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Pancreatic CancerPCDCNCT06388967

Pancreatic Cancer Detection Consortium

An observational study of Pancreatic Cancer and Pancreatic Carcinoma, run by City of Hope Medical Center at 13 sites in 3 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

This study aims to prospective validate an exosome-based miRNA signature for noninvasive and early detection of pancreatic ductal adenocarcinoma. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
What is being tested?
PANcreatic cancer Exosome Early detectiON (PANXEON)
How many people
2,000 participants
Where
13 sitesin 3 countries
Study dates
15 Mar 2023to 30 Dec 2030
Phase
Observational
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: Independent cohorts of individuals with and without pancreatic cancer (cases and controls, respectively)

Who may be able to join

  • Histological diagnosis of pancreatic ductal adenocarcinoma, stages I-IV (TNM classification, 8th edition)
  • Received standard diagnostic and staging procedures as per local guidelines, and at least one sample was drawn before receiving any curative-intent treatment.
  • Imaging- or endoscopy-based proof of lack of pancreatic ductal adenocarcinoma at the time of sampling (Non-disease controls)

Who cannot join

  • Lack of written informed consent.

Trial locations and contacts

13 sites in 3 countries. Contact the study team or a site near you to ask about taking part.

Ajay Goel, PhD contact

6262183452

AJGOEL@COH.ORG

13 sites in 3 countries

United States11 sites, 9 recruiting
  • Ochsner Medical Center

    Jefferson, Louisiana, 70121

    John Bolton, jbolton@ochsner.org

    John Bolton

    Recruiting
  • Medical College of Wisconsin

    Milwaukee, Wisconsin, 53226

    Douglas Evans, devans@mcw.edu

    Douglas Evans

    Recruiting
  • City of Hope Medical Center

    Monrovia, California, 91016

    Ajay Goel, PhD, 626-218-3452, AJGOEL@COH.ORG

    Ajay Goel

    Recruiting
  • Atlantic Health System

    Morristown, New Jersey, 07960

    Angela Alistar, angela.alistar@atlantichealth.org

    Angela Alistar

    Recruiting
  • Hoag Center

    Newport Beach, California, 92663

    Terminated
  • OSF HealthCare

    Peoria, Illinois, 61637

    Chandler Wilfong, chandler.d.wilfong@osfhealthcare.org

    Chandler Wilfong

    Recruiting
  • Translational Genomics Research Institute

    Phoenix, Arizona, 85004

    Daniel Von Hoff, dvh@tgen.org

    Daniel Von Hoff

    Recruiting
  • AHN Cancer Institute at Allegheny General Hospital

    Pittsburgh, Pennsylvania, 15212

    Ali Zaidi, MD, ali.zaidi@ahn.org

    Recruiting
  • Piedmont Medical Center

    Rock Hill, South Carolina, 29732

    Andrew Page, Andrew.Page@piedmont.org

    Andrew Page

    Recruiting
  • Honorhealth

    Scottsdale, Arizona, 85258

    Terminated
  • MultiCare Cancer Institute - Tacoma General Hospital

    Tacoma, Washington, 98405

    Alex Cantafio, MD, alex.cantafio@multicare.org

    Recruiting

Other trials in United States

Japan1 site, 1 recruiting
  • Nagoya University

    Nagoya

    Yasuhiro Kodera, ykodera@med.nagoya-u.ac.jp

    Yasuhiro Kodera

    Recruiting

Other trials in Japan

South Korea1 site, 1 recruiting
  • Asan Medical Center

    Seoul

    Song Cheol Kim, drksc@amc.seoul.kr

    Song Cheol Kim

    Recruiting

Other trials in South Korea

About this study

Official title: Early Detection of Pancreatic Cancer: Prospective Study

This study aims to prospective validate an exosome-based miRNA signature for noninvasive and early detection of pancreatic ductal adenocarcinoma.

Read the detailed description

Pancreatic ductal adenocarcinoma (PDAC) is one of the deadliest forms of cancer. It often goes undetected until it is at an advanced stage, making it challenging to treat. Currently, only a small percentage of patients are diagnosed early enough for effective treatment. While a blood marker exists, called serum carbohydrate antigen 19-9 (CA19-9), it is used primarily to track the disease, and it is unreliable for early detection.

To address this problem, the researchers have developed a new method to analyze circulating vesicles (called exosomes), which contain specific genetic material called microRNAs (miRNAs). In a previous study, by analyzing both the miRNAs that circulate freely in serum and the miRNAs that are inside the exosomes, the researchers have already identified a combination of 13 miRNAs that could accurately detect early-stage PDAC.

In this study, the researchers will test this method in a larger international cohort study. This study aims to confirm the effectiveness of this approach in identifying PDAC at its earliest stages.

