NCT04732741

Brief Summary

Synucleins are a family of small, highly conserved proteins found in vertebrates and are specially abundant in neurons particularly in presynaptic terminals (Surguchov et al., 2001). Gamma-synuclein is the third member of the synuclein family, and is predominantly found in the cytosol of tumor cells and functions both intra- and extra-cellularly. It is involved in the pathogenesis of different types of cancer and some neurodegenerative diseases (Liu et al., 2018). Smoking - a major risk factor for oral cancer and its progression - and nicotine-containing products were found to time-dependently up-regulate the Gamma-synuclein expression in cancer cells (Hsu et al., 2020a). Gamma-synuclein is released from tumor cells and was found to be elevated in tumors such as urinary bladder cancer (Liu et al., 2016), colorectal cancer, gastric adenocarcinomas and esophageal cancer (Liu et al., 2012). It is present in blood, serum, cerebrospinal fluid and saliva. The detection of extracellular synucleins in body fluids can reveal the first steps of the disease thus it can be used as a potential tool for early cancer detection (Surguchov, 2016). This study aims to identify the diagnostic accuracy of Gamma-synuclein in differentiating between oral malignant lesions and oral premalignant lesions.

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
69

participants targeted

Target at P25-P50 for all trials

Timeline
Completed

Started Mar 2021

Shorter than P25 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

First Submitted

Initial submission to the registry

January 27, 2021

Completed
5 days until next milestone

First Posted

Study publicly available on registry

February 1, 2021

Completed
1 month until next milestone

Study Start

First participant enrolled

March 10, 2021

Completed
9 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 10, 2021

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 10, 2021

Completed
Last Updated

February 1, 2021

Status Verified

January 1, 2021

Enrollment Period

9 months

First QC Date

January 27, 2021

Last Update Submit

January 27, 2021

Conditions

Outcome Measures

Primary Outcomes (1)

  • Gamma-synuclein level sensitivity and specificity

    Measured using ELISA reader

    At same time as biopsy

Study Arms (3)

Oral Cancer

patients diagnosed clinically and histopathologically with oral cancer who have yet to receive any treatment.

Diagnostic Test: Salivary Gamma-synucleinDiagnostic Test: Incisional biopsyDiagnostic Test: Conventional visual and tactile examination

Premalignant lesions

patients diagnosed clinically and histopathologically with oral potentially malignant lesions who have not yet to receive treatment or had a month wash-out period from any previous treatment.

Diagnostic Test: Salivary Gamma-synucleinDiagnostic Test: Incisional biopsyDiagnostic Test: Conventional visual and tactile examination

Control Group

healthy individuals who will be examined clinically through conventional visual and tactile examination to ensure no oral lesions are present and through thorough medical history

Diagnostic Test: Salivary Gamma-synucleinDiagnostic Test: Conventional visual and tactile examination

Interventions

Gamma-synuclein salivary levels measured using ELISA assay

Control GroupOral CancerPremalignant lesions
Incisional biopsyDIAGNOSTIC_TEST

A) Biopsy (reference standard): biopsy for group 1 will be performed by specialists in the national cancer institute. B) Biopsy for oral potentially malignant lesions will be performed by the candidate from the most representative region.

Oral CancerPremalignant lesions

Conventional visual and tactile examination using light and mirror

Control GroupOral CancerPremalignant lesions

Eligibility Criteria

Age20 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Group 1: patients with malignant lesions will be diagnosed through clinical and histopathological examination of tissue biopsy. Group 2: patients with oral potentially malignant lesions will be diagnosed clinically and histopathological examination of tissue biopsy. Group 3: healthy individuals who will be examined clinically through conventional visual and tactile examination to ensure no oral lesions are present and through thorough medical history

You may qualify if:

  • Group 1: patients with malignant lesions will be diagnosed through clinical and histopathological examination of tissue biopsy.
  • Group 2: patients with oral potentially malignant lesions will be diagnosed clinically and histopathological examination of tissue biopsy.
  • Group 3: healthy individuals who will be examined clinically through conventional visual and tactile examination to ensure no oral lesions are present and through thorough medical history

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Biospecimen

Retention: SAMPLES WITH DNA

Salivary sample

MeSH Terms

Conditions

Mouth NeoplasmsLichen Planus, OralLeukoplakia, Oral

Condition Hierarchy (Ancestors)

Head and Neck NeoplasmsNeoplasms by SiteNeoplasmsMouth DiseasesStomatognathic DiseasesLichen PlanusLichenoid EruptionsSkin Diseases, PapulosquamousSkin DiseasesSkin and Connective Tissue DiseasesLeukoplakiaPrecancerous ConditionsPathological Conditions, AnatomicalPathological Conditions, Signs and Symptoms

Central Study Contacts

Study Design

Study Type
observational
Observational Model
OTHER
Time Perspective
CROSS SECTIONAL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Resident at the faculty of Dentistry

Study Record Dates

First Submitted

January 27, 2021

First Posted

February 1, 2021

Study Start

March 10, 2021

Primary Completion

December 10, 2021

Study Completion

December 10, 2021

Last Updated

February 1, 2021

Record last verified: 2021-01