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Refinement and Validation of a Diagnostic Model (GAMAD) for Early Detection of Hepatocellular Carcinoma

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ClinicalTrials.gov Identifier: NCT05626985
Recruitment Status : Recruiting
First Posted : November 25, 2022
Last Update Posted : April 1, 2024
Sponsor:
Collaborator:
The First Hospital of Jilin University
Information provided by (Responsible Party):
Singlera Genomics Inc.

Tracking Information
First Submitted Date November 15, 2022
First Posted Date November 25, 2022
Last Update Posted Date April 1, 2024
Actual Study Start Date October 19, 2022
Estimated Primary Completion Date October 2024   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures
 (submitted: November 22, 2022)
GAMAD [ Time Frame: Day one ]
Using GAMAD calculator model to obtain the score of each group.
Original Primary Outcome Measures Same as current
Change History
Current Secondary Outcome Measures
 (submitted: November 22, 2022)
  • GALAD [ Time Frame: Day one ]
    Using GALAD calculator to obtain the score of each group.
  • circulating tumor DNA methylation [ Time Frame: Day one ]
    Using circulating tumor DNA methylation to obtain diagnostic value in pre-specified subgroups.
Original Secondary Outcome Measures Same as current
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title Refinement and Validation of a Diagnostic Model (GAMAD) for Early Detection of Hepatocellular Carcinoma
Official Title Refinement and Validation of a Comprehensive Clinical Diagnostic Model (GAMAD) for Early Detection of Hepatocellular Carcinoma: A Multicenter, Prospective Study Protocol
Brief Summary Most hepatocellular carcinoma (HCC) cases were at advanced stage when diagnosis established. This study is intended to establish a clinical diagnostic model GAMAD for early-stage HCC and evaluate the diagnostic efficiency the same time. This study is a multicenter prospective study. Participants including healthy control,HCC, liver cirrhosis, hepatitis and benign tumor-like lesions are consecutively recruited into the cohort. All the blood samples are collected before any treatments and will be tested in single center in order to decrease bias.
Detailed Description GALAD score including age, sex, PIVKA-II(DCP), Alpha-fetoprotein (AFP) and alpha-fetoprotein L3 (AFP-L3), is a serum biomarker-based panel that can aid in early detection among patients with a high risk for liver cancer. While increasing studies showed the diagnostic accuracy of AFP-L3 was not as good as that of AFP or PIVKA-II, and AFP-L3 was not significant in the multivariable model. Thus, a model with better diagnostic accuracy and more suitable for Chinese patients is needed. Here, based on a multi-locus blood-based assay targeting circulating tumor DNA methylation, we aim to develop a novel diagnostic model--GAMAD (gender, age, methylation, AFP and DCP) and validate its performance among HCC patients and those at high risk of developing HCC,such as liver cirrhosis, hepatitis patients. This is a multicenter, observational, prospective study. After giving fully informed consent, the participants will undergo the regular treatment according to NCCN guidelines.
Study Type Observational
Study Design Observational Model: Cohort
Time Perspective: Prospective
Target Follow-Up Duration Not Provided
Biospecimen Not Provided
Sampling Method Non-Probability Sample
Study Population Patients must have baseline evaluations performed prior to the study and must meet all inclusion and exclusion criteria. In addition, the patient must be thoroughly informed about all aspects of the study, including the study visit schedule and required evaluations and all regulatory requirements for informed consent. The written informed consent must be obtained from the patient prior to enrollment. The following criteria apply to all patients enrolled onto the study unless otherwise specified
Condition Hepatocellular Carcinoma
Intervention Diagnostic Test: GAMAD
Blood samples are tested for tumor markers including PIVKA-II (DCP),AFP, ctDNA methylation and biochemical tests.
Study Groups/Cohorts
  • Hepatocellular Carcinoma patients
    Blood samples are collected before liver resection.
    Intervention: Diagnostic Test: GAMAD
  • Liver cirrhosis
    The diagnosis of liver cirrhosis are based on triple-phase contrast enhanced computed tomography, magnetic resonance imaging.
    Intervention: Diagnostic Test: GAMAD
  • Hepatitis
    Patients with various hapatitis.
    Intervention: Diagnostic Test: GAMAD
  • Benign tumor-like lesions
    Benign hepatic tumors were diagnosed based on imaging findings and histological examinations after hepatic resection.
    Intervention: Diagnostic Test: GAMAD
  • Healthy control
    The healthy control group consist of people undergoing routine medical examination. Blood samples are collected.
    Intervention: Diagnostic Test: GAMAD
Publications *

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status Recruiting
Estimated Enrollment
 (submitted: November 22, 2022)
2000
Original Estimated Enrollment Same as current
Estimated Study Completion Date December 2024
Estimated Primary Completion Date October 2024   (Final data collection date for primary outcome measure)
Eligibility Criteria

Inclusion Criteria:

  • Age above 18
  • Establishing Diagnosis according to the European Association for the Study of Liver(EASL) criteria
  • High risk group of developing HCC including liver cirrhosis and hepatitis under the confirmed diagnosis
  • Able to provide sufficient and qualified blood samples for study tests
  • No prior or undergoing cancer treatment (local or systematic)
  • Able to provide a written informed consent

Exclusion Criteria:

  • Obstructive jaundice patients
  • Medical history of taking warfarin
  • With other known malignant tumors or multiple primary tumors
  • Patients with autoimmune diseases, genetic diseases, mental diseases/ disabilities and other diseases considered unsuitable for the study by the investigator
  • During pregnancy or lactation
  • Recipient of blood transfusion within 3 months prior to study blood draw
  • Insufficient qualified blood sample for study test
Sex/Gender
Sexes Eligible for Study: All
Ages 18 Years and older   (Adult, Older Adult)
Accepts Healthy Volunteers Yes
Contacts
Contact: Nanya Wang, Ph.D +8615804302611 wangny@jlu.edu.cn
Contact: Tian Yang, Ph.D +8618917015805 yangtian6666@hotmail.com
Listed Location Countries China
Removed Location Countries  
 
Administrative Information
NCT Number NCT05626985
Other Study ID Numbers GAMAD
Has Data Monitoring Committee No
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement
Plan to Share IPD: No
Plan Description: Individual participant data that underlie the results reported in this article, after deidentification (text, tables, figures, and appendices).
Current Responsible Party Singlera Genomics Inc.
Original Responsible Party Same as current
Current Study Sponsor Singlera Genomics Inc.
Original Study Sponsor Same as current
Collaborators The First Hospital of Jilin University
Investigators
Principal Investigator: Tian Yang, Ph.D Eastern Hepatobiliary Surgery Hospital
Study Chair: Guoyue Lv, Ph.D The First Hospital of Jilin University
Principal Investigator: Fengmei Wang Tianjin Third Central Hospital
PRS Account Singlera Genomics Inc.
Verification Date March 2024