A Prospective, Multicenter, Noninterventional Cohort Study of Muti-Omics Models for Pan-Cancer Screening
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 60,000
- 试验地点
- 12
- 主要终点
- To evaluate sensitivity,specificity,positive/negative predictive value of the screening model in participants taking routine annual physicals
研究概览
简要总结
The integrative study by Fudan and Singlera for cancer early detection(The FuSion Program ) will evaluate sensitivity,specificity and positive/negative predictive value of the screening model jointly developed by FuDan University and Singlera in a 2-year follow-up corhort including 10,000 persons in routine annual physicals from dozens of hospitals. The multi-omics model for pan-cancer screening will be developed in a 3-year follow-up corhort including 50,000 natural persons in community containing genetic information of tumor families, assessment of epidemiological risk factors, tumor markers, proteomics, genomics and DNA methylation. After optimizing, the ability of this model will be validated in the Taizhou corhort in reality.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 40 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Take physical examinations in our research centers and have no cancer history;
- •"Population Health tracking Survey - simplified version of the questionnaire" must be filled according to the research program and an annual physical examination can be received as follow-up ;
- •Timely feed back the information related to tumor diagnosis in other hospitals to the investigator during the program;
- •Have no birth plan for the last 3 years;
- •Fully understand the study and voluntarily sign the informed consent.
排除标准
- •Have been diagnosed with esophageal cancer, gastric cancer, colorectal cancer, liver cancer, lung cancer, pancreatic cancer, breast cancer (including non-primary, such as recurrence, metastasis or other complications) and other malignant tumors;
- •Received blood transfusion, transplantation and other major operations within 3 months;
- •Participated in other interventional clinical researchs within 3 months;
- •Pregnant or lactating women;
- •Patients with autoimmune diseases, genetic diseases, mental diseases/disabilities and other diseases considered unsuitable for the study by the investigator;
- •Due to poor compliance, the researcher judged that the study could not be completed.
结局指标
主要结局
To evaluate sensitivity,specificity,positive/negative predictive value of the screening model in participants taking routine annual physicals
时间窗: assessed up to 24 months
Sensitivity: the ability of a test to correctly identify patients with a disease. Specificity: the ability of a test to correctly identify people without the disease. Positive predictive value refers to the probability of the person having the disease when the test is positive. Negative predictive value refers to the probability of the person not having the disease when the test is negative.
To develop a multi-omics model for pan-cancer screening integrating the markers of ctDNA mutation, DNA fragmentation and methylation et al.
时间窗: assessed up to 36 months
To construct a multi-dimensional ensembled stacked machine learning approach, employing several different base models on ctDNA mutation, DNA fragmentation and mehylation, to provide an effective model for cancer early detection.
To validate model's efficacy and clinical value in the diagnosis of cancers in Taizhou cohort.
时间窗: assessed up to 12 months
Cancer early detection could increase detection of cancer at early stages, when survival outcomes are better and treatment costs are lower. we will explore whether this model with high specificity could potentially improve long-term health outcomes and reduce cancer treatment costs.
次要结局
未报告次要终点