NCT03628651

Brief Summary

The primary objective of this study is to obtain de-identified, clinically-characterized whole blood specimens for use in developing and evaluating the performance of new biomarker assays for detection of hepatocellular carcinoma (HCC).

Trial Health

93
On Track

Trial Health Score

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

Enrollment
2,150

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Apr 2018

Geographic Reach
7 countries

74 active sites

Status
completed

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

April 2, 2018

Completed
4 months until next milestone

First Submitted

Initial submission to the registry

August 9, 2018

Completed
5 days until next milestone

First Posted

Study publicly available on registry

August 14, 2018

Completed
1.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 11, 2020

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 11, 2020

Completed
Last Updated

August 6, 2020

Status Verified

August 1, 2020

Enrollment Period

1.9 years

First QC Date

August 9, 2018

Last Update Submit

August 4, 2020

Conditions

Outcome Measures

Primary Outcomes (1)

  • Biomarker Identification

    Biomarkers under evaluation include differential methylation of nucleic acids and altered expression of proteins in blood from subjects with HCC compared to those without (but are at risk of developing the disease so are under surveillance)

    1 year

Study Arms (2)

HCC Surveillance

Approximately 1400 HCC surveillance subjects (controls) will be enrolled.

Other: Blood Sample Collection

HCC

Approximately 700 subjects with untreated clinically diagnosed HCC will be enrolled.

Other: Blood Sample Collection

Interventions

HCC subjects will have one blood sample collected.

HCC

Eligibility Criteria

Age18 Years+
Sexall
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Subjects 18 years of age and older who have clinically diagnosed HCC or are negative for HCC following disease surveillance will be enrolled. Approximately 2100 subjects will be enrolled into the two groups, HCC subjects and control subjects.

You may qualify if:

  • All Subjects:
  • Subject is 18 years of age or older
  • Subject understands the study procedures and is able to provide informed consent to participate in the study and authorization for release of data, including personal health data, to the study investigator and sponsor
  • HCC Subjects:
  • \. Subject has a recent (within 6 months of enrollment) untreated clinically diagnosed hepatocellular carcinoma as defined by ≥1 cm lesion exhibiting arterial phase hyperenhancement in combination with washout appearance and/or capsule by 4 phase CT scan or multiphase contrast enhanced MRI or biopsy is positive for HCC.
  • Control Subjects:
  • Non-cancer subject undergoing routine imaging surveillance for HCC
  • Definitive lack of HCC within 3 months prior to enrollment as defined by negative imaging, for HCC.
  • Control Group 1 - negative by ultrasound
  • Control Group 2 - negative by CT or MRI

You may not qualify if:

  • Known cancer diagnosis within the past 5 years (with the exceptions of basal cell or squamous cell skin cancers).
  • Chemotherapy and/or radiation therapy within 5 years prior to enrollment/sample collection.
  • Prior or current treatment with sorafenib, regorafenib, or other treatment indicated for HCC.
  • Any HCC treatment prior to enrollment/blood sample collection (e.g., surgery, ablation, embolization, pharmacotherapy, radiotherapy, liver transplant or other treatment indicated for HCC).
  • IV contrast (e.g. CT and MRI) within 1 day \[or 24 hours\] of blood collection.
  • Less than 3 days between fine needle aspiration (FNA) of target pathology and blood collection.
  • Less than 7 days between biopsy (other than FNA) of target pathology and blood collection.
  • Individual has a condition the Investigator believes would interfere with his or her ability to provide informed consent, comply with the study protocol, which might confound the interpretation of the study results or put the person at undue risk.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (74)

Cedars Sinai Medical Center

Los Angeles, California, 90048, United States

Location

Facey Medical Foundation

Los Angeles, California, 91345, United States

Location

Office of Dr. John D. Homan MD

Newport Beach, California, 92663-3668, United States

Location

UC Irvine Health

Orange, California, 92868, United States

Location

FOMAT Medical Research

Oxnard, California, 93030, United States

Location

Alliance Clinical Research

Poway, California, 92064, United States

Location

Medical Center of Homestead

Homestead, Florida, 33030, United States

Location

Mayo Clinc

Jacksonville, Florida, 32224, United States

Location

Precision Clinical Research, LLC

Lauderdale Lakes, Florida, 33319, United States

Location

Guardian Angel Research Center, Inc.