Being tested
PANcreatic cancer Exosome Early detectiON (PANXEON)
Keywords
Micro RNA, Exosome, Cell free, Early detection, Screening
Medical subject headings
Pancreatic Neoplasms, Pancreatic cancer, adult

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PANcreatic cancer Exosome Early detectiON (PANXEON)Diagnostic test

    Also called PANXEON (PANcreatic cancer Exosome Early detectiON)

    This test will utilize quantitative reverse transcriptase polymerase chain reaction (qRT-PCR) to quantify the expression levels of 5 cell-free and 8 exosome-miRNAs in plasma samples obtained from patients with pancreatic ductal adenocarcinoma and from individuals without it

Study groups in NCT06388967
Study groupRoleWhat they receive
Patients with Pancreatic Cancer Ductal Adenocarcinoma (Training)Individuals diagnosed with pancreatic ductal adenocarcinoma
Receives: Diagnostic Test: PANcreatic cancer Exosome Early detectiON (PANXEON)
Individuals without Pancreatic Cancer Ductal Adenocarcinoma (Training)Individuals without pancreatic ductal adenocarcinoma
Receives: Diagnostic Test: PANcreatic cancer Exosome Early detectiON (PANXEON)
Patients with Pancreatic Cancer Ductal Adenocarcinoma (Validation)Individuals diagnosed with pancreatic ductal adenocarcinoma
Receives: Diagnostic Test: PANcreatic cancer Exosome Early detectiON (PANXEON)
Individuals without Pancreatic Cancer Ductal Adenocarcinoma (Validation)Individuals without pancreatic ductal adenocarcinoma
Receives: Diagnostic Test: PANcreatic cancer Exosome Early detectiON (PANXEON)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Sensitivity

    True positive rate: the probability of a positive test result, conditioned on the individual truly being positive

    Measured: Through study completion, an average of 1 year

Secondary outcomes (2)
  1. Specificity

    True negative rate: the probability of a negative test result, conditioned on the individual truly being negative

    Measured: Through study completion, an average of 1 year

  2. Accuracy

    A measure of trueness: proportion of correct predictions (both true positives and true negatives) among the total number of cases examined

    Measured: Through study completion, an average of 1 year

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Apr 2024
  2. Study start15 Mar 2023
  3. Primary completion30 Dec 2030 (estimated)
  4. Study completion30 Dec 2030 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case-control
Time perspective
Prospective
Enrolment
2,000 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06388967
Sponsor's protocol ID
19288/PCDC
Acronym
PCDC
Status last verified
Sep 2026
First submitted
19 Apr 2024
Last updated
28 Sep 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided: Data collected for the study will be made available to others, including de-identified participant data, at publication, via a signed data access agreement and at the discretion of the investigators' approval of the proposed use of such data

Publications

  • Ryan DP, Hong TS, Bardeesy N. Pancreatic adenocarcinoma. N Engl J Med. 2014 Sep 11;371(11):1039-49. doi: 10.1056/NEJMra1404198. No abstract available.

    PubMed 25207767
  • Kleeff J, Korc M, Apte M, La Vecchia C, Johnson CD, Biankin AV, Neale RE, Tempero M, Tuveson DA, Hruban RH, Neoptolemos JP. Pancreatic cancer. Nat Rev Dis Primers. 2016 Apr 21;2:16022. doi: 10.1038/nrdp.2016.22.

    PubMed 27158978
  • Mizrahi JD, Surana R, Valle JW, Shroff RT. Pancreatic cancer. Lancet. 2020 Jun 27;395(10242):2008-2020. doi: 10.1016/S0140-6736(20)30974-0.

    PubMed 32593337
  • Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, Bray F. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin. 2021 May;71(3):209-249. doi: 10.3322/caac.21660. Epub 2021 Feb 4.

    PubMed 33538338
  • Rahib L, Smith BD, Aizenberg R, Rosenzweig AB, Fleshman JM, Matrisian LM. Projecting cancer incidence and deaths to 2030: the unexpected burden of thyroid, liver, and pancreas cancers in the United States. Cancer Res. 2014 Jun 1;74(11):2913-21. doi: 10.1158/0008-5472.CAN-14-0155.

    PubMed 24840647
  • Vincent A, Herman J, Schulick R, Hruban RH, Goggins M. Pancreatic cancer. Lancet. 2011 Aug 13;378(9791):607-20. doi: 10.1016/S0140-6736(10)62307-0. Epub 2011 May 26.

    PubMed 21620466
  • Uesaka K, Boku N, Fukutomi A, Okamura Y, Konishi M, Matsumoto I, Kaneoka Y, Shimizu Y, Nakamori S, Sakamoto H, Morinaga S, Kainuma O, Imai K, Sata N, Hishinuma S, Ojima H, Yamaguchi R, Hirano S, Sudo T, Ohashi Y; JASPAC 01 Study Group. Adjuvant chemotherapy of S-1 versus gemcitabine for resected pancreatic cancer: a phase 3, open-label, randomised, non-inferiority trial (JASPAC 01). Lancet. 2016 Jul 16;388(10041):248-57. doi: 10.1016/S0140-6736(16)30583-9. Epub 2016 Jun 2.

