This is a prospective, multi-centre interventional study evaluating the feasibility of blood-based multi-cancer early detection test in asymptomatic screening cohort.
Approximately 2527 participants will be enrolled and offered the multi-cancer early detection (MCED) test along with standard-of-care (SOC) cancer screenings and usual medical care. The investigational test is designed to detect five cancer types at a curable stage, which are lung cancer, colorectal cancer, liver cancer, gastric cancer and esophageal cancer. The test provides a binary result and predicts the signal origins if a cancer signal is detected. Those with "cancer signal detected" test results as well as those with warning signs of cancer during health check-up will undergo diagnostic procedures. The diagnostic work-up will be at the discretion of qualified oncologists, instead of being dictated by protocol. Both the safety and performance of MCED in the screening setting will be evaluated. The extent of diagnostic testing, including laboratory and imaging tests and procedures required to achieve diagnostic resolution, will be recorded and assessed. Additionally, patient-reported outcomes relating to the testing experience will also be collected at specified time points using the Electronic Clinical Outcome Assessment (eCOA) app. Participants will be actively followed for 1 year from the date of the blood draw.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
SCREENING
Masking
NONE
Enrollment
2,527
Blood collection for multi-cancer early detection(MCED), followed by clinical diagnosis based on the results of MCED and standard-of-care screening
Feasibility of MCED in the intended use setting.
Descriptive statistics will be used to summarize the number of 5 pre-specified cancers diagnosed by MCED.
Time frame: From enrollment to the Follow-up at 1 year
Safety of MCED in the intended use setting.
Descriptive statistics will be used to summarize the time to achieve diagnostic resolution following receipt of a positive MCED test and to assess the extent of testing pursued.
Time frame: From enrollment to the Follow-up at 1 year
Performance of MCED in the intended use setting.
Positive Predictive Value defined as the proportion of participants with cancer diagnosis out of all participants with "signal detected" test result.
Time frame: From enrollment to the Follow-up at 1 year
Cancer signal origin accuracy of MCED.
Cancer signal origin accuracy defined as the proportion of participants with correct SCO predictions among those with positive test results who had a cancer diagnosis.
Time frame: From enrollment to the Follow-up at 1 year
Clinical utility of MCED alongside SOC screening.
Descriptive statistics will be used to summarize the number and types of cancers diagnosed by MCED among participants who are ineligible for SOC screening.
Time frame: From enrollment to the Follow-up at 1 year
Participant-reported psychological impact.
Changes in anxiety during study will be assessed using the short form of STAI (The state-trait anxiety inventory). Descriptive statistics for a total score will be used to measure feelings of anxiety.
Time frame: From enrollment to the Follow-up at 1 year
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Participant-reported health related quality of life (HRQoL) .
Changes in HRQoL during study will be assessed using the EQ-5D-5L. Descriptive statistics for an index value at various time points will be used to reflect how good or bad a health state is.
Time frame: From enrollment to the Follow-up at 1 year