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Pancreatic Cancer Early Detection Consortium

Recruiting
Conditions
Pancreatic Ductal Adenocarcinoma
Pancreas Cancer
Pancreas Cyst
Genetic Predisposition
Registration Number
NCT04970056
Lead Sponsor
Arbor Research Collaborative for Health
Brief Summary

The purpose of the Pancreatic Cancer Early Detection (PRECEDE) Consortium is to conduct research on multiple aspects of early detection and prevention of pancreatic ductal adenocarcinoma (PDAC) by establishing a multisite cohort of individuals with family history of PDAC and/or individuals carrying pathogenic/likely pathogenic germline variants (PGVs) in genes linked to PDAC risk for longitudinal follow up.

Detailed Description

The main objective of the PRECEDE Consortium is to build a shared resource to drive research in critical areas necessary for early detection and prevention of PDAC.

The PRECEDE Consortium is an observational prospective cohort study, with single or serial biosample collection (every 6-12 months) in defined high-risk groups.

A standardized procedure for collection and processing of human blood for the PRECEDE Consortium will be applied to all blood samples collected as part of the study. Barcoded samples will be stored at the clinical centers, using the specific labels for the PRECEDE study and corresponding data will be entered into the study database.

Clinical data and outcomes will be obtained from institutional databases or clinical records to correlate patient information with laboratory results from biospecimens obtained for research. Patients will be followed by their attending physician and receive the standard follow-up care after the procedure in which biospecimen was obtained. It is the intent that biospecimens will be made available to all consortium investigators.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
10000
Inclusion Criteria

Individuals from the following groups who present for clinical evaluation and assessment of PDAC risk at any of the participating sites can be offered participation in the PRECEDE database:

Cohort 1

Individuals without history of PDAC meeting any of the following criteria:

  1. 2+ relatives with PDAC on same side of family where 2 affected are first degree related to each other and at least 1 affected is first degree related to subject; age 50+ or โ‰ค10 years younger than earliest PDAC in family at time of diagnosis.
  2. 2 affected first degree relatives with PDAC; age 50+ or 10 years younger than earliest PDAC in family
  3. BRCA1, BRCA2, PALB2, ATM, MLH1, MSH2, MSH6, PMS2, EPCAM pathogenic or likely pathogenic variant AND 1 first or second degree relative with PDAC; age 50+ or 10 years younger than earliest PDAC in family
  4. Familial Atypical Moles and Malignant Melanoma (FAMMM) with pathogenic or likely pathogenic CDKN2A variant; age 40+
  5. Peutz-Jegher syndrome with STK11 pathogenic or likely pathogenic variant; age 35+
  6. Hereditary pancreatitis with PRSS1 pathogenic or likely pathogenic variant and history of pancreatitis; age 40+

Cohort 2

Individuals without history of PDAC meeting any of the following criteria:

  1. ATM, BRCA1, BRCA2, or PALB2 pathogenic or likely pathogenic variant regardless of family history, age 50+
  2. 2+ relatives with PDAC on the same side of family, any degree of relation, not meeting other criteria above; age 50+ or 10 years younger than earliest PDAC in family
  3. 1 first degree relative with PDAC โ‰ค age 45; age up to 10 years younger than PDAC diagnosis in family member

Cohort 3 Individual meeting criteria for Cohorts 1 or 2 EXCEPT age (i.e. too young to qualify for Cohorts 1 or 2)

Cohort 4 Individuals without history of PDAC presenting for evaluation who do not meet any criteria for 1-3, 6, or the Cyst Cohort.

Cohort 5 Individuals without history of PDAC who are not otherwise engaged in pancreas surveillance at a participating site may be invited to participate in the PRECEDE database and to donate a biosample (e.g. blood, saliva, and/or buccal swab) for discovery studies. This may include relatives of individuals in Cohorts 1-4,6, and the Cyst Cohort.