    PubMed 27265347
  • Conroy T, Hammel P, Hebbar M, Ben Abdelghani M, Wei AC, Raoul JL, Chone L, Francois E, Artru P, Biagi JJ, Lecomte T, Assenat E, Faroux R, Ychou M, Volet J, Sauvanet A, Breysacher G, Di Fiore F, Cripps C, Kavan P, Texereau P, Bouhier-Leporrier K, Khemissa-Akouz F, Legoux JL, Juzyna B, Gourgou S, O'Callaghan CJ, Jouffroy-Zeller C, Rat P, Malka D, Castan F, Bachet JB; Canadian Cancer Trials Group and the Unicancer-GI-PRODIGE Group. FOLFIRINOX or Gemcitabine as Adjuvant Therapy for Pancreatic Cancer. N Engl J Med. 2018 Dec 20;379(25):2395-2406. doi: 10.1056/NEJMoa1809775.

    PubMed 30575490
  • Conroy T, Desseigne F, Ychou M, Bouche O, Guimbaud R, Becouarn Y, Adenis A, Raoul JL, Gourgou-Bourgade S, de la Fouchardiere C, Bennouna J, Bachet JB, Khemissa-Akouz F, Pere-Verge D, Delbaldo C, Assenat E, Chauffert B, Michel P, Montoto-Grillot C, Ducreux M; Groupe Tumeurs Digestives of Unicancer; PRODIGE Intergroup. FOLFIRINOX versus gemcitabine for metastatic pancreatic cancer. N Engl J Med. 2011 May 12;364(19):1817-25. doi: 10.1056/NEJMoa1011923.

    PubMed 21561347
  • Von Hoff DD, Ervin T, Arena FP, Chiorean EG, Infante J, Moore M, Seay T, Tjulandin SA, Ma WW, Saleh MN, Harris M, Reni M, Dowden S, Laheru D, Bahary N, Ramanathan RK, Tabernero J, Hidalgo M, Goldstein D, Van Cutsem E, Wei X, Iglesias J, Renschler MF. Increased survival in pancreatic cancer with nab-paclitaxel plus gemcitabine. N Engl J Med. 2013 Oct 31;369(18):1691-703. doi: 10.1056/NEJMoa1304369. Epub 2013 Oct 16.

    PubMed 24131140
  • Golan T, Hammel P, Reni M, Van Cutsem E, Macarulla T, Hall MJ, Park JO, Hochhauser D, Arnold D, Oh DY, Reinacher-Schick A, Tortora G, Algul H, O'Reilly EM, McGuinness D, Cui KY, Schlienger K, Locker GY, Kindler HL. Maintenance Olaparib for Germline BRCA-Mutated Metastatic Pancreatic Cancer. N Engl J Med. 2019 Jul 25;381(4):317-327. doi: 10.1056/NEJMoa1903387. Epub 2019 Jun 2.

    PubMed 31157963
  • Fahrmann JF, Schmidt CM, Mao X, Irajizad E, Loftus M, Zhang J, Patel N, Vykoukal J, Dennison JB, Long JP, Do KA, Zhang J, Chabot JA, Kluger MD, Kastrinos F, Brais L, Babic A, Jajoo K, Lee LS, Clancy TE, Ng K, Bullock A, Genkinger J, Yip-Schneider MT, Maitra A, Wolpin BM, Hanash S. Lead-Time Trajectory of CA19-9 as an Anchor Marker for Pancreatic Cancer Early Detection. Gastroenterology. 2021 Mar;160(4):1373-1383.e6. doi: 10.1053/j.gastro.2020.11.052. Epub 2020 Dec 14.

    PubMed 33333055
  • Majumder S, Taylor WR, Foote PH, Berger CK, Wu CW, Mahoney DW, Bamlet WR, Burger KN, Postier N, de la Fuente J, Doering KA, Lidgard GP, Allawi HT, Petersen GM, Chari ST, Ahlquist DA, Kisiel JB. High Detection Rates of Pancreatic Cancer Across Stages by Plasma Assay of Novel Methylated DNA Markers and CA19-9. Clin Cancer Res. 2021 May 1;27(9):2523-2532. doi: 10.1158/1078-0432.CCR-20-0235. Epub 2021 Feb 16.

    PubMed 33593879
  • Gui JC, Yan WL, Liu XD. CA19-9 and CA242 as tumor markers for the diagnosis of pancreatic cancer: a meta-analysis. Clin Exp Med. 2014 May;14(2):225-33. doi: 10.1007/s10238-013-0234-9. Epub 2013 Mar 3.

    PubMed 23456571
  • Tempero MA, Uchida E, Takasaki H, Burnett DA, Steplewski Z, Pour PM. Relationship of carbohydrate antigen 19-9 and Lewis antigens in pancreatic cancer. Cancer Res. 1987 Oct 15;47(20):5501-3.

    PubMed 3308077

Questions about this trial

What is this clinical trial studying?

An observational study of Pancreatic Cancer and Pancreatic Carcinoma, run by City of Hope Medical Center at 13 sites in 3 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 28 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 13 sites in United States, Japan, South Korea. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Ajay Goel, PhD (6262183452, AJGOEL@COH.ORG), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Sensitivity (time frame: Through study completion, an average of 1 year). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06388967, which also lists 32 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Sep 2026; AzTrials last refreshed its copy on 26 Oct 2026.

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