NCT03529604

Brief Summary

According to the World Health Organization, oral cancer (OC) is the eighth most common cancer in the world with a five year survival rate of 50%. Oral cancer tumor cells produce biochemical substances, tumor markers, differed from healthy individuals in expression or quantitative ratio, detectable in tissues and/or body fluids. Saliva, because of its accessibility, proximity and noninvasive approach, presents an ideal tool for the research of oral cancer tumor markers. The aim of this study will be to isolate, quantify, analyze the role and describe the kinetics of diadenosine tetraphosphate (Ap4A), Squamous Cell Carcinoma associated Antigen (SCCA), Trophoblast cell surface antigen (TROP2) in patients with OC, potentially malignant disorders (PMOD) and age and sex matched control group with a clear medical history. There are number of studies published on OC tumor markers isolated mostly in serum, however the satisfactory specificity and sensitivity still hasn't been reached. Liquid chromatography-ion trap-mass spectrometry, Multiple Reaction Monitoring method (LC-IT-MS, MRM) will be developed to isolate and quantify the above mentioned tumor markers. This method has not yet been used to quantify the above mentioned salivary tumor markers. Ap4A and TROP2 have never been isolated from saliva. The aim is to develop a tumor-specific test with a satisfactory statistical sensitivity and specificity and dynamically measure the levels of tumor markers, before and immediately after therapy - surgery/radiotherapy/chemotherapy or their combination, and during regular follow-up one and two years after surgery. As another novelty, the investigators aim to determine the markers circadian rhythm. A OC tumor specific test, with satisfactory sensitivity and specificity, would enable earlier OC diagnosis, possibly before the clinical appearance, raise the survival rate of OC patients, enable early diagnosis of recurrence and/or new primary tumors and ensure better post-treatment life-quality.

Trial Health

35
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
100

participants targeted

Target at P50-P75 for all trials

Timeline
Completed

Started May 2016

Longer than P75 for all trials

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

May 1, 2016

Completed
2 years until next milestone

First Submitted

Initial submission to the registry

May 7, 2018

Completed
11 days until next milestone

First Posted

Study publicly available on registry

May 18, 2018

Completed
1.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2020

Completed
29 days until next milestone

Study Completion

Last participant's last visit for all outcomes

April 30, 2020

Completed
Last Updated

October 16, 2018

Status Verified

October 1, 2018

Enrollment Period

3.9 years

First QC Date

May 7, 2018

Last Update Submit

October 11, 2018

Conditions

Keywords

Oral CancerPotentially Malignant Oral DisordersSalivaSquamous cell carcinoma antigen 1Squamous cell carcinoma antigen 2Trophoblast cell surface antigenDiadenosine tetraphosphate

Outcome Measures

Primary Outcomes (1)

  • Salivary tumor marker levels before surgery

    Salivary tumor marker levels before surgery

    1.5.2016.-15.9.2018.

Secondary Outcomes (1)

  • Salivary tumor marker levels after surgery

    1.5.2018.-1.9.2019.

Study Arms (3)

Oral Cancer group

Patients with pathohistologically diagnosed T1 conventional oral squamous cell carcinoma. The investigators will collect saliva from the mouth floor (saliva sampling), measure SCCA1, SCCA2 and TROP2 using ELISA tests and measure Ap4A levels using HPLC.

Other: Saliva samplingDiagnostic Test: ELISADiagnostic Test: HPLC

PMOD group

Patients with clinically diagnosed leukoplakia, erythroplakia and oral lichen planus. The investigators will collect saliva from the mouth floor (saliva sampling), measure SCCA1, SCCA2 and TROP2 using ELISA tests and measure Ap4A levels using HPLC.

Other: Saliva samplingDiagnostic Test: ELISADiagnostic Test: HPLC

Control

Age and sex matched subjects. The investigators will collect saliva from the mouth floor (saliva sampling), measure SCCA1, SCCA2 and TROP2 using ELISA tests and measure Ap4A levels using HPLC.

Other: Saliva samplingDiagnostic Test: ELISADiagnostic Test: HPLC

Interventions

Saliva was collected from the mouth floor using a specially designed saliva collecting apparatus.

ControlOral Cancer groupPMOD group
ELISADIAGNOSTIC_TEST

Saliva samples will be analyzed using enzyme-linked immunosorbent assay (ELISA) for the detection of SCCA1, SCCA2 and TROP2.

ControlOral Cancer groupPMOD group
HPLCDIAGNOSTIC_TEST

High-performance liquid chromatography (HPLC) will be used to measure Ap4A concentrations in saliva.

ControlOral Cancer groupPMOD group

Eligibility Criteria

Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

All subjects that meet the inclusion criteria.

You may qualify if:

  • pathohistologically confirmed conventional T1 oral squamous cell carcinoma
  • clinically diagnosed leukoplakia, erythroplakia and oral lichen planus

You may not qualify if:

  • ate or drank 2 hours before sampling

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Links

Biospecimen

Retention: SAMPLES WITH DNA

Saliva

MeSH Terms

Conditions

Squamous Cell Carcinoma of Head and NeckMouth Neoplasms

Condition Hierarchy (Ancestors)

Carcinoma, Squamous CellCarcinomaNeoplasms, Glandular and EpithelialNeoplasms by Histologic TypeNeoplasmsHead and Neck NeoplasmsNeoplasms by SiteMouth DiseasesStomatognathic Diseases

Study Officials

  • Darko Macan, PhD, DDS

    University of Zagreb

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
CASE CONTROL
Time Perspective
CROSS SECTIONAL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor, PhD

Study Record Dates

First Submitted

May 7, 2018

First Posted

May 18, 2018

Study Start

May 1, 2016

Primary Completion

April 1, 2020

Study Completion

April 30, 2020

Last Updated

October 16, 2018

Record last verified: 2018-10