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Blood Sample Collection for Experimental Blood Test to Track Liver Cancer

Completed
Conditions
Hepatocellular Carcinoma
Registration Number
NCT04720430
Lead Sponsor
Thomas Jefferson University
Brief Summary

This study investigates if an experimental blood test can help predict how well cancer will remain under control with treatment. Ther experimental blood test involves measuring mircoRNAs. MicroRNAs are small molecules which help regulate how genes are expressed. This information may help researchers guide treatment for other patients in the future.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
7
Inclusion Criteria
  • Provide signed and dated informed consent form
  • Willing to comply with all study procedures and be available for the duration of the study
  • Definite diagnosis of hepatocellular carcinoma established (by standard radiographic or histologic criteria)
  • Felt to be reasonable candidate for liver transplantation, potentially contingent on success of down-staging therapy
Exclusion Criteria
  • Either active or recent solid organ cancer other than hepatocellur carcinoma (HCC) within the last 5 years, unless determined by transplant hepatology team not to represent contra-indication to liver transplantation
  • Contra-indication to LRT (as assessed by interventional radiologist, for example severe thrombocytopenia, severe vascular disease precluding access, etc)
  • History of prior liver transplantation
  • Active or prior systemic therapy for HCC

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Patient Clinical Status - Liver TransplantAt study completion, up to 12 months

Undergoing liver transplant

Patient Clinical Status - DeathAt study completion, up to 12 months

Will assess the following: death

Incidence of "Wait List Drop Off"At study completion, up to 12 months

Will be estimated and presented with a Clopper-Pearson exact binomial confidence interval

Patient Clinical Status - CandidacyAt study completion, up to 12 months

No longer candidate for transplantation for reasons other than tumor progression

Patient Clinical StatusAt study completion, up to 12 months

No longer candidate for transplantation due to tumor progression despite loco-regional therapy efforts

Secondary Outcome Measures
NameTimeMethod
Clinical Status of the subset of patients successfully reaching liver transplantAt 1 year after transplantation

Logistic regression modeling will be used to investigate the correlation of each miRNA with clincial status (alive without recurrence vs. recurrence or death) within one year of transplant will be cinducted in the subset of those undergoing transplant. The p-values will be adjusted for false discovery rate inflation by the methods of Benjamni \& Hochberg (1995) for both secondary analyses, respectively

Time to "Wait List Drop Off"Up to 12 months

Cox proportinal hazards modeling will be used to investigate the associations of each micro ribonucleic acid (miRNO) with time to "wait list drop off"

Trial Locations

Locations (1)

Thomas Jefferson University Hospital

🇺🇸

Philadelphia, Pennsylvania, United States

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