NCT04495244

Brief Summary

Detecting cancer as early as possible is key to achieving positive outcomes in response to diagnosis and treatment. The current project is aimed at validating a novel blood-based breast cancer identification test (Syantra DX Breast Cancer) that has been developed by Syantra Inc. Syantra DX Breast Cancer measures gene expression signatures in whole blood, and has been retrospectively demonstrated in 780 samples. The test uses proprietary algorithms to analyse gene expression characteristics from a novel multi-biomarker panel, and then classify a sample as positive or negative for breast cancer. Based upon test performance in a retrospective environment, a prospective validation study is being proposed. The primary objective of this study is to validate Syantra DX Breast Cancer methodology and biomarker panel using prospective samples, well categorized by diagnostic imaging scores, pathology outcomes, and subject characteristics.

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
600

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Jan 2019

Longer than P75 for all trials

Geographic Reach
1 country

1 active site

Status
unknown

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

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

January 24, 2019

Completed
1.5 years until next milestone

First Submitted

Initial submission to the registry

July 7, 2020

Completed
24 days until next milestone

First Posted

Study publicly available on registry

July 31, 2020

Completed
1.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2021

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2022

Completed
Last Updated

July 31, 2020

Status Verified

July 1, 2020

Enrollment Period

2.9 years

First QC Date

July 7, 2020

Last Update Submit

July 28, 2020

Conditions

Keywords

Detection, blood test, clinical assay

Outcome Measures

Primary Outcomes (1)

  • Performance of the Syantra DX Breast Cancer test as assessed by sensitivity and specificity

    The number of participants that test positive or negative for breast cancer with the Syantra DX Breast Cancer test and their breast cancer status as assessed by mammography or pathology.

    through completion of the study, approximately eighteen months

Secondary Outcomes (2)

  • Modulate test methodology to account for differences between retrospective and prospective samples

    through completion of the study, approximately eighteen months

  • Performance of the Syantra DX Breast Cancer test in prediction of molecular subtype of breast cancer as assessed by pathology

    through completion of the study, approximately eighteen months

Study Arms (3)

Investigational Population

Suspected Invasive Breast Cancer (any size) or DCIS (pre-invasive) are of particular interest. Women with abnormal screening mammograms (R3-5) recalled for further investigation. Inclusion criteria * Women with suspected Invasive Breast Cancer (tumours of any size and/or DCIS). * Individuals with an abnormal or suspicious screening mammogram recalled for further evaluation. * Suspected Invasive Breast Cancer (tumours of any size and/or DCIS). * Willing to give written Informed Consent and provide whole blood samples * Age 30-75 years Exclusion criteria * Breast surgery within the previous 12 months (for any reason) or recent breast biopsy (including needle core biopsy) * Inoperable (T4 category) or inflammatory breast cancer * Previous history of cancer previously at any site * Previous history of breast cancer * Concomitant or other concurrent anti-cancer therapy * Male * No histopathological diagnosis

Diagnostic Test: Syantra DX Breast Cancer

Borderline (Atypica and LCIS) Population

Women with borderline pathological B3 lesions (suspected atypia Ductal or Lobular and benign proliferative disease without DCIS or invasion) Inclusion criteria * Abnormal screening mammogram with suspected benign breast disease or proliferative changes * Willing to give Written Informed Consent and provide whole blood samples * Aged 30-75 years Exclusion criteria * Existing cancer diagnosis * Male * Breast surgery within the previous 12 months (for any reason) or recent breast biopsy (including needle core biopsy) * Previous history of any cancer * Previous history of breast cancer * Concomitant or other concurrent anti-cancer therapy

Diagnostic Test: Syantra DX Breast Cancer

Control Population

Healthy Controls Inclusion criteria * Normal breast examination - No cancer detected/suspected by physical exam, diagnostic radiology or screening mammography * Willing to give Written Informed Consent and provide whole blood samples * Aged 30-75 years Exclusion criteria * Cancer diagnosis * Male * Breast surgery within the previous 12 months (for any reason) or recent breast biopsy (including needle core biopsy) * Previous history of any cancer * Concomitant or other concurrent anti-cancer therapy

Diagnostic Test: Syantra DX Breast Cancer

Interventions

Blood test for detecting the presence of breast cancer.

Borderline (Atypica and LCIS) PopulationControl PopulationInvestigational Population

Eligibility Criteria

Age30 Years - 75 Years
Sexfemale(Gender-based eligibility)
Gender Eligibility DetailsSelf-identified
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Populations will be selected from women visiting the Nightingale Centre at Wythenshaw Hospital for breast cancer imaging.

You may qualify if:

  • Aged 30-75 years
  • Normal breast examination - No cancer detected/suspected by physical exam, diagnostic radiology or screening mammography
  • Women with suspected Invasive Breast Cancer
  • Individuals with an abnormal or suspicious mammogram
  • Abnormal screening mammogram with suspected benign breast disease or proliferative changes

You may not qualify if:

  • Cancer diagnosis
  • Male
  • Breast surgery within the previous 12 months (for any reason) or recent breast biopsy (including needle core biopsy)
  • Previous history of any cancer
  • Concomitant or other concurrent anti-cancer therapy
  • Inoperable or inflammatory breast cancer

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Wythenshawe Hospital, Southmoor Road

Manchester, M23 9LT, United Kingdom

RECRUITING

Biospecimen

Retention: SAMPLES WITHOUT DNA

Whole blood

Study Officials

  • Nigel Bundred, MD

    Manchester University NHS Foundation Trust

    PRINCIPAL INVESTIGATOR
  • Cliona Kirwin, MD

    Manchester University NHS Foundation Trust

    STUDY DIRECTOR

Central Study Contacts

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Target Duration
1 Year
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 7, 2020

First Posted

July 31, 2020

Study Start

January 24, 2019

Primary Completion

December 31, 2021

Study Completion

December 31, 2022

Last Updated

July 31, 2020

Record last verified: 2020-07

Data Sharing

IPD Sharing
Will not share

Locations