Cohort 6a

Individuals diagnosed with PDAC after enrollment in PRECEDE meeting any of the following criteria:

  1. Family history includes at least one first degree relative with PDAC, or 2 relatives with PDAC who are first degree related to each other
  2. Personal or family history of a pathogenic or likely pathogenic germline variant in ATM, BRCA1, BRCA2, CDKN2A, EPCAM, MLH1, MSH2, MSH6, PALB2,PMS2, PRSS1, STK11

Cohort 6b

Individuals with a personal history of PDAC meeting any of the following criteria:

  1. Family history includes at least one first degree relative with PDAC, or 2 relatives with PDAC who are first degree related to each other
  2. Personal or family history of a pathogenic or likely pathogenic germline variant in ATM, BRCA1, BRCA2, CDKN2A, EPCAM, MLH1, MSH2, MSH6, PALB2,PMS2, PRSS1, STK11
  3. Diagnosed โ‰ค age 45

Cyst Cohort Individuals with a personal history of a pancreatic cystic neoplasm not meeting any criteria for Cohorts 1-3 or 6 (no known family history of PDAC, no known pathogenic germline variants linked to PDAC risk)

Exclusion Criteria
  • Individuals not meeting the criteria above.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Development of PDACThrough study completion, an average of 6 years

Diagnosis of PDAC

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (59)

Hospital Universitari Arnau De Vilanova

๐Ÿ‡ช๐Ÿ‡ธ

Lleida, Spain

Mayo Clinic Arizona

๐Ÿ‡บ๐Ÿ‡ธ

Phoenix, Arizona, United States

Honor Health Research Institute

๐Ÿ‡บ๐Ÿ‡ธ

Scottsdale, Arizona, United States

Providence Health and Services

๐Ÿ‡บ๐Ÿ‡ธ

Burbank, California, United States

City of Hope

๐Ÿ‡บ๐Ÿ‡ธ

Duarte, California, United States

UC San Diego Moores Cancer Center

๐Ÿ‡บ๐Ÿ‡ธ

La Jolla, California, United States

Cedars-Sinai Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Los Angeles, California, United States

UCLA Health

๐Ÿ‡บ๐Ÿ‡ธ

Los Angeles, California, United States

UC Irvine Health

๐Ÿ‡บ๐Ÿ‡ธ

Orange, California, United States

UC Davis

๐Ÿ‡บ๐Ÿ‡ธ

Sacramento, California, United States

University of California, San Francisco (UCSF)

๐Ÿ‡บ๐Ÿ‡ธ

San Francisco, California, United States

Yale University

๐Ÿ‡บ๐Ÿ‡ธ

New Haven, Connecticut, United States

Mayo Clinic Jacksonville

๐Ÿ‡บ๐Ÿ‡ธ

Jacksonville, Florida, United States

University of Miami

๐Ÿ‡บ๐Ÿ‡ธ

Miami, Florida, United States

Moffitt Cancer Center

๐Ÿ‡บ๐Ÿ‡ธ

Tampa, Florida, United States

Emory University Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Atlanta, Georgia, United States

Illinois CancerCare

๐Ÿ‡บ๐Ÿ‡ธ

Bloomington, Illinois, United States

University of Chicago Medicine

๐Ÿ‡บ๐Ÿ‡ธ

Chicago, Illinois, United States

NorthShore University HealthSystem

๐Ÿ‡บ๐Ÿ‡ธ

Evanston, Illinois, United States

University of Kansas Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Kansas City, Kansas, United States

Massachusetts General Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Boston, Massachusetts, United States

Umass Memorial Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Worcester, Massachusetts, United States

University of Michigan

๐Ÿ‡บ๐Ÿ‡ธ

Ann Arbor, Michigan, United States

Beaumont/Corewell Health

๐Ÿ‡บ๐Ÿ‡ธ

Royal Oak, Michigan, United States

University of Nebraska Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Omaha, Nebraska, United States

