Analysis of Whole Body Magnetic Resonance Imaging and Liquid Biopsy for Early Detection of Cancer in Patients With a Strong Family History of Cancer
Whole Body MRI and Liquid Biopsy for Early Cancer Detection
3 other identifiers
interventional
100
1 country
1
Brief Summary
This study evaluates patient acceptability of whole body magnetic resonance imaging (WBM) and liquid biopsies (LB) in detecting early stage cancer in patients with a strong family history of cancer. Collecting family history and testing for genes passed on from parent to child (germline testing) can be used to predict the likelihood of a patient developing cancer. Currently, detection of early cancers focuses on screening specific organ systems such as breast and colon cancer. Magnetic resonance imaging (MRI) uses a large magnet and radio waves to look at organs and structures inside the body. Health care professionals use MRI scans to diagnose a variety of conditions, from torn ligaments to cancer. Liquid biopsy is test that analyzes blood samples to determine if cancer cells are present. This study may help researchers determine the feasibility of WBM and liquid biopsies to detect early stage cancer in patients that have a strong family history of cancer.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for early_phase_1
Started May 2022
Longer than P75 for early_phase_1
1 active site
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
May 20, 2022
CompletedFirst Submitted
Initial submission to the registry
March 29, 2023
CompletedFirst Posted
Study publicly available on registry
May 22, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 19, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
October 19, 2026
January 2, 2026
December 1, 2025
4.4 years
March 29, 2023
December 31, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
Acceptability of germline testing, liquid biopsy and whole body magnetic resonance imaging (WBM)
Acceptability, as measured by the survey question "How satisfied are you with the research study overall?" and is defined as a score of 4 ("moderately acceptable) or 5 ("highly acceptable").
Up to 6 months after WBM
Secondary Outcomes (10)
Prevalence of WBM findings requiring additional imaging or invasive testing
Up to 6 months after WBM
Psychological distress (Germline testing)A
Up to 6 months after WBM
Psychological distress (Germline testing)B
Up to 6 months after WBM
Psychological distress (Liquid Biopsy)A
Up to 6 months after WBM
Psychological distress (Liquid Biopsy)B
Up to 6 months after WBM
- +5 more secondary outcomes
Other Outcomes (1)
Correlation between high-risk liquid biopsy findings and cancer detected on WBM
Up to 6 months after WBM
Study Arms (1)
Whole Body MRI and Liquid Biopsy
EXPERIMENTALPatients undergo WBM without contrast and blood sample collection for liquid biopsy
Interventions
Undergo blood sample collection
Undergo germline testing
Undergo liquid biopsy testing
Undergo whole body MRI without contrast
Eligibility Criteria
You may qualify if:
- Age \>= 50 years, or age within 10 years of first degree relative with cancer at age of diagnosis (as long as age is \>= 18)
- Have a strong family history of cancer ( \>= 2 first-degree relatives with cancer, one first and second degree relative with cancer in one lineage (side of family), or at least three first or second degree relatives with cancer in one lineage (side of the family). Non-melanoma skin cancer excluded from family history eligibility
- Have a family history of early-onset cancer (age \>40) in at least one first-degree relative
- Willing to have 50 mL of blood (approximately 3.5 tablespoons) drawn (40 ml if germline testing already performed)
- Able to undergo MRI (no implants, metal, or claustrophobia that would preclude MRI)
- Any cancer diagnosis within past 5 years, excluding non-melanoma skin cancer
- Positron emission tomography/computed tomography (PET/CT) or other whole body imaging modality (including combination of CT chest and abdomen) within 3 years
- No signs/symptoms of possible cancer (e.g. hemoptysis, breast mass, blood per rectum, unexplained weight loss)
- Willing to undergo standard of care genetic counseling and germline testing, or has already undergone genetic counseling and germline testing
- Documented informed consent of the participant
You may not qualify if:
- Unable to provide informed consent
- Contraindications to MRI (implants, metal, or claustrophobia that would preclude MRI)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- City of Hope Medical Centerlead
- National Cancer Institute (NCI)collaborator
Study Sites (1)
City of Hope Medical Center
Duarte, California, 91010, United States
Related Publications (1)
Raz DJ, Nehoray B, Ceniceros A, Motarjem P, Landau S, Nelson RA, Gray SW. Feasibility of a cancer screening program using multicancer early detection testing and whole-body magnetic resonance imaging in a high-risk population. Cancer. 2025 Jan 1;131(1):e35709. doi: 10.1002/cncr.35709.
PMID: 39748640DERIVED
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Dan Raz
City of Hope Medical Center
Study Design
- Study Type
- interventional
- Phase
- early phase 1
- Allocation
- NA
- Masking
- NONE
- Purpose
- SCREENING
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 29, 2023
First Posted
May 22, 2023
Study Start
May 20, 2022
Primary Completion (Estimated)
October 19, 2026
Study Completion (Estimated)
October 19, 2026
Last Updated
January 2, 2026
Record last verified: 2025-12