Tampa, Florida, 33614, United States

Location

Rush University Medical Center

Chicago, Illinois, 60612, United States

Location

University of Chicago

Chicago, Illinois, 60637, United States

Location

Indiana University Medical Center

Indianapolis, Indiana, 46202, United States

Location

University of Iowa

Iowa City, Iowa, 52242, United States

Location

Mercy Medical Research

Baltimore, Maryland, 21202, United States

Location

University of Michigan

Ann Arbor, Michigan, 48109, United States

Location

Henry Ford Hospital (HFH)

Detroit, Michigan, 48202-2608, United States

Location

Mayo Clinic

Rochester, Minnesota, 55905, United States

Location

Stony Brook Cancer Center

Stony Brook, New York, 11794, United States

Location

CMC Center for Liver Disease

Charlotte, North Carolina, 28210, United States

Location

OnSite Clinical Solutions

Charlotte, North Carolina, 28226, United States

Location

PMG Research of Winston-Salem, LLC

Winston-Salem, North Carolina, 27103, United States

Location

UH Cleveland Medical Center

Cleveland, Ohio, 44106, United States

Location

Hospital of the University of Pennsylvania

Philadelphia, Pennsylvania, 19104, United States

Location

Einstein Medical Center

Philadelphia, Pennsylvania, 19141, United States

Location

The Jackson Clinic

Jackson, Tennessee, 38301, United States

Location

Methodist Healthcare University Hospital

Memphis, Tennessee, 38104, United States

Location

Vanderbilt University Medical Center

Nashville, Tennessee, 37212, United States

Location

ARC Clinical Research at Wilson Parke

Austin, Texas, 78726, United States

Location

UT Southwestern Medical Center

Dallas, Texas, 75201, United States

Location

ADP Clinical Research

Magnolia, Texas, 77355, United States

Location

University of Virginia

Charlottesville, Virginia, 22908, United States

Location

Bon Secours Liver Institute of Hampton Roads

Newport News, Virginia, 23602, United States

Location

Hunter Holmes McGuire Medical

Richmond, Virginia, 23249, United States

Location

South Perry Endoscopy

Spokane, Washington, 99202, United States

Location

University of Wisconsin Hospital and Clinics

Madison, Wisconsin, 53705, United States

Location

CHU de Besancon Hopital Jean Minjoz

Besançon, 25030, France

Location

CHU Caen

Caen, 14000, France

Location

Hopital Henri Mondor

Créteil, 94010, France

Location

Centre Hospitalier Universitaire de Grenoble

La Tronche, 38700, France

Location

CHRU de LILLE - Hospital HURIEZ

Lille, 59037, France

Location

Chru Brabois

Nancy, 54500, France

Location

CHU Reims, Hopital Robert Debre

Reims, 51092, France

Location

CHU Pontchaillou

Rennes, 35000, France

Location

Helios Klinikum Berlin-Buch

Berlin, 13125, Germany

Location

Universitätsklinikum Bonn

Bonn, 53105, Germany

Location

Gastroenterologische Studienambulanz

Cologne, 50937, Germany

Location

Universitat Leipzig

Leipzig, 04103, Germany

Location

Otto-von-Guericke-Universitaet Magdeburg

Magdeburg, 39120, Germany

Location

Medizinische Klinik und Poliklinik II

München, 81377, Germany

Location

Policlinico Sant' Orsola Malpighi

Bologna, 40138, Italy

Location

AOU Cagliary

Cagliari, 09042, Italy

Location

A.O.U. Policlinico G.Martino

Messina, 98125, Italy

Location

Ospedale San Gerardo

Monza, 20052, Italy

Location

Ospedale Sant'Andrea Hospital

Roma, 00189, Italy

Location

Hgu Alicante

Alicante, 03010, Spain

Location

Hospital de Mar - Parc de Salut Mar

Barcelona, 08003, Spain

Location

Hospital Reina Sofia

Córdoba, 14014, Spain

Location

Universidad Autonoma de Madrid - Hospital Universitario La Paz

Madrid, 28046, Spain

Location