Hackensack Meridian Health

๐Ÿ‡บ๐Ÿ‡ธ

Hackensack, New Jersey, United States

Memorial Sloan Kettering Cancer Center

๐Ÿ‡บ๐Ÿ‡ธ

New York, New York, United States

Icahn School of Medicine At Mount Sinai

๐Ÿ‡บ๐Ÿ‡ธ

New York, New York, United States

Columbia University Irving Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

New York, New York, United States

University of Rochester Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Rochester, New York, United States

White Plains Hospital

๐Ÿ‡บ๐Ÿ‡ธ

White Plains, New York, United States

The Ohio State University

๐Ÿ‡บ๐Ÿ‡ธ

Columbus, Ohio, United States

Oregon Health & Science University

๐Ÿ‡บ๐Ÿ‡ธ

Portland, Oregon, United States

University of Pennsylvania

๐Ÿ‡บ๐Ÿ‡ธ

Philadelphia, Pennsylvania, United States

Fox Chase Cancer Center

๐Ÿ‡บ๐Ÿ‡ธ

Philadelphia, Pennsylvania, United States

University of Pittsburgh Medical Center (Upmc)

๐Ÿ‡บ๐Ÿ‡ธ

Pittsburgh, Pennsylvania, United States

University of Tennessee Graduate School of Medicine

๐Ÿ‡บ๐Ÿ‡ธ

Knoxville, Tennessee, United States

The University of Texas Southwestern Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Dallas, Texas, United States

MD Anderson Center

๐Ÿ‡บ๐Ÿ‡ธ

Houston, Texas, United States

Intermountain Health

๐Ÿ‡บ๐Ÿ‡ธ

Saint George, Utah, United States

Huntsman Cancer Institute

๐Ÿ‡บ๐Ÿ‡ธ

Salt Lake City, Utah, United States

University of Virginia

๐Ÿ‡บ๐Ÿ‡ธ

Charlottesville, Virginia, United States

Inova Schar Cancer Institute

๐Ÿ‡บ๐Ÿ‡ธ

Fairfax, Virginia, United States

VCU Massey Comprehensive Cancer Center

๐Ÿ‡บ๐Ÿ‡ธ

Richmond, Virginia, United States

University of Washington

๐Ÿ‡บ๐Ÿ‡ธ

Seattle, Washington, United States

Epworth HealthCare

๐Ÿ‡ฆ๐Ÿ‡บ

Richmond, Victoria, Australia

British Columbia Cancer Agency

๐Ÿ‡จ๐Ÿ‡ฆ

Vancouver, British Columbia, Canada

University Health Network

๐Ÿ‡จ๐Ÿ‡ฆ

Toronto, Ontario, Canada

McGill University Health Centre

๐Ÿ‡จ๐Ÿ‡ฆ

Montreal, Quebec, Canada

Semmelweis University, Institute of Pancreatic Diseases

๐Ÿ‡ญ๐Ÿ‡บ

Budapest, Hungary

Landspitali University Hospital

๐Ÿ‡ฎ๐Ÿ‡ธ

Reykjavรญk, Iceland

Sheba Medical Center

๐Ÿ‡ฎ๐Ÿ‡ฑ

Ramat Gan, Israel

Azienda Ospedaliera Universitaria Integrata Verona

๐Ÿ‡ฎ๐Ÿ‡น

Verona, Italy

National Cancer Centre Singapore

๐Ÿ‡ธ๐Ÿ‡ฌ

Singapore, Singapore

Hospital Clรญnic de Barcelona

๐Ÿ‡ช๐Ÿ‡ธ

Barcelona, Spain

Ramรณn y Cajal University Hospital

๐Ÿ‡ช๐Ÿ‡ธ

Madrid, Spain

National Cheng Kung University Hospital (NCKUH)

๐Ÿ‡จ๐Ÿ‡ณ

Tainan, Taiwan T.O.C., Taiwan

National Taiwan University Hospital

๐Ÿ‡จ๐Ÿ‡ณ

Taipei, Taiwan

University of Liverpool

๐Ÿ‡ฌ๐Ÿ‡ง

Liverpool, United Kingdom

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