulating nucleic acids in plasma or serum. Clin Chim Acta. 2001 Nov;313(1-2):143-6. doi: 10.1016/s0009-8981(01)00666-0.

    PMID: 11694252BACKGROUND
  • Li Y, Zhou X, St John MA, Wong DT. RNA profiling of cell-free saliva using microarray technology. J Dent Res. 2004 Mar;83(3):199-203. doi: 10.1177/154405910408300303.

    PMID: 14981119BACKGROUND
  • Rieger-Christ KM, Mourtzinos A, Lee PJ, Zagha RM, Cain J, Silverman M, Libertino JA, Summerhayes IC. Identification of fibroblast growth factor receptor 3 mutations in urine sediment DNA samples complements cytology in bladder tumor detection. Cancer. 2003 Aug 15;98(4):737-44. doi: 10.1002/cncr.11536.

    PMID: 12910517BACKGROUND
  • Phillips M, Gleeson K, Hughes JM, Greenberg J, Cataneo RN, Baker L, McVay WP. Volatile organic compounds in breath as markers of lung cancer: a cross-sectional study. Lancet. 1999 Jun 5;353(9168):1930-3. doi: 10.1016/S0140-6736(98)07552-7.

    PMID: 10371572BACKGROUND
  • Miekisch W, Schubert JK, Noeldge-Schomburg GF. Diagnostic potential of breath analysis--focus on volatile organic compounds. Clin Chim Acta. 2004 Sep;347(1-2):25-39. doi: 10.1016/j.cccn.2004.04.023.

    PMID: 15313139BACKGROUND

MeSH Terms

Conditions

Carcinoma

Condition Hierarchy (Ancestors)

Neoplasms, Glandular and EpithelialNeoplasms by Histologic TypeNeoplasms

Study Officials

  • Philippe ZROUNBA, MD

    Centre Leon Berard

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
DIAGNOSTIC
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 8, 2011

First Posted

May 26, 2011

Study Start

December 1, 2010

Primary Completion

June 1, 2015

Study Completion

June 1, 2015

Last Updated

October 2, 2012

Record last verified: 2012-10

Locations