Parc Tauli Hospital Universitari

Sabadell, 08208, Spain

Location

Hospital Universitario Marqués de Valdecilla

Santander, 39008, Spain

Location

Hospital Universitario de Rio Hortega

Valladolid, 47012, Spain

Location

Changhua Christian Hospital

Chang-hua, 50006, Taiwan

Location

Kaohsiung Medical University Hospital

Kaohsiung City, 807, Taiwan

Location

Chang Gung Medical Foundation

Kaohsiung City, 83301, Taiwan

Location

China Medical University Hospital

Taichung, 40447, Taiwan

Location

Liver DIS Center

Taichung, 40705, Taiwan

Location

Taichung Veterans General Hospital

Taichung, 40705, Taiwan

Location

National Cheng Kung University Hospital

Tainan, 70403, Taiwan

Location

Chi Mei Medical Center - Liuying

Tainan, 736, Taiwan

Location

Chang Gung Medical Foundation

Taoyuan District, 33305, Taiwan

Location

Phramongkutklao Hospital

Bangkok, 10400, Thailand

Location

Sririraj Hospital

Bangkok, 10700, Thailand

Location

Chiang Mai University

Chiang Mai, 50200, Thailand

Location

Related Publications (2)

  • Chalasani NP, Porter K, Bhattacharya A, Book AJ, Neis BM, Xiong KM, Ramasubramanian TS, Edwards DK 5th, Chen I, Johnson S, Roberts LR, Kisiel JB, Reddy KR, Singal AG, Olson MC, Bruinsma JJ. Validation of a Novel Multitarget Blood Test Shows High Sensitivity to Detect Early Stage Hepatocellular Carcinoma. Clin Gastroenterol Hepatol. 2022 Jan;20(1):173-182.e7. doi: 10.1016/j.cgh.2021.08.010. Epub 2021 Aug 13.

  • Chalasani NP, Ramasubramanian TS, Bhattacharya A, Olson MC, Edwards V DK, Roberts LR, Kisiel JB, Reddy KR, Lidgard GP, Johnson SC, Bruinsma JJ. A Novel Blood-Based Panel of Methylated DNA and Protein Markers for Detection of Early-Stage Hepatocellular Carcinoma. Clin Gastroenterol Hepatol. 2021 Dec;19(12):2597-2605.e4. doi: 10.1016/j.cgh.2020.08.065. Epub 2020 Sep 2.

Biospecimen

Retention: SAMPLES WITH DNA

Blood samples will not be used other than to develop and evaluate the performance of blood-based biomarker assays to detect cancer. Samples may be stored for up to 10 years.

MeSH Terms

Conditions

Carcinoma, Hepatocellular

Condition Hierarchy (Ancestors)

AdenocarcinomaCarcinomaNeoplasms, Glandular and EpithelialNeoplasms by Histologic TypeNeoplasmsLiver NeoplasmsDigestive System NeoplasmsNeoplasms by SiteDigestive System DiseasesLiver Diseases

Study Officials

  • Laura Strong

    Exact Sciences

    STUDY DIRECTOR

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 9, 2018

First Posted

August 14, 2018

Study Start

April 2, 2018

Primary Completion

March 11, 2020

Study Completion

March 11, 2020

Last Updated

August 6, 2020

Record last verified: 2020-08

Data Sharing

IPD Sharing
Will share

Individual participant data that underlie the results reported in publications of the study will be shared after deidentification. This may include text, tables, figures, and appendices. The study protocol, statistical analysis plan, informed consent form, and clinical study report will also be shared.

Shared Documents
STUDY PROTOCOL, ICF
Time Frame
Data will be available from 2 years and ending 4 years after publication. Data will be shared with researchers who provide a methodologically sound proposal to achieve the aims outlined in the approved proposal.
Access Criteria
Proposals for access to data should be directed to clinicaltrials@exactsciences.com. To gain access, data requestors will need to provide a methodologically sound proposal and sign a data access agreement. Researchers are required to obtain necessary IRB/EC approvals or waivers as applicable to conduct research. Data will be available between 2 and 4 years after publication through the Sponsor.

Locations